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<br /> NOI�ICE OF D�E� RE�'T�31C7'10�1�: The undersigned understands that this permit may be subject to "deed" restric#ions"
<br /> �n+hich may be mare restrictive than Caunty regulations. TEte undersigned assumes respansibility for comgERance wifh any
<br /> applicable deed restrictions.
<br /> tlNL.10E�YS�� �C}Fd7'�f�C7'OR� ��� ��ltV7��`�'��2 ����ON�l�YL.VI�IE�: !f the owner has hired a contractor or
<br /> contractors to undertake work, #hey may be required ta be licensed in accordance with state and tocai regulations. 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 stafe law. 1f the avuner or intended contractor are uncer#ain as fa vvhat licensing requirements rmay apply for the
<br /> intended wark, they are advised to confack the Pasco County �uilding Inspectian Division—Licensing Section at 727-847-
<br /> 8Q09. Furthermore, if the awner has hired a contcactor ar contractors, he is advised to have the contractor{s) sign
<br /> portions of the "cantrac#or Block" of this application far which they will be responsible. tf you, as the ovvner sign as the
<br /> contractor, that may be an indication that he is not praperly licensed and is nat enti#led to permitting privileges in Pasco
<br /> County.
<br /> 7i�IdSPORY��'IOPI I�i��4C�'IUTILI7'I�� IMPA�7�Pl� ���O19��� R��OV�RY fF�ES: The undersigned unders#ands
<br /> that Transpartation Impact Fees ar�d Ftecourse Recavery Fees may apply to the construc#ion af neuv buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 9Q-07, as amended. The undersigned also understands, that such fees, as rnay be due, wrill be identified a# the time of
<br /> permit#ing. It is further understood that Transportation Impac# Fees and Resource Recovery Fees must be paid priot to
<br /> receiving a ""certificate of occupancy" or final power release. If the project does not involve a certifica#e of occupancy or
<br /> fina3 power reiease, the fees rnus# be paid priar to permEt issuance. Furthermore, if Pasco County WaterlSewer Impact
<br /> fees are due, they must be paid priar fo permif issuance in accordance with applicable Pasco County ordinances.
<br /> COPI�YRtJCT��N C.IIEPd L�►�i9i tGh�pt�P 7'93, �Oe�e�9e9�����u��e�, �s ar��nd�e9�: If valuation of wark is$2,540.00 or more, 4
<br /> certify that I, the applicant, have been provided wi#h a copy of the "Florida Consfruction Lien Law—Homeowner's
<br /> Proteckion Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other than the "ovvner", 1 certify that i have obtained a copy of the above describeci document and promise in good faith to
<br /> deliver it to the"owner"prior#o commencement.
<br /> �O�iTR�GT��'S/O�fii�llER'a ���i�3�VIT: t certify that all the infortnation in this applicatian is accurate ancf that all wark
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to abtain a permit ta do uvork and instal(ation as i�dicated. 1 certify that no work or installatian has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construckion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand fhaf the regulations af a#her gavernment agencies may apply to the intended v+�orEc, and that if is
<br /> my responsibility to idenkify what actions I must take to be in compliance. Such agencies include but are not limited ta:
<br /> - Depa�tment af �nvironmental Prot�ction-Cypress Bayheads, Wetfand Areas and �nvironmentally Sensitive
<br /> Lands, WaterNVastewater Treatment.
<br /> - 5authwest Florida Water �1lanagement District-Wells, Cypr�ss Bayheads, Wetland Areas, pltering
<br /> Watercourses.
<br /> - Army Corps of Enginee�s-Seauvalls, C7ocks, Navigable Waterways.
<br /> - Department of Nealth � Rehabi[itative ServiceslEnvironmenfal Nealth Unit-Vye1Es, Wastewrater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectior�Agency-Asbestos abatemen#,
<br /> - Federal Aviation A,uthority-Runways.
<br /> ! understand that the fo!lawing cestrictions apply to the use of fill;�
<br /> - Use of fill is nat aliowed in Fioad Zone"V"unless expressly permifted.
<br /> - If the fill material is to be used in Flood Zone "A", if is understood that a drainage plan addressing a
<br /> °campensating vaiume" vui11 be submitted at fime of perm9ffing v�rhich is prepared by a prafessianal engineer
<br /> licensed by the State of Florida.
<br /> - Ef the fill materia! is to be used in Flaod Zone "A" in connec4ion vuith a permi#ted building usittg sterr� waf!
<br /> construction, I certify tha#fill will be used only to�II the area within the stem wall.
<br /> - If fill maferia! is to be used in any area, ! cer�ify that use of such fill u�rill not adversely affect adjacent
<br /> - properties. If use of�li is found to adversely affect adjacenf propesties, the owner may be cited €or violafing
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevateci by fi1l, an engirteered drainage plan is required.
<br /> If I am the A.G�tdT FO�t YH� 01it111VfEIR, I promise in gaod faith to inform the owneP of#he permitting conditions set forth in
<br /> this affidavit prior ta cammencing constructian. I understand that a separate permit may be required for electrical vuork,
<br /> plumbing, signs, wells, pools, air canditianing, gas, or other insfallafions nof specifically incluefed in fhe application. A
<br /> permit issued shall be construed to be a license to proceed writh the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent fhe Building Officia!from thereaffer
<br /> requiring a correction of errors in plans, canstruction or violations af any codes. Every permit issued shall become invalid
<br /> unfess the work authorized by such permit is cor�menced writhir� six months af permit issuanc�, 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. An extension
<br /> may be requested, in v+rriting, from �he Bui{ding ��cia! for a period not to exceed nlnety (90) days and will demonstrate
<br /> justifiable cause far the extension. (f work ceases for ninety{90)conseeufive days, fhe job is considered abandoned.
<br /> 1AlARN#�0� 'TC} C'1WIN�Ft: Yf)t1� ��►1LllR� �C9 ��C�'J�� �, �10'Y"E�� �� ��`1��EP�G��l�i�T M�Y R��UE.7' 1�1 '�f�11�2
<br /> F'l�YIRIG TVUICE FOR I�fIPR�li/EfiiA�kVT� 7'(3 l�C)LD�Z��01���2'ii�f. YfF 1(OlJ 9N1"�W�1'9� 0�7�►I FIN��VC9NC, CON�l1�.Y
<br /> lN��N Y�i1�2 � R�7 t�N�7T' �Y R� ���G91�iQ1NC R i�A �OF Ct� EB�
<br /> FLORIDA JURAT( .S 11ti. ) � \ �
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<br /> C}V�tt�ER{}Ft IiGEP+IT ;" r Gt}PDT�iACTC!!t (�}-�t,
<br /> r�
<br /> Subscribed and swor o(or affirmed}ti e r his Subscribed and sw m to(or affirmed}befo �
<br /> by by
<br /> Who islare personally known to me or hasl ve o uced Who fslare personally knawtn to me or has/ av duced
<br /> as IdenUfication. fas identification.
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<br /> Nokary Public Notary Public
<br /> Commission No. Commission No.
<br /> Name af PJotary typed,printed or stamped Name of Notary typed,prinfed or stamped
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