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IV�'TIC�Oi� Df�ED 92E�T�IC�ICIP➢�: The undersigned underskands that this permit may be subject to"deed" restrictiuns"• --.
<br /> wrhich rnay be more restrictive than County regulations. The undersigned assumes resportsibility far compliance uvith any
<br /> applicable de�d restrictions., � ' . ' • �. �• • � � ; . ,
<br /> ll�i.1��N�EIp COP1'I'(��1�Y�R� �Pl�l COGd'��sC'�'�R ������1�1�IL�T9��: !f the owner has hirsd a contractor or
<br /> contractors to undePtake work, #hey may be requir�d to be licensed in accardance with sfate and local.fe�ulatians. tf the
<br /> contractor is not licensed as required by law, both the awner and contracfor may be cited for a misdemeanor viola#ion
<br /> under state law. lf fhe owner or intended cantrac#ar are uncertairt as'#a,rrvhaf.licensing r.equirements may apply for #he
<br /> intended wrork, they are advised to contact the Pasco County Building Inspection IJivision—Licensing Sec#ion at 727-847-
<br /> 8009. FurEhermore, if the owner has hired a contractor or contractars, Ft6 IS r'�tjV1S�(� t4 have fhe contrac#or(s} sign
<br /> portions of the "contractor Block" of this applicatian for which they uvill be responsibie. 'If you, as #he ovvner sign as the
<br /> contractor, that may be an indicaEion that he is not properly licensed and is-not entitled to permitting.privileges in Pasco
<br /> County. � , .. . , , . . ` i
<br /> 1C�N5i�OR1'A'TIONi 9fiAP,�C�lIJ"�'iLIYI�� 9f�f��►C'�/�N� �tE�OU�C� it���'V�RY���5: T'he undersigned understands
<br /> that Transpartation lmpact Fees and F�ecaurse FZecovery �ees may apply to the construction af n�w btaiidings, 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 unders#ands, that such fees, as may be due, wilE be identified at the time of
<br /> permitting. It is further uncferstood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of accupancy" or final povuer release. !f the project does not involve a certificate of occupancy or
<br /> finai power reiease, the fees must be paid prior fo perm't# issuance, Furthermare, if F'asco Caunty Wa#erlSevtrer lmpac#
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> C�PIS'T�.t1CTItJN �.�IE� !�.#�1fii(Gha���r?'13, 1�I�Pid��t�@u���, �� �m��d�d}: Ef valuation of work is$2,500.OQ or more, 4
<br /> certify khat I, the applicant, have been pravided with a copy of the "Florida Coristruction �Lien Law—Homeowner's
<br /> Protection Guide° prepared by the Florida Departmen# of Agriculture and Consumer Affairs. If the applicant is sameone
<br /> other than the"owner", i certify that i have obtained a capy of the above described document and promise in good fai#h to
<br /> deliver it to the"owner"priar to cammencement.
<br /> C43�#1`��GTC)R'S/O{�f�i�l�'� �►IF�1@?�Y1T: 1 certify that all fhe informat#on in fhis application is accurate and that all wark
<br /> will be done in compliance with all applicabte laws regulating construction, zoning and land development. Applicatian is
<br /> hereby made to abtain a permit to do v�rork ar�d ins�allation as inc#Rcated. 1 certify that no work or instailation has
<br /> cammenced prior to issuance of a permit and that all uvork will b� performed to meek standards of all laws regulating
<br /> construckion, Counly and City codes, zoning regulations, and land development regulations in the jurisdicfion. I also
<br /> certify that 1 understand that the regulatians of ofher government agenci�s may apply #a the intended rrvork, and fhat it is
<br /> my respansibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Deparfiment af Enuiranmental 1'rotection-Gypress �ayheads, Wetland 1�reas and Envirar�mentally Sensifive
<br /> , Lands, VVaterNVas#ewater Treatment. i
<br /> - South�nrest Flarida 1tVafer Management District-WeBs, Cypress �ayheads, Wefland Area�, Altering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seawalls, Docks, Navigable Watenrvays.
