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N07'6CE O� DE�D RE�'TRI�C"fYOFV�: l"he undersigned understands that this permit may be subject to"'deed"restrictions"'
<br /> which may be rrtore restrictive than Caunty regulatians. The undersigned assumes responsibility far compliance vtirith any
<br /> applicable deed restrictions.
<br /> llfdLlCEtd�ED CC?NTRACT't�IRS �►P!D CQlVT��7��t ��;SP�N�l�il.�YIE�: !f the owner has hired a contraator or
<br /> contracfors fo undertake r�vork, they may be required to be licensed in accordance with state and local regulations, if fhe
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state iavv. if the ovwner or intended can#rac#or are uncer#ain as to what licensing requirements may appiy for the
<br /> intended work, they are advised to contack the F'asco County Building Inspection Division--Licensing Section at 727-847-
<br /> 8008, Furthermore, if the owner has hired a cont�acfor ar contt'actors, he is advised fo have the contractor{s} sign
<br /> portions of the "contractor Block" of #his application for which they wilf be responsibte. if you, as fhe owner sign as the
<br /> contracfor, that may be an indicatian that he is not properly licensed and is no# entitled to permitting privileges in Pasca
<br /> County. - .
<br /> 7l�RISPORT'ATI(7PI I�iiPAC�'lllTil.�'TI�� Ififl�b��Y A�ID ���OI�RC� Rf�C01/ERY F�ES: The undersigned unders#ands
<br /> fhat Transportatian impact F�es ar�d Recourse Recovery Fees may apply to fhe constructian of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildi�gs, as specified in Pasco County Ordinance number 89-Q7 and
<br /> 9Q-07, as amended. The undersigned alsa understands, that such fees, as may be dus, wil! be identified at the time of
<br /> ' permitting. It is further undersfood that Transpartafion Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certi�cate of occupancy" or final pawer release. If the proj�ct does not involve a certificake of occupancy or
<br /> final power release, the fees must be paid prior ta permit issttance. Furthermore, if Pasco County WaterlSe�nrer Impact
<br /> fees are du�, they must be paid prior to permi4 issuance in accordance with applicable Pasco County ordinances.
<br /> �ONSTRIlCTIOPI �iEN L�UYV{Gha�st�e 79�, Fl�rid�ata�t����, as �mer�d�d}: lf valuation of v�rork is $2,500.Q0 or more, 1
<br /> certify that I, the applicant, have been provided dvith a copy af the "Florida Canstruc#ion Lien Law—Homeowner's
<br /> Protectian Guide"' prepared by the Florida Department of Agriculture and Consumer. Affairs. !f the applicant is someane
<br /> other than fhe"owner", I certify that I have obtained a copy of the above described document and promise in good faith ta
<br /> deliver it to the"owner"prior to commencement.
<br /> �QP17'RAC'TOR'�lO�il11VlE�'� �i(��1�?�VIT: 1 certify that all the informafion in this application is accurate and that a}I work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to abtain a permit to do uvark and insta4(ation as indicated. I certify that no vuork or installation has
<br /> commenced priar to issuance of a permit and that ail work vvill be performed to meet standards of all laws regufating
<br /> construction, County and City codes, zoning regulations, and land development regulatians in the ;urisdiction. I also
<br /> certify that I unders#and that the r�gulafions of other government agenci�s may apply to the intended �vork, and that it is
<br /> my responsibility to identify what actions I must take ta be in compliance. Such agencies include but are not limited #a:
<br /> - Deparfinent of Environmental Protection-Cypress Bayheads, VV�fland Areas ar�d Enviranmenfially Sensitive
<br /> Lands, WaterNVastewater Treatment.
<br /> - 5outhvuest Fforida Water R(lanagement Districf-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Wate�courses.
<br /> - Army Corps of Engineers-Seawalls, Docks, fVavigable Waterways.
<br /> - Depar#m�nt of Health & F2ehabili#ative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentai Pratection Agency-Asbestas abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that the following restrictions apply to the use af fill;
<br /> - Use of fi(I is not aliowed in F{ood Zone"V" uniess express}y permitted.
