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NOTIGE QF DE��REST4�8�T@€9�;5 The undersigned understan s that this permit may be subject to"deed"restrictians"
<br /> � w•����.�� ���:.+y t��>. mvre restncuve than County regulations. The unde signed assumes respottsibility for complianae w'tth any
<br /> apphcabie c]eed resirictians.
<br /> UAILlCENSED CQNt'RAGTORS APlD CO�IT�GTOR FtI�SPO St�l�{TtES: tf the owner has hired a contractor or
<br /> cantractprs to unde�take work,they may be required to ba(icense in accordance u�rith state and locai regulations. !f the
<br /> contractor is not ficensed as required by Iaw, both the owner an contractor may be cited for a misdemeanor vfolation
<br /> under state law. !f the owner ar intended contractor are vncsrtai as to what licensing requirements may appty for tfie
<br /> intended work,they are advised to contact the Pascq County Buil 'ng Inspection Division--LicensIng Section at 727-847-
<br /> 8009 Furthermore, if the owner fias hired a confractor or con ractors, he is advised to have the contraotor(s) sign
<br /> portions of Ihe"contractor Block" of this applicakion tor which the will be responsibie. Ei you, as the awner s(gn as the
<br /> contractor, that may be an indication that he is not properly licens d and is not entitled to permitting privileges in Pasco
<br /> C'tnaniy
<br /> i wtnlS�UR1�4TiOn! IIWI'63C7IU7lLI71ES INfl�b�CT d�PID RESOUEt E RECOYERY FEES: The undersigned understands
<br /> that Transportatian Impaci Fees and Recourse Ftecovery Fees ma apply to the construction af new buildings,ohange of
<br /> use in existing builcli�gs, or expansion of exisEing buildings, as sp cified in Pasco Gounf}t Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that suc fees, as may be due,wiU be identified at the time of
<br /> permit#ing. It is#urtfier understood that Transparta#ion Impact Fe s and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release. Ef th projeci daes not involve a certificafe of occupancy or
<br /> final power release, the fees must be paid prior to permit issuanc , Furthermore, if Pasco Counky WaterlSewer I'mpact
<br /> fees are due,they must be paid ptiar to permit issuance in accorda ce with applicabte Pasco County ordinances.
<br /> COtd57F2UCTlOiU UEAf Li�V1P(Chapter 713,�Earida S4a4ut�§,as tnendedj: if valuation of work is$2,500.00 ar more,1
<br /> certify that I, the applicant, have been provided with a copy o the "Florida Construction Lien Law—Hameawner's
<br /> i�rozec��on Guide" prepareci by the Florida Department of Agricuitu e and Consumer Affairs. If the appticant is someone
<br /> othe�than the"owner",!certify that(have obtained a copy of the ove described document and promise in good faith fo
<br /> i deliver it to the"owner"prior to commencement.
<br /> G4iVTft1�CTOR'S/OWPt�R'S,�FFtDI#VI'f: i certify that a11 the info mation in tfiis application is accurate and that aii work
<br /> witl be done in compliance with a!!applicable laws regulating oon ruction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced priar to issuance of a permit and that a!1 wark will e performed to meet s#andards of all taws regutating
<br /> conslruckion, County and City eodes, zaning regulations, and !a d development regulakions in the jurisdiction_ ! also
<br /> certify that 1 understand that the regulatians of qther government gencies may apply to the intended work, and that it is
<br /> r,y resoonsihility ta ide�tity wha#actions I m�st take to be in compli nce. 5uctt agencies inciude but are not timited to•
<br /> Oepartment ot Environmental Protection-Cypress Bay eads, Wetland Areas and Environmenta!!y Sensitive
<br /> ' Lands,WaterNVastewater Treatment.
<br /> - Saufhwest �lorida Water tblanagement District-W Ils, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,pocks,Navigable atervvays.
<br /> - Cispartment of Health & Rehabilitative ServicesJEnvi anmentai Health Unit WeIls, Wastawater Treatment,
<br /> Septic Tanks.
