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<br /> NO'TICE OF DE�D itE�'TRICTIONS; The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which rr�ay be more restrictive than Gounty reguEations. The undersigned assumes responsibility for campliance with any
<br /> applicable deed restrictions.
<br /> UNUGEIdSE� CONTR��T�►RS AI�� GClNY��'T�'2R ��S��N�I�QLiT�ES: If #he awner has hired a contractor or
<br /> contractors to undertake work, #hey may be required to be licensed in accordance vuith state and locai reguia#ions. 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 iaw. If fhe ouvner ar intended contractor are unce�#ain as #o v►rhat iicensing requirements may apply for the
<br /> intended wark, they are advised to cantac#the Pasco County Building Inspection Division--Licensing Section at 72?-84T �
<br /> 8Q09. Furthermore, if the owner has hired a contcactor ar contractars, he is advised to have the contractar(s) sign
<br /> portions of the "contractor Block" of this application for which fhey wili be responsible. tf you, as the awner sign as fhe
<br /> contractflr, that may be an indication that he is not properly licensed and is nat entitled to permitting privileges in Pasco
<br /> County.
<br /> TR�►IVSPOttTATION IMPACT/UTIL.ITIES IIw�AG7�NC� f��SOl9RCE R�COVf�RY f��f�S: T'he undersigned unders#ands
<br /> that Transporfatiort lmpact Fees and Recourse Recavery Fees may appfy to the consfructiort of new buiidings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-0? and
<br /> 90-07, as amended. The undersigned.aiso understands, that such fiees, as may be due, wiR! be identified at the time of
<br /> permitting. It is furtfier understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "'ce�tificate of occupancy" or final power release. If the project does not involve a cerkificate of occupancy or
<br /> final power reiease, tha fees musf be paid prior ta permit issuance. Furthermore, if Pasco Gounty WaterlSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONST�tIICI'ION LtEh1 L�VY(Ch�pt�e 713, �le�rida 5tatt�t�s, �s �et�encl�el}: !f valuafion of work is$2,500,00 ar mare, t
<br /> certify that I, the applicant, have been provided 'with a copy of the "Florida Canstruc#ion Lien L�w—Homeowner's
<br /> Protectian Guide" prepared by the �{ofida Depaetment of Agriculkure and Consumer Affairs. !f the applicant is someone
<br /> other than the°owner", t certify that I hava obtained a copy of the above described document and promise in good faith ta
<br /> deliver it to khe"owner"prior to comrrtencement.
<br /> GON'TR�CTOR'510V1tN�R'��,��1�A�lIT: 1 certify that a1C the informat+on in this applicatlan is accurate and that al!vuark
<br /> will be done in campliance with all applicable laws regulating constructian, zoning and land development. Application is
<br /> hereby made to abtain a permit ta do �nrork and inskallation as indicated. ! certify that na work or insta!lation has
<br /> commenced prior to issuance of a permit and that all work wi(1 be performed to meet standards of ail laws regulating
<br /> conskruction, County and City codes, zoning regula#ions, and land developmenk regulations in the jurisdiction. I also
<br /> certify thaf I undersfand thaf the regulations of other government agencies may appiy to the intended work, and that ft 'rs
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Depaetment of Environmental Protectian-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterMlastewater Tr�atment.
<br /> - Southwest FJ4Ptt�� Water Management District-Wells, Cypress Bayheads, V1fetland Areas, Altering
<br /> Watercourses.
<br /> - �rmy Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department af Health & f2ehabilitafive ServiceslEnvironrnentai Health Unit-Wells, Wastewater Treafinent,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asl�estos abatement.
<br /> - Federal Av'iation/#uthority-Runways.
<br /> t understand that the follawing restrictions apply to the use of fill:�
<br /> - Use af fili is not allawed in Flaod Zone"V"unless expressly permifted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" wrill be submitted at fi►ne of permitfing uvhich is prepared by a professianal engineer
<br /> licensed by the State of Florida. �
<br /> - - lf the fll maEerial is to be used in Flood Zone "A" in connection with a permitted building using stem }nraEl
<br /> construction, I certify that fili will be used only to fill the area within the stem wall.
<br /> - If fil! material is to be used in any area, I certify that use of such fi!! wi!! no# adversely affect adjacent
<br /> properties. if use of fitl is found to adversely affect adjacent properties, the owner may be cited for viotating
<br /> the conditions of the building permi# issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by filf, an engineered drainage plan is required.
<br /> If I am the 14,G�fd�' FOF�7H� 011191V��, I promise in good faith to inform the owner af#he permitting conditions set forth in
<br /> this affidavit prior ta commencing construction. 1 understand that a separate permiE may be required for eiectrica# wark,
<br /> plumbing, signs, wells, poots, air oonditianing, gas, ar other ins#aliations not specifically included in fhe app(ication. A
<br /> permit issued shal! be construed to be a license to proceed with khe v�rork and not as autharity ta.violate, cancel, alter, or
<br /> set aside any provisions of the technical cades, nor shall issuance af a permit prevent#he �uilding Officia!from thereafter
<br /> requiring a correction of errors in plans, canstruction or violafions af any codes. Every permit issued shall became invalid
<br /> unless the work authorized by such permit is comrr�enced within six manths of perm�t issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is cornmenced. An ex#ension
<br /> may bs requested, in u,rriting, fram 4he 8uilding O�cial far a period nat 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 /> {iiiARNING TE} t}WN�R: Yfyt1F� ��ILUR� TC?.��GCi�� � NO7'�Cl� t1� ���t1lVP�RI����NT MAY F2�Si1i,'T 1�! Yt}[1�2
<br /> pAY11VG 'TVVICE fFOR IIM�ROVEIVII�NTS TO YUlJ12�'(I�OPEF2TY. 1�YOU IiVT�iVD TO OEiTAIN FIfVANCING, CONSU�.�'
<br /> {t1tITN YQUR LEN �(R OR�1N�TT'C? 1��Y �RE�tEC��t�INC YOU�N�TIC�aDF CO ENCEIi�ENT.
<br /> FLORIDA JURAT(F.S, 11,7.Q3 '
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<br /> O{�tNER O�2 AGEN'T GO�lTFiACTt}F2 z
<br /> Subscribed and sworn t (or affirmed) ef r Subscribed and sworn to{or a�rme )be r m thi
<br /> by by _
<br /> Who ista�e persanaily known t me or ha have produced Who Eslare etsanatly icnown to me or h ave produced
<br /> as Identlfication. identification.
<br /> � � Noka Public �� Nota Public
<br /> ry ry
<br /> Co I ion „����„ Comm si No.
<br /> '� ��" � � a73 ,,,,,,
<br /> *; :+�_ C0111t�tiSSi0t1#F 18T r��!�" J{:" � �.i,iCON
<br /> N e of Nota � �����° n � � ����o�p Name of Notary typed, E�t r:'SJta 1�'e�s'�une 29,2018 7� •
<br /> ''f�'q s rv0.+`' .
<br /> p,'„'„. ew�dadtnrurroyFai�,�,,,,���oo3es�taSe
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