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td�Tp�CE OI� DEED RfE�Y�21C�"IORI�; The undersigned understands that this permit may be subject to"deed" restrictions°
<br /> which may be more restrictive than County regulations. The unclersigned assumes responsibility far carnpliance v+rith any
<br /> applicable deed restrictions.
<br /> UNL1C��1�lED �C}idTRA�YO�t� �6dD CCDN�'��"�"��2 �����t�5tl�IL�YY�S: lf the ouvner has hired a contractor ar
<br /> ', contractors ka undertake work, #hey may be required to be iicensed in accardance with state and local regulations. Of the
<br /> � contractar is not licensed as required by lav�r, bath the owner and contractor may be cited for a misdemeanor violation
<br /> under s�ate law. if fhe ovvvner or intended confractor are uncerfain as to vtirhaf licensing requirements may appty for the
<br /> intended work, they are advised to cantact the Pasco County Building Inspection Divisian—Licensing Section at 727-847-
<br /> 80Q9. Furthermare, if the awrner has hired a contractor or contraciors, he is advised to have the contractar{s} sign
<br /> portions of the "contractor Block" of this application for which they wili be responsible. tf you, as the ovvner sign as the y
<br /> cantractor, thaE rnay be an indication that he is r►ot properly licensed and is no# entitled #o permitting privileges in Pasco
<br /> ,
<br /> County.
<br /> T�tV�POR'�'�YION I�i�'�CYII�TILi'TIfE� VfiflP�C1f(�R9� i����U��� R�CO`VfERlf f��fES: 'The undersigned unders#ands
<br /> that Transpartation tmpact F�es and Recottrse Recov�ry �ees may apply to the cortsteuction of ne�buildings, change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-Q7,, as amended. The undersigned also understands, that such fees, as may be due, wil! be identified at the time o#
<br /> � permit#ing. It is fur#her understood that Transpo�#afion lmpact Fees and Resource Recovery Fees must be paid priar fo
<br /> � receiving a °certificate of occupancy" or final povver release. If the project does not involve a certificate of occupamcy or
<br /> fina( power reiease, the fees must be paid prior to permit issuance. Furtherrr�are, if Pasco County Water/Sevver lmpact
<br /> fees are due, they must be paid prior#o permit issuance in accardance with applicabl�Pasca County ordinances. �
<br /> Ct�NS"C�l1CT10�1 �.IIE�I l�►1ii�{Cha�p��r 713, �la��rid��t������, �� �rr��e�d���: Ef valuation af wark is$2,500.00 ar more, 1
<br /> certify that I, the applicant, have b�en provided with a copy of the "Florida Constructian Lien Lavu—Homeowrner's
<br /> Protectian Guide" prepared by th� Fiorida Department of Agricu(ture and Cansumer Affairs. If the applicant is someone
<br /> other than the Nowner", t cerfify#hat I have obtained a copy of#he above described document and promise in good faifh to
<br /> deliver it to the"owner"prior to commencement.
<br /> CO�lT�E�GT43R'S/C31l9l6��(�°�t�►��1�l;�tl1Y: I cerfify tha# ali the infarmafion in this application is accurate ar�d that all vrrork
<br /> will be done in compliance with all applicable lawrs regulating construction, zoning and land development. Applicatian is
<br /> hereby made to abtain a permit ta da uvork and instatlation as indRcated. 9 certify that no wark ar ins�allatian has
<br /> commenced prior to issuance af a permit and that all work vvill be perFarmed to meef standards of all laws regulating
<br /> construction, County and Ciky codes, zon9ng regulations, and land development regulations in the jurisdictian. I also
<br /> certify that 1 undersfand fihat the regulations of athe� government agencies may apply ta fhe infended vvork, and that it is
<br /> my responsibility to iden#ify what actions I must take to be in compliance. Such agencies include but are not limited ta:
<br /> - Departtnent of Environmental Pro#ection-Cypress �ayheads, W�tland Areas and EnvironmentaNy Sensifive
<br /> Lands, VVat�rNVastewater Treatment.
