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6YOTIGE OF DE�D FtE�T�LC1'IOP➢�: The undersigned understands that this permit may be subject to"deed"r,estrictions"
<br /> rrvhich may be more restrictive fhan Counfy regulatians. The undersigned assumes �esponsibility for campliance with any
<br /> applicable deed restrictions. - , , . ,
<br /> , Q1�Ll�E�1SED Gt�N�Rt��T{�R� �i1�Q CC5�1'����'O@� �����W�#�I�.IYIi��:` tf the otnrner has hired a contracfor or
<br /> contractors ko undertak� work, #hey may be required to be licensed in accordance wikh state and local regulations. If fhe
<br /> contractor is not licensed as required by lawr, both the owner and contractor may be cited for a misdem�anar violation
<br /> ' under state iarr�. if the owner or in#ended contracfor are uncerfain as to what licensing eequirements may apply for the
<br /> intended wark, they are advised to cantact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Fur#hermore, if the owner Ftas hited a contrac#ar ar contractors, he is advised to have th� cantractor{s} sign
<br /> portians of the "contractor Block" of this application far which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication tha# he is not �roperEy licensed and is nat enti#!ed to permitting privileges in Pasco
<br /> County. - ` , . _'
<br /> YF�AI�SPOFtT'ATION If�HP'�C7'll1YILVTIE� IY���►�'Y�i�� f���lOd1R�C� ���ONI�RY FE�S: 'The undersigned understands
<br /> that Transporfation ImPacf Fees and Recaurse Recavery�Fees may appfy to the construction of nev�r buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned a{so understands, that such fees, as may be due, wil! be identified aE the time of
<br /> permikting. Ik is further understood that Transparkation Impaat Fees and Resoutce R�covery Fees must be paid prior to
<br /> receiving a °certiftcaie of occupancy" or fina! powrer relsase. !f the project does not involve a certif+cate of occupancy or
<br /> finai pouver release, the fees must be paid prior to permit issuance. Furthermore, if Pasca County WaterlSevver Impact
<br /> fees are due, they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CO�t��'RUCYIQN LIiEFd L�1�l,{���apf��'��1�, �ler���l��ta�ut�s, �� aenee�d��1}: ,If�vaEuation of wark is$2,500.00 or more, E
<br /> certify that I, the applicant, �have been provideii with a copy of"the "Florida Construction Lien Lauv—Homeowner's
<br /> Protection Guide" prepared by the Florida Departmen# of Agricutture and Consumer Affairs. If the applicant is someone
<br /> other than #he"owner", 1 certify#hat ( have obfained a capy of fi�e above described dacument and promis� in good faith to
<br /> deliver it ko the"owner"prior to commencement.
<br /> �ORITR�,�1'OR'�10liilRl��'�A��iID;�VeT: I cerfify that all the infarmation in this applicafion is accura4e and that ali work
<br /> will be done in campliance with all applicable laws regulating constructian, zoning and land development. Applicatian is
<br /> i hereby made to obtain a permit to cfa vuork and 9nstallatian as indicated. ( certify that no vsrork or installat'san has
<br /> commenced prior #o issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning r�gulafions, and land development regulatians in the jurisdic#ion. I also
<br /> certify #haf I undersfand #hat fhe regulations of other government agencies may apply to the intended wark, and fhat it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Depaetment afi Environmentai Profection-Cypress Bayheads, Wetfand Areas and Environmenta(ly Sensifive
<br /> Lands, WaterNVastewater Treatment.
<br /> - Southv�rest Florida Water iVlanagement District-VVe1ls, Cypress Bayheads, Wetiand Areas, Altering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seavira!!s, Docks, Navigable Watennrays.
<br /> - Departmen# of Heaith � Rehabilifative ServicesJEnviranmental Nealth Unit-V�lel(s, Wastevuater Treatment,
<br /> � Septic Tanks.
<br /> - �1S �nvironmenfai Pfi�ot��tian Ag�ncy-�sbestos abat�mertt.
<br /> Federal Avia#ion Authori4y-Runwrays.
<br /> � 1 understand that the#allo�nring restric#ions apply to the use af fIEl:
<br /> - Use of fill is not aliowed in Flood Zone"V"unless expressty permitted.
<br /> ( - If the fi!! material is to be used in Flood Zone °A", it is understood that a drainage plan addressing a
<br /> � � "`campensaCing volurrie"•wi11 be subrnitted af time of permitting �rhich.is.prepared,-by.a professionai engineer
<br /> licensed by the State of Florida.
<br /> � - If the �11�maEerial is to be used in Fload Zorte ",0.°,�in connectior� uvith a permitted building using stem v�rall
<br /> construction, I certify tha#.fill will be used only to fill the�area within#he stem wall. ' ' �" �
<br /> - If fill material is to be used in any area, I certify tha# use of such fi{I wi!! not adve�sely affect adjacent
<br /> properfies. if use of filt is found to adversely affect adjacent properties, the ouvner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
<br /> acre whicFt are elevated by 1i11, an engEne�red drainage plan is required.
<br /> If I am the AGfEF1T�O��FiE OWlPIi�V�, I promise in good faith to inform #he owner of the permitting conditions set farth in
<br />� this a�davit priar to commencing construction. I understand that a separate permit may be required for electrica! vfrork,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or other installations not specifically included in the app(icafion. A
<br /> permit issued shall be canstrued to be a license to proceed with #he vvork and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Builcfing Official from tFtereafter
<br /> requiring a correc#ion of errors in plans, construction or violatians of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six rnonths of permit issuance, or if�nrork authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> may bs requesEed, in vtirriting, from th� Building Official for a periad not fo �xceed ninety (90} days and wif! demonstrate
<br /> justifiable cause far the extension. If vvork ceases for ninefy(90)consecutive days, the job is considered abandoned.
<br /> {Af��iVlFl� TO OW/R��R: VOU@3 ��I�UR� �O ���Q�� � �9�T1�� �?� �:C1��lENCiEiiH��1T �AY (���E1LT 1�9 '�6��� --- --
<br /> �AYIP�C T1iilICE IFOV� ViliiP9�ObEiW�Y�T� �'t�1(O�l��R(2PEP2'I�(. V�YOIY IPIYEPID YO 0�7'AIF➢ FIN�►R9CIP9fs',, CO��II�.�'
<br /> i �r���vocr� ���r���o��t���o���Y���+o�� ���o�z��w��rou��o�ic����o�n���c�����.
<br /> FLORIDA-JURHT(F:S:917:03" -- - -
<br /> OlfitP1�92 4i2 d�tUE�StT� ��� COP��`RACTO�t
<br /> Subscribe r�d-swor or ffirmed)before me this Subscribed and swam to or affirmed)befo�e me this
<br /> b �"� Y
<br /> Who stare personatly wn to me or haslhave praduced Wha tslare ersanally kn n to me or haslhave produced
<br /> as IdentlficaGon. as(dentification.
<br /> �' / ����'�-L. f Nota Public
<br /> /. ���f��� Notery Public rY
<br /> Co ssio h�:����� Com sion t �������,
<br /> `� ';,�, Commissiott#EE 04052Q ' '"� ���
<br /> �,,: *�' �= CAmmission#EE 440520
<br /> Name of Not ry'%., ,,,.�iriy���,��eaa�asaots Name of Notary " � ,, e i„��.��.�o�,
<br /> � ' �
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