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I PIOTIC� OfF DE�D R��7R9CTION�: The undersigned understands that this permit may be subject to"deed" restrictions"
<br />'I which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />'I applicable deed restrictions.
<br /> l➢IVL.IC�Fd�ED CON7i��CY�R� �►ND COfd'��dA�'�'�� �fESP01�5S�ILY'��f��: If the owner has hired a contractor or
<br /> contractors to undertake vvork, they may be required to be licensed in accordance uvith state and local regulations. ff the
<br />� contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County �uilding Iw�pection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or cor'itractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br />� Y�►N�PORTA�'IOfV INH��CTIIJ�'IL9YIfES 9�i1��►CV WRlD ���OU�C� RECOVERY fFE��: The undersigned understands
<br /> that Transportation Impact Fees and i�ecourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing builaings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, uvill be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final povuer release. If the project does not involve a certificate of occupancy or
<br /> I final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> COPISTRi1CTIOR! L.IIEP) L.�iliil(Cha�t�r 7ro3, FIOP1��S��QlIQ�S, �s�enend�d): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the-"Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> COMT�dACYOR'SlOWIi���'� b���I�/�VIY: I certify that all the information in this application 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 to obtain a permit to do uvork and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work uvill be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterNVastewater Treatment.
<br /> - Southwest Florida Water Nianagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, iVavigable Watenrvays.
<br /> - Department of Health � Rehabilitative Services/Environmental Health Unit-Wells, Wastewater 7reatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-F�unways. � '
<br /> I understand that the follorwing restrictions apply to the use of fill:�
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "N", it is underst�ood that a drainage plan addressing a
<br /> "compensating volume" will be submit#ed at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem uvall
<br /> construction, I certify that fill wrill be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversety affect adjacent .
<br /> properties. If use of fill 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 which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the�C�N7 FOR YF9E OW1�9�1�, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installation.s not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the vvork and not as authority to.violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building OfFicial�from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized 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 be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
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<br /> FLORIDA JURAT-(FS. 117.03) -- - --- -�—"— -- - � - -
<br /> OWIPdER OF2 AG�N7 '{��`��� COP17FtACTOR ' `
<br /> Subscrlbed and swom t or a�rmed)before me this Subscribed and swom to(or affirmed)before me this
<br /> by bY
<br /> Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced
<br /> as Identification. as identification.
<br /> �
<br /> ,•�''�i::^v'�. JOEL E.BACON Notary ublic Notary Public
<br /> :.; ';,: Commission#FF 3
<br /> Com I ian N .�� �o: Ex ires June 29,2018 Commission PJo.
<br /> �'�.pf��°,.�� 8a�ded Tlw TmY Fdn Neuanca BOQ38 19
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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