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<br /> WOTIC� O� �fE�D Rf�S"Pf�OC�'IOR9�`�The uridersigned understands that this permit may be subject to"deed" restrictians"
<br /> which may be more res#rictive than County reguEations. The undersigned ass�mes responsibility for compliance v+rith any
<br /> applicable deed res#rictions. , , ; . , • , ' , � . � ' ', ,
<br /> � �1�L.@���lSIE1D �G1PI71��C�'�R� �F�l� ��RfY���'��i (����'Qfti�Yf�Y�.tS"Y��: lf the o�nrner has, hired a; contractor ar
<br /> i contractors to undertake wrork, #hey may be required fo be lic�nsed in accordance with�state.and tocal regulations. (f the
<br /> � contractor is not licensed as required by lavv, both the awner and contractor,may be cited for a misdemeanar violation
<br /> under sfate lavv. If the ovtirner ar intended cantractar are uncer�ain,as �o vvhaf licensir�g,requirements may apply for the
<br /> , intended work, they are advised to cartfacf the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furt#�ermore, if the owner has hired a confractor or contractors;�he is advised-'ta have the contractorts} sEgn
<br /> portio�s of the "conkractar Block" of this application for vuhich they wili�be re5ponsible: If you, as the owner sign as the
<br /> contractor, that may be an indication that he is no� properly lic�nsed and is nof entitled fo;�rermit#ing_peivileges in Pasco
<br /> County. . .. . , � . , � � -
<br /> 'Y�1Rl�P��.'��TEON E�l�'�C711J�'IL9'YI�� 9�����'G�f�� 6���C�I�f�CC� �f�CO@/f��Y�f���: 1"he undersigned understands
<br /> that Transportation tmpact Fees and Ft�course �2ecovery Fees tnay apply to the constructian of newr buiidings, change of
<br /> use in existing buildings, or expansian of �xisting buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The und�rsigned aisa ur�derstands, that such fees, as rnay be due, vtirill be_identified at the time of
<br /> permitting. It is furfher understood tha# Transpo�ta#ion Impact Fees and i�esource Recovery Fees must be paid prior to
<br /> � receiving a "certificate o�occupancy" oP final power r�lease. (f fhe project does not involve a certificate of occupancy or
<br /> final power.reSease,,the fees must be paid prior ta permif issuance. Furthermare, if F'asco Caunty VVatec/Sewer lmpact
<br /> fees are due, they must b� paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> �C3R9�Y�llG'Y���1 �I��d �..�1lfi��G���a��r'�'��, �I�r�c9������t��o.�s �e�ee�d��}: �If valuation af,work is $2,500.OQ or mare, t
<br /> certify that I, the applicant, have been pravided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Pratection Guide" prepared by the Flaeida Departm�nt of Agriculture and Consumer Afifairs. lf the applicant is someone
<br /> other than fhe"owrner", 1 certify#hat 1 hav�obtained a copy of#he above described document and promise in gaod faith to
<br /> deliver it fo fhe"owner" prior to commencement. , ,.
<br /> CONT��iC�'CD�t'�If31�1�9��'�kl�F���ld�Va�': 1 certify that all the Enformation in this applicatiort is`accurate and that aA uvor�c
<br /> vvill be done in compliance uvith all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made ta abtain a permit to do work and ir�stallation as indicated. 1 c�rtify that no vsrark or instaliation has
<br /> commenced prior #o issuance of a permit and that ail vuork wrill be performed #o m�et standards of all taws regulaking
<br /> construction, County and C9ty codes, zoning regulations, and land development regulations in the jurisdiction_ ! also
<br /> cerfify thaf I understand that #he regu(ations of oth�r government agenci�s may apply to the infended vuork, and that i# is
<br /> my responsibility to identi�y what actions I must take to be in campliance. Such agencies include but are not limited to:
<br /> - Department of �nviranmenfa] Pratection-Cypress �ayheads, Vll�tland �lreas and Environmentally Sensitive
<br /> Lands, V1laterNVastewater Trea#ment.
