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<br /> iVOY10E O� DEEG R�a'T�YC'�'IOIV�: The undersigned understands that this permit may be subject to"deed"Pe:;tric#ions"
<br /> which may be mare restric#ive than County regulatians. The undersigned assumes responsibility for compliance wit� any
<br /> applicable deed restrictions. ,
<br /> � t3NL�CE�lSED Gt'�NTRt�GT'��t� f�1ND Ct�W��1�YCl� f��aP��9�1l�ILITIES: !f the owner has hired a contractor or
<br /> contractors ko undertake work, they may be required to be licensed in accordance with state and tocai regulations, tf fhe
<br /> conkracko� is not licensed as required by la�nr, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state iaw. If fhe owner ar intended contractor are uncertain as to vuhat licensing requirements may appEy for the
<br /> intended work, they are advised to cantact the Pasco County Building Inspectian Division--Licensing Section at 72?-847-
<br /> 8009. Furthermare, `sf the awner has hired a contractor or cantractors, he is advised to have the contractor(s) sign
<br /> portions of #he "contrac�or Block" of this application far which they wili be responsibte. If you, as the awner sign as the
<br /> contractar, khat may be an indica#ivn that he is not praperly licensed and is nat entitled to permitting privileges in Pasco
<br /> County.
<br /> TRAIUSPOf�YAYION IM��CI'IIJTILI�'IES IAA�ACY A�iC1 ���Ot9RC� RECOV�FtY fF�E�: The undersigned understands
<br /> that Transportation lmpact Fees and Recourse Recavery Fees may apply to the canstruction of new buildings, 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 ur�dersigr�ed also understar�ds, that such fees, as may be due, vtiril! b� identified at the time of
<br /> permitting. It is further understood thaf Transportafion Impact Fees and Resaurce Recovery Fees must be paid prior ta
<br /> receiving a "certificate of occupancy" or final pavu�r release. If the project does not involve a certifiicate of occupancy or
<br /> final power release, the fees must be paid priar to permi# issuance. Fur#hermore, if Pasco Cottnty Water/Setnrer Impact
<br /> fees are du�, they must be paid prior to permit issuance in accordance with applicable Pasca County ordinances.
<br /> CONSTRUCTEQN L1lE�! L�1�V�Cha�at�e 7'�3, Flo��da�t�fut��, as �enend�a�}: If valuation of work is$2,5UQ.Oq or more, 1
<br /> certify that I, the applicant, have been provided with a capy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide° prepared by the Florida Department of Agriculkure and Consumer Affairs. !f the applicant is someone
<br /> othe�than the"owner", I certify that I have obtained a copy of the above described dacumen�and pramise in good faith ta
<br /> deliver it ta the"owner"prior to commencement.
<br /> i Ct}NTR�C'T�R'S101iittN�R'� ��fIC}�V4T: 1 certify that a41 the informatian in this application is accurate and that ali work
<br /> will be done in campliance with all applicable la�s regulating construction, zoning and land development. Application is
<br /> hereby made to abtain a permit to do wrark and instal(ation as indicated. 1 certify that na work oc instal4atian has
<br /> commenced priar to issuanee of a permit and that al( work vvill be performed to meet s#andards of all laws regutating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that 1 understand that the regulations af other gavernrn�nt agencies may apply fo the intended v�rork, ancf that it is
<br /> my responsibility to identify what ackions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Departmer�t of Environrriental Pratection-Cypress Bayheads, V41efland Areas �nd Environtnentalty Sensitive
<br /> Lands, WaterNVastewater Treatment.
<br /> - Southwest Florida tfuater C�anagetnent Diste'ict-VNeIls, Cypress Bayheads, Wetland Af@85, Altering
<br /> Watercourses.
<br /> � Army Corps of Engineers-Seawalls, Docks, iVavigable Waterways.
<br /> - Deparfinen# of Nealfh & RehabiEitafive Servicesl�nv'sranmental Health llnit-1Ne{Is, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatemen#.
<br /> - Federal Aviation Authori#y-Runways.
<br /> I unders4and that the following restrictions apply to the use of filk�
<br /> - Use of fill is not.allowed in Ftood Zone"V"unless express4y permitfed.
<br /> - If the fill material is ta be used in Flood Zone ".A", it is und�rstood that a drainage plan addressing a
<br /> "compensating volume° vui11 be submitted at time of permitfing �nrhich is prepared by a professional engineer
<br /> licensed by#he State of Florida.
<br /> - tf the fill material is to be used in Flaod Zone "A" in connectiion vuith a permitted building using stern �nraf!
<br /> construction, t cer#ify fiha#fili will be used only to�ll the area writhin the stem wal(.
<br /> - If fil! material is to be used in any area, I certify that use of such fil) will not adversely affect adjacent
<br /> prope�fies. tf use of fill is found to adversely affect adjacent properties, the at+vner may be cited for viotating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than ane (1)
<br /> acre which are elevated by fll, an engineered drainage plan is requ3red.
<br /> If I am the O�GIEiVT FOf�TH� CDlfYIV�(�, I promise in good fai#h to inform the owner of khe permitting canditions set forth in
<br /> this affidavit prior ta commencing construction. 1 understand that a separake permit may be required for electrical wark,
<br /> plumbing, signs, welts, pools, air conditioning, gas, or other instaliations not specifica(ly included in the apptication. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technica! cades, nor shall issuance af a permit prevent#he Building Officiat from thereafter
<br /> requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced wrfthin six manths of permit issttance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the�nrork is cornmenced. An extension
<br /> may be requested, in writing, from the Building (Jfficial for a peeiod not to exceed ninety (90) days and will demonstrale
<br /> justifiable cause for the extension. If wrork ceases for ninety(90)consecutive days, the job is considered abandaned.
<br /> {�lARN11dG T� �?WN��2: 1f�1JR (��ILt]�E Yt� �E��R� � �1QY1�� C)1F CCpi�ifl�ENC��VI�NT �IIAY �tESUL.T IN YflU�
<br /> �'AYINf� 'T1fi910E FOl� iIN�P'R�IVEIY91�hIYS 7'PJ 1(Ol9Ft �'fRO��iZ°fY. T'�P1D TtD 0�7'AIN FINI/4NVCIPIG, CON�Ui.lf'
<br /> '�'v'�i f-�Y�3iia°���i�t�icn;�T3�t�"afvt,riTi'f,+F�i+��"Y���r�3cc� r��i.���lr�i�Yf��t.r°i� �5+ I�r �t�� ������Fti1T.�— --- - -
<br /> FLOR�DA JUF2AT(F.S 117.03)
<br /> 01tVPdEt4 OFt AGEN'T COR}T�C7'Oft , ,
<br /> Subscribed and swom fo(or affirmed)before me this Subscribed and sworn to(ar affirme befare me this �
<br /> by by
<br /> Who islare personally known to me or haslhave produced Wha IsJare personally knawn fa me or hasJhave prqduced
<br /> as Identification. as identifica6on.
<br /> �Y a���y
<br /> Notary Public
<br /> ,;,�i••rr�;; JOEL E.BACON Notary Public
<br /> Commissian No. Commission No. �-�,��:�� ���r�June 2g,2p�g
<br /> CP S-ID�B
<br /> ' Name of Notary typed,printed or stamped Name of Nokary typed,printed or stamped
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