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GdO�'ICE OIF �EE[� RE�'TR9C1"IOPl�: The undersigned understands that#his permit may be subject to"deed" restric#ions"
<br /> uvhich may be more restrictive than Counfy regulations. The ur�dersigned assutnes responsibili#y for campEiance with any
<br /> � applicable deed restrictions.
<br /> UN�iG1ENS�D Ct)N'�R��YO�� �R4�D Ct�N�'��T�9� �f����P��9�IL9YY��: !f the o+nrner has hfred a contractor or
<br /> contractors to undertake work, #hey may be required to be licensed in accardance trvith state and lacat r�gulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> I under state Iauv. !f fhe ovuner or intend�d contractor are uncertain as to vtrhat licensing requirements may apply for the
<br /> intended work, they are advised to cantact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractar or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "conkractor Block" of this application for which they wiii be responsible. tf yrau, as#he awner sign as the
<br /> contracto�, khat may be an indication that he is not properly licensed and is nat �ntitled to permitting privileges in Pasco
<br /> County
<br /> �"9�Rl�PO�'TA7'It�F9 Iii��6�CTIlJY9Ll�'6�� ii1�P�►G�'�►��1 �E�I�U��C� Ft����6fERY i���S: The undersigned understands
<br /> thaf Transpartation impact Fees and Recourse Recovery Fses may appty #a the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty C7rdinance number 89-OT and
<br /> 90-07, as amended. The undersigned afso understands, that such fees, as may be due, wi11 be identified at the time of
<br /> permitting. lt is further understood that Transportation Impact �ees and iZesource Recovery Fees must be paid priar to
<br /> receiving a "ce�tificate of occupancy" c�r final power release. If the project does not involve a certificate of occupancy or
<br /> final pawer release, the fees must be paid priar to pertnif issuance. Furthermare, if Pasco County WaterlSewer Impacf
<br /> fees are due, they must be paid prior to perrnit issuance in accordance with applicable Pasco Coun�y ordinances.
<br /> CONSTR�IC'CION �.1��1 L�1iit(Cha���r 713, �IaPie�a��t�tts���, �� �mend�c��: tf valuation of v�rork is $2,500A0 ar more, [
<br /> certify lhat I, fhe applicant, have been provided with a copy of the "Florida Conskruction Lien Law—Hameowrner's
<br /> Pr4kection Guide" prepared by the �IoPida Department af P�griculture and Consumer Affairs. !f#he applicant is someone
<br /> other than the°owner", I certify that I have obtained a copy of the above described document and promise in goad faith to
<br /> deliver it to the "owner"prior to commencement.
<br /> CQN'T��►GTO�'�lC?t�(�IER'� �►F�t��V1�': 1 certif}r that a41 the infortna#ian in this applicafion is accurate and that all tinrork
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby rnade to ab#ain a permi# ta do v+rork and installation as ind9cated. R certify that no work or installation has
<br /> commenced prior to issuance of a permPt and that all work vvill be performed to meet sfandards of all laws regulating
<br /> ' construction, County and City codes, zoning regulafions, and land development regulations in the jurisdiction. I also
<br /> certify thaf I ur�ders#and fhat the regulations af oth�r gavernment agencies may apply to the intended vyork, and that it is
<br /> my responsibi(ity to iden4ify what actians I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protectio�-Gypress 8ayheads, 1l4letfand Areas and Environmen#ally Ser�sifive
<br /> Lands, VIlater/VVastewater Treatment.
<br /> - Southv�rest �lorida Water �ianagem�nt District-VVeEIs, Cypress Bayheads, Wetland Areas, Aftering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, iVavigable Vilatenrvays.
<br /> - Deparfinent of Health & Rehabilifative ServicesJ�nviranm�ntal Health Uni#-Wells, Waste�ntater Treatrrtent,
<br /> Septic 7anks.
<br /> - US Er�vironmental Protectian Agency-Asbestos abatem�nt.
<br /> - Federal Aviation Authority-Runways.
<br /> f understand that the followring restrictions apply to the use af fill:�
<br /> - Use of fill is not allowed in Flood Zone"V'" unless expressly permitted.
<br /> I - If the fill material is to be used in Flood Zone "N", it is understood that a drainage plan addressing a
<br /> � "compensating volume° vuill be submitted at time of permitting vvhich is prepar�d by a professional engineer
<br /> licensed by the State of Florida.
<br /> � - If fhe �11 materia! is to be used in Fload Zone "A" in connectian w'sth a permitted buitding using sterrt wrak!
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is ta be used in any area, ! certify that use o# such fill virill not adversely affect adjacent
<br />, properties. if use af fill is iound to adversely affect adjacent properties, the ouvner may be cited for violating
<br /> the conditions of the building permit issued under 4he attached permit applicatian, for lots less than one (1)
<br /> acre which are e(evated by fill, an engEneered drainage pian is required.
<br /> If I am the Ad'a�NT FOF2 Y'FifE OliNiV��, I promis� in gaod faith to inform the owner of#he p�rmitting conditions set forkh in
<br /> this a#fidavi# prior to commenc'tng construction. 1 understand that a separate permit may be requ9red for electrical vtrork,
<br /> plumbing, signs, welfs, pools, air conditioning, gas, or ofiher installa#ions not specifically included in the applicafion. A
<br /> permit issued shall be construed to be a license ko proceed with the work and not as authority to.violate, cancel, alter, or
<br /> set aside any provisions of the technical cades, nor shall issuance of a permrt prevent the Building (3ffieial from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permi# issued shall become invalid
<br /> unless the work autharized by such permif is comrn�nced within six months of perrrtit issuance, or if rrvork aufhorized by
<br /> khe permit is suspended or abandoned for a period of six(6) months after#he time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Officia! far a period not ta exceed nie�ety (9Q) days and wil! demans#rate
<br /> justifiab(e cause for the extension. If�nrork ceases for ninefy(90)consecutive days, the job is considered abandoned.
<br /> �lARR11R7� 1"�} �{�t�l��: YO�J'� ��11�t1�� TO 9Y�CC?R� � �Q�'IC� Qt� ��(�6��WCE�(EWT �tdiY 4Y��l1L.T !�1 lft��9�2
<br /> fP�YIRIC T�YVtlCE IFUR Ifi���OVIEi1N�l��� YC8 XO�D� fPF�O�'EFt`Y'�. I(�1(OlJ IR�'G'EWD YO O�7�IW fFOiN�►�ICIR9(�, CORI�IJ�..T
<br /> �NIYH Y�U�Z ��ND�R�I��l��Ct��IiEY����i�� �d�C���l�lG Y�Ul��OT�C3�C1�C��'l��RICIEilfil�NT.
<br /> FLORIDA JURAT(F.S, 117.03) �
<br /> �
<br /> C11Rth]�R OR Af3E�T �O�II'RAG3'O�2
<br /> Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmedj before me this
<br /> by by
<br /> Who islare o Ily known to me or haslhave produced Who Islare personally knovun to me or haslhave praduced
<br /> as Iden'ficatlan. as tdentificakion.
<br /> ,•'"� ��� $* OEL E BACON
<br /> Public Notary Public
<br /> :*
<br /> Commissl z� Expires June 29,201$ Commission No.
<br /> ��� �u�a
<br /> Name o otary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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