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<br /> P�OT'ICE OF Df�f�D Rf��'��ICYO0�9�: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> wrhich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> IJNLICfEIdS�D COIV1fR�►CYOf�� kiP1D COR1Y�1�C�'�� ���PORl�If��LI'�9f��: If the owner has hired a contractor or
<br /> contractors to undertake uvork, they may be required to be licensed in accordance writh 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 lauv. If the owner or intended contractor are uncertain as fo what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the ovvner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this applica#ion for vvhich they will be responsible. If you, as the ovuner 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 />' 7�RlSPORTATIOId I�1�d�CT/U�ILY�'��� VR���►CY�RlD �f��OU�Cf� ��COV(�RY FE��: The undersigned understands
<br /> that Transportation Impact Fees and F�ecourse 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 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 povver release. If the project does nof involve a certificate of occupancy or
<br /> final povver 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 vuith applicable Pasco County ordinances.
<br /> COP1S7�1lC710td L.I��1 L�►liil(ChapY�r 7�3, f�loPid��Qa�2ute�, �� �rfnend�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 Agriculfure 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 /> �OP1T��iC'f0�'S101�I��IR'S �►f�IFID�l/l�": I certify that all the information in this application is accurate and that all work
<br /> vvill 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 work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all worlc 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 4he 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 fo be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress �ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewrater Treatment.
<br /> - Southavest Florida Water iVianagement District-Wells, Cypress 6ayheads, VVetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health � Rehabilitative Services/Environmental Health Unit-Wells, V1lastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - �ederal Nviation Aufhority-Runwrays.
<br /> I understand that the following 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 "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" vvill 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 wall
<br /> construction, 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, I certify that use of such fill �nrill not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cifed 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 AG�R1Y FOR TFII� OV�i�I�Ei�, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construcfion. I understand that a separate permit may be required for electrical wrork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit 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 Officia!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 �uilding 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.
<br /> - - - - -�,- -- -- --
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<br /> 1iV17'H YOl1� LfEfdf�lER Olft�►IV d�iY7�iRW�lr f����f�l� f���OI�I�IR1G YOl1V�I�O�IG� OIF COiiIlfll��IdCf��iii�R17.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OIAIPIER OY2 d(9EW7' COW7�C70R
<br />— Subscribed and sworn-to(or affirmed)before me this Subscribed and swom to{or affifined)befol'e me this
<br /> by bY
<br /> Who islare personally known to me or haslhave produced Who(s/are personally known to me or has/have produced
<br /> as identlfication. as identification.
<br /> Notary Public Notary Public
<br /> Commissfon PJo. Commission No.
<br /> Name of Notary typed,printed or stamped Name of YVotary typed,printed or stamped
<br />
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