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<br /> Id0'TlCfE O� DE�D RE�'TRIC'TIONS: The undersigned understands that this permit may be subject to"deed" restric#ions"'
<br /> r�uhich may be more res#rictive than County regulations. The undersigned assumes responsibility for camplia�nce uvith any
<br /> applicable deed restrictions. ,
<br /> UNLIGENSED CON�RIRCTORS AN{} CC1PI�f�1�T�1F2 �ESPONSI�lLI"�II�S: If the ouvner has hired a contractor or
<br /> cont�actors to underfake work, #hey may be required to be licensed in accordance writh state and (ocal regulations. If fhe
<br /> contractor is not licensed as re.quired by law, bath the owner and contractor may be cited for a misdemeanor vialation
<br /> under state iaw. if the owrner or intended contractor are uncer#ain as to utrhat licensing requiremenfs may�apply for the
<br /> intended wark, they are advised to contact the Pasco County �uilding Inspection Division--Licensing Section at 727-847-
<br /> 8t}Q9. Furthermare, if the owner has hirec! a contractor ar contractors, he is advised to have the contractor(s) sign
<br /> portions of the "cantrackor Black° of this application far which they wiii be responsibte. tf you, as fhe owner sign as the
<br /> , cont�actor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> i County. l �� �� `
<br /> TRAINSPOFtYAl'ION IMPAC77lJTILVYIES 111�P�►C'�'�NC1 �2��Ol9RCf� R�COV�RY F���:' 7he undersigned underskands
<br /> that Transportation Impact Fees and Ftecourse Recovery Fees may apply to the construction af new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-Q7 and
<br /> 90-07, as amended. The undersigned aiso understands, that-such fees, as may be due, wil! be identified at the time of
<br /> permitfing. it is further understood that Transportation impact Fees and Resource Recovery Fees must be paid prior ta
<br /> � receiving a "certificate af occupancy" or final po�wer release. If the project does not involve a certificate of occupancy or
<br /> ; final powar reiease, the fees must be pairi"prior to permit issuance. Furfhermoce, i�Pasco Caunty WaterlSewer Impac�
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTEtUCT10N CtEN L.t�Vi1(�hap�ter 71�, �l�riela�tatt�t��, �s atnend�d}: If valuation of work is $2,500.OQ or more, t
<br /> certify that I, the applicant, have been provided with a copy of the �"Florida Canstruction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of A:griculture and Consumer Rffairs. If the applicant is someone
<br /> other than the°owner", I certify thaf 1 have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> �E}N'TF�AC'T4R'StQitVl��R'� 1���1D,�1/4T: 1 certify that ail the informatian in this applicatiai�.is accurate and that al!work
<br /> will be done in campliance writh all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to abtain a permit to do work and insta!lation as indicated. 1 certify that no work oc instatlation has
<br /> commenced priar to issuance of a permi# and that all work will be pertormed #o meet skandards of alI laws regulating
<br /> construction, County and Ciky codes, zoning regulations, and land development regulations in the jurisdiction. 1 alsa
<br /> certify that i undersfand thaf the regulafions of other governm�nt agencies may apply to the intended w�ork, and that it is
<br /> my responsibility ko identify what actians I must take ta be in compliance. Such agencies include but are not limited to:
<br /> - E}epartmer�f of Environmental �rotection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> Lands, Wa#er/Wastewater Treatment.
<br /> � - Sauthwest Florida Water Management. District-Wells, Cypress Bayheads, 1fU'etland Areas, Alkering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Water�nrays.
<br /> - Depar#ment of Health & Rehabiiitative Services/Environtnentaf F{ealth Unit-Wells, Wasteuvater Treatment,
<br /> Septic T'anks. .
<br /> - US Enviconmentai Protection Agency-Asbestos abatement. ,
<br /> i - Federal Aviation Authority-Runways. ' _
<br /> ( ! understand that the following res#rictions apply to the use of filL•�
<br /> - Use of fill is not allowed in F{aod Zone"V"unless expressiy permitted.
<br /> - �If the fill material is to be used in Fload Zone "A'", it is understood that a drainage plan addressing a
<br /> "compensating uotume" tinrill be submitted at time of permitting which is prepared by a prafessional engineer
<br /> licensed by#he State of Florida.
<br /> - If the �{I material is to be used in Flood Zone "A° in cannection with a pecmitted building using stem wrall
<br /> consfruction, I cerfify tf�ak fill wilf be used only to fi(1 the area within the stem wa(I.
<br /> ' - !f fill material is #o be used in any area, ! certify that use of such �I) wi!! not advers�ly affect adjacent
<br /> ro erties. If use of fill is found to adversel affect ad acent ro erties the owner ma be cited far viatatin
<br /> P P Y J P P � Y 9
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre wh�ch are elevatecf by fill, an engineered drainage plan is �equlred.
<br /> If I am the A,GEIVT FOF�TH� OWINER, I promise in goad faith to inform #he owner of khe permitting conditions set farth in
<br /> this a#fidavit prior ta commencing canstrttc#ian. ! understand that a separate permit may be required for electrRca! wark,
<br /> plumbing, signs, welis, pools, air condiEioning, gas, ar other installafions not specificaily included in fhe application. A
<br /> permit issued shall be canstrued to be a license to proceed with the wark and not as autharity ta.violate, cancel, alter, or
<br />� set aside any provisions of the technical codes, nor shall issuance af a permit prevent the �uilding Official from thereaffer
<br /> requiring a correc#ion of errors in plans, canstruction or violations af any codes. Every permit issued shall become invalid
<br />' unless #he v�rork autharized by such permit is comr�enced with'sn six months of perrrtlt issuance, Qr if work atttharized by
<br /> khe permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An exfension
<br /> may be requested, in writing, f�om the Building t�fficial for a period not to exceed ninety (90) days and wi!! demonstrate
<br /> justifiable cause for the extension. (f work ceases for ninefy{90}eonsecutive days, the job is considered abandoned.
<br /> 1fVARt�tlNG TQ t}WN�i�: Yt)U!� �A}�l7RE Tt? ���{aR� A flIQT1�E Cd� �OIV��flENGE�1��tT 11�AY R�SU�T 1�1 YQF1R
<br />_ _F'AYIPVG TWICE 1=0R IIMP�tOVEIlAEN7'S �'O YC'�IU�2 PI�OP�R'�Y. IfF YOU INl'�ND 1'O OB"fAIN FIfVAFICING, CONSUL7
<br /> V1fITF1 YOl1R LENCIER t?i�t�►1V�►T7'd?RP!(E'Y���rDF7� D��C�3������Y�4�@'�N�i`i6��8��°�C}�64�lE�i�1�E1�ENT
<br /> FLOi21DA JURAT(F.S. 117.p3)
<br />� OVitNER QR AGEN'T GONTRACTO}2
<br /> Subscribed and swom to(or aHirmed)before me th(s Subscribed and sworn to(vr affirmed)before me this
<br /> by by
<br /> Wha istare personally known to me or haslhave produced Who Islare personally knawn ta me or haslhave produced
<br /> as Identfficakion. as identi�cation.
<br /> Notary Public IVotary Public
<br /> Commisslon No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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