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<br /> PIOTIC� OfF �E�LI Ftf�S�'�ICYIOiV�: The undersigned understands that this permit may be subject fo"deed" restrictions"
<br /> � which rriay �e mo�e r�strictive than County regulatia�s. Th� undersigned assumes responsibilfty for compEiance witit any
<br /> i applicable deed restrictians.
<br /> � 11�1LlC�NSfEp CONTRAGYOff�� AR1f� �47�Rf�'��Y�R IFtf�S�OPI�il�IL1TIE�: !f the owner t�as hired a contractor or
<br /> confractors to undertake work, they may be required to be licensed in accardance with sfate and iocai regulations. Yf the
<br /> contrackor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanar violation
<br /> under state law. If the o�rner ar intended contractor are uncerfaEn as #o uvhat licensing requirements may apply for #he
<br /> intended work, they are advised to contact the Pasco County Building Inspection Divisian—Licensing Section at 727-847-
<br /> 84Q9. Furthermore, if the owner has hired a contrac4or or cantractors, he is advised to have the contractor(s} sign
<br /> portions of the "cvnkractar Block" of this application for tnrhich they will be responsible. If you, as the avvner sign as the
<br /> contractor, that may be an indication that he is not �roperly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> Y6���i�OR�',��'IOId IIifl�AC�°IUi�'ILI�'t�� Vi���C�'l�PY� i����J�9��� ����VE�,Y fF���: T"he undersigned understands
<br /> that Transportatian Impact Fees and Ftecourse Recaver}r Fees may apply to Ehe canstruction af new bu'sldings, change ofi
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco Caunty Ordinance number 89-OT and
<br /> 9Q-07, as am�nded. The undersigned alsa undersfands, thak such fees, as may be due, wil! be identiffed at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees musf be paid prior to
<br /> receiving a "certificate of occupancy" or final povver release. (f the project does not involve a certificate af occupancy or
<br /> final po�nrer release, the fees r�tust be paid prior #a permit issuance. Furthermore, if Pasco County Wa#er/S�wer lmpac�
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable f'asco County ordinances.
<br /> GQ�l�7Rl�C"�10�1 �.�1E�9 ���(�ha�p��r��3t �I�POd�t Sf�Ytt���� �� �emee�d�e�): Ef valuatian af vuork is $2,50Q.00 or more, i
<br /> certify that I, the appticant, have be�n provided with a capy of the "Florida Constructian Lien Law—Homeowner's
<br /> P�otection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"ovuner", 1 cerfify#hat t have obtained a copy of the above described document ancf promise in good faifh to
<br /> deliver it to the"owner"prior to commencement. ,
<br /> ���9Y�I�C�'OF�'�lt?!f�l���'��i��1�D�V1Y: 1 certify that a1C fh� information in this application is accurate and that all w�rk
<br /> will be done in compliance with all applicable lawrs regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit ta do uvork ancf installation as ind'scated. ! certify that no wock or installatiort has
<br /> commenced prior to issuance of a permif and that a�l work uvill b� perfarmed to meet standards of alf laws regu(a#ing
<br /> construction, County and City codes, zoning regulations, and land developmenk regulations in the jurisdictian. I also
<br /> certify #ha# 1 understand that the regulafions of ofher government agencies may apply ta the infended wark, and that if is
<br /> my responsibility ta identify vvhat actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Depa�tment af Environmental i'rofectior�-Cypress Bayheads, UVetland Areas and �nvironmentally Sensitive
<br /> Lands, V1lat�rM/astewater Treatment.
<br /> - SouthwesE Florida Water iVlanagem�nt Dis#rict-Wells, Cypress Bayheads, Wetland Areas, Alkering
<br /> Watercaurses.
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigable 1Naterways.
<br /> - Depar#ment of Ffealfh � f2ehabilitative S�rvices/E�vironmen#al Health Unit-Vllells, Wastewater Treafinent,
<br /> Septic 1'anks.
<br /> - US Environmental Protection Xgency-Asbes#os aba�ement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that the following eestrictions apply to the use of fill:
<br /> - Use of fill is no#allowec#in Fioad Zone"V"unless expressiy permitted.
