}
<br /> NO�'ICE OI� DE�� Vt��T�IC�'IOP��: The undersigned undersYands that this permit rnay be subject to°deed" restrictions"�'
<br /> uvhich may be more restrictive than County regulations. The undersigned assumes respons9bility for campliance w3th any
<br /> applicable d�ed restrictions.
<br /> UNL.IC�N�ED Ct3NYR��TQi�,� 6A�ID C�1N�'��'��� ���PON�!l�IL�'YI��: !f the owner has hirsd a contractor or
<br /> contractors #o undertake evork, #hey tnay be required to be (icensed in accordance with sfate and lacai regulations. tf fhe
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under s#ate law. If fhe ov�ner ar infended contractor are uncertain as Eo wha# licensing req�ireme�ts may appEy for the
<br /> intended work, they are advised to cantact the Pasco County Building Inspection Division—Licensing Section at 72?-847-
<br /> 8Q09. Furthermore, if the owner has hired a contractor or cantractars, he is advised to have the contractar{s) sign
<br /> portions of the "contractor Block" of #his application far vvhich they witl be responsible. If you, as #he awner sign as the
<br /> contractor, that may be an indication that he is not praperly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> 76�►N�PORTATIOPI 6nYiPAC'TIIJTILI'�I�� I�flf���7�R�[9 R��OU��E RECOV�RY��ES: 7'he undersigned unders#ands
<br /> that Transportation Impact Fees ancf Recaurse Recouery Fees may apply to the construction of nev�r buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigs�ed also understands, that such fees, as may be due, vuil! be identified at the tirne of
<br /> permit#ing. If is further understood that Transportation Impact Fees and Resource Recovery �ees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If th� project does not involve a cer#ificate of occupancy or
<br /> final power release, the fees must be paid priar to permEt issuance. Furthermore, if �asco County V1laterlSet+ver Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> GONST�tUCT1�N L.11E�9 ��►1tV(Ch�p��r'7 93, �1������f��ut��, �s a�rtend�z�}: If valuation oi work is$2,500.OQ or more, i
<br /> certify thak I, the applicant, have been provided wi�h a copy of the "Florida Construction Lien Law—Hameowner's
<br /> Proteckion Guide" prepared by the l�lofida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> ofher than the"owner", 1 certify that I have obtained a capy af the above described document and promise in good faith ta
<br /> deliver it to the"owner"prior to commencement.
<br /> CO�1'TR�CT��t'SIQltVN1�R'� i��F11��.VIT: 1 certify#hat all fhe informat+on ir��his applicatEon is accurate and that all v�rork
<br /> will be done in campliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made ta obtain a permit ta do vuork and installation as indicated. t certify that no vuork or instatlation has
<br /> commenced prior to issuance of a permit and that all work vvill be perfarmed to meet standards of all taws regulafing
<br /> construction, County and City codes, zoning regula#ions, and land development regulations in the jurisdiction. I also
<br /> c�rtify that I understand that fhe regulations of other government agencies may apply to the intended uvork, and that if is
<br /> my responsibility ta iden#ify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Depaetmer�f of Environmental Protection-Cypress �ayheads, Wetland Areas and �nvironmentally Sensitive
<br /> Lands, WaterNVas#ewater Treatment.
<br /> - Sauthwest Florida Water iVianagement District-Wells, Cypress Bayheads, Wetland Nreas, A{tering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, C7ocks, Navigable VVaterways.
<br /> - Depar#ment of Health � Rehabilitafive Servicesl�nvironmen#al Nealth Unit-Vtlells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US E�vironmental Protectian Agency-Asbestos abatem�nt.
<br /> - Federal Aviation Authori#y-Runways.
<br /> 1 u�derstand that the following restrictions apply to the use of fill:�
<br /> - Use af fill is not ailowed in Flood Zone"V"unless expressly 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" vuill be submifted at #ime of permitting uvhich is prepared by a prafessionat engineer
<br /> licensed by the State of Florida.
<br /> - If the fill materia3 is to be used in Flood Zone "A° in connection w'sth a permi#ted bui4ding using stem vuall
<br /> construction, I cer#ify tha#fill will be used only to fill the area writhin the stem wall.
<br /> - !f fill material is to be used in any area, ! certify that use of such fill wiA not adversely affect adjacent
<br /> properties. If use af fill is found to adWersely affect adjacent properties, the owner may be cifed for violating
<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 ftll, an engineered drainage p3an is required.
<br /> If I am the B�GEN7 FOf�TF9fE C11iil�d��, I promise in good faith to inform the owrner of the permitting conditions set forth in
<br /> this affidavit �rior to commencing canstruct'son. I understand that a separate permit may be required for electsical wark,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other insfallations nof specificaliy inciuded in the application. A
<br /> permit issued shall be constru�d to be a license to proceed with the +�vork and not as autharity ta violate, cancel, alter, or
<br /> set aside any provisions of the technical cades, nor shal3 issuance of a permit prevenf the Buifding Officia[from thereafter
<br /> requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
<br /> ur�less the virork authorized by such permit is commenced withir� six manths af permif issuance, or if vvork aufhorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is cornmenced. An exlension
<br /> may be requested, in writing, from fhe Building Official for a persod not to �xceed ninety (90) days and wil! demonstrate
<br /> justifiable cause for fhe extension. if work ceases fQr ninety(90)consecutive days, the jab is cansidered abandoned.
<br /> {�II�►E2t+i1�9G 'TO O{�tN�FE: 1(C3U� ��iiL�Et� TC? R���R� � �IQT'1�� C1� �t��fINfEW�E���1T iitA�Y i���U�.T 1ii1 VQEJ�2
<br /> 9��YIP1(� '�ICE �t2R I�H@�R(3!l��I��lT� �'O YC113R ��20pfER'Tl(. 9�l�011 IPII'�Pl�TCl 0�3'Y�►IiV FINAWfC1�9C, CO�l�ll�.�'
<br /> 1t1�tTF!Y�U�t LE�IQER dJR�1�I Ci�tP��Y f���t}iFtIE 62�C��lD1NC�YOt1�R��TiC�Gii- ��Ei���NCE�L�l�.- --�.
<br /> FLORIDA JURAT(F.S. 117,�3 �'="�
<br /> ./��°~�� �
<br /> 0�11�2E42 Oi21�CaEfdg -�� CQEV�' �,.,.,
<br /> Subscribed and r rmed)before me this Subscr' or a�rmed)before me this � �
<br /> by
<br /> Who lstare pe onally known ta me ot haslhave produced Who IsJare personally known to me or haslhave produced
<br /> as Identlfication. as identification.
<br /> "•rN�•. JO E.BACON
<br /> ,�, _____ ary Public • . . Notary Public
<br /> .•"..y¢•., ::13�6N �',° E i s June 29,241
<br /> Commiss '1'd '�= Commission FF137073 Commissio •
<br /> :;,� ir un .,�,�
<br /> �
<br /> ��� To,a
<br /> Name of No typ ,printe or s ampe IVame of Notary ty ,prinked or stamped
<br />
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