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�l¢JTIC� OF �1EED R�S'T�tIC�'1C1NS: The undersigned understands fhat this permit may be subject to"deed" restrictions"
<br /> which may be mare restrictive than Caunty regulations. The undersigned assumes responsibility for campliance rrvith any
<br /> applicable deed restrictions.
<br /> t��4L���N�ED C�I�Tl�A�TOE2� �NID G0�4T�1�'�'��`t ����'0�9��(�lLI�'0��: !f ths ow�er has hired a contractar or
<br /> contractors to undertake work, #hey may be required to be licensed in accordanee with state and tocal regulatians. If the
<br /> cantractor is not licensed as required by lavu, bo#h the awner and contractor may be cited for a misdemeanor violation
<br /> under sYate iaw. If the ouuner or intended contrac�or are unc�rtain as to uvhat licensing requicements may apply for the
<br /> intended work, they are advised to contact the Pasco County �uilding Inspection Division—Licensing Section at 727-847-
<br /> 8009. Fur#herrnore, if the ornrner has hired a contractor ar cantractors, h� is advised to have the cantractor�s) sign
<br /> portions of the "conkractar Block" of this application for wihich they vvill be responsible. If you, as the ovvner sign as the
<br /> contractor, that tnay be an indication that he is nat properly licensed and is not �ntitled to permitting privileges in Pasco
<br /> County.
<br /> 1f�Pd�POR1"A�IOId Infif��C�IU'�ILI"Pil�� oi�11��C'��R9� �fE�Ol9�C� R���Jii�RY F���: 7'he undersigned understands
<br /> that Transportation tmpaet Fees and Recourse Recavery Fees may apply ta fhe construction of neuv bui}dings, change af
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance numbeP 89-07 and
<br /> 9Q-07, as amended. The und�rsigned alsa understands, thaf such fees, as may be due, V411II b£ It�@il�if4+�d at t�t9 tklTt@ 4�
<br /> permitking. It is furfher ur�derstood that Transportakion (mpact Fees and Resource Recovery Fees must be paid prior to
<br /> r�ceiving a "certificate of occupancy" ar fina) power r�lease. !f the projec#does not involve a cerkificate of occupancy or
<br /> finai power reiease, the f�es must be paid prior #o permit issuance. Furthermor�, if Pasco Caunty WaterlSewer {mpact
<br /> fees are due, ihey rnust be paid prior to permit issuance in accordance with applicable P'asco County ordinances.
<br /> CQN�T1Rt1C�'IQN �1��! �.�►16V(Gh��t�r�'�93, 1Fi�ri¢���f��u���, �� �r���d�d}: (f�raluation of wark is $2,5tJQ.QO or more, 1
<br /> certify #hat I, the applicant, have been provided with a capy of the "Florida Construction Lien Lavu—Homeowner's
<br /> F'ratection Gufde" prepared by th� Flarida Department af Agriculture and Consumer Affairs. If the applicant is sameone
<br /> other than fhe "owner", I certify that I have obtained a capy of fhe above described document and promise in gaod faifh to
<br /> deliver it 4o the"owner"prior to commencement.
<br /> �O�IT�2ACT0#�'�lOW1���'��i1�IF1���/IY: 1 certify that all fhe information in this applicatio�r is accurate and that alE work
<br /> wrill be done in compliance with all applicable laws regulating construction, zoning and land developmenk. Applicatian is
<br /> hereby made to obtain a permit ta da warlc and insfailation as indicated. 1 cerfify that no vtirork or installation has
<br /> commenced prior #a issuance of a permit and that ail vvork rn�ill be perfarmed to meek standards of all laws regulating
<br /> construction, County and Ciky codes, zoning r�gulations, and land developrnent regulations in the jurisdictian. I also
<br /> certify thaf I unders#and fhaf the regulations of oth�r gavernment agenci�s may apply to ff�e intended work, and fhat it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include bu#are not limited ta:
<br /> - Deparfinent af Environmental Protecfion-Gypr�ss �ayh�ads, W�tland fireas and Envirae�mentally Sensit4ve
<br /> Lands, WaterNVastewater Treatment.
<br /> - Southuvest FEorida Water Managemen4 District-Wells, Cypress Bayheads, Wefland Areas, Altering
<br /> Wafercourses.