<br /> - US Environmenia(Protection Agency-Asbestos abatem nt.
<br /> - Federa!Aviation Authority-ftunways.
<br /> understand thal lhe following restrictions apply to the use of fill•
<br /> tlse ai fii�is not aiiowed ir7 Flood Zone"V"uniess expre sIy permitted.
<br /> ' - If the fsll material is to bs used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"will be submitted at time of p rmitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - li the fll! materiai is ta be used in Fiaod Zone "A" in onnectlon with a percnitted buifding using stem wal!
<br /> construction, I certify that fill will be used only to fill the rea within the stem wall.
<br /> - ff fifl materiai is fo be used in any area, ( certify th t use of such fitE witl nat adverseiy af#ect adjacent
<br /> properties. !f use of fil! is fa�nd to adversely afi'ect ad acent propetties,the owner may be ciked for violating
<br /> ihe conditions of the building permit issued under the attached permit application, for iots Iess than ane (1)
<br /> acre which are eievated by fill,an engineered drainage lan is required.
<br /> ::}n;me�G�+�> �'�'�TN� ObVf�ER, I prornise in goad faith to in arm the owner of khe permitting conditions set forth in
<br /> nis atiidavit prior to commencing construction. I understand that separate permit may be required for electrical work,
<br /> �lumbing, signs, weils, poo(s, air conditioning, gas, or other insta(ations not specificatly included in the application. A
<br /> termlt issued shall be consirued to be a license to proceed with th work and not as authority to violate,cancel,alter,or
<br /> �et aside any provisians of the technical codes,nor shall issuance f a permit prevent the Buildirig Official from thereafter
<br /> equiring a correction of errors in plans,construction or violations o any codes. Every permit issued shali becorne invalid
<br /> inless the work authorized by s�ch permit is commenced withln s x months of permit issuance,or+f work authorized by
<br /> he permit is suspended or abandoned for a period of six(6)month after the time the work is commenced. An extension
<br /> nay be requested, in writing,from the Building O�ciai far a perio not to exceed ninety{80)days and witl demonsttate
<br /> rstifiabta cause for fhe extensian. if work ceases far ninety(90)co secutive days,the job.is_.�ansidered abandoned.
<br /> VARN�FIG 70 UUVPdEF2: YOi7F7 F�iLL162� 7Q Ft�COi2Q/A FIOT CE QF COiifl�fl�P10EiU3EPlT�f1t�Y F2ESlJLT IPt YQUR
<br /> �AYIPIG TitlfiGE FOE2!l1�PRsOVEN1ENTS TO YOUR PROPERTY. F YOU IPITEND TO OBTAIP!FINANCING,COPISUL7
<br /> YITN YOUR LENDER OR d►N lAT70RPJ�Y BE�OF2E F2ECORDIN YQUR AtdTICE OF COMMENCEBtfEM1IT.
<br /> LORIDA JURA7{F.S.117.03)
<br /> iWP3ER OR AGET�T COPlTRAC R � �'�`
<br /> ubscd6ed and swom to(ar affirmed)before me this Subscdbed nd swom or �efore me t�tis (n���
<br /> by �✓by �
<br /> !ho islare personally known to me or haslhave praduced Who Is/a e p,rs,Qn�a 4y,kn�,o�uttto me or s/have proclucetl
<br /> as ldentifica6on. «IJ�f v�t �-��^ �s identi6cation.
<br /> _..____ . � ��/��Y�f� ' NoWryPubtic
<br /> � Notary Public `/��
<br /> ommisslon No, Corr�mis, on j �
<br /> ,"��*'py�- JAGQUE�INE BQGES
<br /> �� .1...�•,,
<br /> Name of No ,�e ".o',.�.- EXpitES D�CelribeT 12,���4 ,
<br /> �ame o(h7otary ryped,printed or stamped �
<br /> �/
<br /> �'�'`'F„P,g`������ Bandedfi+vTroyFainlnvuarka8Da38SJOf9�
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