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NOTICE OF DE�B� RE�57�IC'TIOf��: The undersigned understands that this permit may be subject to"deed" restric#ions"
<br /> vuhich may be more restrictive than County regulations. The undersigned assumes responsibility for campliance v�rifh any
<br /> applicable deed restrickions.
<br /> �lNLlC{EN�ED �ONTR��TO�� �AJD �CClWY�1��'K�� �(���ON�If�lLR�lL��: If the awner has hired a contracfor or
<br /> contracfors #o untfertake work, they may be required ta be licensed in accordance vttith state and iocal regulations. If the
<br /> contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
<br /> under st�te lawr. If the ovuner ar intended contractor are uncer#airt as to vuha# 1'tcensing requirements may appfy for the
<br /> intended wark, they are advised to contac�the Pasco County �uilding Inspectian Division—Licensing Section at 727-847-
<br /> 8f}09. Furkherrnare, if the owner has hired a contractor ar contractors, he is advised to have the cantractor(s) sign
<br /> portions of the "contractor Block" of this appiication for which they wili be responsible. if you, as the owner sign as the
<br /> � contractor, that may be an indication tha# he is not properly licensed and is nat entitled to permitting privileges in Pasco
<br /> County. } `
<br /> 7��1SP0�2T'��'IC)� I�����'lUYOLY�'I�� Iflii��C�'�R1D ���O��CE �EC�V��Y fFI�fES: The undersigned understands '
<br /> that Transpartatian lmpact Fees and Recourse Recavery Fees may apply to the construction af r►e�nt buildings, chattge of
<br /> use-in exisking buildi�gs, or expansiar�-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 he due, will be identified at the time of
<br /> permitting. It is further uncferstood #hat Transportation Impact Fees and Resaurce Recovery Fees musf be paid prior to
<br /> receiving a "certificate af occupancy" or final power release. If the project does not involve a certificate of vccup�ncy or
<br /> finai pawer release, the fees must be paid priar to permit issuance. Furthermare, if Pasco County WaterlSewer lmpact'
<br /> fees are due, they must be paid priar to permif issuance in accordance wi#h applicable Pasco County ordinances.
<br /> �ON�7�UC7tQ� �.1�4� L.�1fV{Ch��t��7�3, �Ic�e�����ta�ut��, �s �rnend��}: If valuation of vuork is$2,54Q.00 or more, !
<br /> certify that I, the applicant, have been provided vvi#h a copy of the "Florida Construction Lien Law—Hameowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer N�fairs. !f the applicant is som�one
<br /> other than the"owner", t certify that 1 have abtained a copy ot'the above described document and promise in gaod faith to
<br /> deliver it to the"owner"prior ta commencement.
<br /> �C}P1�'R�ICTOI�'�101��I�F�'� �(FFIC}�111T: 1 certify that a41 the information in this applicafion is accurate and that all vuork
<br /> will be done in compliance with all applicable lavus regulating construction, zoning and land development. Applicakion is
<br /> hereby made ta obEain a permit ta do �nrork and installation as indicated. 1 certify that na work ar installation has
<br /> commenced prior to issuance o� a permit and that all work will be performed to meet sQandards of ali laws reguiating
<br /> construction, County and City cod�s, zaning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that i understand #haf the regulatians af oth�r governmer�t agencies may apply to the intended work, and fhat it is
<br /> my responsibility to identify what actians I must take to be in compliance. Such agencies include but are not limited to:
<br /> � Departmen� vf Environmental Pratection-Cypr�ss Bayheads, 11VetEand Areas and Enviranmentally Sensitive
<br /> Lands, V1later/Wastewater Treatment.
<br /> - Sauthwest �'lorida V,/ater �ianag�m�nt District-1tVells, Cypress Bayheads, Wetland Areas, Alkering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable In(atenrvays.
<br /> - Deparfinent of Health & Rehabi]itative ServiceslEnvironmental Nealth Unif-WelEs, UVastewater Treattnent,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-AsbesEos abatement.
