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idOT'ICE OF DE�D �tE�TRI�T'ION�: The undersign�d understands that this permit rnay be subject to"deed" restnctions"'-
<br /> ; vvhich may be mare resfrictive than County regula#ions. The undersigned assumes responsibility for compliance v�rith anj�
<br /> �� applicable deed restrictions.
<br /> t!�!LlCEtdS�D CONTF��ICTPJ�t� �e►PID �9�fd�'��'�'�9R i����OPl�t�ll�!'TlE�: If the owner has hired a cantractor or
<br /> contractors to undertake work, they may be required fio be iicensed in accordance with state and iocai regutations. If fhe
<br /> contractor is not licensed as required by la�nr, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If fhe ov�rner ar intended contracfor are uncertain as to rrvhat licensing requirements may apply for the
<br /> intended wark, they are advis�d to cantac#the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Fu�thermore, if the awner has hired a contractar or cantractors, he is advised to have the cantractor(s} sign
<br /> portions of the "contractor Block" of this applica#ion for which they wilt be responsible. lf you, as the owner sign as the
<br /> contractor, thak may be an indication that he is not properly licensed and is nat entitled to permitting privileges in Pasco
<br /> Counfy.
<br /> 7�YVSP0�2TA'�ION IMP�Cl'll1YBLYTI�S I�ii���lf AP➢� ���OUfRC� FtEGOi/fERY��ES: The undersigned understands
<br /> that Trartsportation lrr�pact Fees and Recourse Recavery Fees may apply to the constructian of nev+r buiidings, change af
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-Q7 and
<br /> 90-07, as amended. The undersigned alsa understands, that such fees, as enay be due, wil! be idenkified at the time of
<br /> permitting. it is further understood that Transportafian Impacf Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final po�nrer release. If the project daes not involve a certificate of occupancy or
<br /> fina! powrer release, the fees must be paid priar ta p�rmi# issuance. Further�are, if Pasco County VVater/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> �O�tSTRi1CTl�N L.1��! L�IfV{Cha�t�r 7'��, �lesei���t��u�+��, �� �rneet�Q���: If valuation of vtirork is$2,500.OQ or mare, !
<br /> certify that I, the applicant, have been provided with a copy of the "Fiorida Canstruction Lien Law—Hameowner's
<br /> Protection Guide" prepared by fhe f=lorida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other than #he"owner", I certify that 1 have obtained a copy of fhe above described dacument and promise in goad faifh ta
<br /> deliver it to the"owner" prior to commencement.
<br /> �O�tYR�1CT'�Ft'S10Vit�1�R'� �1�FI��VIT: 1 certify that alE the information in this applicafion is accurate anci that al! v►rork
<br /> will be done in compliance wi#h all applicable laws r�gulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit ta do work and 9nstallation as indicated. ! certi#y that no wark or installatian has
<br /> commenced priar to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> conskruction, County and City codes, zoning regula#ians, and land development regulations in the jurisdiction. I alsa
<br /> certify fhaf 1 understand thaf the regulations af other government ageneies may appEy fo the intended vvork, and that it is
<br /> my responsibility to iden#ify what actions I must take ta be in compliance. Such agencies include but are not limited to:
<br /> - Depa�tment af �nviranmental Pratection-Cypsess �ayheads, Wetland Areas and Environmentally Sensifive
<br /> Lands, VVaterM/astewater Treatment.
<br /> - 5outhwest Fforida Water 1V�anagement District-WeNs, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercours�s.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
<br /> - Department of Nealth $� Rehabilitative SetviceslEnvironmental Nealth Unit-V1/elEs, Wasfewater Treatment,
<br /> Septic Tanks.
<br /> - 4JS Environmen#af ProEection Agency-Asbestos abatem�ent.
<br /> - Federal Aviation Authority-Runvuays.
<br /> I understand that the follo+nring resfrictions apply to the use of fiU:�
<br /> - Use of fill is not allowed in Fioad Zone"V"urtless expressiy permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" v�ritl be submifted at time of permittirtg vfrhic� is prepared by a professional engineer
<br /> licensed by#he State of Florida.
<br /> - !f the fl4 materiaE is to be used in F1aod Zone "A° in cannec#ion vuith a permitted building using stern w+all
<br /> constructian, I certify fhak fill witl be used anly to fill the area within the stem wail.
<br /> - If fil! material is #o be used in any area, ! certify that use of such fil! vui!! not adversely affect adjacent
<br /> properties. #f us� of fill is �ound to adversely affect adjacent properties, the auvner may be cited far vialating
<br /> the conditions�of the building permi# issued under th� attached permit applicakion, for lots less than ane (1)
<br /> acre v�rhich are elevated by fil1, an engineered drainage plan is requ9r�d.
<br /> If I am the o4G�N7 FOV�T9i� OVNI��I�, I promise in good faith to inform the owrneP of#he permitting canditions set forth in
<br /> this affidavit pr3or ta commenc'sng construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air eonditianing, gas, or other insfaliations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed uvith the work and not as authority to violate, cancel, alker, or
<br /> set asicle any provisions of the�echnical cades, nor shall issuance of a permit prevenf tha Building OfficiaE from therea�fer
<br /> requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
<br /> ur�less the work authorized by such permit is commertced tnrithin six manths of permit issttance, or if tinrork aufhorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An ex#ension
<br /> may be requested, in writing, from #he Building O�cia! faP a period nat to �xceed ninety (90) days and �nrill demons#rate
<br /> jusfifiable cause for the exfension. (f�ork ceases for ninefy(90}conseeutive days, the job is considered abandoned.
<br /> iNA�cr"+3��i� TC� C9;t�#��FZ: ��l�.l� F�al.��� T� {������ � �i0'�"1�� t)I� Ct'11�i�ENG���i�1T �AY ��S11[.T 1AI YOUFt
<br /> PB�Ylldf�'TVIIICE �Of� CiWPRQVE�iiI�P11fS 7"�J YC1�DFt�1�O��R"�(. 9�YOII IN�'�N� 1'O OB7�1iNV �iiv�iP➢�i�9G;�ON�iDL�" -
<br /> {�UITH YOU�t L�NiC�EF� i��t�N�TTf�R�9�Y��iFOR� �2��C�(�3d�1N�YO111�HItJ'TIC�G1F�OM�ENCE[�iL[�f3".
<br /> FLORIDA JURAT(F.S. 117.03
<br /> �� j befor�
<br /> �b��b d and wom t a ed . ����`1~�
<br /> GQR�'TE2�CTOP�
<br /> Subscribed and swar— n�fo(or affirmed)before me this
<br /> by by
<br /> Who islare personally known ta me or haslhave produced Who tslare personally knawn ta me ar haslhave pfoduced
<br /> ____as Identtfication. ' as identification.
<br /> �
<br /> � Nota Public ��� Nokary Public
<br /> ,,µeYPko.•, `t .;'�:rs:�;.r JOELE.BACON
<br /> Commis ,.•�r•• w � • Commfssion No. ,. •,;: � •
<br /> _.; . u�.��;�•.:r�-,-f'fi-1�T9�3--- , . �
<br /> ;; �;x•."� ''Y�tstss�tir,:;Z�,2448 f --;�g�, ��: E�xp�ires June 29,2018
<br /> Name pf Nota Zd�•'r nt r"�' , Name of Not rype , �a •ore
<br />
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