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Pl0'�'ICfE OF DEECD Rf�S"TR9C1'IORf�: The undersigned understands that this permit may be subject to"deed°restric#ions"
<br /> uvhich may be more restrictive#han County regulations. The undersignec! assumes responsibility for compliance with an�.
<br /> applicable deed restrictions.
<br /> , IJNLICiE�95E� CONTR��YOR� 6�1�4� C��T��T��t ����Oi����tL.IY���: If the owner has hired a contracfor or
<br /> ' cont�actors #o undertake work, they may be required to be licensed in accordance with state and (ocal regulations. If fhe
<br /> contractor is not licensed as required by law, both the ovvner and contractor may be cited for a misdemeanor violation
<br /> � under state law. If the owner or intended contractor are uncertain as to vuhat licensing requirements may apply far �he
<br /> i intended wark, they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
<br /> 8008. Furthermore, if the owner has hired a contractar or contractors, he is advised to have the contractor(s} sigrt
<br /> portians of the "contractor Black" of this applicatian for vvhich they vvill be respansible. If you, as the ovuner sign as the
<br /> contractor, 4hat may be an indication that he is not properly licensed and is no# entitled to permittrng privileges in Pasco
<br /> County.
<br /> Y�PJS�ORT�►TI�IfV Ofifl�d�C�'l1171LIYlES IiW��►�Y��lP� f�E�OUR�C� R�CON�RY F��S: T'he undersigned understands
<br /> that Transportation Impact Fees and Recactrse Recovery �ees may apply to the constructian af net�v buildings, change of
<br /> use in exisking buildings, or expansian of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-Q7, as amended. The unders9gned alsa understands, that such fees, as may be due, uvill be identified at the time of
<br /> permitting. It is further undersfood thaf T'ransportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a °certi�cate af oc�upancy" or final pow�r release. If the project does not involve a certificate of occupancy or
<br /> finai power release, the fees musf be paid prior ta permit issuance. Furfhermare, if Pasco County WaterlSewer lmpact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasca County ordinances.
<br /> C��1�YRUCTIQi� L1�Ei� L�►�i9{Ch��4��7�93, �la¢�i�a�t���t��, as ae��etdee9): If valuation af uvork is $2,640.00 or mare, 1
<br /> certify that I, th� applicant, have been provided vvith a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protectian Guide" prepared by the Flarida Department of P+griculture and Gonsumer Affairs. If#he applicant is someane
<br /> other than #he "ovvner", 1 certify#haf ( have obtained a copy of the above describ�d document and promise in good faith fo
<br /> deliver it to the"owner"prior to commencement.
<br /> �f}iVTRAC'Tt}R'�JOt�Y�1�R'����liDi�Vl�': I certify that all the infarma#ion ie� #his applicatian is accurate and that all work
<br /> will be done in campliance with all applicable lauvs regulating construction, zoning and land development. Applicatian is
<br /> hereby made to obtain a permit to da �nrork and ie�stallation as indicated. 1 certify that no v�ark or insfallation has
<br /> commenced prior to issuance of a permit and that all work vuill be performed to meet standards of ail laws regulafing
<br /> construction, Caunty and City codes, zoning rsgulations, and land development rsgulatians in the jurisdiction. f also
<br /> certi�y that I undersfand that the reguiations of other government agencies may apply to the intended vvork, and fhat it is
<br /> my responsibility#o identify what ac#ions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Departmenf of EnvironmentaE Protection-Cypress �ayheads, Vlfetiand Areas and Environmentally Sensifive
<br /> Lands, WaterMlastewater Treatment. `
<br /> - Southwrest Florida V�later iVlanagetnent District-Wells, Cypress �ayheads, V1(etland ,4reas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Sea�ralls, Docks, Navigable Wateruvays.
<br /> - Department of Healfh � Rehabi(ifative Services/Environmental Heafth Unit-Wells, Wast�vvater Treatment,
<br /> Septic Tanks.
<br /> - US Enviranmenfal Protection Agency-Asbestos abaternent.
