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fV0'TICf�OF' CIEE[7 i2f��1'�IC�'IOFI�: The undersigned understands that this permit may be subject to"deed" restiictfian�:
<br /> which may be more restrictive than Counfy regulations. The undersigned assumes responsibilify for compliance w'sth any
<br /> applicable deed restrictions.
<br /> UNLIC�NSI�D CO�IT�C�O�� e�RliD �C1IV�'�tA��'�� I�f�S�OiV�!l�I�IYI��: !f the owner has hired a cantractor or
<br /> contractors to undertake work, #hey may be required to be licensed in accardance v�tith state and local regulatians. If#he
<br /> contractor is not licensed as required by lawr, bo#h the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. if the awner or intended contrac#or are uneer�ain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Divisian—Licensing Seckion at 727-847-
<br /> 84Q9. Furthermare, if the owner has hired a cantractor or contractors, he is adv9sed ta have fhe contractor(s} sign
<br /> portions of the "contractar Block" of this applicatian for which they wrili be responsible. tf you, as the ovvner sign as the
<br /> cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> ' Caunty.
<br /> 'CR�►NS�OR1fA7'ION IMF'AC�IIJ'�ILI�'I�� 9�1��C1f AR1�1 f�E�Ol9�CfE R�GOi/IERI(fF��S: The undersigned understands
<br /> that Transportatian lmpacf Fees and Ftecourse Recorrery Fees may apply to the construction of newr buildings, change of
<br /> I 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 undersigned alsa unders#ands, that such fees, as may be due, uvill be identified at the time of
<br /> permitting. It is further understood that Transportafion Impac� Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of accupancy" or final po�nrer release. If the project does not involve a certificate of occupancy or
<br /> final powrer release, the fees must be paid prior to permit issuance. Furtherrt�are, if Pasco Caunty Water/Sewer lmpacf
<br /> , fees are due, they must be paid prior to perrnit issuance in accordance with applicable Pasco Coun#y ordinances.
<br /> CQN�7Ftt�G1"ION E.tIEN �.�►li�(Ch��a��r'�13, i�1�Pi��.���t����, �� �r�rt�e�d�c�): lf valuatian of wark is$2,5Q0.00 or mare, 1
<br /> certify that I, the applicant, have been provided with a copy of the `"Florida Constructian Lien Lawr—Hameowner's
<br /> �"rotectian Guide" prepared by #he �lorida Department of Agriculture and Co�sumer Nffairs. If the applicant is someone
<br /> other than the°owner", I cerfify fhat 1 have obtained a copy of the above described document and promise in gaod faith ta
<br /> deliver it to the uowner"prior to commencement.
<br /> GONTR,�C`TOR'Sli�lf�l�EI�R'�.�►iF��(D�VIT: 1 certify that a1C fhe informatian in this application is accurate and that al!�nrork
<br /> uvill�be done in compliance with all applicable lauvs regulating construction, zoning and land development. Applicatian is
<br /> hereby made ta obtain a permit ta da uvork and installation as incficated. 1 certify that no work or installation has
<br /> commenced prior to issuance af a permit and that all work will be performed 4o meet standards of all laws regulating
<br /> construckion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I slso
<br /> certify that i understand fhat the regulations of other government agencies may apply ta the intencled vuork, and that it is
<br /> I my responsibility to identify what actians I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department af Environmen#al Protectior�-Cypress �ayh�ads, 1lVe11and Areas and Enviror�mentally Sensitive
<br /> L.ands, WaterMlastewater Treatment.
<br /> - Southwest Flarida 1tVater �anagement Distr9ct-Wells, Gyptess Bayheads, Wetland Areas, Altering
<br /> Vi/atercourses.
<br /> - Army Corps of Engineers�Seawalls, Dr�cks, fVavigable VVatenrvays.
<br /> - Depar#ment of Health & Rehabilitative Servicesl�nvironmental Flealth Unit-1lVells, Wastewater Treatmen#,
<br /> Septic`Tanks. �
<br /> - - US Environmen#al Pratection Agency-Asbestos abatement.
<br /> - �ederal Aviation Authority-Runways.
<br /> ! understand that the follovuing�estric#ions apply to the use of flll:
<br /> - Use of fill is not allawed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "N", ik is understood that a drainage plan addressing a
<br /> "compensating volume" �nrill be submitted at time of permitting vuhich is prepared by a profsssional engirteer
<br /> licensed by the State of Flarida.
<br /> - 1f the fil! material is to be used in Fload Zone NA" in cannection with a perrnitted buiiding using stem wal{
<br /> construcfion, I certify tha#fill will be used only to fill the ar�a within the stem wall.
<br /> - !f fil! materia! is to be used in any area, I certify tha# use of such fill will not adv'ersely affect adjacent
<br /> properties. i(use of fill is found to adversely affect adjacent properties, the owner may be cited for vio4ating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by�II, art engineered drainage plan i$ required.
<br /> If I am the�,GEP1Y FOR THf� �1VIIW��, I prornise in goad faith to inform the owner of the permitting conditions set forth in
<br /> this atfidavit prior to commenctng construct4on. ! understand that a separate permit may be required for eEectrica! work,
<br /> piumbing, signs, wrelfs, pools, air conditioning, gas, or ofher installafions not specificaily inciuded in the appfication. A
<br /> permik issued sha!! be construed to be a license to proceed with the work and not as authoriky to violate, cancel, alter, or
<br /> set aside any provisions of the technical cades, nor shall issuance of a permit prevent the Building afficiaE from thereafter
<br /> requiring a correction of errors in plans, constructian or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorizec! by such permif is commer�ced within six months of permit issuartce, ac if work aufhorized by
<br /> the permit is suspended ar abandoned�for a period of six(6) manths afCer��he-time�the�work isycommenced.—An�exfension--- ---__
<br /> may be requesfed, in writEng, from the �uilding Officia! for a period not ta exceed ninety (90) days and wi!! demonstrate
<br /> justifiable cause for the extension. If work c�ases for ninefy t90)consecutive days, the job is considered abandoned.
<br /> {�tARtdl�9� 7'Cd t}1tVN�EF2: Y�U(� �AI�t9R� Tfl R��QRi� A �1QTIC�C Q(F �Oti�1�1ENG��E�!'T ii�11�iY R�SULT I�t Y{�t1�
<br /> 1��1YIIVG 'TVVIC� IFi�R I�fl�'ROi/�I�i�H➢`�S YC)YOL91�`� �'f�f��'�FZ'1 Y. I�1(OU iP1YE�ID TGl 0�7'WIW FIPIAN�INC9, COYV�IIL.Y
<br /> VltlT�-{YOl1� L�N�IEfZ O� �►N 1�7701Ri1i�Y I��1F���i'tIECC}IRC�IH4t�Y�U�NOTIC�Oi�C011t1[i�ENCIE�t1�R9T.
<br /> FLORtDA JURAT(F.S. 117.03)
<br /> OVN�lER OR AGEFIT�'��G"�- V�7Gt� i COPITPtACT'QF2
<br /> Subscribed and swom to(or affirmed)before me t ' Subscribed and sworn to(or affirmedj before me this '
<br /> by by
<br /> Who islare persanally known to me ar haslhave produced Who Islare personally known to me oc haslhave praduced
<br /> as identification, as identification.
<br /> Flotary Public Flotary Public
<br /> Commisslon No. Commission Na,
<br /> Name of INotary typed,printed or stamped IVame of iVotary ryped,printed or stamped
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