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<br /> IdOTICE O� DE�Ci RE��'RICTIONS: The undersigned understands that this permit may be subject to"d'eed" restrictioRS"
<br /> which may be more cestrictive#han Gounty regulat�ons. The undersigned assutnes responsibility for compliance with�any , .
<br /> applicable deed restrictians. , ,
<br /> UNLlCENSED C+C)NTF�ACTQRS AP1D Ct7W��AC�'�!2 RESPONSI�ILlTIES: !f the owner has hired a contractor or
<br /> contractors ta undertake work, they may be required to be licensed in accordance wifh state and local regulations. If fhe �
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state taw. If the auvner or in#ended contractor are uncerta'tn as to whaf licensing requiremertts rnay apply for the
<br /> intended work, they are advised to cantact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
<br /> 800�. Fur#hermoce, if the owner has hired a contractor ar contractors, he is advised to have the cantractor(s) sign
<br /> portians of the "contractor Black" of this application for which #hey wili be respansible. (f yau, as the owner sign as the
<br /> contractor, that may be an indication that he is nat properly l9censed and is not entitled to permit#ing privileges in Pasco
<br /> County.
<br /> 1'�►FISPO�'PA710(V IM�'ACT'/U�ILITIE� I�iP�►�i��►R1D RfE�I�U�C� R�COV��tY F�ES: The undersigned understands
<br /> #hat Trartsportation Impac# Fees and Recaurse Recovety Fees may apply to the construction of new buiEdings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 94-07, as amended. The undersigned also undecstands, that such fees, as may be due, wili be identified at the time af
<br /> permitiing. It is fur#her understood #haf Transpartafion lmpac# Fees and Resource Recovery Fees must be paid priar fo
<br /> receiving a ""certificake of occupancy" or final powrer release. If the project does not involve a certificate of occupancy or
<br /> final pawer release, the fees must be paid pr�or ta permif issuance. Furthermore, if Pasco Caunty V1later/Sewer lmpact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> �4NSTRllCTIO�] L1�EN [.�1tV(C�a�te��113, iFl�eid�Statutes, a� apreer�dec!): If vaEuation o#work is$2,5QQ.00 or more, E
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Proteetion Guide° prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> othe�#han #he"owner", 1 certify that i have obtained a copy of#he above described document and promise in good faith to
<br /> deliver it to#he"owner"prior to commencement.
<br /> CQNTRAC7'OFt'S/t}�iIPdER'S A��=1�AV1�: 1 certify that a41 the informatian in fhis applicafion is accurate and that a41 wock
<br /> will be done in compliance with all applicable laws regulating conskructian, zoning and land development. Application is
<br /> hereby made to obtain a permit ta da �nrork and insta4lation as indicated, 1 cer�ify that na work o� 'snsta4tation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all taws regufating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdictian. I alsv
<br /> certify that 1 undersfand that the reguiations of other government agencies may apply to the intended work, and that if is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited ta:
<br /> - Department af Environmental Protection-Cypress Bayheads, Wetland Areas and Environ►nen#ally Sensifive
<br /> Lands, WaterNVastewater Treatment.
<br /> - Southwest Florida Water Management Distric#-Wells, Cypress Bayheads, Wetland ,4reas, Altering
<br /> Watercourses.
<br /> - Army Gorps of�ngineers-Seawalls, Clocks, Navigable Waterways.
<br /> - �epar#menf af Health & Rehabilitative ServiceslEnvironmental Neatth Unit-Wells, Wastewater Treatmenf,
<br /> Septic Tanks. -
<br /> � US Environmen#al Pratection Agency-P►sbestos abatement.
<br /> - Federal Aviation Nuthority-Runways.
<br /> 1 understand that the following res#rictians appfy to the use of fill;�
<br /> - Use of fiil is not allowed in Fiood Zone"V"uMess expressty permitted.
<br /> - If the fil! material is to be; used in Fload Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time af permifting vsrhich is prepared 6y a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is ta be used in Flaod Zone "A" in connection wi#h a permitted building using stem v�rall
<br /> construction, I certify tha#fill will be used only to fill the area wi#hin the stem watl. '
<br /> - If filt maEsrial is to be used in any area, 1 certify that use of such fiA will not adversely affect adjacen#
<br /> properties. If use of�I( is found to adversely affec# adjacent properties, the owner may be cited for vialating
<br /> the conditians of the buflding permit issued under the attached permit application, far lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the A,GEfV7'FOR 1'HI� O{AIiVER, I promise in gaod fai#h to inform #he owner of the permitting conditions set forth in
<br /> this a�fidavit priar to commencing canstructian. ! understand that a separate perrnit may be required for elec#rica! work,
<br /> plumbing, signs, wells, pools, air canditianing, gas, or other installafions not specificaily included'in the application. A`
<br /> permit issued shall be canstrued 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 technicai codes, nar shall issuance of a permit preven#the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction ar violatians af any codes. Every permit issued shall become invalid
<br /> untess Ehe work aufhorized by such permit is commenced within six months of permit issuance, or if work authorEzed by
<br /> #he permit is suspended or abandoned for a period of six(6) months after#he time the work 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 ninefy(90)cansecu#ive days, the job is considered abandoneci.
<br /> t�►�4RPi1P1C TO CiWNEFt: YOUR �AtLURE TO RECO(�� A NQTICE U� CONINIENC��PiEPlT 1V�AY;R,,E�Ul.T IPI YOl��t
<br /> F�AYIP�(s'fW11GE �t1iZ�Iflfl�FZOi/E�iif�PITS"f'O Y�'1UF�PFtI�PEFt'YY.- 1�Y�U.IW�EP�1D 1'CD`O�YAON-I�iN�►RIC9�➢C, COf�11�U�.Y
<br /> 1ij►►ITN Y�i)1��END�R OR A[V A�7C}RN�Y��i�O�E F2�CO�fDtNC YOUf��IOTIGI�OF CG��flE1VCE�EPfT.
<br /> FLORIDA JURAT(F.S. 117.03)6 � �"`j�
<br /> 4l�tPtER OF2 AGEPlT_Er� G' ._. "'"- COPITR,�C70i��J ° �' .
<br /> Subsar(bed and sworn to(or med) e e me thls Subscribed and swam to r affirmed efore me this
<br /> by bY
<br /> Who istare personally known to ms ar haslhave produced Wha fs/are persanally known to me or haslhave praduced
<br /> as Identlfication. as identification. ',
<br /> Notary Public " Notary Public
<br /> Commission No. Commission PJo.
<br /> Name af Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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