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IVOYICE OF DE��1 RE�;TRIC1"I�ON�: The°undersigned understands that this permit may be subject to"deed"restrictions°
<br /> which may be more restrictive than County regufatians. The undersignec# assumes responsibiti#y foc compEiance wifh any
<br /> applicable deed restrictions. .. , ,_ � ,, ,. �
<br /> v�fLlCEN��D �Oi�TRA�TOE�� ��1D GC?Pl���'�'�"!�2 �����PY�I�tL@Y91��: If the owner has hired a contractor or
<br /> contractors #o undertake work, they may be required ta be licensed in accordance�writh s#ate and'local.regulations. tf fhe
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for � misdemeanor violation
<br /> � under stafe law. ff the ovvner or intanded contractor are uncer#ain as fo vuhat iicensing require►rtents may appEy for fhe
<br /> intended work, they are advised to contack the Pasco County �uilding Inspection Division—Licensing Section at 727-847-
<br /> 80Q8. Furthermore, if ttte owner has hired a contractar or contractors, he is advised to have the contractoe(s} sign
<br /> portions of the "contractor 81ack" of tf�is application far which they wili be responsible. tf you, as the owner sign as the
<br /> contractor, khak may be an indi.�a�ion that he is not prop�rly lic�nsed and is not,entitled to permitting privileges in Pasco
<br /> Counfy. , .. , . .. . .
<br /> k Y6�A�l�PORl'A71PJP1 IIVI��C7'/UTILB�'I�� INfl��►GY��D ���OU�CE FtfECOVf�RY I��ES: The undersigned understands
<br /> #hat Trartsportation lmpact Fees and Recours� Recavery Fees may agply to the constructian of nevtr buildings, change of
<br /> use in exisking buildings, or expansion of �xisting buildings, as specified in i�asco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned aiso understand5, that suc� fees, as may be due, vuil! be identified at the time of
<br /> permit#ing. lt is further understooci that Transportation Impact Fees and Resource Recovery Fees must be paid prior ta
<br /> receiving a "ce�tificate af occupancy" or final povuer release, If the project does not involve a certificate of occupancy or
<br /> frnai power release, the fees must be'paid prior to permit issuance. Fur#hermore, if�asco County WateriSewrer Impact
<br /> fees are due, Yhey must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> �QNS3RUCT1�i� l.l�i� L�►16V�Cha���er�'�39 �1�e��a��f�$tat��o �s �e��r�d�c9}: 1€valuation of wark is $2,540A0 or more, !
<br /> certify that I, the applicant, have been provided wikh a copy of�the "FI'orida Canstrucfion Lien L�w—Fiomeovuner's
<br /> Protectian Guide" prepared by the Florida Depaetment of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other than the"owrner", I certify that i have obtained a copy of the atiove described document and promise in good faith ta
<br /> deliv�r it to#he"owner"prior ta commencement.
<br /> CONTR�GT{��'Sl�tlVlN�R'� �iFiFll��ltlT: 1 certify that all the informafson in this application�is accurate and that all vvork
<br /> will be done in compliance with all applicable laws regulating construction, zoning�and land development. Application is
<br /> hereby made to obtain a permit to do uvar4c ar�d installation as indicated. I certify that no vuork ar installation has
<br /> commenced prior to issuance of a permit and that a�l work vvill be performed #o meet standards of ati taws regu(ating
<br /> construction, County and City codes, zoning regulatians, and land development regulatians in the jurisdiction_ I also
<br /> certify that 1 understand that the regulatians of other governmen# agencies may apply to the intended work, and fhat it is
<br /> my responsibility#a identify what ackions I must take ta be in compliance. Such agencies include but are not limited to:
<br /> - Depa�tment af Enviranmental Profection-Cypress Bayheads, UVetiand Areas and �nvironmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Sauthwest Florida Water Nianagement Dis#ricf-VVeEls, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays.
<br /> - Deparfinent of Health � Rehabilitafive ServiceslEnvironmental Health Unit-We11s, Wastevuafer Treatmen#,
<br /> Septic Tanks.
<br /> - US Environmental Protectior�Agertcy-Asbestas abatement. .
<br /> - �ederal Aviation Authority-Runways. � , '
<br /> I understand 4hat the followring resfric4ions apply to the use of fill:� , .
<br /> - Use of fill is not al(owed in �laad Zon�"V"unie5s`expressly perrtmitted�. �' ` -
<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" wrill be subriiitted at time of permitting vuttich is prepared by a prafessional engine�r
<br /> licensed by the State of Florida.
<br /> - If the fill material is ta be used in Flood Zone "A" in connection vuith a permitted bui{ding using stem �nral!
<br /> construction, ( certify tha#fill will be used anly to�II the area within �he stem wall.
<br /> - !f fil! material,isr ta_be .used �in any, area, ! certify that use of such fil! v�ill not adversely affect adjacent
<br /> properfies. tf use of fill is �ounci to adversely affect adjacent properties, the owner may be cited for viotafing
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre vuhich are elevated by f's11, an engineered drainage pEan is required.
<br /> If I am the AC�NT �Of�,T9ilE Oolif�d�IR, I promise in good faith to inform the,owrner of#he permitting conditions set forth in
<br /> this afficlavit prior ta cotnmencing�construction. 1 understand that a sep�rake permit may,be required for etectrica) v+tork,
<br /> plumbing, signs, wetls, pools, air conditianing, gas, or other insta(iafions not specifically included in fhe application. A
<br /> permit issued shall be construed to be a license �o proceed �rith the work and not as authority to violate, cancel, alter, ar
<br /> sef aside any provisior+s of the technical codes, nvr shall issuanc�of a permit p►'event the Building OfficiaE from fhereafter
<br /> requiring a correction of errors in plans, canstruction or violations af any codes. Every permit issued shall become invalid
<br /> un(ess the work authorized by such permit is comrt�tenced writhin six months of pertnit issuance, ar if wark authorized by
<br /> 4he permit is suspended or abandoned for a periad of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building C?fficia! for a period not to exceed ninety (90) days and will demonstrate
<br /> justiiiabie cause for the extension. If vvork ceases for ninety(90}eonsecutive days, the job'is considered abandoneci.
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<br /> FLORIDA JURAT(F.S. 117 Q3) `
<br /> O�1VN�E2 Oi21�C'sEPIT Gt}iU'f�C'TOPt ����J"l/C�(G��
<br /> Subscrlbed and sworn to or affirmed before me this S ybscribed nd swo� to o a-�'i med_�efo� me thls
<br /> by �1-f2-14� by � '�.%f �C"��'��
<br /> Who islare personally known ta rrie or haslhave produced 1Nh i,S/ar er onall}�knp wn to me or haslhave produced
<br /> as Identification. �[ � �<�F'S(��G�-i_Q as idenGfication.
<br /> Notary Public Notary Public
<br /> Commisslon No. Co JAGQUE�IN�g g
<br /> issi r�`�� ��' Co
<br /> =�• d^ Expires December 12,2U14
<br /> '�:4�,�°�'~ ��aea�u„r Faai�t
<br /> Name af Notary typed,printed or stamped Name of o , -
<br />
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