<br /> - Sauthwest Flarida Wa#er �anagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Enginesrs-Seawalls, Docks, PVavigable Waterways.
<br /> - Depa�#ment af Health & t�ehabilitative Services/Enuironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US �nvironmentai F'rotection Agency-Asbestas abatement.
<br /> - Fede�al Aviation Authority-Runvuays.
<br /> I understand that the Following restrictions apply to fhe use of fill:�
<br /> - Use of fili is not allaweci in Flood Zone"V"unless expressly permifted.
<br /> ' - If the fill material is to be used in lFlood Zone "A", it is understaod that a drainage plan addressing a
<br /> "compensating valume" will be subrnitted a� time of per►nitfing vvhich is prepared by a professional engineer
<br /> licensed by the Sta#e of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" i€� connectior� v�rifh a permifted buitding using stem vuaH
<br /> consfruction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fil! material is to be used in any area, ! certify that use of such fil! uvill not adversely affect adjacent
<br /> properties. if use of fiil is found to adversely affect adjacent propertiss, the owner may be cited for vioiating
<br /> the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
<br /> acre which are elevated by fi11, an er�gineered drainag�plan is required.
<br /> If I am the AC��Rllf fFOR�'HIE �Jl�liV��t, I promise in good faith to inform #he owner of#he permitting conditions set forth in
<br /> this aff4davit prior to commencing construction. ! understand that a separate permit may be required for electrical uvork,
<br /> plumbing, signs, wrells, pools, air canditioning, gas, or ofher installations nof specifically included in the applicatian. l�
<br /> permit issued sha!! be construed to be a license to proceed with the v►rork and not as aukhority to violate, cancel, alter, or
<br /> set aside any provisions af the technical cades, nor shall issuance of a permit prevent the Building Official firorn thereaffer
<br /> requiring a correction of errors in plans, construction or violations af any codes. Every permit issued shall become invalid
<br /> un(ess the work authorized by such permit is commenced within six months of permit Essuance> or if wotk authorized by
<br /> the permit is suspended or abandoned for a periad of six(f) months after the time the work is commenced. An extension
<br /> may be requested, in vuriting, from the Building O�cial for a period not to exceed ninety {9Q) days and wif! demonstrate
<br /> jusfifiab(e cause for fi�e �xfensian. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> 1�ilARNO�#� T� �{filRilE�: Y09J�2 �F���UR� T� R�C�lR� � i�QT@G� t�� COi�ii�E�l����NT �HAY ���lll.'f 1�9 Yt3tl�
<br /> I��YIP1C �1filICE �O� IiVi9�9t01J�91N��9'�� �'Ll YO�D�t fPfRO�ER'Y�'. YCF YOII �P1Y��D li'ID O�1�AIN f�IN�P�CONIC, CON�lJ�.lf
<br /> Uif13N YOI��t���I�IEFf C1i� �i1fYt?1���Y���t"�(����G�1�1�1�lC Yt)t�l� t�0�'IC� C)!�CO�Ii���dC��l(��T.
<br /> FLORIQA JURAT(F.S.117.03)
<br />� 01�l�f�l2{?Ft AGE�7'F �QRITft�iGT'C}�
<br /> Subscrlbed and swom#o(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br />' bY bY
<br />' Who islare persanaNy knawn ta me ar haslhave produced Wha Islare personally known to me or hasthave produced
<br />� as(dentificatian. as identificaGon.
<br /> � 'MF,��g o ry Public Notary Public
<br /> �'•:'j� +� Cammission#FF 137073
<br />' Co ml lon No. ��.: ' Commission No.
<br /> --�� ' _,,..�9,�^o;�---
<br /> ��r 9atdedikuTroyfeinlrstrzrtMPDG385•JOt4 �
<br /> Name of Notary typed,printed or stamped Name af Notary typed,printed or stamped
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