<br /> - Army Corps of�ngineers-Seavualls, Docks, Navigable Wateruvays.
<br /> - Department of Health & Rehabilitafive ServiceslEnviranmental Flealth Unit-Wells, Wasteuvater Treatment,
<br /> S�ptic T`anks.
<br /> - US Environmen#al Protecfion,4gency-Asbestos abat�m�nt.
<br /> - �ederal Aviation Authority-Runways.
<br /> 1 understand that the fallowing restric#ioe�s apply ta the use af ffll:�
<br /> - Use of fiil is nat ailowed in Ftood Zone"V" unless expressiy permitted.
<br /> - !f the fill mat�rial is to be used in Flood zone "A", it is understood that a drainage plan addressing a
<br /> "compensafing volume" will be submifted at time of permitting r�rhich is prepared by a prafessiona! engineer
<br /> licensed by the State of Florida.
<br /> i - lf the fi11 rnaterial is to be used in Ffioad Zone "A" in connection vtrith a permifted building using sfem uvall
<br /> construction, I certify that fill will be used only to filf the area within the stem wall.
<br /> - 9f fill materiaf is to be used in any area, 1 c�rtify that use af such fill will not adversely affect adjacent
<br /> properties. if use of fii( is found to adversaly affec# adjacent prop�rties, the owner may be cited far violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre uuhich are elevated by fiEl, an engineered drainage plan is r�quired.
<br /> If I am �he�►GIERI� IFO��"I�� C�{�if�I�C�, I promise in good faith to infarm the owner of the permitting conditions set forth in
<br /> i fhis a#fidavit prior to commenc"sng construct4on. ( understand that a separat� permi# may be required for eEectrica! vuork,
<br /> plumbing, signs, wells, pools, air condifioning, gas, or other insfallations not specifically included in the application. A
<br /> permit issued shaA be construed to be a license to pro�eed with the work and not as authority to violate, canc�l, alter, or
<br /> set aside any provisians of the technicai codes, nar shal( issuance of a permit prevent the �uilding Official from thereafter
<br /> requiring a carreciion of errors in plans, constructian or violations of any codes. Every permit issued shall became invalid
<br /> unless the uvork aufhorizecf by such permit is corrtmenced wifhirt six months of permi# 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 b� requested, in uvri#ing, from the Building Officia! for a period not to �xceed ninety (9Q) days and wil! dernonstrate
<br /> justifiable cause for#he extension. If work c�ases for ninefy(90j consecutive days, the job is considered abandaned.
<br /> �fA�NpN� T� (?WNIE�: `1�t1(R IF���@7R� TO ��COR�i � ��TI�� O(� �OH�16iHENC1���i�T �ii�1Y ���19�T 13� Yf3l1R
<br /> F'�YING 'Tli►lICE IFC)R IGI��'9�OV'�Afil��l`Y'� T�1 YOLDI� i�fl�OfP�R'1°Y. I�YOII 9I�7END °f0 O�YkiliV FINlo1�ICIPl29, �e3PISlJLY
<br /> 1lV6TH YC}l1a ��Nd?lER G1�2�►�!�tY7Q�t�1�Y��lFCl�� ����Ii�Cl1�9C g'4�(R�l9��C�t�(�C�t�i�ENC��t��HIY.
<br /> F40RIDA JURAT(F.S. 11 .03)
<br /> C}1�1�iE�2 OFt�GER1T T� G"� � -c'�''�-- �OAlTFtAC7Q�2
<br />' Subscribed and sw n (or affirmed) fore me this Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who islare perso Ny known to me or haslhave produced Who istare p nally knov�rn me or haslhave produced
<br /> as IdenkificaGon. as identification.
<br /> � �,,,
<br /> ��:?�::v,g , •
<br /> —• •:: Commission#��t blic . -., PJotaryPublic
<br /> -�. :Q<= �Plres vne g,20 •;` k= Commission#FF f 37073
<br /> ,,�
<br /> Commission O, ';,pFF�(Q��h' BondedThn+TfoyFainlnsumnrn8003B5�7019 �ommission 0. :�• X
<br /> '�..o;�°•`�� 8onded ihni Troy Fein Insumnce 800385d�f9
<br /> Name oC N tary ped,printed or stamped Name of PJot typed,printed or stamped
<br />
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