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<br /> NO'TICE OF DEIED RE�'T�di�T'ION�: The undersigned understands that this permit rnay be subject to"deed" rest;ictions"',
<br /> vuhich may be mare resfrictive than Caunty reguiatians. The undersigned assumes responsibiiity for camplEance v�rith any
<br /> applicable deed restrictions. . � `
<br /> i t1TdLlGEtd��D GONT��C'f{)R� AA�� �K�NT�CT'C9� �t����N�1f�Y�➢'�IiE�: !f the owner has hired a contractor or
<br /> � contractors to undertake work, #hey may be required to be licensed in accorda�►ce with state and local'regulations. If fhe
<br /> contrackor is not licensed as required by law, both the o�nrner and contractor may be cited for a misdemeanor violation
<br /> under sfate iaw. If fhe ovirner ar intended contractor are uncertain as #o u�rhat iicensing requirements may apply far the
<br /> intended wiark, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8QQ9. Furthermore, if the owner has hi�'ed a contractor or contractors, he is advlsed to have fhe coniractor{s) sign
<br /> portians of the "contractor Black" of this application for which they vvili be responsible. If you, as fhe owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is nat entitled to permit#ing privileges in Pasco
<br /> County.
<br /> Titd�NSPO�TA'TIC1P1 IMP�►C1fIl1TIL�"Y'I�� �f����7�P�C9 ���Ol1RCE RI�COV�RY FEES: The undersigned understands
<br /> that Transpartatian Impact Fees and Ftecourse Recavery Fees may apply ta the construction of nevu buildir�gs, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-0? and
<br /> 9g-07, as amended. The undersigned also understands, that such fees, as may b� due, vuill be identified at the time of
<br /> permitting. It is further understood that Transportation lmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate af occupancy" or final povuer release. !f the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permEt issuance. Furtherrt�ore, if Pasco Gotanty V1/aterlSevver {mpact
<br /> fees are due, they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
<br /> � COPISTRlDCT1�N LI�� L.�iVit{C���t�r 7'�3, i�l�ri�f��ta4ct���, as aenend�c9}: !f valuation of work is$2,540.00 or more, 1
<br /> certify that I, the applicant, have been provided with a copy af the "Florida Construction Lien Law—Homeowner's
<br /> Protectian Guide" prepared by the l�lorida Department of Agricu(ture and Consumer Affairs. !f the applicant is someone
<br /> other than #he "owner", 1 certify that i have obtained a copy of the above described document and pramise in gaad faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CC}�i'TR�C'TOEt'�l�i�IN�R'S �F�I��iPIT: t certify that all the informatian in this applica�ian is accurate and that all tinrork
<br /> will be done in campliance with all applicable laws regulating construction, zaning and land development. Application is
<br /> hereby made to abtain a permit ta cfo work ar�d installation as indicated. 1 cerkify that na work or insta!latian has
<br /> commenced prior to issuance of a permit and #hat al� work uvill be performed to meet standards of afl taws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulatians in the jurisdiction. I alsa
<br /> certify that I understand that the regulatians af oth�r gavernment agencies rnay apply to the intended �vork, and that it is
<br /> my responsibility to identify what actians I must take ta be in compliance. Such agencies include but are not limited to:
<br /> - Depa�tment af �nviranmental Pratecf9on-Cypress Bayheads, W�tland Areas and �nvironmentally S�nsitive
<br /> Lands, Wat�rNVas#ewater Treatmenk.
<br /> - Southwrest Fforida Water �tianagement Dis#rict-WeEls, Cypress Bayheads, Wetland Areas, �Itering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, C7ocks, Navigable 1Naternrays.
<br /> - Department of Nealth & Rehabilitative Services/Environmental Nealth Unit-Weils, Wastev�rater Treatment,
<br /> Septic Tanks.
<br /> - US Environrrtental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authori#y-Runways.
<br /> 4 understand that the folfowing restrictions apply to the use of fill:�
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage pfan addressing a
<br /> "compensating volum�" vtiriil be submitted at #ime of perrrtitting r�rhich is prepared by a prafessional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in �iood Zone ",4" in connecfion with a permitted buiiding using stem waN
<br /> construction, I cerfify 4ha#fill wrill be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in a�y area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is fou�td to adversely affect adjacent properties, the owner may be cited for vialafing
<br /> the canditions of the building permit issued under th� attached permit application, for lots less than one (1)
<br /> acre whPch are elevated by fi1C, an er�gineered drainage plan is required.
<br /> If I am the AC�tV7 FOB�1fHIE O�'VN��3, I promise in good faith to inform the owrner of#he permitting conditions set forth in
<br /> this at�idavit prior to commencing constructian. I understand that a separate permit may be required for etectrical work,
<br /> plumbing, signs, wells, pools, air condifioning, gas, ar other insfalMafions not specificaliy inciuded in the appiicatian. A
<br /> permit issued shaU be construed to be a license to proceed writh the vvork and not as autharity to.violate, cancel, alter, ar
<br /> set aside any pravisions of the technical cocies, nar sha11 issuance af a permit pre�en#the BuiEding Officiai fram thereafter
<br /> requiring a correction of errors in plans, canstruction,or violations of any codes. Every.permit is d shall become invalid
<br /> t�nfess the work autliorized by s�tch permit is commenced within six months.af permit issu c , or if uvork aufhorized by
<br /> the permit is suspended or aba oned for a period of six(6) months aft�:r the�ime the vv i commenced. Nn extension
<br /> may be requssted, in writing am the 8uilding Officia) far a period not to exceed nin y Q) days and wi!! demonstrate
<br /> justifiable cause far fhe ex sion. If wrork ceases for ninefy(90}consecutive day5, t e j is considered abandoned.
<br /> VitARiV1NG TO U1filW � YCItJFt 1F6�1��1R� TC9 ����R� �, �901'1C(E G1F CO E CEi�l�NT �tI�Y �t��tl�T 1iV Y�tll�
<br /> �'d�YIfVC YVVICE 1= �Rf.1V��I�NT� "�O YOlJf2 �' 'fY. YOU I�IT Pl� �I 0�7AIfV F'INAIVCIFVG, CONSULY
<br /> _ r,�!�?a{YQtd�'t LE E t.?!Z�i�t.�T°�'t?���Y � �tECQ�2D1�) 1(Ot1 9 ID�G
<br /> FLORIDA JURAT 1 7.03) �' -� -- - —--- – -
<br /> 01+V(dEtt O€t!# �QP!'T�tA TO
<br /> Subscribed a w to(or r 'i med)before me this Subscrib sworn a�rmed)before me this
<br /> y by
<br /> Who islare er 1 nown ta me or haslhave produced Who re ersonally kn wn t e or haslhave produced
<br /> as Identlficakion. as iden6fication.
<br /> ,
<br /> Notary Public ,,��������, otary Public
<br /> ommisslon Co fssion hlo. '� += �mmiss34n#FF 137073
<br /> •�•�RA,S'�°iP.``�, BondodTlw7royFainlnssrarce8W385•7019
<br /> e of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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