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<br /> � NOTICE O� DE�CD RE�Tf31G'TIORIS: The undersigned understands that this permit rnay be subject to"deed" restrictions"
<br /> which may be more resEricfive than Caunty regulations. The undersigned assumes respor�sihility for complEance with any
<br /> applicable deed restric#ions.
<br /> UNLlGE�SE� CUNTR�A�YC?R� AAI� �C1�9�'��'���t f��S�ON�I�!!.!Tl��: !f the owner`has hfred a contractor or
<br /> contractors to undertake work, #hey may be required fo be licensect in accordance with state and Iocal regulations. If fhe
<br /> contrackor is not licensed as required by law, bath the o+n�ner and contractor may be cited for a misdemeanor violation
<br /> under state law. If fhe owner ar intended confractor ar� uncertain as to what iicensing requirements r�ay apply far #he
<br /> intended wark, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> � 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised fo have the can#ractor{s) sign
<br /> portions of the "contractor Block" of this application for vuhich they wili be responsible. tf you, as the owner sign as the
<br /> contraetor, thak rnay be an indication that he is not praperly licensed and is not entitled to permit#ing privileges in Pasco
<br /> County. . _ .
<br /> 1"�ANSPOf�T'ATIOPI Ifl�i��C'Tll1T'IL.VTIES 9i1���►�1��►1��5 ���O�J6�C� RI�COi/�RY���5: The undersigned underskands
<br /> fhat TransportatRon Impact Fees and Recourse Ftecovery Fees may apply to the construction of neuv buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-0? and
<br /> 90-07, as amended. The undersigned aiso understands, that such fees, as may be due, wtil! be identifisd at the time of
<br /> permitting. It is further uncierstood fhat Transpartation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final povver release. If the project does not involve a certificate of occupancy or
<br /> final pawer release, the fees must be paici priar ta permit issuance. Furthermore, if Pasco Caunty VtlaterlSewrer (mpacf
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicabl� Pasco County ordinances.
<br /> CONSTFtUCT10�1 �.IEN L.�►1�P(�hap4�r Y93, �I�eid��t�t�4��, �� �mer�cf�e�): Ef valua#ion of wrork is $2,500.00 or more, !
<br /> certify that I, the applicant, have been provided wikh a copy of the "Florida Construction Lien Law—Hameowrner's
<br /> Pratection Guide" prepared by the Ftorida Departm��t of�griculture and Consumer Affairs. !f the applicant is someone
<br /> ofher than #he "owner", i certify that I have obtained a copy of the above described documenf and promise in good faith to
<br /> deliver it to the"orrvner"prior to commencement.
<br /> GON'TRI��'COFt'�10UV�1�R'S AF�Ii�A1tIT: 1 certify that ai1 the information in thEs appiication is accurate and that all uvork
<br /> will be done in compliance v�ri#h all applicabte laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do vuork and installation as indicated. t_certify that no work or installatian has
<br /> commenced prior to issuance of a permit and that afl work vvill be performed to meet standards of alI laws regu(ating
<br /> construction, Caunty and City codes, zoning regulations, and land development regulatians in the jurisdiction. I also
<br /> certify that I undersfand that fhe regulafions of ather govern►nent agencies may apply to the intended work, and fhat it is
<br /> my responsibility ta idenkify what actians I must take to be in compliance. Such agencies include but are not limited ta:
<br /> - Department of Environmental Protection-Cypress Bayheads, W�tfand Areas and �nvironmentally Sensitive
<br /> Lands, VUat�erNVastewater Treatmen#.
<br /> - Souihwest F4orida Vltater l�lanagerr�ent Qistrict-WeEls, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercoueses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays.
<br /> - Depar#men# of Health & Rehabilitative ServEceslEnvironmental Flealth Unit-Wells, Was�ev�rater Treatrr►ent,
<br /> Septic Tanks.
<br /> - US Environmentai Protection Agency-AsbesEos abatement.
<br /> - Federal Aviation�4.uthority-Runways.
<br /> 1 understand that the follo�ring res#rictions apply to the use of fill:�
<br /> - Use of fil( is not allowed in �Ioad Zane"V"unless express4y permitted.
<br /> - If the fill material is to,be used in Fload Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating voiume" will be submitted at fime of permiffing rnrhieh is prepared.by a professianal engineer
<br /> licensed by the Skate of Florida. �
<br /> - � !f fhe fill material is ta be used in Flood Zane ",4" in connection vtirith a permit#ed building using stem wraff
<br /> � construction, I cerfify that fill will be used only to�It the area tirithin the sfem wall.
<br /> - If fil! material is to be used in any area, ! csrtify that use of such fil) vuill not adversely affect adjacent
<br /> properties. If use of fili is found to adverse�y affect adjacent properties, the ovwner may be cifed fior vialating
<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 fill, an enginee�ed drainage plan is r�quEred.
<br /> If I am the AG�IV7 F06� 7H� 01iV�d�i�, I promise in good faith to inform the owner of the permitting canditions set forth in
<br /> this a#fidavit prior to commencing construction. 1 unders4and that a separate permi# may be required for electrica! wrork,
<br /> plumbing, signs, wells, poois, air conditianing, gas, ar other installations not specificaily inciuded in the application. A
<br /> permil issued shall be construed to be a license to proceed with the vvork and not as authority #o.violate, cancel, al#er, or
<br /> set aside any provisions of the technica# codes, nor shall issuance of a perrr3it prevent fhe Building Official from thereaffer
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the wark authorized by such permit is corrtmenced tnrithin six manths of perm3t issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a periad of six(6) months after the time the vvork is commenced. An extension
<br /> may be requssted, in vuriting, from 4he Building Officia! for a period not to �xceed nineky (9Q) days and v+rill demonstrate
<br /> justifiable cause for the extension. (f work ceases for ninety(90)consecufive days, the job is considered abandoned.
<br /> �/AR�l6Nf3 'TO C?{�INEFt: YOUi� �AILi1R� TC� �tEC��D �, �Cl'T1C� C�� �G���flEN�E�f��IT MAY �.�SULT 1�1 YQt3F�
<br /> PAYIfVG TUVICE �OR II"��F3CDVEIlNIENTS 7"O YC11762�'I�O�'ERYY. I(�YC')U �Pll`�WD 1'O OF37�►IN FINAWCIPIC, CON�ULY
<br /> !f1ld��d �lQE!�t��d`���l�i�#��C��-�'�►���Y��t���� �������&��`�C�U��E9'�'!�����CD����N��H�€�!T'. -
<br /> FLORIDA JURAT(F.S. 117.Q3)
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<br /> OYYtdEi2 O�t AGE[dT �Q�}T@3RGT0� �.�"
<br /> Subscrfbed and swom to(or affirmed)before me this Subscribed and swo {or affirmed)before me this
<br /> by
<br /> Who aslare persanalEy k�own to me or t�aslhave produced ho Islare p r onally kn �.to me ar haslhave produced
<br /> as IdentlficaGon. as identification.
<br /> Nokary Public ��.- Notary Public
<br /> 'j a'y'�Y„U�•
<br /> � Commission No. Commis N ��`: �AC�U�L
<br /> --:x•"`'�^�;� �prr�p°n#EE 04Q52�
<br /> Name of Notary typed,printed or stamped Name of Nota �
<br /> �«ance soa�.�ois
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