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PlOTICE Of� ���D R��T�9CYIOP��: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulaYions. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> 11R9L9CfERIS�D COP17R��YO�t� ��� �ORI���'��� ����OR9�If�ILl�lf��: If the owner has hired a contractor or
<br /> contractors to undertake vvork, they may be required Yo be licensed in accordance with state and local regulations. If 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 infended contractor are uncertain as fo what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County �uilding Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they wilt be responsible. If you, as the ov�rner sign as the
<br /> contractor, that may be an indication that he is noF properly licensed and is not enfitled to permitting privileges in Pasco
<br />� County.
<br /> '��ft9���R7�Y10�1 96lfl���YIIJY�L9YVf�� Vflf����Y�R91� V���O��Cf� ��C��IEf��f F���: The undersigned understand�
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new 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 undersigned also understands, that such fees, as may be due, will be identified at the tirr�e of
<br /> permitting. It is further understood fhat Transportafion Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving.a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County lnfater/Sevver Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable F'asco County ordinances.
<br /> GON�Yf�UC710W LO�R9 L�ll3V(ChapQ�r 7�3, I�lo�m����ai4����, �� ��o��r�re�): 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—Homeowe�er's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer f�ffairs. 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 t,o
<br /> deliver it to the"owner" prior to commencement.
<br /> �Oi�Y��.�70�'S/0�39Y�1��'� �►f��9��1�9IV: i certiiy that all the information in this application is accurate and fhat all vvork
<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 fo do work and installation as indicated. I certify thaf no work or installation has
<br /> commenced prior to issuance of a permif and that all work will 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 oth�r government agencies may apply to the intended vvork, and that it is
<br /> my responsibility to idenfify 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, ln/aterNVastewater Treatment.
<br /> - Southwest Florida Water Nianagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - prmy Corps of Engineers-Seawalls, Docks, iVavigable Waferways.
<br /> - Department of Health � Rehabilitative Services/Environmental Health Unit-V1lells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runvuays.
<br /> I understand fhat the following restrictions apply to fhe use of fill:�
<br /> - Use of fill is not allowed in Flood Zone"V"unless expr�ssly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting uvhich 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 rn�all
<br /> construction, I certify that fll 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 adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properfies, the owner may be ciQed for violating
<br /> the conditions of the building permit issued under fhe atfached permit application, for lots less than one (1)
<br /> acre wrhich are elevated by fill, an engineered drainage plan is required.
<br /> If I am the s�GI�RJY �OR V�IE O!�l9NBE@�, 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 yvork,
<br /> plumbing, signs, vvells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permi4 issued shall be construed to be a license to proceed with the work 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 /> fhe permit is suspended or abandoned fior a period of six(6) months after the $ime the work is commenced. f1n 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 vvork ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> �i!lA�PIIR�G �O �liilR9�R: 1(OU� ��ILI➢�f� �O R�CO�fD � I�O�I'Y�� �� �O�fifiifilf��IC�CPifl�Pl� flH�+Y ��SIILT oFl YOUR
<br /> ��YIFdCy 7�4dICE FOR d�lfif���l/�fl�IEi��� �'O lfOl9� �@�O�E�t"rY. �fF YOIJ IR9Y�Pl��O O�YI�IIPI �IP��hVC9f�f�, CO�ISUL�
<br /> 9flfl�H YOU� L.��f�IE�Y OU3�i�s�Y��li�k�9�1(�����I� ��C�P��E{�� Y011� R�OIf'6Cf� Of� COd�ii�d�R9 Hfi���'.
<br /> FLORIDA JURAT(F.S 117.03)
<br /> �
<br /> OIRIPIER OR 6�GEW7 CORIi'62ACTOR
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed sworn to or affirm d efore this
<br /> by by
<br /> Who is/are personally known to me or has/have produced Who is/are personatly known to me or has ave roduced
<br /> as Identlfication. s ide 'fication.
<br /> Notary Public ,�,��„ otary Public
<br /> ,Q1,..&,,, .
<br /> Commisslon IVo. Commissio o � := Commission#FF 137073
<br /> •a: �
<br /> �%'fj�id t�°,�` Bonded Tlw Troy Fain Insurarica 800�995-7019
<br /> Name of PJotary typed,printed or stamped IVame of otary typed,printed or stamped
<br />
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