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<br /> ; NOT'IC� O� C1EEI� RES'T�ICYIOId�: The undersigned understands that this permit may be subject to°deed" restrictions"
<br /> I which may be mare restricfive than Caunty reguEatians. The undersigned assumes responsibitity for compliance vu'sth any
<br /> � applicable deed restrictions.
<br /> ' t�NL.iCfE1VS�D �QP�Ti�tAC7��� �►ND �{)A1YRA�:�'�� f�i�Sl�Ot��!l�fL@YI��: !f the owner has hired a contractor or
<br /> ', contractors ta undertake vvork, #hey may be required fo be iicensed in accordance with state and lacal regulations. If the
<br /> cankractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state lavv. if the awner ar intended contrac�or are uncertain as to what lice�sing requirements may apply for the
<br /> intended work, they are advised to contacf the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
<br /> 80(}9. Fur�hermore, if the a�nrner has hired a confractor or contractars, he is advised ta have the contractor{s} sign
<br /> portions of the "contractor Block" of this application for which they will be respansible. If you, as the owner sign as khe
<br /> contractor, that may be an indication that he is nof properly {icensed and is not entitled to permit#ing privileges in Pasco
<br /> County.
<br /> T�►N��O�t�'A�IOPJ Ii1��,�CYIU'�ILI�'IfE� lfl���C�'�1N� ����ll9�Cf� �t�GtJ!l�12Y���5: 1"he undersigned understands
<br /> that Transpor#ation Impact F�es and Recourse Recovery Fees may apply to the cansfruction of newr buildings, change of
<br /> use in existing buildings, or expansian of existing buildings, as sPecified in Pasco Cpunty Ordinance number 89-07 and
<br /> 90-Q7, as amended. The undersigned also unders4ands, that such fe�s, as may be due, uvill be identified at the time of
<br /> permilting. It is further understood thaf TPansportation lmpac# Fees and Resource Recovety Fees must be paid priar to
<br /> receiving a "certificate of occupancy" ar fina! power r�lease. !f the project does not involve a cerkificate af occupancy or
<br /> final porrver release, the fees musf b� paid priar to permit issuance. �urthermare, if F'asco Gaunty WaterlSewer Impact
<br /> fees are du�, they rnust be paid prior to permit issuance in accardance with applicable I�asco County ordinances,
<br /> Cf�IVST#�l1CTlt}N L1��9 �.�1iit�Cha�Q�r 7'�3, Flor@d��t��ut��, �s �m�ndec�): Ef va]uation af�nrork is$2,500.00 or mare, t
<br /> certify that I, the applicant, have be�n provided with a copy of #he "Florida Constructian Lien Law—Homeouvner's
<br /> F'rotection Guide" prepared by the Flarida Department of�0.griculture and Consumer Affairs. If the applicant is sameone
<br /> other than the °OWf1�P", I certify that 1 have ob#ained a copy of the above described document and promise in goad faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> Gf}!V'T�d�C'CO�'S1C3Vit�9iE�'��IF�liD�il11�: 1 certify that all the information in this application 'ts accurafe and fhat a11 work
<br /> v+iill�be done in compliance with all applicable laws regulating construction, zoning and land development. Applicatian is
<br /> her�by made ta ab#ain a permit ta da �nrork and installation as indica#ed. { cerfify that no work or installatiact has
<br /> cammenced prior #a issuance of a permit and th�t ail v�rork will be performed fo meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> eertify thaf I understand �haf the regulations of other government agenei�s may apply to the intended wark, and that it is
<br /> my responsibility to identify whet actions I must take fo be in compliance. Such agencies include bu#are not limited to:
<br /> - Department of Enviranmental Pratection-Cypress �ayheads, Wetland Areas and Environmentally Sensifive
<br /> Lands, Water/Wastewater 7reatment.
<br /> - �outhwest Florida Water Management District-VVells, Cypress �ayheads, V1/e#land Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Sea+rvalls, Docks, PVavigable VIlaternrays.
<br /> - E?epartment of Hea#fh � Rehabilitative Services/�nr�iranmental Ftealth Unit-We11s, Vtlastewater 7reatment,
<br /> �eptic Tanks.
<br /> - US Environmental Prafectior��4gency-Asbestos abat�ment.
<br /> - Federal Avia#ion Authority-Runways.
<br /> R understand that the following rsstrictions apply to the use af fill:
<br /> - Use of fill is not aliawed in Fiood Zone"V"unless expressly permitted.
<br /> - If the �II material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume° vviil be submitted at time of permifting uvhich is prepared by a professiana! engineer
<br /> licensed by the State of Florida.
<br /> - If fhe fill material is to be used in Flood �one "A" in connection with a permitted building using stem vual{
<br /> construction, I certify thak fill will be used only to fill the area within the stem wall.
<br /> - !f frll material is to be used in any area, 9 certify that use af such fill writ! nat adversely affect adjacent
<br /> properties. If use of fill is found to advers�iy affect adjacent properties, the owner may be ci#ed for viola#ing
<br /> lhe conditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
<br /> acre wrhich are eleva#ed by ftll, art engineered drainage pSan is required.
<br /> If I am the AGIEPIT IFOR�'Ffl� Ll1�li�l�l�, I promis� in good faith to inform the owner of#he permitting conditions set forth in
<br />, this afficfavit prior to commencing construction. i und�rstand that a separate pe�mit may be required for electrical vvork,
<br /> plumbing, signs, wells, poofs, air conditioning, gas, or other insfallafions not specifically included in fhe application. A
<br /> permit issued shall be construed to be a license to proceed with the +ntork and not as authori#y to vialate, cancel, alter, or
<br /> set aside any provisians af the technica! codes, nar shall issuance of a permif prevent the 8uilding (Jfficia!frvm thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. �very permi# issued shall become invalid
<br /> unfess the r�rork authorized by such permit is commenced �nri#hin six rryonths of permi# issuance, or if�nrork aufhorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after khe time the work is commenced. An extension
<br /> may be requesEed, in v�rriting, from the Building QfFicial far a period not to exceed ninety (90) days and wil! demonstrate
<br /> jusfifiab�e cause for fhe extension. If work ceases for ninefy(9p)consecutive days, the job is considered abandoned.
<br /> 1�tA�td1Fl� TC9 Q11�1N�i4: Y�tJ�t i��iLUR� T� �Z����D � �OTlC� ��' Ct}�i�H�1VC�i�,LWT ��lY �F�SUL7' !�1 Yt3U�
<br /> �d�YlfdC TVIPYC� �CIR IfVi�'ROV�WI�1��'S T'(7 YOI�I� �'fi�0�'ER7'Y. IfF YOU IP17�fND YC� 0�7AIN fFIPI�►�VCIPIG, �COFI�IJ�.Y
<br /> t�U'i��-f Y�ll�t l..�NID�R Ql���Y�1'li��il�#��`f f�1E���� �2��E��ID1�6{C��t#�F R�Q�'�C�Cl����4i���G��iE�Y.
<br /> FLORIDA JURAT(F.S. 117 03)
<br /> Ot�tRlEft OF2 AGERIT COP1'TF�AC�'QF2
<br /> Subscribed and swom to(or aftirmed)before me this 5ubscribed and sworn ta(or affirmed)before me this
<br />� bY by
<br /> Who islare personally known to me ar haslhave praduced Wha Istare personally knowm ta me or haslhave produced
<br /> as Identificatian. as identificakion.
<br /> i
<br /> i
<br /> PJotary Public Notary Public
<br /> Commisslon No.
<br /> Commission Na.
<br /> Name oC Notary typed,printed or stamped IVame of Notary typed,printed or stamped
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