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<br /> P!O'TlC� Oi� DE�D R��'�'f�ICYIOPI�: The undersigned understands that this permit may be subject to"d�ed"restr,ictions"
<br /> which may be more restrictive than Coun#y regu(ations. The undersigned assurn�s responsihility far compliance v+rith any
<br /> applicable deed restrictions. `
<br /> UNL�CENSED GaNT����OE�� ��9l2 GOPl�'��'�'O� ��5�'OP1�1�IL1'�t��_ . lf the owner has hired a contractor ar
<br /> contractors to undertake wrork, they may be required to be licensed in accordance writh state and local regulatians. If fhe
<br /> cantractar is not licensed as required by law, bo#h the ov�rner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the awner or int�nded contractor are unc�;rtain as to what iicensing requirerr►ents may apply for the
<br /> intended work, they are advised to contact#he Pasco County �uilding Insp�ction Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hirecf a contractor or contractors, he is advised fo have the contractar(s} sign
<br /> portions of the "contractor Block" of this application for which they vvill be respansible. If you, as the avvner sign as the
<br /> � cont�actor, that may be an indication that he is not properly licensed and is not entitled to permittirtg privileges in Pasco
<br /> County. �
<br /> �'C�►N����'TAYIOIV Ii�P',�C�lU�'IL9'�"I�� V6�t��►C'�/���t �t��CIU�C� �f��0�9��1(�fE�S: 7'he undersigned understands
<br /> that Transportation Impact Fees and Recourse-Recovery F�es �ay apply to the cons#ruction af nevu buildings, change of
<br /> �� use in existing buildings, ar expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 9{�-Q7, as amended. The undersigned also undersfands, that suctt fees, as rnay be due, wrilf be identified a#the time of
<br /> � permitting. It is further understood that Transportation Impacf Fees and Resource Recovery Fees must be paid priar to
<br /> rec�iving a "certificate of occupancy" or fina) pov�rer release. If fhe project does not involve a cerkiflcate of occupancy or
<br /> final power release, the fees must be paici prior to permif issuance. Furtherrr�are, if Pasca County V1/aterlSevuer Impact
<br /> fees are due, they rnust be paid prior 9a permit issuance in accardance with applicable Pasco County ordinances.
<br /> �{�N�76�1]CTIQN �1�� L.�►tfir(�h�p��r 7�93, �I�ric9��t��et���, �s �rn��c����: !f valuafion of work is$2,500.00 or more, 1
<br /> certify thaf I, the applicant, have been provided with a capy of the "Florida Constructian Lien Law—Hameowner's
<br /> Pratectior� Guide" prepar�d by the Fbrida Departm�nt of Agriculture and Consumer�-lffairs. !f the app{icant is sameone
<br /> other than the "owrner", I certify that t have abtained a capy of the above describ�d document and promise in gaod faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> COPIT���TO�t'S/C3t�1�11��t°� �,iF�l�}�ViT: 1 certify that all the in#ormation in this application is accurate and that a!1 w�ork
<br /> �ill be done in compliance with all applicable lauvs regulating construction, zoning and land development. Applicatian is
<br /> hereby �nade to abtain a �ermit to do vuork ar�cf installat"sor� as indicated. { cerfify that no work or ins#ailation has
<br /> commenced prior to issuanc� of a permit and that all work will be perFormed to meet standards of all laws regulating
<br /> construction, Goun#y and City codes, zoning ragulations, and land development regulations in the jurisdicfion. I also
<br /> certify fhat I understand that the regulafions of other gov�rnment agencies may apply #o the infended work, and that i# is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Depa�tment of EnvironmentaE Protection-Gypr�ss Bayheads, Wetland A�eas and �nvironmenfally Sensitive
<br /> Lands, Wat�r/Waskewat�r Treatment.
<br /> - �outhwrest Florida 11Vater i�anagement District-Vlfells, Cypress �ayheads, Wetland Areas, AI#ering
<br /> Watercourses.
<br /> - Army Carps af Engineers-Seawalls, Docks, fVavigable Waf�nn�ays.
<br /> - C7epartment of Health & �ehabilitativ� Services/Enviranmenta! Heaith Unit-Vtlelis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviatian Authority-Runways.
<br /> 1 understand that the folior�ing restrictians apply ta the use ag filf:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permifted.
<br /> - !f the fil! ma��rial is to be us�d in Flood Zone "N", it is understaod that a drainage plan addressing a
<br /> "compensating vaiume" will be submitted at time of pertnitting uvhich is prepar�d by a professionai engineer
<br /> licensed by the State of Florida.
<br /> - 1f the fi11 material is to be used in F1ood Zone "A" in connection �nrith a permi#fed building using stem uvall
<br /> canstruction, ( certify thak fill will be used only to fill the area within the stem wall.
<br /> - !f fif! material is to be used in any area, I certify that use of such fill vuill not adversely affect adjacent
<br /> proper#ies. if use of fill is found #o advers�ly affect adjacent properties, the ovvner may be cited for viota#ing
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fi1I, an engineered drainage plan is required.
<br /> If I am the AG�N�' �OY��'FII� Oil�l�l�El�, I pramise in goad faith to inform the own�r of the permitting condi#ions sef farth in
<br /> fhis affidavit prior to cammencing construction. I understand that a separate permit may b� required for etectrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inc(uded in the application. �
<br /> permit issued sha!! be cor�strued to be a license to procesd with the wrork�nd not as authorifiy fo violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shail issuance of a permit prevent the Building fJfficia!from fhereafter
<br /> requiring a carrection of errors ln plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless #he work authorized by such permit is commenced vuithin six manths of permit issuance, or if v�rork aufharized by
<br /> the permit is suspended or abandoned for a period of six(6) manths after the time the vvork is commenced. An extension
<br /> may be requested, in writing, from the �uilding Of�icial for a period not to exceed ninety {�0) days and v�rill demonstrafe
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br />�t1'�A�'A14Rl� �t'CD O�t���:–YOLD�t ��91L-UR�C TO �t�C�3RD�� �IO�tC� fl� �Otd�MENC�ftfl��'T i1��Y ���4l�T 1�i 1(Cbt1�
<br /> ��YIfdC Yi�PICE IFC1f� Ifiilf�9�OVIE�iEb��'� 7'�YOtJ�2 9�1i�(DfPf�RYY. IfF YOU VR�T'��ID 70 0�1�,F�IGV FIPJ�iiV�CI�IG, GORl�lll.�
<br /> �1ffH Y�U�2 LiEFdiDIE�2���►�1�T"tCt�R��1((���Q)�I��;�����1R��YQl1R i���'���C!�G��Ps�E�ICI�l�II��T.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OVNPtEFt OF2 AG�PtY COFiTF�A�
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and orn t (or affirme e e m is
<br /> by by � >
<br /> Who islare personally known to me or haslhave produced Who Istare persanally knawn to me or haslhave produced
<br /> as IdenGfication. as identification.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> Name oC Notary typed,printed ar stamped Name of Notary typed,printed or stamped
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