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R10T'ICE O� DE�D RE�'T�I�1"IOPI�: The undersigned understands that this permit may be subject to°deed" r�estrictions"
<br /> vvhich may be more restrictive than County regulations. Th� unciersigned assum�s res�ortsibility for campliance with,any
<br /> applicable deed restrictions.
<br /> U�tLlGE�1��� CONTRf��TC1f�S AND CCDf�'T�1C'T�dlR �f���Oi��l�ll,l'�1��: !f the awner has hired a contractor or
<br /> contractors to undertake work, they may be requir�d to be licensed in accardance with state and lacal reguiations. If fhe
<br /> contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor vialation
<br /> under state law. If the ov�rner or intended contractor are uncer#ain as #o �nrhaE licensing requirements may agpty far the
<br /> intended vvork, they are advised to cantact the Pasco County �uilding Inspectian Division--Licensing Section at 727-847-
<br /> 8009. Furtttermore, if the owner has hired a contractar or contractors, he is advised to have the cantractor{s) sign
<br /> portians of the "contractor Block" of this application for which they wili b� respansible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is nat entitled to permitting privileges in Pasco
<br /> Counfy. - ` x�
<br /> �'RAfdSPO�T�►YIC7P1 IA�iF��CYIIJ�ILI�'IE� If�P��CV�Pl� �fE�OU�C� �E�OVf�RY I��ES: T'he undersigned understands
<br /> that Transportation t�pact Fees and Ftecourse Recovery Fees may apply #o the canstruction of neuv buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The unders'tgned aEso understands, th�t such fees, as may be due, wtil! be identified at the time of
<br /> permitting. It is fur#her unders#ood that Transpartation tmpact Fees and Resource Recovery Fees must be paid priar to
<br /> receiving a "certificate af occupancy" or final power release. If the project daes not involve a certificate of occupancy or
<br /> final povuer reEease, the fees must be paid priar ta p�rrr�it isG,uance. Furtherr►iore, if Pasco County WaterlSewer Empac#
<br /> I fees are due, they mus# be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> �OE�STRl1CTiO�i L1�Pd L.�titt(��a�t�P 7''93, �I�Pi���t�tt����, �es �eri�r�d��}: lf valuation of wark is $2,500.OQ or more, I
<br /> certify that I, the applicant, have been provided wi#h a copy of the "Florida Canstruction Lien Law—Homeowrner's
<br /> Protection Guide" prepared by the �lorida Department of Agriculture and Consumer flffairs. !f the applican# is someone
<br /> ,' ofher than #he"owner", I certify that 1 have abtained a copy af the above described dacument and promise in good faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> ���IT'R,��T'�R's1�1��9��2'� �fiF1��V1�': 1 certify that ali the info�matian in this application is accurate and that all v�rark
<br /> will be done in compliance with all applicable lav�s regulating construction, zoning and land development. Application is
<br /> ' hereby made to abtain a permit ta do wark and installatian as indicated. 1 certify that no work or instalkatian has
<br /> commenced prior to issuance of a permit and that alI work vvill be performed to meet sfandards of all laws regu(ating
<br /> Iconstruction, County and City codes, zoning regula#ions, and land development regulations in the jurisdiction. I alsa
<br /> I certify that I undersfand fhat fhe regulafions of other government agencies may apply to #he intended v�rark, and that it is
<br /> my responsibility to iden#ify what actions I must fake to be in compliance. Such agencies include but are not limited to:
<br /> - Deparfinenf of �nvironmen#al Pratect9on-Cypress E3ayheads, 1lV�tland Areas and �nvironrrtenta}ly Sensitive
<br /> Lands, Wa�erNVas#ewater Treatmenf.
<br /> ' - Sou4hwest Florida Water 1'�anagem�nt District-Wells, Cypress Bayheads, Wetland Areas, pltering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Vllateruvays.
