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RIO'TIC� Of� DE�D �tf��'T6�IC1"10��: The undersigned unders4ands tha4 this permit may be subject to"'deed" restrictions"
<br /> which may be more restrictive than Caunty reguEations. Th� undersigned assumes res�onsibitity for compliance v�rith any
<br /> applicable deed restrictions.
<br /> t1NLtC�M��D CCDfd�R��TOR� i��@� CP3RtY��7'�� ���P�N�l�1L�Y11�5: !f the owner has hired a contcactor ar
<br /> contractors to undertake work, they may be required to b� licensed in accordance with state and 1oca1 regutations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. if fhe owner ar int�rtded contracfor are ur►certain as fi� vvha# licensing requirements ►nay apply for the
<br /> intended work, they are advised to contac#the Pasco County �uil•tling Inspectian Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contrackors, he is advised to have the contractor(s} sign
<br /> portions of the "cantraefor Black" of fhis applicakion far vuhich they will be responsibte. tf you, as fhe awner sign as the
<br /> contracto�, that may be an indication that he is not praperly licensed and is nat entitled to permitting privileges in Pasco
<br /> County.
<br /> 7E�6�l5P0�.'TA710►P1 If�iPAC�'IUTIL6?'I�S I�fl����'�PI� ���OIJ��E R�COV�RY f��E�: `fhe undersigned understands
<br /> that Transportatian Impact Fees and Recourse Recovery Fees may apply to the construction of neuv buiidings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> � 94-07, as amended. The undersigr�ed also undersfands, �haY such fees, as enay be due, v�til! be identified at the fime of
<br /> ' permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior ta
<br /> ' receiving a "certificate of occupancy" or final pawer release. If the project does not involve a certificate of occupancy or
<br /> final powrer release, the #ees must be paid priar to permit issuance. Furthermore, if Pasco County V1laterlSev�er Impact
<br /> fees are due, they musk be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
<br /> COPlSTRUCTIDP! L.1lEAl L.�1fV{Cha�at�r 7'93, �{�eidai���E����, �s �rnendecf): !f valuation of work is$2,500.00 ar more, t
<br /> certify that I, the applicant, have been provided wikh a copy of. thc "Florida Construction Lien Law—Homear�ner's
<br /> Protectian Guide" prepared by the f=lorida Department of Agriculture and Consumer Affairs. !f the applican# is someone
<br /> other than fhe"owner", i certify that 1 have obtained a capy af the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> Cf}RI`fR�CTOR'�l��ftl���2'� 6�lF�ID�V11": 1 certify that a41 th� information in th9s application is accurafe and that a}I �nrork
<br /> will be done in campliance with all applicable laws regulating constructian, zoning and land development. Applica#ion is
<br /> hereby made to abtain a perm9t to do wrork and instatlation as indicaEed. ! certi€y that no vuork oc installatian has
<br /> commenced prior to issuance of a permit and that ali work uvill be perFormed #o meet standards of all iaws regu(ating
<br /> construction, County and City codes, zaning regulations, and land developmenk regulations in the jurisdiciion. 1 alsa
<br /> certify that I understand that the regulations of other gavernment agenci�s may apply to fhe intended r�vork, and that it is
<br /> my responsibility#o identify what actians I must take ta be in compliance. Such agencies include but are not limited to:
<br /> - Departmenf of Environmental Profect9on-Cypress Bayheads, 1�1�tland Areas ar�d �nvironmentally Sensitive
<br /> Lands, VVakerNVastewat�r Treatment.
<br /> - Southwest Fforida Wat�r �anagem�nt Districf-V1(ells, Cypress Bayheads, VV1/etland P►reas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, iVavigable VVatervvays.
<br /> - Depar#ment of Heal#h & Rehabilitative Services/Environmental Health Unit-�t/elEs, VVastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatem�nt.
<br /> - Federal Aviation Authority-Runuvays.
<br /> I understand that the follawing res#rictions app(y�o the use o#fill:
<br /> - Use of fi(I is not alloweci in Fiood 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 valume" will be submitted af time of permitting vuhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If ihe fll material is to be used in Flaod Zane "A° in connection writh a permi#ted building using stem v+ra(1
<br /> construction, f certify that fili will be used anly to fill the area within the stem wall.
<br /> - If fil! materia! is to be used in any area, ! certify that use of such fll! will not adversely affect adjacent
<br /> properties. If use of fill is found to adverseiy affect adjacent proper#ies, the owner may be cited #or violating
<br /> the conditians of the building permit issued under the attached permit application, for Iots less than one (1)
<br /> acre whEch are elevated by f311, an engineered drainage pEan is required.
<br /> If I am the,A.GEiV7 �OF�lfH� t71iiII�llEll�, I promise in good faith to inform the owner of khe permitting conditions set forth in
<br /> this aff4davit priar ta commencing construetian. I understand that a separate permit may be required far electricaf wark,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or other insfallations not specifically includeci in the apptication. A
<br /> permit issued shal! be construed to be a license to proceed vuith the vvork and not as authority ta violate, cancel, alter, ar
<br /> set asade any provisions of the techn' co es, nor shall issuance of a permit prevent the Builcfing Officia3 fram thereafter
<br /> requiring a correction of errors i , ans, nstruction or violafions ofi any codes: Every permit iss d shall become invalid
<br /> unfess the work autharized such p mit is commenced within six rnanths of permlt issuan , or if work attthorized by
<br /> fhe permit is suspended abandon for a perind of six(6) months after the time the vuork i ornmenced. An extension
<br /> may be requested, in riting, fro he Building Official for a periad not ta-exceed ninety ( days and vuil! demanstrate
<br /> justifiable cause for e extensio . If wrork ceases for ninefy(90)consecutive days, the job considered abandoned.
<br /> �fi►AF2�tl�� '�O WP9�R: Y 6� (�AI�UR� �t� R�G�f�D �, ��T1�� C3i� CC���iig�IC 1�T �AY R�St1E,T t�l Y{}��
<br /> E'd�YIIdG 'TVVI �OR Ii��R V�IVi�P17S �'O 1f�lUIR �+�OfP��°f1(. IfF YOlY 9P1�'I�P9D Tt� 6� IN FIP�%iiV(CIPIC, CO�I�U�.Y
<br /> 1�11T�i YC}U�'t EI��� �R#�N�TT'4�1Et�1�'Y��fFC}�� lf���CP�lDI�IC�Y�U ��7 ENC(E�fl�NT.
<br /> FLORIDA JURA (F.S. 11 .Q3)
<br /> OYitN�6t 4�i RG �OP9'F}�G'I'Gt�2
<br /> Subscrlbed and sworn to r ffirm efore ie this Subscribed and s o( ffir i d)before me th'
<br /> bY __... Y
<br /> Who islare personally � to me or h iave produced Who Isl personally k wn ta e a ave produced
<br /> as ntlfication. as identification.
<br /> _�-
<br /> I
<br /> Nokary Public ••�'::'�•.. - """ Notary Public
<br /> �;pY A���i� 7 • • j�JIE�R�IJSIVf1 7 r�; J
<br /> : .v,�., JqEL E.BACON ,•; .:" .-
<br /> Commisslon _=�' ,�..,����„�1���,._ Commissio ,' � �
<br /> =�� �o: Expires,lane29,2418 •.w;`•' ".•'rn"Tmy��^m6�., jcroa.n.ro:�
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<br /> Name of PJotary type Name of otary typed,printed or stamped
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