<br /> - Deparfinent o� Heaith & Rehabilitafiue Services/iEnVironmentai Health Unit-1�/ells, 1tVastewater Treatment,
<br /> Septic l'anks.
<br /> � - US Enviranmentai Profection Agency-Asbestos abatem�nt. �`
<br /> - Federal Aviation Authority-[Runways.
<br /> t understand that the�ollov�ring restrictions apply ta the use af fill: �
<br /> - Use of fill is no#allowed in Fiood Zon�"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "N", it is understaod that a drainage plan addressing a �
<br /> "compensating volume" will be submifted at time of peemitting �nrhich is prepared by a professiona! engineer
<br /> licensed by the Sta#e of Florida.
<br /> - If fhe fill rnateriaC is ta be used 'm Flood Zone °A" in connection �nr'sth a permitted building using stem vtirall
<br /> construction, I certify that fill will be used only to fill the area wikhin the stem wall.
<br /> - If fil! rnaterial is to be used in any area, I certify that use of such fil! �nrill not adversely affect adjacent
<br /> properti�s. If use vf frl( is found to adversely affect adjacent properties, 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 uvhich are elevated by fill, an engineered drainage pla�t is required.
<br /> If I am fhe A�IENT FOR TF91E O1�iP�0�R, I pramise in good faith to inform the owner of the permitting conditions set forth in
<br /> fhis affidavit priar to cammencing construction. I understand that a separate permit may be required far etectrical vuork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ather installations nof specifically included in the application. A
<br /> permit issued shal! be construed to be a licsnse to proceed vuith the work and nat as authori#y to.violate, cancel, alter, or
<br /> set aside any provisions of the technical cades, nar shaA issuance of a permif prevent fhe �uilding Officia!from thereafter
<br /> requiring a correction of errors in plans, cons#ruction or viola4ions of any cades. �very permit issued shall become invalid
<br /> unless Ehe uvark authorized by such permit is cammenced �nrithin six months of permit issuance, ar if work aufhorized 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 b� requested, in writing, frprrt the �uilding O�ciai for a period not to �xceed ninety (90) days and vrrill demonstrate
<br /> justifiable cause for the extension. if work ceases for nine#y(90)consecutive days, the jab is considered abandoned.
<br /> �fiAFPR9i�� TCI 01��1(ER: 1��19� ��I�.U�� T� G��C��2D �t ;�OTIC� O� �Oii��fi Pt'T �AY ���t9LT �R� YCi�I�
<br /> �'d�YIR9C "f�fiPlC� �iC9R Ifi��'�O!!l��fi��9�'S 7�D YOU�t I�fRO�'ER1fY. Y�YOU �PIY Y O 611W fFIGV,�I�IC�PI(�, C�P➢SU�.�
<br /> �titl�Ff Yf}UR GE�t�I�R Q(R�f��1,'1���R�IE��f�IF��.� �21���?�2�IFd�'Y'tp�� �'6C � Oi�Q��N���i�E�IY_
<br /> FLORIDA JURAT(F.S.117.03)
<br /> 01iit�tEFt OR AG�NT ��jl4�F2�GT0 —�,,�
<br /> 5ubscribed and swom to(ar affirmed)before me this Subs j an s ir before me this •�/.����✓Zd��
<br /> by __<_�� bY �� �G�._�����G��
<br /> Who istare personally known ta me or haslhave produced Who 3state rsonally 1G� wn fo me ttr hasfftav�'"� ar.� ����,�7�T
<br /> as IdenkificaBon. � as-+de�f * �IYCOMIUIS910NfFF03816q
<br />` `s� ,� �XPIR��:AU�ust i3,2417
<br /> E' �'oF�sa BondtdTA�i9udgdNot�ySeri�
<br /> PJotary Public Notary Public
<br /> Commisslon No. Commission No. / ��,,�_�
<br /> �fr��.� 1�i� ��C�'
<br /> Name of Notary typed,printed or stamped IVame of Notary typed,printed or stamped
<br />
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