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<br /> NOTICE OF �E�D �f���'�ICYIOP➢�: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibifity for complia�ic,e with any
<br /> applicable deed restrictions. °
<br /> UIdLIC�FdSED COIVTRd�CYOR� A�9D �0�9'��G�'�� Y���POR➢S9�I�.YYIf��: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance wtith 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 law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended wrork, they are advised to contact the Pasco County �uilding 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 for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is nof properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> YR�iWSPORTATION I�fI�ACYlU�ILIYI�� 9flfl��►CY��1� �f��Ol9f�C� R�COVfERIf�f�f��: 7he undersigned understands
<br /> that 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, will 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 final po�nrer release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impacf
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CORIS7RUCY�O�d L.IIEW �.�11fV(Chap�r�P 7�@3, I�IoPid� �Q�4ute�, �s �me�d�d): If valuation of work is $2,500.00 or more, I
<br /> certify that I, Qhe applicant, have been provided vvith a copy of the "Florida Construction Lien Law—Homeowrner's
<br /> Protection Guide" prepared by fhe Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> COfVT��C1'��'S/01i1lPd��'� �►fF�l��!/I�: i certify that all the information in 4his application is accurate and fhat all work
<br /> vvill be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made 90 obtain a permit to do �ork 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 fo be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress �ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida 11Vater Nianagement District-Wells, Cypress �ayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health � Rehabilitafive Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - L1S Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. .
<br /> I understand that the follo�ing restricfions apply to the use of fill:�
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill maferial is to be used in Flood Zone "N", i4 is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which 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 prop�rties, the owner 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 AGfE�IY FOFt YFIE Oli�ltV�f�, I promise in good faith to inform the owner 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 /> permit issued shall be construed to be a license to proceed with 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 /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. /an extension
<br /> may be requested, in vyriting, 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 /> 1�l�►RRIIPI� TO OIiVR1fE�: VOl1R �A9LUR� �O 9��C0�2D � �O�'IC� O� COf�if�flEP�CE�flEf�T �`l�l( �VESULY oY� YOU@�
<br /> P�ViPIG �111IICE IFOR IfV1�'fROVf��I��Y� 7'O 1(O�DR ��O�fER�I'. I�YOU 9PI7'EP1D YO O�Y�,1�1 FIPI/�►�IC�PI(9, C�iV��9L�'
<br /> liillYH YOU� LEPI�IEF�O��►Pl �►Y701�WI�1� ���0�� V��CO��IR1C9 YOU@Z 4�071Cf� O� CO�I�IHENCE�N�R4Y.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> 011VWER OF2 AG�fdT COPITR�,CTOR
<br /> Subscribed and swom to r a before me this Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who is/ar erson I y known to e or has/have produced Who is/are personally known to me or has/have produced
<br /> s Identifica6on. as identification.
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<br /> .: .,: � • No ry Public PJotary Public
<br /> ��,�'. :,r5 F�y1��. ?9,2��8
<br /> Comml i P3'0/1„�;c°pA sM��� .z��i:a�eaa3asao Commission No.
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<br /> `ame f Notary typed,printed or stamped IVame of PJotary typed,printed or stamped
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