<br /> - Federal Aviation Authority-Runvvays.
<br /> t understand that fhe follawing restrictians apply to the use o#fill:�
<br /> - Use of fill is not allowed in Flood Zon�"V"unless expressly permitted.
<br /> - If the fi!! material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating va{ume" wi11 be submifted a# time of permitting �nrhich is prepared by a professianal engineer
<br /> licensed by the State of Florida.
<br /> - If fhe fl! material is to be used in Flood �one "A" in connecfio� v�rith a permitted building using stem �nraE!
<br /> construction, I certify that fill will be used only to fill the area vNi#hin the stem wall.
<br /> - If fill material is to be used in any area, ! certify #hat use of such fi4) wil! not adversely affect adjacent
<br /> properties. tf use of fill is found to adversely affect adjacent properties, the ouvner may be cited for�iaiating
<br /> the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
<br /> acre whicFt are elevated by fill, an engineered drainage plan Es requlred.
<br /> If I am the ACENY FO�'�Fi� OV���R, I promise in gaod faith to inform the owner of the permitting conditions set farth in
<br /> this affidavit priar to commencing canstruction. ! understand that a separats permit may be required for eEectr4ca! uvork,
<br /> plumbing, signs, wrells, pools, air conditioning, gas, ar other installations not specifically inciuded in the applicatian. A
<br /> permit issued shal! be construed to b� a license tv proceed uvith 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#he �uilding Offieia(from #hereafter
<br /> requiring a correction of errors in plans, construction or violations of any cades. Every permit issued shall become invalid
<br /> uniess #he work authorized by such permit is cammenced vtirithin six months of permit issuance, or if tntork aufhorized by
<br /> #he permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. Nn extension
<br /> may be requested, in wrriting, frorn fhe Building Official for a period not ta �xceed ninety (9Q) days and �nril! demonstrate
<br /> justifiable cause for the extensian. (f work ceases fior ninety{9d)consecutive days, the job is considered abandoned.
<br /> F��RR�IP)� �'O OW/(�l��': Y�l�Ft G��iiLUR� T� 9��C�?�� �, ft9�'�'�C�1C G►� ��ii�i�i�R94��6�iiE1��' i�N,�Y t2E��L`C lil� Y���
<br /> �'�1YIiVG YYiIICE F0�3 I��R01/I�fl�1�W�TS �"O YOU��RO�E�2YY. Y�YOU IRITEPID TO OBlf'�!W FIRIAY�CB�lt9, COR9�PJIL�'
<br /> i���F{1{{l��t��#1��L�6���?�aFl9��'����Y�����(E��GORID66�i{�VOUE2�lQ�4C1�C!�GO��lER1CI�fi�fEPIT�_ - - — - -
<br /> FLORIDA JURAT(F.S 1 . 3)
<br /> OWNE(R f}R AGEPI� W"� CO�TRACTO@�
<br /> Sbs�tbe� bs,, or�t J(pr affir�e�.b�efore� t is_ S�ybs„�a7r�ed nd s�orn or affrmed before m th s
<br /> ,, � � ��/ b .�a� L �.��e z_z�
<br /> Who slare perso ly known to me or haslhave produced �o is!.a�e p�rs�onaily kr�awn to me ar haslhave produced
<br /> ��,,t���i o_,�t�2 as ldentlfication. f�,y� ,�>>2�l�i' �C.e� C�as identification.
<br /> ,
<br /> r
<br /> ,�'�'� /�4, otary Public �-- Notary Public
<br /> + °j:�'�':s':�•, JACQUE E BQGES Co ' "" .JAC UELI E B
<br /> �.'OfTI y e. . ,
<br /> •= — _�' '::- Commission#EE 040520
<br /> ';-•...Q: Expires December 12,2094 =�. :�: Ex ires Decerr�ber 92 2014
<br /> iVame of Nota � � �". . ^�s asesao�s Na e�R�iS�i'Y t�dlq'�i"�� �s
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