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�10'TICE O� ��ED Rf��T�IC�'ION�: The undersigned undersfands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> l9RlLIC��ISI�D COPI7R�I�YOR� �R1D �OR➢Y�1�Y�� �tf���ORI�Y�YLIYII��: If the ouvner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance writh state and local regulations. If the
<br />� contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state lavv. If 4he owner or intended contractor are uncertain as fo what licensing requirements may apply for the
<br /> intended work, they are advised to confac@ the tl�asco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application fior which 4hey will be responsible. If you, as the ovvner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not en#itled to permitting privileges in Pasco
<br /> County. ,
<br /> '�IR�N`�POFtT'A'TIOiV 9�1���YlU�ILYTI�S IftfiP�►C�°�I�D f���OU�C� ��COi/�Rl(����: The undersigned understands
<br /> Ithat Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new 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 undersigned also understands, that such fees, as may be due, wrill be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and� Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or ginal power release. If the project does no# involve a certiflcate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County VVater/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> COP1S7�tUC1fION L.I�ER➢ L.la1VyV(Ch�p4��7'�3, f�lori���Q��ta�e�, �s �mend�e�): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by fhe Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the "ov�rner", I certify that I have obtained a copy of the above described documen#and promise in good faith to
<br /> deliver it to fhe"owner" prior to commencement.
<br /> CORI7��iCYO�t'Sl01�lPIIEf�'S t�I��tl�K�VIV: I certify that all the information in this application is accurate and that all �nrork
<br /> v�rill�be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to 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 regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that 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 /> - Department of �nvironmental Protection-Cypress 6ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, 1lUaterMlastewater Treatment.
<br /> - Southvuest Florida Water fiNanagement District-IlVells, Cypress �ayheads, VVetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, iVavigable Waterwrays.
<br /> - Department of Flealth � Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos aba#ement.
<br /> - Federal Aviation Authority-Ftunvvays.
<br /> I understand that the follovving restrictions apply to fhe use of fill:�
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the flll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting v►rhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the ovvner may be cited 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 fill, an engineered drainage plan is required.
<br /> If I am the AG�N7' �O�YH� Ol�il�91�C�, I promise in good faith to inform the ovuner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br />� plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br />'I permit issued shall be construed to be a license to proceed wifih the work 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 Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> 4he permit is suspended oP abandoned for a period of six(6) months after the time the work is commenced. /an extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> lfl�A�NIR9� �O �IA/R���: �OUR I��BLUf�f� �O f�I�COV�� � R9�YYCf� �� �OHflftflfEP�Cf�flfl�P1Y flH�Y ��SULT 0�1 YOI�&Y
<br /> f��YIP9G YIHIIC� FO� miViC�ROVIEfW�f�7Y� �'O V0�9f�Y �'@70�'��71(. I�Y�LI IFIYEPIf�70 O�YAIPI I�IPI�►WC9P1(s, C�RISIltl..Y
<br /> 1�VI�H YOUCZ LIE�InIEY�O�t�iW�Y�OIF�W�� [��IFOfi�l� II��COI�f�IR��Y�lJff2 R90�IC� OfF COHiit1NE1�11CIEHNfE�IY.
<br /> FLORIDA JURAT(F.S. 117. 3)
<br /> OWAIE92 OFt AGEiV'T COW7FtACTOFi
<br /> Subscribed and sworn to(or aff' ed)before is Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who is/are personally known to me or haslhave produced Who Is/are personally known to me or has/have produced
<br /> as Identification. as identification.
<br /> iti�;:�.,, J EL BACON �
<br /> _ _ ommtssio�FF 137073 � tary Public �''�:�"', J Notary Public
<br /> _:�• �= ' �.�ms ;.;' '::: Commission#FF 137073
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<br /> �y '•,,Rd��°.� BondedTlwTrayFeinlnsuraneeB00-385•7019.
<br /> f.r+m�
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> I
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