<br /> - If the filf material is to be used in Flood Zone "p", it is understaod that a drainage plan addressing a
<br /> °compensating volume" �vill be submi#tec3 at time of permitting uvhich is prepared by a professional er�gineer
<br /> licensed by the State of Florida.
<br /> - If �he fill material is fo be used in Flood Zone °A" in connection vtrith a perrnitted building using stem vuali
<br /> eonstruction, I certify that fill vuill be used only to fil(the area uvithin the stem wall.
<br /> - If fill material is to be used in any area, ! certify that uss of such fill will not adve�sely affect adjacent
<br /> properties. If use of filt is found to adversely affecf adjacent properties, the owmer may be cifed far viola#ing
<br /> the conditions of the building permit issued under the aktached permit applicatian, for lots less than one (1)
<br /> acre�nrhich are e#evated by fill, an engineerecf drairtage plan is requirecf.
<br /> If I am the�C�iV7' FOR 1fF9� Cl'�i9Wf�Y�, I promise in good faith to inform the ovvner of the permitting conditions set forth in
<br /> this affidavi# priar to commencing canstruction. I understand tttat a separate permit may be required for electrical vuork,
<br /> plumbing, signs, wells, pools, air cor�ditioning, gas, or other insfaiia#ions nof specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and nat as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor sha11 issuance af a permit prevent the Building �f€icia!fram thereafter
<br /> requiring a correction of errors in plans, constructian or violations of any cades. �very permit issued shall becarne invalid
<br /> uniess the uvork autharizec! by such permit is comtr�enced wlEfhir� six manths of permit issuance, or if vuork aufhorized by
<br /> the permit is suspended or abandoned for a periad of six(6) months after the time the�nrork is commenced. An extension
<br /> may be requested, in wri#ing, from the Building Official far a period not ta exceed ninety (90) days and will demonstrate
<br /> justifiabie cause fior the �xfension. If work c�ases for ninefy(90j consecutive days, the job is considered abandoned.
<br /> 1K1�R�1it�� TtJ �VitN(EI�: Y�l1R I�A1�.�1�2� '��9 ��C�R� � PdO�'IG1� Q� C�i1�1�i�9V�E�i�PI�' ii�i�.Y_i���t9LT I�i-YUt3R
<br /> �"AYING 'TiiV1�E ��R If�!l��f�OVlEiiii�PYl"� YCA YOU� �ff�.C2f�EF�`�'Y. I�YOLp �R97'E�If� TC) 0�7'�il�l F'GPIA�l�I�lt9, C��1�4��Y
<br /> �6�F1 Y�UF�L.�NCIIER QC2�►Pl}�T�'���1�Y I���C���9��G��l��t��1Y�L1� 6�OY1���J� ��'�f��d��1��isfd��iP�.
<br /> FLORIDA JURAT(F.S 117 3)
<br /> {71fU�lEF2 Ot��GEAIT t/`+ �'�tA��'O���� ,��_.���„'',�'�i��—...
<br /> Subscribed a d sw „�or affi ed bef e me this S bscribed and r to(or affirmed)before me fhis
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<br /> /l7/'�It°l by� '�l'o l'�` �/�7 GGrf9�.r71/�'!/� y0^/�—/Sl b y ��c��.t"�v ,�3��.G�}n/?".�/r./,�
<br /> Wh 'slar ersonally known to me or haslhave producecf Wha Is are person !ly kn vun to e or haslhave praduced
<br /> tL�Gar�S2 as Identification. �, �/C/�� ���-- as identification.
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<br /> � Notary Public !� Notary Public
<br /> Co I i n ., �'y��?
<br /> ;� _ Com (s R�,!'P��,
<br /> =.; ,''� Commission#EE 44Q52U *;R .:`-_ Cflmmission#EE Q4�520
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<br /> tVame of o ,'„� ��d,�afi �t�fr�►�,�,dano.w�rr7:: . Name of o �d #��fF��}�,P oo-sssao�9
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