P107'ICE O� �E�� R��TRIC'TiON�: The undersigned understands that this permit may be subject to"deed" restrictions" �
<br /> t+vhich may be mare restrictive than County regulations. The undersigned assumes responsibility far comp4iance with any
<br /> applicable deed restrictians.
<br /> 11NL.ICE�}SED CON7RACYO�tS 6��9l� CCl�1�'��'�t)R f�I����P1�1�ILlYY�S: !f the owner has hired a contrac#or or
<br /> contracfors to undertake work, they may be required to be iicensed in accordance�tith sfate and locai regulations. 1f the
<br /> contractor is not licensed as required by lavv, both the owner and contractor may be cited for a misdemeanor violation
<br /> r�nder state levv. if the owner or int�ndad eontrae#or are uncertain as fo what licensing 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. Fur�he�mare, if the ov�ner has i�ired a confractor or contractors, he Es advised to have the cantractor(s) sign
<br /> portians of the "contractor Black" of this application far which they vvili be responsible. If you, as the owner sign as the
<br /> contractor, khat may be an indication that he is r�of properly licensed and is nat entitled to permit#ing privileges in O�asco
<br /> County.
<br /> YFt/�YdS�O�.TAYION B�HPAC'YIl1Tlt.i�'If�S B�flPl�C1��►R!� ���OU�.C� RCEGOV�RY�EES: The undersigned understands
<br /> that Transparfatian Impact Fees and Ftecourse Recovery �ees may apply to the construction of newr buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in F�asco Gounty Ordinance number 89-07 and
<br /> 9Q-O7, as amended. The undersign�d also unders9ands, that such fees, as may be dus, wil! be iden#ified at the time o#
<br /> permitting. it is further understood that Transpor�ation Impact �ees and Resource Recavery Fees musf be paid priar to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> finai power release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco County Water/Sev�rer Impact
<br /> fees are due, they musk be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CO�lSTi�UCT1QN L.11E� L�►Vii{C�����e 71�, �i����1��Y�4u���, �s a��¢�rd�e9}: !f vaivation of v+rork is $2,500.00 or more, i
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Hameowner's
<br /> Proteetion Guide" prepared by the l�lorida Departmsnk of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other than the"owner", 1 certify that 1 have obtained a capy of the above described dacument and promise in gaod faith to
<br /> deliver it to the"owner" prior to commencement,
<br /> �OW7R�C'�'�R'S10�itht�R'� ,�►Fl���99�V1�"; 1 certify that aIC fhe inforr►�ation in this applicatian is accurate and that all v�rork
<br /> will�be done in compliance with all applicable laws regulating construction, zaning and land development. Application is
<br /> hereby made ta obtain a perrnit ta do �nrark and installatian as indicated. ! certify that no uvorlt or instatiatian has
<br /> commenced priar to issuance of a permit and tha# ali work uviil be performed to meet standards of all laws rec�ulating
<br /> cons#ruction, County and City codes, zvning regulatians, and land development regulations in the jurisdiction. I also
<br /> certify tha� I unders#and that the regulations af othe� gavernm�nt ageneies may apply to the intended v�rork, and fhat it is
<br /> my responsibility#o identify what aclions I must take to be in compliance. Such agencfes include but are not limited to:
<br /> - Department af Environmental Protectian-Gypress Bayheads, �lUetland Areas and Environmentally Sensitive
<br /> Lands, WaterNVastewater TreatmenQ.
<br /> - Southwest Florida 1/Vater 1'�anagement District-Wel(s, Cypress 8ayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, hJavigable Watervvays.
<br /> - Deparfinen# of Health � Rehabilitative ServiceslEnvironmental Flealth Unit-We11s, Wastevirater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Pratec�ian Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand fhat#he follawing restrictions apply to the use of fill:
<br /> - Use af fili is not allowed in Fiaad Zone"V"uniess 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" uvi11 be submitted at time of permitting which is prepared by a professiona! engineer
<br /> licensed by the State of Florida.
<br /> - if fhe fill material is ta be used in Flaod Zane "A" 9n cannection v+rith a permitted bui4ding usEng stem v4rali
<br /> construction, I certify fhat fili wi(I be used only to fill the area vuithin fhe stem wall.
<br /> - If fil! mat�rial is to be used in any area, I certify that use of such fiA uvill not adversely affect adjacent
<br /> prope�ties. if use of�li is f�und to adversely affect adjacent properties, the awner may be ci#ed for violating
<br /> the conditions of the building permi� issued under 4he attached permit applica#ion, far lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is r�quired.
<br /> If I am the AGIEN�' �OI��'H� OV'!!lW�R, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this a€Fidavit prior to commencEng constructian. I understand 4hat a separate permit may be required for etectrica! wark,
<br /> plumbing, signs, welis, pools, air conditioning, gas, or other installafions not specifical(y inciuded in the application. A
<br /> permit issued shall be construed to be a license #o proceed with 4he work and not as authority to violate, cancel, alfer, ar
<br /> sef aside any provisions of the technical cades, nar shall issuanc�of a permit prevent�the Building Officia�from theteafter
<br /> requiring a correction of errors in plans, canstruction ar viola#ions of any codes. Every permit issued shall become invalid
<br /> uniess fhe vuork authorized by such permit is comrnenced vuithin six monfhs of pertnit issuartce, or if work autharized 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 vuriting, fram 4he Building O�cia! for a periad not fo �xceed ninety (90) days and will demonstrate
<br /> justifiable cause for the exfension. If work ceases for ninefy(90}consecutive days, �he job is considered abandoned.
<br /> 1�l�+►#�N1�� �'O CBild�#��t: Y{)UI� ��i�l�R� TC� R��i�R� A l�f}Zi'1�� O� �C96��tl�Pd�����iT ��� �2���lS..T li�! '�'�tlR
<br /> Pe�YII�IG T1iV9C� F`OR YIUI�RtJVEIVI�f�T�TO YC��DR ��20P�F�"Tl�. IfF 1(011 IYVTfE�ID 7'QJ 0�7'�►IN FINIANCING, COR4�l1l.T
<br /> �ittTH V�LJ�t I.ENDIER�'}��lPd 14�1fT'�}�t��Y��i�fQ�� ��CCYRiDINC�Yt�Uff 61�ClTIC�+t������ti�NGE�tl�NT.
<br /> FLORiDA JURAT(F.S. 117 U3 i
<br /> O�f1lN�it OR�CENT �'°''��"'-- ��P1TE3ACT'OR ��-=--^-'""
<br /> Subsc►ibed and swo^T�aw� ffi med)before me this Subscribed and swo to r affirm �before me this
<br /> by
<br /> Who islare personally k��� to me or fiaslhave produced Who IsJare p rso 3f nown to me o aslhave produced
<br /> as Identlficakion. as identification.
<br /> hlotary Public •�. ary Public
<br /> '�: : Commissaon#FF 1370T3
<br /> Commisslon No. Commfssion =
<br /> �
<br /> ~���P,f.�f'��,,` BorddllwTroyFeinlnwzance600385-7478
<br /> Name af Notary typed,printed or stamped PJame of Notary typed,printed or stamped
<br />
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