<br /> - Depar#ment of Health � Rehabilitafiive SetviceslEnvironmental Nealth Unit-WeEEs, �1lastewater Treatmenf,
<br /> Sep#ic Tanks.
<br /> - US Environmental Protection filgency-Asbestos abatemen#.
<br /> - Federal Aviation Nufhority-Runways.
<br /> ! undersYand that the fo!lowring restrictions apply to the use of fill;
<br /> - Use of fiit is not allowed in Fload Zone"V"unless express4y permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "campensating voiume" uvill be submit#ed at firne of permitfing vuhich 'ss prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in FEaod Zone °,4° in connection with a permitted building using s#em v�ral!
<br /> construction, I certify that fill will be used only fo fill the area within the stem wall.
<br />, - !f fill material is to be used in any area, ! certify that use of such fill will not adversely affect adjacen#
<br /> properties. !f use of fi!( is found to adversely affect adjacent properties, ttte owner may be cited for violating
<br />' the canditions of the building permit issued under the attached permit application, for Iots less than one (1)
<br /> acre which are elevated by fill, an er�gineered drainage plac� is requirecl.
<br /> If I am the�.G�PJY FOF2 7HIE 01�9N�6�, I promise in good faith to inform the ov�rner of khe permitting conditions set farth in
<br /> this affidavit priar to commencing canstructian. I understand that a separake permit may be required for electrical vuark,
<br /> plumbing, signs, welis, pools, air conditioning, gas, or other installafions not specifica(ly included in the application. A
<br /> permit issued shall be canstrued to be a license to proceed uvith the vvork and not as autharity ta violate, cancel, alter, ar
<br />� set aside any provisions of the technical cades, nor shall issuance of a permit prevent#he Building Official fram fhereafter
<br /> requiring a correction of errors in plans, construction or violations af any codes. Every permit issued shall become invalid
<br /> unless the vfrork authorized by such permit is cornmenced within six mon#hs of permit issuanc�, or if v�rork autharized by
<br /> #he 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 Offtcia! for a period not to exceed ninety (90) days and wil! demonstrate
<br /> jusfifiable cause for the extension. ff work ceases for ninety(90)co�secu#ive t#ays, fhe job is considered abandoned.
<br /> {�lJ�E2�11�� '�'O R4��t; Y�tU�i 1F�liL�lR� �O ��C��� �S, �{}TI�(� �F Ct7i'�i�iENG��I�NT N��Y �IE�t3�'T IN Y�}tJ�t
<br /> P�YINC� YIiVICE R I C1 IEGd���'O YC1U6� t�fRO���'fl'. Y� fJll➢ iRl D 7'O O�Y�►INl FIfV�►I��IPi(�, CO&��U�.�'
<br /> ltl�l�'N YOl9� I.EN � 1�� 1� Y i��iF+�F�� �t��0��1�9C;Y l9��1C? �C���tI�NCE�1f1l�N�.
<br /> FLORIDA JURAT(F.S. 1 3) �' �"" > - - ----
<br /> 01�thtERORAGEA#T,,, .•��:��,���"_'CO�17'f�AGT'O ~-----.
<br /> .:�.�w...,�»„ � ._,
<br /> Subscribed an si�`w n�to(or a�rmed)before me this Subscribed and swarn to(ar affirm8d}before me this
<br /> by by
<br />' Who'ssla�e personally knawn ta me or hsslhave produced Who fslare personally knawn to me or hasthave produced
<br /> _as Identificakion. as idendfication.
<br /> Notaty Public � � Notary Public
<br /> ,.,ti;aY^v;•,-. JOEL E,BACON
<br /> Co ml 1 n,�,�c�,�.���., Commi si No. , .
<br /> � _.; :.= i sion
<br /> :«; ��:: Commission#FF 937013 � :-; =,'a; Expires June 29,2Q18
<br /> .�,.
<br /> Name af ot a �� eui 800.385.7019 �1ame of Notary ' e �nsurarx� •079
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