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F101'OCE OF DE�D R��'TRICTIO��: The undersigned understands that this permit may be subject to"deed"restric'tions" �
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compiiance vrrith any
<br /> applicable deed restrictions.
<br /> U�dLIC�id�ED CGiMT�C�O�t� �i�l� COHIT��Tf�R ����O�a1�t�1Y1��: Ef the owrner has hired a contractor or
<br /> contractors ko undertake work, #hey may be required to be licensed in accordance�i#h sfate and local regulations. if fhe
<br /> contractar is not licensed as required by law, bath the o�nrner and conkractor may be cited for a misdemeanor vialation
<br /> under state larnr. If the owner or inEended contractor are uncertain as to vuhat licensing requirements may apply for the
<br /> intended wark, they are advised to cantact the Pasco County �uilding Inspection Division—Licensing Section at 727-847-
<br /> 8QQ9. Fur#hermore, if the owner has hired a eontractor or contractafs, he is advisecf to have the contracfor(s} sign
<br /> portions of the "contrac#or �lack" of this application far which they vuill pe respansible. If you, as the owner sign as the
<br /> cantractar, that may be an indication that he is not properly licensed and is not entitled to permi#ting privileges in Pasco
<br /> Counfy.
<br /> YFtAR1SPURYATI0F1 Ii1���C�'1lJ�IL1�'I�� YP�P�►�Y�►R9fD ���OUR�� �f�CO��RIf F�ES: The undersigned understands
<br /> that Transporfatian Impact �ees and Recourse Recouery Fess may apply to the construction of nevrr 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 also understands, that such fees, as may be dtte, wili be identified at the #ime of
<br /> permitting. It is further understood that Transporkation tmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate af occupancy" or final po�nrer release, If the project does not involve a certificate o#occupancy or
<br /> final power release, fhe fees mt�st be paid prior fo permit issuance. Furtherrrtore, if Pasco County Vt/ater/Sewer lmpact
<br /> fees are due, they must be paid prior fo permit issuance in accordance wi#h applicable Pasco County ordinances.
<br /> �Q�1�TRlJCTIQi� �.1��4 L�a�i!(Gh��t��'�'93, �lo���a��#a�ute�, �� amer�d�d�: lf valuation of rnrork is$2,500.00 ar more, i
<br /> certify that I, the applicant, have been provided with a copy of the "�Iorida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. lf ths applicant is someane
<br /> other than the"owner", I certify#hat i have obtained a copy of fhe above described documen#and promise in good faith to
<br /> deliver it to the"owner"prior to commencernent.
<br /> �t�i�Y�3ACTOfi�'S/Olfi/���'�A��ICt,��llY: 1 cer#ify that ai1 fhe informafion in this application is accurate and that ali work
<br /> will be done in campliance with all applicable laws regufating construction, zoning and land development. Application is
<br /> hereby made to obtain a permifi to da vuarlc and insfa{lation as indicated. 1 ce�tify that no uvortc or instaltation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulatians in the jurisdiction. I alsa
<br /> certify that I understand that the reguiations of ather governrnent agencies may apply to the intended work, and that if is
<br /> my responsibility ko identify what actians I must take to be in campliance. Such agencies include but are not limited ta:
<br /> - Department af Environmental Protect9on-Cypress 8ayheads, Wetland Areas and Enviranmentally Sensitive
<br /> Lands, WaterNUastewater Treatment.
<br /> - Southwrest Florida 11Uater �tlanagement District-Wells, Cypress �ayheads, Vlletland Areas, A1terEng
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawralls, Docks, Navigable Watenrvays.
<br /> - Department af Health & Rehabi(itative Services/Environmental Heal#h Unit-We(ts, Wasfewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protecfion Agency-Asbestos abatem�nt.
<br /> - Federal Aviation Nufhority-Runways.
<br /> 1 understand that the following restrictians apply to the use af fi11:�
<br /> - Use af fill is not alfawed in Fload Zon�"V"unless expressiy permitted.
<br /> - If the flll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> °campensating vo{ume" �vill be submitted a# time of permiffing vuhich is prepared by a professianal engineer
<br /> licensed by the State of Florida.
<br /> - 1f fhe fi11 material is to be used i� Flood �one "A" in connection vtitith a permifted building using stem utirali
<br /> construction, I certify thak�II will be used only to fill the area within the stem wall.
<br /> - !f fiN material is to be used in any area, 1 cer#9fy that use of such fill wl!! not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent propetties, the owner may be cited for violating
<br /> khe conditions of the building permi# issued under the attached permit application, for lots less than one (1)
<br /> acre which are e{evated by fill, an engineered drainage pfan is required.
<br /> If I am the�.('sIERIT�O��HE 01i1lI��V�, I promise in good faith 4o inform #he owner of khe permitting conditions set farth in
<br /> this affidavit priar to commenc'sng construction. 9 understand that a separate permit may be required for electrical uvork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ofher installations not specifically included in the app(icafian. �
<br /> permit issued shall be construed to be a license to proceed v�rith the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nar shail issuance of a permif prevent the �uiltiing Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any cades. Every permit issued shall become invalid
<br /> unless Ehe vuork aufhorized by such permit is comrr�enced within six months af permi# issuance, or if wark authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. /�n extension
<br /> may be requesEed, in v►rriting, frorn 4he Building t�fficial far a period noE to �xceed ninety (90) days and wifl demonstrate
<br /> justifiabfe cause for the extension. If work ceases for ninety(90)consecutive days, fhe job is considered aba�doned.
<br /> ii�l�►�➢d16�C TO 01iii(�I�R: YC1U� ���H,.tY➢2� T�► ��GC1RD � I�OY'I�E �(� C{�i�li��iV�E���1T ti�Al' �.���[.T 1F� '�C}l��
<br /> �AYIiV(9 Y1iVICE fF0�2 V6�1P�OVEIIflfEb�T�YO VO�DR�P'tiDPER'�'S(. �I�YOV.Y IWY�I�D Yd� O�TAI� �M(V�►P9CI�If9, COR��l11L�'
<br /> �Y�1��Y�i'Y�Dl3�`t L�PI�D�Ii��16�f�ii1�►�°��3��������}�� ������i�iC9�P23�➢R-�it1�TiG�t-{3��Cy��ritity����t�i�. `�.'_ ._
<br /> FLORIDA JURAT(F.S. 117. 3)
<br /> � ^
<br /> tJl{Vft1�F2�i2 At3E�T _�'��� GC1j11T#ZAGTt'��t �
<br /> Subscribed an�,yvnr.gto(or`affirmed)before me this Subscribed and sw o or affirmed)before me this
<br /> �_ � Y
<br /> Who 3stare p rsonally own ta me or haslhave produced Wha Isla persanally kn n to me or haslhave praduced
<br /> as identlficakian. as identification.
<br /> "—Note Public ��'�� ` ? Notary Public
<br /> `°' '�p� �. issi #EE 040520 ( 'Y es'% JAC
<br /> Co m sion N =*� �'= pm� Comrrlis ion YV -''�"� �. QU NE BOG
<br /> r.', e�= -mHTmv��,A,,,�„�eoa-��o�s ;•: ';•. ommission#EE 040520
<br /> ��'.s�;:q��' �° _; ;o; Expires Decernber 42
<br /> Name of Notary ped,printed or stamped Name of Notary ��' 'tei�°b�Jt�ti4�€�l���euo-sesao�s
<br />
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