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�IC.�TYC��[� ��E� Rf��'�'f�IC�'lON�: The undersigned understands that this permit may be subject to"deed" restrictians"
<br /> which may be mare �estric#ive than County regulations, The undersigned assurrtes respor�sibilify for corr�pliance uvith any
<br /> applicable deed restrictions.
<br /> l�NL10E�#�ED �01�1'R�CYO�t� ���3 Gt��IT'��T�� ���P'�Pl�S�IL�1'IfE�: If the owner has hired a contractor or
<br /> cantractors ta underkake work, #hey may be required to be iicensed in accordance with state and tocal regulafions. If the
<br /> contractor is not licensed as required by lav�r, both the owner and•contractor may be cited for a misdemeanar violation
<br /> under state 1ar�v. if the owner or intended contrac#or are us�certain as ta what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Divisian—Licensing Sec#ion a#727-847-
<br /> 8009. Furthermore, if the owner has hiretf a contractor or contractors, he is advised fo have fhe contcactor(s) sign
<br /> portions of the "contractar Block" of this application for which they will be responsible. If you, as the avvner sign as the
<br /> contractor, that may be an indication #hat he is not properly licensed and is no# �entitled to permitting privileges in Pasco
<br /> County.
<br /> Yi�N�PORT,�YIGIV I�fl��CT1U'�BL9Yi�� IRfiI��C�'/���8 �E�t�U��f� R����l�RY�f�f��: The undersigned underskands
<br /> � fhat Transparfation tmpact Fees and Recourse Recovery �ees may ap�ly ta the construction af new buildings, change af
<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. Th� undersigned also unders#ands, tha� such fe�s, as may be due, wil! be identified at the time of
<br /> permitting. It is further understood that Transporkation Impact Fees and Resource Recovery �ees must be paid priar to
<br /> ' receiving a "certificate of occupancy" or final po�rer release. If Qhe project does not invvlve a c�r#ificate of occupancy or
<br /> final power reiease, the fees must be paid prior ta permit issuance. Furthermare, if Pasco County WaterlSewer lmpact
<br /> ifees are due, they must be paid prior ta permit issuance in accordar•..ce with applicable Pasco County ordinances.
<br /> CO�ISTEtUCT1��1 C.I�N �.�►16i1{�h����r Y93, �loeida��t���t��, �� �rn�nd�e�}: Ef valuation af wark is$2,500.00 ar mare, t
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Constructian Li�n Law—Homeovtirner's
<br /> Protection Gsaide" prepared by the Ftorida Department af Agriculture and Consumer/lffairs. If the applicant is someone
<br /> other than ihe"owner", � cerfify thaf t have obtained a copy of the above described document and promise in good faifh to
<br /> deliver it to the"owner"prior to commencement.
<br /> CtJri�T�2,�►CTt3Ft'S/tDiiit�i��2'� �i.(F�lIDk�VI�: 1 certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land develapmen#. Application is
<br /> hereby made to abtain a permit ta do uvorlc and installation as indicated. 9 certify ths� no work or insta}iation has
<br /> commenced prior #o issuance of a permit and tha�f all �nrork will be performed to meet star�dards of all laws regulating
<br /> const�uction, County and City codes, zoning regulations, and land development regulations in the jurisdictian. 1 also
<br /> certify thaf I understand that fhe regulafions af other government agencies may apply to the intended wark, and that it is
<br /> my responsibility to identify what actians I must take to be in compliance. Such agencies include buk are not limited to:
<br /> - Department of EnvironmentaE Pratecfion-Cypress �ayheads, W�tland Areas and Enviro�mentally Sensitive
<br /> Lands, 1�lat�rNVastewater Treatment.
<br /> - Sauthvtirest Florida Water Nlanagement District-Vi(e!!s, Cypress �ayheads, Wet3and lareas, Altering
<br /> Watercaurses.
