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N�TIC� OF B�EEH7 P2E��'�IC7"ION�: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> r�thich may be mo�e restrictive#han County regulations. The undersigned assumes responsibility far compliance with any
<br /> applicable deed restrictions.
<br /> Y�N�ICiEtd�ED CONT���TO�d� �R4l� CQN�'���'�f� f�{��IPQPYS�I�fl.�Ylf��: ff fhe ouvner has hired a contractor or
<br /> I contractors fo undertake �ork, they may be required to be licensed in accordance with state and locai regulations. if the
<br /> ' contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
<br /> under state Iawr. if the av+rner or in#ended cantracfor are uncertain as to �hat licec�sing requirements rr�ay apply far the
<br /> intended work, they are advised to cantact the Pasco Caunty Building Inspection Division—Licensing Sec#ion at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractar�s) sign
<br /> partions of the "contractor Blocic" of this applicatian for which fhey vvill be responsible. If yau, as the avvner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permit#ing privileges in Pasco
<br /> County.
<br /> T�PD�PORT"ATIi7N I�fI��CY1lY�IL9TIE� Yfl�l����°l�R1C1 �E�1Dfl���� �tf��0i/�RY ����: 'The untlersigned understands
<br /> that Transpartatian tmpact Fses and Ftecourse Recavety Fees may apply to the cansfruction of new buildings, change of
<br /> � use in existing buildings, or expansian of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The cie�dersigned aiso understands, that such fees, as may be due, wilE be identified at the titne of
<br /> , permitting. It is further understood that Transportation Impacf Fees and Resource Recovery Fee� must be paid prior to
<br /> , receiv4ng a "certificate of occupancy'" ar fina! power release. (f the project does not involve a certificate �+f occupancy or
<br /> finai porn�er re(ease, the fees must be paid prior ta permif issuance. Furthermare, if Pasca County WaterlSewter Impact
<br /> fees are due, they must be paid prior to permit issuance in accardance with applicable Pasca County ordinances.
<br /> �ONSTRUCl'1��f �.IIEN 1.����ha���r��9�, i�lar�d�St�futes, �s am�nd�e!}: !f valuation of work is$2,500.00 or more, 9
<br /> certify 4hat I, the applicant, have been provided with a capy of the "Florida Constructian Lien Law—Hameowner's
<br /> Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Flffairs. If the applicant is someon�
<br /> ather than the "owner", 1 certify that t have obtained a copy of the abave described document and promise in good faith to
<br /> deliver it to khe"owner"prior to commencement.
<br /> ��N'�R�CT��t'S/t21fi��1��'� �►����kli/I�': I ce�tify that a11 the information in this application is accurafe and that al}�trork
<br /> �nrill be done in compliance with all applicable laws regulating consQruction, zoning and land development. Application is
<br /> hereby made ta obtain a permit ta da uvork and installation as indicated. 1 cerfify 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 Ciky codes, zoning regulations, and land developrnent regulations in the jurisdictian_ ! also
<br /> certify that 1 unders#and thaf the regulations of other govePnment agencies may apply to fhe infended vvark, and that it is
<br /> my responsibility ta identify what actions I must take to be in compliance. Such agencies include bu#are not limited to:
<br /> - Department of Environmer�tal Protectian-Gypress Bayheads, 1��tland Areas and Enviran�rtentally Sensitive
<br /> Lands, WateNWastewater Treatment.
<br /> - Southv�rest Florida Water tt�anagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> , - Army Corps of Engineers-Seawalls, Docks, YVavigable Waterways.
<br /> - Deparfinent af Heaith � F��habilitative Services/Environmental Health Unit-Wells, Wastewafer Treatment,
<br /> � Septic`fanks.
<br /> � - US Environmental Pratection Agency-Asbestos abatement.
<br /> � Federal Aviation Authority-Runways.
<br /> � t understand fhat#he fa!lowring restrictions apply#a the use of fill:�
<br /> - Use of fill is not allowed in Fload Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "!1", it is understood that a drainage plan addressing a
<br /> "compensafing volume" vtriil be submitted a# time af permifting �nrhich is prepared by a professiona) engineer
<br /> licensed by the State of Florida.
<br /> - If the �11 material is to be used in Flood Zone "A" ir� connectioe� writh a permi#ted building usi�g stem v+ra}!
<br /> construction, I certify tha#fill will be used only to fill tF�e area within the stem wall.
<br />� - tf fiN material is to be used in any area, I certify #hat use of such fil! uvill not adversely affect adjacent
<br />' properties. �f use of fill is found to adverseiy affect adjacent properties, the owner may be cited for vioia4ing
<br /> ihe conditions of the building permi# issued under the attached permit applicatian, for Iots less than one (1)
<br /> acre which are elevated by fill, an engirt�ered drainage plan is required.
<br /> If I am the AGENT FOR 7F6� SJIYVN�1�, I promise in good fai#h to inform the owner of the permitting conditions set forth in
<br /> this atfidavi# priar ta cammencirtg canstrttction. I understand that a separa#e permit may be requiced for electt'ica! work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ather installations not specifically included in the application. A
<br /> permit issued shal! be construed to be a license �a proceed vuith the v�rork and not as authority to.violate, cancel, a!#er, or
<br /> set aside any provisions of fhe#echnical cades, nor shal) issuanc�af a perm'tt prevent the Building Officiai from thereaffer
<br /> requiring a correctian of errors in plans, construction or violatians of any codes. Every permi# issued shall become invalid
<br /> eanless the work authorized by such permit is commenced within six rnonths af perm9t issuance, ar if work au#horized by
<br /> the permit is suspended or abandoned for a period of six(6) months after#he time the work is commenced. Nn extension
<br /> may be reques#ed, in v+rriting, from the 8uilding C7fficial for a period nat #o exceed ninety (90) days and wril! demc�nstrate
<br /> justifiable cause for the extension. If work c�ases for ninety(90)consecutive days, fhe job is considered abandaned.
<br /> i�f.�Rtd9�1� TO OWPI��: lf��.,l�t 1F�11L�R� �O ��C�D�D ,� W��IC�E O� C��II�itEN�E�iI��IT i�iAY RIE�t9LT 1}� 1(C24��
<br /> �'f�YINt�'�VIIICE�CI� IY1��ROV�nfiE��'� 7�J YOt9�t �'fFtO��R'�. i�1�OU IRITEND TO 0�7,�iIN FIIJA�VCIFIC, COiV�U�.Y
<br /> V�IYH Y�l��L�NC?��t Q���➢ {3�2��Y(��(F�(F�i�����if2lD1G�lC9 Y�U��JOT1C�O���lif�i�l�[dGE#it��WY_
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> O{flt�VEi2 4�AG��1T J �Oftl'T�CTCt�
<br /> 5ubscribed and swom to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by. . by
<br /> Wha istare person know to me ar haslhave produced Who islare personally knavvn to me or haslhave produced
<br /> as Ide tificatian. as identification.
<br /> S ��� � T�
<br /> �'"� '� �� � Public Notary Public
<br /> Commisslo �'�t�,*�' :�� Ex�m�ss+��#��`'d3i�47w3 Commission No.
<br /> eondadrhtu:`F�i�?a���cx�_•u��p.�. ,�„
<br /> Name ot Notary'.�typetl,�printed ar stamped r,� 't Name of Notary typed,printed or stamped
<br />
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