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NOTIC�OF DEECI Rf�S"T�ICl"ION�: The undersigned understands that#his permit may be subject to"deed" restrictians"
<br /> vuhich may be more restrictive than County regulations. The undersigned assurrtes responsibifity for compEiance with any
<br /> applicable deed restrictions.
<br /> IJPdLICfEN��D CC1NTf�A�T0�2� �PIC? �C7P1Y��T�Y� ��5�0�5��lL47'l�S: If the owner has hired a contractor or
<br /> contractors to undertake work, #hey may be required to be iieensed in aecordance writh sfate and iocal regulatians. If fhe
<br /> cantractor is not licensed as required by lawr, both the avuner and contractor may be cited for a misdemeanar violation
<br /> under state laru. If fhe ovuner ar intended con#ractar are uncertain as ta v�hat licensing requirements may apply far the
<br /> intended work, they are advised to cantact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8Q09. Furthermore, if the ouvner has hired a contcactar or contractors, he is advised ta have the contractar(s) sign
<br /> I portions of the "contractar Block" of this apptication for which they vviil be responsible. tf yau, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is nof entitled to permitting privileges in Pasco
<br /> County. *
<br /> 1fi3�Rl��OR7`ATION C�i�k�CYIUTILYYB(�� Vf�IP��1f ARI� �E�C�I���{� Rf�CO��R�F�fES: T'he undersigned underskands
<br /> ` that Transpartation Impact Fees and i2ecourse Recovery Fees may apply to the cons#ructiar� of neuv buildings, change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in �asco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, khat such fees, as may be due, tinri!! be identified at #he time of
<br /> permitting. (t is further understood that Transpo�ta#ion (mpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involv� � certificate of occupancy or
<br /> finai power re{ease, the fees must b� paid prior to permit issuance. Furthermore, if Pasca Courtty�Wafer/Sewer Impact
<br /> fees are due, they rnust be paid prior to perrnit issuance in accardance with applicable pasco County ordinances.
<br /> CO�l�T�l1C�'10� �1��1 �.,��{i(Gha�p��r�13, �I�r�cf��g��tat��, �s ��n�nd�d): If valuatian of work is $2,500.00 or more, !
<br /> certify that I, the applicant, have been provided with a copy of #he "Florida Construction Lien Lavv—Homeovuner's
<br /> Pratection Guide" prepared by the �lorida Department of Agricultur� and Consumer Affairs. If the applicant is someone
<br /> ather than the "owner", 1 certify that 1 hav�obtained a copy of the above described document and promise in goad faith to
<br /> deliver it to#he"owner" prior to commencement.
<br /> COidT���'1�R'SlOV1lP��R'��11iFIF�ID#�V1�': 1 certify that ail the information in fhis applicatEon is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made fo obtain a permit to do v�rork and installatian as indicated. t certiiy that no work ar instalfation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of al( laws reguta#ing
<br /> construction, County and City codes, zoning regulatians, and land development regulations in the jurisdiction_ I also
<br /> certify thaf 1 undersfand that the regulations af other government agencies may apply to the intended work, and fhat it is
<br /> my responsibility to identify what actions I must take to be in compliance. �uch agencies include but are not limited to:
<br /> - Department af Env9ro�menfal Protection-Cypress �ayheads, W�tland Areas and Enuiranmentally Sensitive
<br /> Lands, WaterNVaskewater 7'reatmenk.
<br /> - �outhwest Florida WaYer �(ianagement District-VVe!{s, Cypr�ss Bayheads, Wetland Areas, Alkering
<br /> Wafercourses.
<br /> - Army Corps af Engineers-Seawalls, Clocks, Navigable Watenrvays.
<br /> - Department af Health & R�habilitative Services/�nvironmental H�a1th Unit Welis, Wasfewater Treatment,
<br /> Septic T'anks.
<br /> - US Enviranmentai Peatecfior�Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> ! understand that the following restrictions apply to fhe use of fill;�
<br /> - Use of fili is not al(owed in F{ood Zone"V"unless expressly permit�ed. `
<br /> - If the �II material is to be used in Flood Zone "N", it is understood that a drainage plan addressing a
<br /> "campensating voiume" r�rill be submitted af time of permitfing �nrhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill materia! is to be used in Flood Zone °A" in connection uvith a permitted building using stem wall
<br /> construction, I certify thak fill will be u�ed only to fill the area within the stem uvall.
<br /> - If fil! materia! is ta be used in any area, ! certify that use of such fiU will not adversely affect adjacent
<br /> properties. if use of fill is found to advers�ly affect adjacent properties, the ovuner may be cited for violatirtg
<br /> the conditions of th� building permit issued under the attached permit applicatian, far lots less than one (1)
<br /> acre which are elevated by fill, an engineered drairtage plan is requ9r�d.
<br /> If I am the�GEIVT �O�7FIE OIYlIN�9�, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior Eo commencing canstruction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, poois, air conditioning, gas, or other instailations 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, alker, or
<br /> set aside any provisians of the#echnical cades, nor shall issuanc� of a permit prevent the Building Officia!from thereafter
<br /> requiring a carrection of errors in plans, constructian or violations of any cades. Every permi# issued shall become invalid
<br /> unless the work auEhorized by such permit is cammenced within six ►non#hs of permit issuance, or if wark authorized by
<br /> the permit is suspended ar abandoned for a period of six(6) months after#he time the work is cornmenced. An extension
<br /> may be requested, in vvriting, frorn fhe Building C3fficia! for a period not #o exceed nine#y (90) days and v�ril! demonstrat�
<br /> justifiable cause far the exfension. If work ceases for ninefy(90)consecutive days, the job is considered abandoned.
<br /> 1�f�t�idlfdG 7'{� �}V1tN�R: YOB.9f3 ��►1�URE TQ R�GO�� � t�t}�'1GE Ol� C��Hii��NCE�`1�RlT �,�Y �t���L.'T i� YOU�t
<br /> F�AVIPd� �VICE IFUR IV�I�ROV�i1�i�G�'�� 1'C�YOLDf� M�b�C1�ER�'Y. VfF 1(OlJ IR9'T�GVD YO O�Yf�111V FIPI�►�VCIRIC, CORI�I�L.Y
<br /> 1�ITH Y�[�t� �.�i�DER�R��I�TYYCJ��1�Y f��IFO������l���P#C� VOUR�9��' - iF�t1�l�(ENCE�F��NY.
<br /> FLORIDA JURAT(F.S, 117.03)
<br /> 01N1�tEE2 OF2,�G�tdT COtUTR�C'fOR . '
<br /> Subscribed and swom fa{or affirmed)before me this Subscribed and to(or affirmed)before me this
<br /> by by
<br /> Who istare personally known to me or haslhave produced Who 3slare personally known ta me or hasthave praduced
<br /> as Identificatian. as identification.
<br /> Notary Public Notary Public
<br /> Commission No. Comm�ssion No.
<br /> Name of fVotary typed,printed or stamped PVame of PJotary typed,printed or stamped
<br />
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