<br /> - Army Carps of Engineers-Seawalls, C�ocks, iVavigable 1lVatenrvays.
<br /> - Deparfinent af Health � Rehabilitative S�rvices/�nvironmentai Health Unit-Wells, Wastewater Treatment,
<br /> Septic T'anks. -
<br /> - US �nv'sranmental Protection Agency-AsbesEos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> ! understand that the folRovving restric4ions apply to the use af fIll:�
<br /> - Use of fiil is not allawed in Flood Zone"V"unless expressly permitted.
<br /> - If .the fill material is to be used in Flood �one "A", it is understood that a drainage plan addressing a
<br /> "compensating voiume" �rill tie submitted at fime af permitting uvhich is prepar�d by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If fhe fill material is to be us�d in Flood Zone "A" in connection vtirith a permifted build9ng using stem wrall
<br /> canstruction, I certify that fill will be used only to fill khe area within the stem wall,
<br /> - !f fill materia! is to be used in any aeea, I certify that use of such �11 +nrill not adversely affect adjacent
<br /> properties. If use of fiii is found to adversely af�ect adjacenf properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drairtage plan is requited.
<br /> If I am the Ad��IVT �O��'F9� OWI�IEV�, I promise in goad faith to infarm the owner of#he permitting conditions set forth in
<br /> this affidavit prior to commer�cing construction. 1 unders#and that a separate �ermi# may be required far etectrEcaf v�rork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or o#her installations not specifically included in the application. A
<br /> permit 9ssued shal! be construed to be a license to proceed vuith the work and not as aukhority to violate, cancel, alter, or
<br /> set asicie any provisions of the tec�nicai codes, nar shali issuance af a permit prevent fhe Building t�fficial from thereafter
<br /> requiring a carrection of errors in plans, construction or violations of any codes. �very permik issued shall become invalid
<br /> unless the wotk autharized by such perrnit is commenced within six monkhs af permit issuance, or if wark aufharized by
<br /> the permit is suspended or abandoned for a period of six(6) manths after the time the work is commenced. An extension
<br /> - t�riay be-requested, in �+rri#ing, from the_�uilding Officia! for a period �tot #o exceed ninety (9q) days and will demanstrate
<br /> justifiable cause for the extensian. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> t��RNIRI� 1't'J �1iil�i(E�: 1�OU�t IFAi1,.�RIE T� �t�CC��2� � �tQ�'1G� f}� ��E�flf���i��E�iI�A1T �td�Y �tE�[��'i('(' ��t �ft�IJR
<br /> F'�YING "9�ilICE IFCi�3 111�fPROVEl1�l��l�'� 7(�YOI�� I�fFtO�EF�°t'YY. Yf�YOIJ IR9T��1D TQ O�Tl�►IH9 FIIVANGIWC, �ORI�I�ILY
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<br /> FLORIDA JURAT(F.S. 117 03
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<br /> C?{iVFfER C1R AG�PdT cy"-�'4'"°'�'�COiUTE2�CT'QFt
<br /> S �{sc e nd swor t o ir ed)befo m t ' Su scribedf� swor �y irmed b fore hIs
<br /> ""�' .� /'C° /a'Z^'''' -/ 6� � ,� a� �'�
<br /> Who isla ersonal nawn to me or haslhave produced Wha#star ersona� ' 'a�rn to me or ha ave produced
<br /> as Identification. as identification.
<br /> ������ " `otary Public , l�-�C_. Notary Public
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<br /> .t.: , .:r^.�.e„s: .{t
<br /> Comm ssion N .����. . • �;:.:�on#EE 04052� Commis ' n No.
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<br /> ^�. ,�=vn�n�ua�eaoa-ass-t:�,v�
<br /> Name of Nota YtFiteci'o'"r'stamped � PVame of N�tary t � ►�����ES
<br /> � :k=_ Commission#EE Q4Q52Q
<br /> � ..��;; r o,: Expires December 12,201�
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