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NO'T4��OF' D�ED R��'T�ICT'IOP��: The undersigned understands thaY this permit may be subject to"deed" res.,�}rictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance wtth �y
<br /> applicable deed restric#ions.
<br /> t1Nl.��CEFd�E� C�Dt�TR���0�2� �8�� C�iNT�2A�'�Z��2 �{����N�t�il.!"�9��: !f the owner hes hired a contrac#or or
<br /> contractors #o undertake work, #hey may be required ta be licensed in accordance with state and�local regulations. 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 s#ate iaw. if fhe owner or intended contractor are uncertain as #o what licensing requiremenfs tnay apply for the
<br /> intended work, they are advised to contack the Pasco County Building Inspectian Division--Licensing Section at 72T-847-
<br /> 8Q09. Furtherrnore, if the owner has hired a cor�tcactor or contractors, he is advised to have the contracEor(s) sign
<br /> portions of the "contracior Block" of this application far vvhi�h they wiil be responsi6�le. lf you, as the owner sign as the
<br /> contractor, that may be an indicatian that he is not properly licens�d and is no� entitled to permitting privileges in Pasco
<br /> County.
<br /> j 1'R�AIdSPO�tTATItJPI inAPAC�'ll1TILiTIE� IR�P�4G'Y�►N�7 ���O19��� f�I�COVIERY F�f�S: T'he undersigned understands
<br /> that Transportation Impact Fees a�d Recourse Recavery Fees may apply to the construction of nevu builciings, change of
<br /> use in existing buildings, or expansion of �xisting buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> , 90-07, as amended. The undersigr�ed also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transpartation lmpact Fees and Resource Recovery Fees must be paid prior fo
<br /> receiving a "certificate af occupancy" or final power release. If the project does no4 involve a certificate of occupancy or
<br /> frnal porwer retease, the fees must be paid priar ta permif issuance. Furthermare, if Pasco County WaterlSevuer Impact
<br /> ' fees are due, they must be paid prior fo permit issuance in accordance with applicable Pasco County ordinances.
<br /> ���ISYRUCTIO� L1iE�9 ��►1dV{Ch��r4�P Y93, �ie��ic����a��ut��, as ���nd�d�: If vaivation of work is $2,500.04 ar more, 4
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeouvner's
<br /> Protection Gusde" prepared by the Florida Department of Agriculture and Consumer Affairs. if#hs applicant is someone
<br /> oti�er than the"owrner", I certify that i have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior fo commencement.
<br /> CO�t�'��C'FOR'SI�i1�i�E�2'� ��Ff�9�ViT: 1 certify that ail the informatiott 4n fhis application is accurate and that all wrork
<br /> will be done in campliance wi#h all applicable laws regulating constructian, zaning and land development. Application is
<br /> hereby made to ob#ain a permit to da work and installation as indicated. 1 certify that no work or ins#allation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws reguiating
<br /> construckion, County and City codes, zaning regulatians, and land developmenk regulations in the }urisdiction. I alsa
<br /> ' certify fhat I understand thaf #�e regu)afians of other government ageneies may apply to the intended vvork, and that it is
<br /> my responsibility to_iden#ify what ackions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Depa�finer�t of �nvironmental Protection-Cypress �ayh�ads, VNetland Areas and Enviranrrtentally Sensitive
<br /> Lands, WalerNVastewater Treatment.
<br /> - Sauthuvest Florida VVater il�anagement Distric4-VVefls, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, C7ocks, Navigable Watenways.
<br /> - Depar#mer�t of Health & �Zehabilitafive ServicesJ�nvironmental Nea(th Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Enviconmental Pratectian Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> ! understand that the follo�nring resfrictions apply to the use of fill:
<br /> - Use af fill is not allowed i� Fic�ad Zone"V"unless expressiy permitted.
<br /> - If the fill material is ta be used in Fload Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating valume" wiil be submitted at time c�f permitting �nrhich is prepared by a prafessional eng9neer
<br /> licensed by#he State of Florida.
<br /> - If the fill material is to b� used in Fiood �one "A" in connection vtirith a permifted buildir�g usirtg stert� wa4i
<br /> construction, I certify thaf fill will be used only to fill the area wi#hin the stem wall.
<br /> - If fil! material is to be used in any area, 1 certify that use of such fil! wi!! not adversely aifect adjacent
<br /> properfies. if use of fill is founci to adversely affect adjacent properties, #he owner may be cifed fior vialating
<br /> the conditions of the building permit issued under the attached permit application, far lots less than one (1)
<br /> acre�nrhich are elevated by fill, an ertgineered cfrainage plan is required.
<br /> If I am the AG�tVT FO� 76i1E OViIiVI�IR, I promise in goad faith to inform the ornrner af#he permitting conditions set forth in
<br /> this affidavit prior #o commencing construction. I understand that a separate permit may be rer}uireci for electrica! vuork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other insfallafions nof specificaily inciuded in the app(ication. A
<br /> permik issued shall be construed ta be a license to praceed uvith the work and not as authority ta.violate, cancel, alter, or
<br /> set aside any provisions of the technical cades, nar shall issuanc� of a permit prevent the Building OfficiaE fram thereaffer
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced wifhir� six months of perml# issuance, or if work aufhorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. Nn exlension
<br /> may be requested, in writing, fram the Building Officia! far a periad not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninefy(90)consecu#ive days, the job is considered abandoned.
<br /> iAIARNltdt� T'O 01fUN(E�: Y4�UF� ��1�t1R1� TC� ��C�R� l� i��"�"'��� Of� ��Cifl11��N���fl'�N� �Alt �2�StS�.T 9P3 '�f(}11�2
<br /> -9���!!�?� '�!!C� 8=�� II�i�R4lLE�9���� 1�►�V�lll��_p��kOfPf�R`fY. 9CF YOII 9fNTIEN�1'O 0�7ki1N f�IF1�1�1CIFICti CON�UL�"
<br /> 1t�li1CN Yfll��t L�i�DElf�,t)R�1N�Tll'U���Y�����tE 6��CQ92�1�lC Y�U�HI�'1TIG�QF CC1�t�il�R�CE�iflE@�1T.
<br /> FLORiDA JURAT(F.S. 1 - Q3 ,.. 4y
<br /> OWlNE62 OFt AGE�tT ��.����1'` C�P1Tf�ACTOR
<br /> Su�sc►Jp d�n sworn to(or a�rmed)before me this ;�Subscribed and swarn to(or affirmed)before me this
<br /> �-' by
<br /> Who' re so ally n �n to me or haslhave graduced Wno Islare personally knawn ta me or haslhave produced
<br /> as Identlficakiori as identification.
<br /> � " Notary Public Notary Public
<br /> i , _ ... —
<br /> Isslo �""�° Commission No.
<br /> ,g,�:P�;,-7AC(1C1�tt�1 ��0524
<br /> ,,
<br />, =� :w. Camtnlssion#
<br /> Name of N �r �p ao���o�y IVame of Natary typed,printed or stamped
<br /> ''r�•.Pf���•••` 8anded'thru roy n
<br />�
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