<br /> - Federaf Aviation Authority-Runways.
<br /> 1 understand that the fallowing restrictions apply to the use of fill:�
<br /> - Use of fill is not aliowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volum�" wriil be subr�itted at time of permitting vuhich is prepared by a prafessional engir�eer
<br /> licensed by the State of Florida.
<br /> - }f the fill material is to be used En Flood Zone "A" in connecfion writh a permitted buifding using stem �nraf!
<br /> construction, I cerfify that fiil will be used anly to fill the area within the stem walL
<br /> - If fill material is ta be used in any area, 1 certify that use of such fill vuill not adversely affect adjacent
<br /> prope►ties. !f use of fiil is found to adversely affect adjacenf properties, the owner may be cifed for violating
<br /> the conditions of the building permit issued under the attached permit application, far Iots less than one (1)
<br /> acre which are elevated by fiEl, an engineered drainage plan is required.
<br /> If I am the�iGfEfVT FOFt YFiE Oifilh��l�, I promise in gaod fai#h to inform the owrner of#he permitting conditions set forth in
<br /> this affidavit prior ta commencing construction. I understand that a separate permit may be required for electrica! vuork,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or other insfallations not specifically inciuded in fhe appiication. A
<br /> permit issued shall be canstrued to be a license to proceed vuith the work and not as authority to violate, cancel, alter, or
<br /> set aside any pravisions of the fechnical codes, nar sha11 issuanc� of a perrnit prevertt the �uilding Officiaf from fheceafter
<br /> requiring a correction of errors in plans, construction or violations of any codes, Every permit issued shall become invalid
<br /> unless #he wrork authorized by such permit is commenced vsrithin six manths af permit issuance, or if uvork authofized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the uvork is cornmenced. An extension
<br /> may be reques#ed, in wrriting, from fhe �uilding Officia) for a period not to exceed ninety (90) days and wil! demonstrate
<br /> jusfifiable cause for fhe extension. If work ceases for ninefy(90)canseeu#iv�days, fhe job is considered abandoned.
<br /> 1fliARPtINt3 T� C91N���Z: Y�tU� �F�ILt�F2(E �'� ���Cd�t� �, ��'fICiE f3� ��I�NiEP�����PBT ��Y I��St1�.T 1�1 Y�U�2
<br /> �d�YIING YI�1'ICE �092 O6�P�tCIVIEhii�Yd7S '�"fJ 1f�11� ��20��d2'�. Y(�1(011 I�Y�PI��'PJl O�YAli11 Flhl�►�ICING, COiV�UL�'
<br /> 1i�tll�N XQ�l�t �..E�V��O��il�� �1�"T���VElt��iF��� ��C�?ii���i��YQlP��9C?`�'�G�t��CC1��t��IGl�i�lE�i'.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OV�NlER 4Ft 1iG�E��'(G GOPl1'�CTOg2 c._..�—�--?"`'�
<br /> Su scr ed and swo n ( affirm befor me this S bs ribed and sworn to(or affirmed}before me this
<br /> .� ' 7 bk,^f/�j��..�t,��.2� �l�l ,_by /�G-!'�r� � ,+�-ic/�
<br /> W isfare erson Ily nowr�to me or haslhave praduced Who,1 are pe sonally known to me or haslhave praduced
<br /> ����t ti`Q.s''�l cer�z_as fdentlfication. U`�� �u�'°�i�.f.o�9-�. as identification.
<br /> ��-- Notary Public Notary Public
<br /> .,,,*�,.";,, Cl BOGES
<br /> ��,,.•,,, t Y� JAC UEL
<br /> om Issi n °����Y •, JACQUELIN Co mi ion o. _'�'"����~-.
<br /> �fi; :.: ommission ���p 20 -�` a; Expires December 12,2Q14
<br /> _; ;e;= Fx ires D�c�tnber 9 's�� --o�
<br /> Name af No ',r�4e�rt7V�►ped�em�s�ia�s Name of IVotary
<br />
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