<br /> - If the fill material is to be used in Fload Zone "A", if is understood that a drainage plan addressing a
<br /> "'cornpensating volume" vui11 be submitted af fime of permitfing v�rhich is prepareti by a professional engineer
<br /> licensed by the State of Florida.
<br /> - Ef the fiiE material is to be used in Flaod Zone "A" in connecfion with a permittecf building using stern wall
<br /> construction, I certify that fill will be used only to�II the area within the stem wall.
<br /> - !f fill material is to be used in any area, I certify that use of such fil) will not adversely affect adjacent
<br /> properties. If use of fill is faund to adversely affect acfjacent properties, fhe owner rnay be cited far violating
<br /> the conditions of the building permit issued under the attached permit application, far Iots less than one (1)
<br /> acre wh9ch are eEevateci by fill, an er�gineered drainage plan is required.
<br /> If I am the`4,CENT �Oi� 7H� OIiV�V�R, I promise in gvad faith to inform the owner of#he permitting conditions set forth in
<br /> this affidavit prior to commencing canstruction. 1 understand that a separate permit may be required far eEectrica! uvark,
<br /> pfumbing, 5igns, wells, pools, air canditianing, gas, ar oth�r insfaliations nof specifically included in fhe applicafion. A
<br /> permil issued shall be construed to be a license to proceed writh khe work and not as authority to violate, cancel, al#er, or
<br /> set aside any provisions of the technica) codes, nor shail issuance of a permif prevent the Building Officisl from thereaffer
<br /> requiring a correction c�f errors in plans, canstruc#ion ar violations of any codes. Every permit issued shall become invalid
<br /> uniess the work authorized by such permit is commenced writhin six months of perrnit issuance, or if uvork aufhorized by
<br /> #he permit is suspended or abandoned for a period of six(6) months after the time the work is cornmenced. f#n extension
<br /> may be requested, in r�rriting, fram the �uilding Official for a period not ta exceed nir�eEy {9Q) days and will demonstrate
<br /> jusfifiable cause for the extension. If vuork ceases for ninety(90)eonsecutive days, the job is considered abandoned.
<br /> }ii(AftR11�G 'Tt} �iWP7i��t: Y�lUI� ��i�UR� T� ��Gt7�� � �07'9Cg U� �C�MMENC�fl�l�F+1T iVIAY Ft�SUL'�' 1N YfltJ�2
<br /> f'�9��17 1 YY�L'� f O� IIYIrY'(VV�IVI�I�/1.y 1 V t oYJY't f�If4orGIS 9 1. �fF 1�4.1 �1�1�1\Y 1 V O��/'1�1� ��I�MI�`ill�\.71� �i�IV�UL..Y
<br /> �1tITH Y�U�i LEN�I��ClFt#��W�TY� ��C}(�� �2��C��tID�(�C�YOl9R-�9�'T���Q+F C{7►6l��ilEN�� T.
<br /> FLORIpA JURAT{F,S. 117.
<br /> 01ii1ldE�t{}Ft A�GE ��1� ...--�-' GON'T�tACTO C�
<br /> Subscr(bed and sw_p ume e ore his Subscribed a d sworn to.(o ffjrmed)befare i
<br /> - -1 by 0� G� ! G�cc �-27- ,� c��
<br /> ' ! re.personalEy known to me or has e prodUCed Wh �/ar ersQna�lly�npuvn ta me or haslhave roduced
<br /> as IdentificaBon. ��,���!l�r' �ce.c�- as identi�cation.
<br /> � � ,
<br /> Notary Public �- Nptary Public
<br /> Comml i $+�f"�'•., 'N Cammissi0 ������„ JACGtUE�;� ��OQ0520
<br /> �: ';�: Commission#EE 444520 `v_`9�' �«= C�mr O�mbet �,ifl�a
<br /> ia: - Ex � ti,�,�+�
<br /> Name o f�(��;,'�y'PeEh�ehn�r ytD• �-3esaota Name of N �• ,,, ,., �p
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