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<br /> PIO7"ICE OF DEEC1 RE�'TRICT'ION➢�: The undersigned unders4ands that this permit may be subject to"'deed"restrictions"'
<br /> wrhich may be more sestrPctive than Caunty regulatians. The undersigned assumes resportsibility for campliance with any
<br /> applicable deed restrictions.
<br /> ��ll.l��N��Y� Ct�tVYR�i�T��� �P➢D ��Pl�'�1�T�l+ff� �fE��ONI�➢�l�V'Tlf��: If the o�nrner has hired a cantrac4or or
<br /> contractors to undertake work, they may be required to be licensed in accorda�tce with state and iocal regulations. If fhe
<br /> � contractor is not licensed as required by law, bath the owner and contractor may be cited for a misd�meanor violation
<br /> under state iavv. If the ov►rner or in#e�ded contracfor are uncer#ain as to uvhat licensing r�quiremenfs may apply for the
<br /> intended wark, they are advised fo contact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
<br /> 8009. Furtherrnore, if the awner has hired a contractar ar contractors, he is advised to have the cantractar(s) sign
<br /> portions of the "contractor Biock" of this application for uvhich they wili be responsible. tf you, as the owner sign as the
<br /> contractor, khat may be an indication that he is nof properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> 'YI�fVSPO�.TA'�IOPI IMPAC�'IIJ�IL9Tl�� OMf��►�°��W� ���Ol1�C� �f�COi/�RY F��S: The undersigned understands
<br /> that Transportation Impact F�es anc! Recaurse Recovery Fees may apply ta the canstrucfion of nev�r buildRngs, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Counfy Ordinance number 89-U7 and
<br /> 90-07, as amended. The undersigned alsa understands, that such fe�s, as may be due, will be identified at the time of
<br /> permitting. It is further understood thaf Transportation )mpac# Fees and Resource Recovery Fees must be paid prior ta
<br /> receiving a "'certiflcate of occupancy" or final pavver release. If th� project does not involve a certificake of occupancy or
<br /> final power release, the fees must be paid prior ta permit issuance. Furthermore, if Pasca County t�later/Se�nrer lmpact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CQN�T6�1lG1'60R1 �.IIE�# L�1fid(Cha����Y�93p �Ic�rief��t��t����, �s ���r�d�c9}: If valuation of work is $2,500.00 ar more, !
<br /> certify that I, the applicant, have been provided vvith a copy af fhe °Florida Cons�ruction Lien Law—Homeowner's
<br /> Proteckion Guide" prepared by the Florida Depaetment of Agriculture and Consumer Affairs. !f the applicant is sameone
<br /> other than Ehe"�wner", 1 cerfify that I have obtained a capy of the above described document and promise in gaod faith to
<br /> deliver it to the "owner"prior to commencement.
<br /> COiVT'Rt���'��t'5101�i��1�Et'����1��1i1�': 1 certify that a4E ths inforrnatian in this application is accurate and fhat alf vuork
<br /> will be done in compliance with all applicable la�rs regulating construction, zaning and land development. Application is
<br /> hereby made to obtain a permit to do uvork and 9nstatlatian as indicated. 1 certify that no work ac installatian has
<br /> commenced prior to issuance of a permif and that all work �rviil be performed #o meet sfandards of atl laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I alsa
<br /> certify that 1 undersfancf thaf the regulatians of other govemment agencies may appEy ta the intended worfc, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited ta:
<br /> - Departme�f of Environmental Protect9on-Cypress �ayheads, W�tland Areas and Enviranmentally Sensifive
<br /> Lands, �/Vater/Was#ewrater Treatment.
<br /> - Southwest Florida VVater l�anagement Dis#rict-VI(ells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercours�s.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Wateruvays.
<br /> - Depar#m�nt of Health � F2ehabilitative ServiceslEnvir�nmental Nealth Unif-W�1fs, Waste�nrater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Pratectioe�Agency-AsbesEos abatetnent.
<br /> - Federal Aviation Authori#y-Runways.
<br /> 1 underskand that the following restrictions apply to the use of fill:�
<br /> - Use of fi!! is not allpwed in F'lood Zon�"V"unless expeessly permitted.
<br /> - If the fill material is to be used in Flood Zone "q", it is understood that a drainage plan addressing a
<br /> "compensating valume" vuill be submitted af fime of permifting v�rhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If t3�e fill material is to be used in Fiood Zone "A" in connection vuith a permitted bui4ding using stem wall
<br /> construction, I cerkify that fill v�rill be used anly to�11 the area within the stem wall.
<br /> - !f fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of�!I is found to advers�ly affect adjacent properties, the awner may be cited for vioiating
<br /> the conditions of the building permit issued under the attached permit application, for Iots less #han ane (1)
<br /> acre which are eievatetf by fill, art engineered drainage plan is r�qu9red.
<br /> If I am the�4G�RJ7' �O�t THI� C11fV�9��d, I promise in gaod faith to inform the owner of#he permitting conditions set farth in
<br /> this affidavit prior ta commencing constructian. I understand that a separate permit may be required far e(ectrical v�rork,
<br /> plumbing, signs, welis, pools, air conditioning, gas, or other installations not specificaliy inctuded in fhe appiication. A
<br /> permit issued shaq be canstrued fo be a license to proceed uvith the work and not as authority to violate, cancel, alter, ar
<br /> set asid� any provisions af the techr�ical codes, nvr shatl issuance of a permit prev�nt the Building Official from thereafter
<br /> requiring a correction of errors in plans, canstruction ar violations af any codes. Every permit issued shall become invalid
<br /> unless the vvork authorized by such permit is commenced rtvithin six manths af permif issttance, or if vuark authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the vuork is commenced. An extension
<br /> may be requssted, in uvriting, from the �uilding Official far a period not ta exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninefy(90)consecutive days, the job is considered abandoned,
<br /> 1iVAR�IRIG �'� �{W�l��2: Yf�t�R ���L�1�2� YG� ����R� ,� ��T��� Qi� �Ci�6iFiEFdCEiW�NT �AY �t��l�L'T 1P1 Y�J[1�
<br /> &�6�YIP�C9�V1fICE l�'09a..1i'��F30VfEfl�I�F1TS_T�J YCYIY@2 f�ff�()�'�M3,Y1(. V�YO�.➢ aPll'IEND'I'O O�7AI�1 FIYHi�f�IC9PlG, CON��➢�.�"
<br /> tfU1TH YQU�t�ENDEEt d�iR#1N i��t)�2f��Y i������ �2�CC}�2(D9f�C YOUR H�CJ 1C�C��C �fl�f! �iC�I�tE6i4T.
<br /> FLORIDA JURAT(F.S. 117.03) //�/�
<br /> r�
<br /> OVitN�#2 4F2 AGE�l�' GOkU'LRACTOlt l
<br /> Subsaribed and swom to(or affirmed)before me thfs Subscribed and swom o{pr affir e efore/me this
<br /> by by z c..J
<br /> Who islare personally known to me ar haslhave produced Who(slare personally�nown fo me ar haslhave prpduced
<br /> as Identification. as identifcation.
<br /> Notary Public �'` GG � � IVotary Public
<br /> Commission Na. Cor� issi �
<br /> � ;;�^��°Ya�� JAGQUELIN�BO��S
<br /> 1�
<br /> Name qf IVotary typed,printed or stamped PJame of ' � ��.WWp�{, I}
<br /> ;�RF���aJ�. � 'WWO� G12014
<br /> rided 11wT�oy Fain Insuranae Spp,3g�7�19
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