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<br /> NOTIC� OF DE�D �t��'�Ri�CTlO��: The undersigned understands that this permit may be subject to"deed" restr��tions"'�
<br /> vtirhich may be more restrictive than County regulations. The undersigned assumes resportsibiti#y for compliance v�rith any
<br /> applicable deed restrictions.
<br /> vN�1�EtdSED C�N�R/�i�TOI�� ��D CSJfV��1CT�?� i��ES�01V�1�lLl�'IL��: !f the awner has hired a cantractor or
<br /> confracfors to undertake work, they rnay be required to be licensed in accardance with state and local regulations. !f fhe
<br /> contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
<br /> under state lauv. If fhe ov�rner or intended contractor are uncer#ain as to vuhat licensing requirements may apply for the
<br /> intend�d wark, they are advised to contac#the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, sf the owner has hired a contractar ar contractors, he is advised ta have the,cantractor(s) sign
<br /> portions of the "contractor B1ack" of this application far which they wili be responsible. (f you, as fhe owner sign as the
<br /> contractor, that may be an indication that he is not praperly licensed and is not enti#led to permitting privileges in Pasco
<br /> Coun#y.
<br /> 'f6�NSP��T'ATIOf�I 9�i�'�►CY/l1TIL,9�'IE� O�il�s��C�°l�PB� ���OU�C� �t�CO�lERY ��ES: The undersigned unders#ands
<br /> that Transpartation Impac# F�es ar�d t�ecourse F2ecovery Fees may appfy to the construction af ne�nr buildings, change af
<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 undersigned also understands, that such fees, as may be due, vvil! be idenkifisd at the time of
<br /> permitting. 1t is further understood that Transportation lmpact Fees and Resource Recovery Fees musf be paid priar to
<br /> receiving a "certificate of occupancy" or final power r�lease, If the project does nof involve a certificate of occupancy or
<br /> Fnal powrer release, fhe fees must be paid prior ta permit 9ssuance. Furthermore, if �asco County WaterlSevtirer Impacfi
<br /> fees are due, they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CQA��T#2UCTION LIE�1 L.�iliV(Ch�p��r 7'93, �1c�rizf����4ut��, a� �err�er�d�¢�): If valuation af v�rark is$2,540.00 or more, !
<br /> certify that I, the applicant, have been provided with a copy af the "Fiorida Construction Lien Law—Hameouvner's
<br /> Proteckion Gusde"' prepared by the �'lorida Department of�Agriculture and Consumer Affairs. !f the applican# is-someone
<br /> other than fhe"owner", 1 certify that 1 have abtain�d a copy of the above described docurrtent and promise in gaod faith to
<br /> deliver it ta the"owner"prior to commencement.
<br /> CON'TR�C'TQR'S10V11N�R'� l�f��1�3t�1t�T: t certify that a41 the information in this application is accurate and that all vuork
<br /> will be done in compliance wi#h all applicable laws regulating construction, zaning and land development. Application is
<br /> hereby made to obtain a permit to do uvork and installatian as indiceted. 1 certify that no work or installatiar� has
<br /> commenced prior to issuance of a permit and #hat all'work vvill be performed to meet standards of alt iaws regutating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 alsa
<br /> certify fihaf E undersfand thaf the regulatians of other government agencies may apply to the intended v�rork, and that it is
<br /> my responsibility to identify what actions I must take Ya be in compliance. Such agencies include but are not limited to:
<br /> - Deparfinent of �nvironmenfal Protectiar�-Cypress Bayheads, VVefland Areas and Environmentally Sensitive
<br /> Lands, Wat�rNVaskewater Tr�atment.
<br /> - Southwest Florida VI(ater Management District-We!!s, Cypr�ss Bayheads, UVetland Areas, /lltering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, iVavigable Waterways.
<br /> - department af Nealth & Ftehabilitat9ve ServiceslEnviranmental Nealth Unit-Wells, Wastevuater Treatment,
<br /> Septic Tanks.
<br /> - US Enviranmentai Pratectian Agency-Asbestos abatem�nt.
<br /> - Federa(Aviation Authority-Runways.
<br /> I underskand that the following restrictions apply to the use of fill;
<br /> - Use of fill �s not al{awed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill material is ta be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating vaiume" wrili be submit#ed at fime Qf permittirtg vsrhich is prepared by a �rofessianal engineer
<br /> licensed by the State of Florida.
<br /> - If the fill materia! is ta be used in Flaod Zone `",4" in connection with a permitted building usirrg stem uvall
<br /> construction, 1 cerfify tha#fiii will be used only to�II the area wi#hin the stem wali.
<br /> - If fill material is to be used in any area, I certify that use of such fil) uvill not adversely affecf adjacent
<br /> properfies. if use of fil) is �ound to adversely affect adjacent properties, the owner may be citec! fior vio4ating
<br /> the conditions of the building permit issued under the attached permit applica#ion, for lots less #han one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the,AC�EM7 FOFt THIE C9lfilld��t, I promise in good faith to inform the owner of khe permitting conditions set forth in
<br /> this affidavit prior to commencing constructian. ! undersYand that a separate permit may be ret�uired for efsctrical work,
<br /> plumbing, signs, wells, pools, air canditianing, gas, ar other installations nof specifically induded in the application. A
<br /> permit issued shall be construed to be a license to praceed with the work and not as autharity ta violate, cancel, alter, or
<br /> set aside any provisions af tFte technical codes, nar shall issua�►ce of a permif prevent the Building Officia!fram thereafter
<br /> requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
<br /> unless the vtirork authorized by such permit is commenced vuithin six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a periad of six(6) months after the time the work is cornmenced. An extension
<br /> may be rsquested, in writing, from the 8uilding Official for a period not to exceed nineky (90) days and will demonstrate
<br /> justifiable cause for fhe extension. tf wtork ceas�s for ninety(90}consecutive days, the job is considered abandoned.
<br /> 1�lARIV1RIG �'O OlAl�l��: YQU� (F�I�tlRIE T� ��C�RI� s� �1C1T1�I� Cl� �C}ii��tENCI��tl�W� i�AY R�St��.T tAI Yal1R.
<br /> &'�AYYNG TVIlICE 1�012 IIVIPFZCIVEiVi�GVYS�'�YOUF2�'V�OfP�Ft1TY. O�YOIJ INl'�PID 7'O OB�T�►IN FIFI�►IVCINC, CON�l1LY
<br /> �17'F1 Y�El� ��NQE#��R#��!���'��4��Y���0�� (�ECfJ�2�11�4�Y�l1R I�� C��DF 1��1ENCIEf�iE�1�.
<br /> FLORIDA JURAT(F.S. 117.q3} � �- --
<br /> OYitAlE#2 O�t AGEPIT COPlTFtAC"COl� �
<br /> Subseribed and sworn to(or affirmed)before me this Subscribed and sworn t (a affirmed}before me this �
<br /> by
<br /> Who islare personalEy known to me or haslhave produced Who Islar .pe�sona y vytt ta tste or haslhave produced
<br /> as fdent(frcation. as identification.
<br />, Notary Public ' a (� % u�, � Notary Public
<br /> Comm�ssion No. Com is on N
<br /> ���;. '�'a�'•. BOGES
<br /> -'•: :; Commissson#EE
<br /> Name of Notary typed,pr(nted or stamped Name of Nata ` t �1 2f 12,2014
<br /> �„�;;',,.•`' OoMM Thu Troy Fam I�800-385-7019
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