<br /> - Sauthuvest Flarida 1lVater Managem�nt Districf-t�leEis, Cypress �ayheads, 1flletland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, fVavigable Waterways.
<br /> - Department o€ Health � RehabiEitafive Servicesl�nvirt�nmental Fiealth Unif-VVells, Was#evvater Treatmen�,
<br /> . Septic Tanks: , • ,
<br /> - US�Envi"ranmen#a1�F'�ofectian Agency=Asbestos abatem€:nt. _ •
<br /> - F'ederal Aviation puthority-f�unways.
<br /> 1 understand that the follav�ring restrictions apply to 4he use of fill:� . . - � 3 -
<br /> - ' =Use of fill is no#allawed in �iood Zone"V"unl'ess�expr�ssly'permif�ed. ' � � " ' � •�
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating valume" will be submitted at time af permitting vuhich is prepared by a prafessional er�gineer
<br /> licensed by the State of Flarida.
<br /> - If the fill material is ta be used in Flood Zone ",�" in connection vrrith a permitted building using sfem vualE
<br /> canstruction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, ! cerfify #hat use of such fill +nrill not adversely affect adjacent
<br /> properties. lf use of fill is founci to adversely affecf 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 which are elevated by fill, an�ngineered drainage plan is required.
<br /> If I am khe�C�IER9�' I�OC� �'OiIE �1li�lW�C�, I promise in good faith to infarm the owner of the permitting condikions set forth in
<br /> fhis affidavit prior to comm�ncing construcfion. 1 understand thaf a separate permi# may be eequfred for electrica! v�rork,
<br /> plumbing, signs, wells, pools, aic conditioning, gas, or other insfaliafions not specificatly included in the application. A
<br /> permit issued shal! be cortstrued to be a licenss to proceed �nrith the work and not as authority to.violate, cancel, alter, or
<br /> s�t aside any provisions of the technical codes, nar shail issuance af a permit prev�nt the Building Officia!from thereafter
<br /> requiring a carrection of errors in plans, construction or violations of any codes. �very permik issued shall become invalid
<br /> unless #he rrvark authorized by such permit is corrtmenced vvithin six months of permit issuance, or if vvork aufhorized by
<br /> ihe permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br /> may be reques#ed, in writing, frorn the Building O�cial for a period not to exceed ninety �90) days and wilt demonstrate
<br /> justifiable cause for the �xtension. lf vvork ceases iar ni�ety(90)consecutiv�days, the job is cansidered abandoned.
<br /> �,
<br /> r����r�� �r� c�a����� ��uo� ��o���� �� ��c��z� � �e�Y��� �� ������c ��t� ��.v ���t��.�- �� �oa.��
<br /> ��iYlFdt� �Y�fp�E IFID72 9ii�l��t�i/{�i�l���"V"� vCi Y0�9����'3�'(EI�'If1f. YfF YOIJ �W�f�iVfO �Y'J�►I IPIId►R1�C9i�f�, �GOP1��D�.Y
<br /> �illffN Y�3l9������F�f��t 6��9���IRi��Y���C2�1� ����i��1�� Y��1��90�'1 � ��9G��f!lEI�T.
<br /> FLORIDA JURAT(F.S. 117 03)
<br /> 41�lidEFt OR�G��f7 ���li'�tAG'fQ�
<br /> Subscribed and sworn to(or a�rmed)before me this Subscrlbed and swor to(o a`ff} /e�d,)be me
<br /> bY b� ��Y 1t.� ��%���
<br /> Who islare personally k�own to me or hasthave producecf Who islare personaEly�cnown f�me or haslhave praduced
<br /> as Idenkification. as identification.
<br /> Notary Public Notary Public
<br /> Commission PJo. Commission No.
<br /> Name of Notary typed,printed or stamped Name af IVotary typed,printed ar stamped
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