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<br /> TJ'�S#�E�F i�EE�RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions°
<br /> u�ihi¢h•may�b�anore restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> _ � a�aplicable d�d restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> . under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned atso understands,that such fees, as may be due,will be identified at the time of
<br /> . permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy°or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permR issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 773,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the °Fiorida Construction Lien Law—Homeowner's
<br /> Protection Guide°prepared by the Flaride me�ed�nt a�3 Agraculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certify that 1 have 9htained a copy of 4t�above descaribed document and promise in good faith to
<br /> deliver it to the"owner"prior to comme�ace�a�:.nt.
<br /> CONTRACTOR'S/OWNER'S AFFID,A'�Ji3: �ce�ify�6�aN�information.in this a�pfication is accurate and that all work
<br /> il will be done in compliance with all app!i�ca�,C�laa�as�u9.a�s���nstn�aion,zoni�g and land development. Application is
<br /> hereby made to obtain a permit to do��or3t ar.**.] "ssSS2-alTa9ian as indicat�d. I certify that no work or installation has
<br /> I commenced prior to issuance of a �*Raxi��a,md��'�f ae w,c�c r�,7�be Rer�o�rned to gneet standards of all laws regulating
<br /> construction, County and City codes,zorr:���ulatnar��and [ae�d development regulations in the jurisdiction. I also
<br /> certify that I understand that the regrsl�5on�m��`.fier gaG�..�s3memf agenaes may apply to the inter�ded work,and that it is
<br /> my responsibility to identify what actinits I reiw�tl�ta be im eompliar�ce_ Suctt agencies include but are not limited to:
<br /> - Department of Environrr�e�ta��ini�,**��aai-�i,press Bayheads,�J9Pettand Areas and Environmentally Sensitive
<br /> Lands,WatedWastewat�r Tr�fm�nnC.
<br /> - Southwest Florida WaP,er lfYllana�yer�:rn� �lric3-We19s, C�ress Bayheads, U\feUand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-9eauualls,,Dock���la�able 4"�'aaterer,rays.
<br /> , - Department of Health � E2eh�6iiifati� �vi�eslEnuirortmentaE '�ea9tP� Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Prote+d�uon F't�m�y-,�os aGateme�t.
<br /> - Federal Aviation Authoriiy�twu.!virays. -
<br /> I understand that the following restric�i�rss��'ry dm lhe�����513_
<br /> - Use of fill is not allowed's��9a�,�aroe�6"ur�.�ess e�ress3y pemni#4ed.
<br /> - If the fill material is to be �use¢9 ic� F�a�e .���� A', it is understood that a drainage plan addressing a
<br /> °compensating volume"w:�i 3a��bmi�s!�ff�e of pemiitting tivhich 9s prepared by a professional engineer
<br /> licensed by the State of Fi�rBda_
<br /> - If the fill material is to be us�in F9a�d Zar�e°A"in connerdioc�with a permitted building using stem wall
<br /> construction,I certify that fila v�%a11 be used oraly to fidd ti�e area wiihin the stem wall.
<br /> - If fill material is to be used in any area, i cer�i{y ihat use of such fiIl will not adversely affect adjacent
<br /> properties. If use of fill is gou�ad lo adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the buildi�g�ermit issued ur�der the attached permit application,for lots less than one (1)
<br /> acre which are elevated by fi1i,an engineered drainage plan is required.
<br /> If I am the AGE►JT FOR THE OWNER,1 promise in goad fa'ith to inform the owner of the permitting conditions set forth in
<br /> this a�davit prior to commencing const�ruction. I undersiand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the woric is commenced. An extension
<br /> may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />' F��R��q,t, PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> z� °� WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> m K FLORIDA JURAT(F.S.117.03)
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<br /> ' OWNERORAGENT CONTRACTOR I—
<br /> �'�' 05`� r � ��,I�—�---
<br /> N011tl�� Subscribed and sworn t or affirmed)before m t is Subscribed and swor to or affirmed before me this
<br /> rn � � � � by ���r, � , ������by JAS�oN w. �ur�rrrr CHRISTIE K MAJOR
<br /> x O --I Q 2 �p is/are personally known to me or has/have produced o isWh /are personally known to me or has/have produced p A S
<br /> �. 3 m -'� � l�S n�-.t�a. as ident�cation. PERSONALLY KNOWN as identification.o�' `r��NOTARY PUBLIC
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<br /> u, xt � � � � „ o q STATE QF FLORIDA
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<br /> s m �' v m 1 ,/�. �; � Comm#EE143314
<br /> � C T` / /Notary Public ,��c�' �i �,�ir�`t___r ,Sr. �P,iibli
<br /> � tW,�� � � D Commission No. `V Com ission No.�� / � � E� ���ires 'I 1/2/2015
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<br /> N�e of Notary typed,printed or stamped Na�Y'e of ota�typed,printed or stamped
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