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<br /> N01'iGE OF DE�D REST��CTIO�i�: The undersigned understands that this permit may be sub�ect to"deed"restrictions"
<br /> which may be more res#rictive than County regulations. The undersigned,assumes responsibility for campliance with any
<br /> applicable deed restrictfons.
<br /> UW�1C(EPiSE� CONT��CTURS 1�►ND CO�iT�tA�TOR R���C?NS1�1LIT1(��: if the awner has hired a cantractor or
<br /> con#ractors to undertake work, they may be required to be licensed in accordance with state and Iocal regulations. If the
<br /> contractor is not licensed as required by lav�r, bo#h the owner and contractor may be clted foc a misdemeanar violatian
<br /> under state law. If the owner or intended contractar are uncertain as to what Iicensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division--Licensing Section at 727-847-
<br /> 8009. Furtherrnore, if the awner has hired a contractor or cantractors, he is advised to have the contractor{s} sign
<br /> portions of the °contractor Block" af this appliaation far which they will be responsible. If you, as the owner sign as the
<br /> contractor+ tha# may be an indication that he is not properly licensed and is not entltled ta permitting privrteges in Pasco
<br /> County.
<br /> TFtp►NSPORTATtON I�HPfiIC'�/UT'IL.i�'IE� lii�P�C�'�1tdD REaOURCE RECOVERY�EES: The underslgned understands
<br /> that Transporfatian Impact Fees and Recaurse Recovery Fees may appiy to the construction 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 /> , 90-07, as amended. The undersigned also understands, fhat such fees, as may be due, will be identified at fhe time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a °certi#icate of occupancy° or final power release. 1#the project does nvt involve a ce�t�cate af occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer (mpact
<br /> ' fees are due, they must be paid priar to permit issuance in accardance with applicable Pasco County ordinances.
<br /> CONSTRl1CTlt)N LI(EN i�11iV(Cha(pteP 7'13, t�l�eida Statutes� �s amend�d}: if valuation of work is$2,500AU or more, i
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien l.aw—Homeawner's
<br /> ' Protection Guide° prepared by the Florida Depa�trrxent of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than #he"owner", I certify that I have obtained a copy of the above described document and promise in good faith ta
<br /> deEiver it to the°owner°prior to commencement.
<br /> CONTFtACTOR'S/OVVYVER'� AF�M��►11i1`: I certify that ail the infarmation in this application is accurate and that all work
<br /> will�be done in compliance with all applicable laws regulating canstruction, zaning and land development. Npplication is
<br /> hereby made ta abtain a permit ta do wark and installattan as indicated. 1 certify thaf na work ar insta4lation has
<br /> commenced priar to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br /> cons#ruc#ion, County and C�ty codes, zoning regulations, and tand development regulations In the jurisdlction. 1 also
<br /> ce�tify that I understand that the regulations of nther government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions i must take to be in compliance. Such agencies fnclude buk are not limited ta:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland A�eas and Environmentally Sensitive
<br /> Lands, Water/1Nastewater Treatment.
<br /> , - Southwest Florida VUater €t�anagement Disfricf-Wells, Cypress Bayheads. Wefland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps af Engineets-Seawails, Docks, NavigabEe Waterways.
<br /> - Departmen# of Health & Rehabilita#ive Serviaes/Environmental hfealth Unit-Wells, Was#ewater Treatmen#,
<br /> Septic Tanks.
<br /> - US Environmentai Protecfion Agency Asbestas abatement.
<br /> - Fed��al Aviation Authority-Runways.
<br /> 1 understand that the fo8awing resfrictions app4y to the use of fil1:�
<br /> - Use of fill is not allowed in Flaod Zone"V" unless expressly permitted.
<br /> - if the fiil materiai Es to be used in Flood Zane °A�", it is understood that a drainage pian addressing a
<br /> °compensating volume" wili be submitted at time of permitting which is prepared by a professionai engineer
<br /> licensed by the State of Florida.
<br /> - If the fiil material is ta be used in Ffood Zone "A" in connection with a permifted building using stet�i vvall
<br /> construction, I certify that fill will be used only to fill the area within the stem walt.
<br /> - If fi1E material is to be used in any area, 1 cert�fy that use of such fill wiil not adversely affect adjacen#
<br /> properties. If use of fill is faund ta adversely affect adjacent properties, the awner may be cited for violating
<br /> the conditions of the building permi# issued under the attached permit application, for lots less than ane (1)
<br /> acre which are elevated by fltl, an engineered drainage plan is required.
<br /> !f I am the AGIEN7 FOFt TH�OViIAI�R, I promise in good faith to inform the owner af the permitting conditions set forth in
<br /> fhis affidavi# prior to commencing construcfion. .1 understand that a separa#e permit'may 6e required for elecfricai usrark,
<br /> plumbing, signs, wells, pools, air condikioning, gas, or other installations nok specifically included in #he applicakian. p
<br /> petmit issued shall be construed to be a license to proceed with the work and not as authority to_vialate, cancel, alter, or
<br /> set aside any pravisions of the technical codes, nor shall issuance of a permit prevenf the Buildirig O�cial from fhereafter
<br /> requiring a correotian of errars in plans, construc#ion ar v9olations of any codes. Every permit issued shall become invalid
<br /> untess the work authorized by such permit is cammenced within six months of permit issuance, or if work aufharized 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 wrrifing, from the �uilding fl�cial for a period nat to exceed nirtety (9Q� days and will demartstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> WARfVING TO C1VVN�R: YOUR Fi�►ILUR� �O RECORD A NQYICE �3F COMMENC��iIEN'T MAY �tESULT IW YOUR
<br /> PAYtFVG 7WICE 1=0[Z lWIPROVEWiEWTS TO YOUFt PttOPE1ZT1(. IF YOU IFITEWD TO OB'Y�►IN FIV�IAfNCING, COCNSULY
<br /> Wt1TH YOUR L�tNDER�+C)R-A,�i P1'f�'O�"'citii�Y B iFt3RE��2E�:itJR�IWG-Ytl�! - .C31�i��-C�F- C� ��R�� �111�'. _ _ _
<br /> FLORIDA JUF2AT(F.S.117.q3)
<br /> O{�II�ER Oit AGENT CONTRAGTO
<br /> Subscrlbed and swom to(or affirmed)before me lhls Subscribed an swom to(ar affirmed)befare me this
<br /> �Y {�x _.
<br /> Who islare personafly known ta me or has/have produced Who Is/are persanally known to me or haslttave p►oduced
<br /> as Identlficadon. as 1denUfication,
<br /> Piotacy Publlc Notary Public
<br /> �"':¢y�,,+ JACQUELiNE ES
<br /> Commissfon No. Commis N � 0
<br /> �; ' �pgres pecember 12,2014
<br /> ;r . .•e: y�1�yy�gpp385�T419"
<br /> Name of Notary typed,prinked or stamped Name of Notary
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