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<br /> PdO�'1�� OF �1E�D Rf���"PtIC�'lOf��: The undersigned unders�ands that this permit may be subject to"deed" restrictions"
<br /> wrhich may be mvre restrictive than County regulatians. The �ndersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> 13�1�.fC�R1��D CON7RA�YOR� t�,t�� �OPlY(�fi1��4�� ����"OR��1f�lLI�'If��: if the owner has hired a contractor or
<br /> i contractors ta undertake uvork, they may b� required to be licensed in accardance writh s#ate and tacal regulations. If#he
<br /> cantractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanar violation
<br /> under stat� law. If the a�nrner or int�nded contrac#or are uncer#air� as fo what licensing requirements may apply for the
<br /> i inkended work, they are advised to contact the Pasco County Building Insp�ction Division—Licensing Sec�ion at 727-647-
<br /> $009. Furtherrnore, if #he owner has hired a contractor ar cantractors, he is adv9sed to have the cantractar(s) sign
<br /> portions of the "contractor Block"' of this application for which they vvill be respansible. tf yau, as the owrner sign as the
<br /> contractor, tt�at may be an indicatian that he is noQ properly licenser,! and is not entitled to permitting peivileges in Pasco
<br /> Counfy.
<br /> � 1f�tV�PORY�T'IOR9 I���►CY/lJ�'IL9YVIE� Yi���►�Y/�Pl� ���ClU�Cf� I�f�C2�l/�G�Y����: The undersigned understands
<br /> that Transpor�a#ion lmpact �e�s and �tecau�se Recovery �e�s may apply to the construction af new buiidings, change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance_number 89-07 and
<br /> 90-07, as am�nded. The ur�dersign�d aiso understands, that such fees, as may be due, will be identified af the time of
<br /> permitking. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid priar to
<br /> receiving a "ce�tificate ot'occupancy" or final power release. !f the'project does not involve a certificate af occupancy or
<br /> final povver release, the fees must be paid prior ta permit issuance. �ucft�ermare, if Pasco County 1l1/aterlSevver Impact
<br /> fees are due, they must be paid prior to permit issuance in accordanc�e with applicable Pasco Coun#y ordinances.
<br /> CO�I�T�2R1C"�"IO�t �.I��l L�1itV(CP���a���7�3, �I�ro�D���������, a� �rr��e�d�e��: Ef valuation of uvork is $2,540.OQ or more, 1
<br /> certify that I, the applican4, have been provided with a capy of #he "Florida Constructian Lien Lawr—Homeowner's
<br /> i�rotectian Guide" prepared by the Florida Departm�nt of Agricufture and Consumer Affairs. tf the applicant is someone
<br /> other than the "owner", I certify that 1 have ob#ained a copy of fihe abave described document and promise in gaod faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CU�T�#��'�t3R'5lCtlt�f�4�t�'��,TFIFI��V1�': f certify that all th� information in this applicafion is accurate and that all �nrork
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land develapment. Application is
<br /> hereby made to obta'sn a permit to do work and inst�llation as irtdicated. 1 certify that na work oc ir�stallation has
<br /> cammenced prior ta issuance of a permif and that all uvork will be perfarmed to m�et standards of all laws regulating
<br /> const�uckion, Counky and City codes, zoning regulations, and land development regulations in the jurisdictian. ! also
<br /> certify that I undersfand that the reguiafians of oth�r governm�nt agencies may apply ta the infended rrvark, and fhat it is
<br /> my responsibility to identify what actions I must take to be in campliance. Such agencies include but are nat limited ta:
<br /> - Depa�finent af Enviranrnental Profection-Cypress �ayheads, Wetland Areas and Enviror�mentally Sensitive
<br /> Lands, VVaterNVastevuater Trea#ment.
<br /> - South�nrest l�lorida V�lat�r [Vlanagem�nt District-VI(ells, Cypress Bayheads, VVefland ,4r�as, Altering
<br /> Watercourses.
<br /> - Nrmy Corps of Engineers-Seawalls, Dacks, Navigable VVatenrvays.
<br /> - Department af Health � i2ehabilitative Services/�nvironmen#al Health Unit-Wells, Wastewater Treatment,
<br /> Septic 1'anks.
<br /> - US Environmental Protection Agency-Asbestos abatem�nt.
<br /> - Fo�deral Aviatian�uthori4y-Runways.
<br /> l u�derstand that the following restrictions apply to 4he use of fill:
<br /> - Use of�Il is r�ot aliow�ed in Fiood Zone"V"unless expressiy permitted.
<br /> - If the fill material is to be used in Flood Zone "A", i4 is understaod that a drainage plan addressing a
<br /> "compensating voiume" vvili be submitted at #ime af permitfing uvhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fi11 material is to be used in Flood Zone "A" in connection with a permitted building using stem wral!
<br /> construction, I certify that fill will be used only to fill the ar�a within fhe stem vuall.
<br /> - If fill material is to be used in any area, ( certify that use of such fl! wrill nat adversely affect adjacent
<br /> properties. If use of fi11 is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit applicatian, for Iots less than one (1)
<br /> acre�hich are elevated by fill, an engineered drainage plan is required.
<br /> If I am the�C�f�R9y �OR YHI� C�11�IfiVf��, I pramise in good faith to infarm the owner of the permitting conditions set forth in
<br /> khis affidavit priar ta commendng car�struction. I understand �hat a separate permit may be required for etectrica! v�rork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other insfallations not specifically inclucied in the application. A
<br /> permit issued shall be construed to be a license ta proceed �nrith khe uvork and not as authority to violate, cancel, alter, or
<br /> se#aside any provisians af the technical codes, nor shaH issuance af a permit prevent the�uilding afficial from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall became invalid
<br /> unless the work authorEzed by such permit is commenced Uvithin six months of permi# Essuartce, or i€vtirark authorEzed by
<br /> the permit is suspended or abandoned for a period of six(6) manths �fter the time the work is commenced. /�n extension
<br /> may be requested, in writing, f�om the Building O�cial for a period not to exceed ninety t�0) days and �nri!{ demonstrate
<br /> jus#ifiable cause for the extension. (f work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> Ff�ARNl�9� YC9_�lNP9E�: �'�11t� ����.��2� Y� ��C�KtD � �OT�G� Q� �t}i���P�i�E�i�i�'T flHAY �2��ULT 9�1 YClt�R---� -
<br /> �'�AYING 'T�ifICE FC1f� di'���2�VIE�fif�i�'v'� YPJ'YO�.DI�I��P3f�E�'�"lf. II�1fOU �R9Y�PIfD YC) Q��Vf�IW f�YV��►►f�C'pPl(�, ��W�t.DIL�'
<br /> 1fi11T@-9 Y�l���.�Cd��R O�2 L��1�'1�'{llf��l9�Y'(���0�{� �I�G�}@��1(�t�Y`Q119��9�'IC��� ��iiflht�Ek�CfE�f1��1T.
<br /> FL.ORIDA JURAT(F.S. 117 03)
<br /> ��r���t o�����r co�t��tac�ro�
<br /> Subscribed and sworn ta(or a�rmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Wha islare personaiEy kRawn to me or hasthave produced Who Islate persanally known to me or haslhave praducec3
<br /> as Idenkification. as idenGficakion.
<br /> Flotary Public Notary Public
<br /> Commission PJo, Commission PJo.
<br /> Name of Notary typed,prfnted or stamped Name of Notary typed,printed or stamped
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