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I FlO�'ICE O� DEED R��T�tICTl0�1�: The undersigned understands that this permit may be subject to"deed"restrictions°
<br /> which may be more restrictive than Counfy regulations. The undersigned assumes responsibility for compliance writh any
<br />�' applicable deed restrictions. i
<br /> UNI.IC�NS�D COP17��C70�� AP1D �O�➢Y��T�� ��S�OR��If��UYlf��: If the owner has hired a contractor or
<br /> contractors to undertake vuork, they may be required to 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 owrner or intended contractor are uncertain as to what licensing requirements may apply for the
<br />, intended work, they are advised to conYac4 the Pasco County Building 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 vvhich they..will'be responsible. If you, as the owner sign as the
<br />' contractoP, that may be an indication that he is nof properly licensed and is not entitled to permitting privileges in Pasco
<br /> I County.
<br /> 7�N�F�O�Y�►'TIObV IfiN�l��YllJ�'ILYY9f�� O���i�Y W�f� ���0�9�C� ��COiff��Y P�f���: The undersigned understands
<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 Counfy Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, vvill be identified at the time of
<br /> permitting. It is further undersfood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "cer�ificate 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 Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> COfV57F21lCYIOW L.I�RI L�If19(Chap4eP'��3, fFle�rida����4ute�, �s a�fm�nd�d): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided vvith a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the "ovvner", I ce�tify 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 /> COIVTR6�CYOR'SIO1fV���'S b�►f�FI��VIY: I 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 development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. i certify 4hat no w►ork or installation has
<br /> commenced prior to issuance of a permit and that all vvork 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 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 �nvironmenfal Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, 1lVaterNVastewater Treatment.
<br /> - Southwest Florida Water iVianagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable UVaterways.
<br /> - Department of Health & FZehabilitative Services/Environmen#al Fiealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - �ederal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to fhe use of fill:�
<br /> - Use of fill is not allov�red 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 fime of permitting vuhich 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 will 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 atfached 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�iG�NT �OF� 7�Y� Oli�lPlf��, 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 vvork,
<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 �uilding 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 /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. Nn extension
<br /> may be requested, in writing, from the �uilding Official for a period not to exceed ninety (30) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> W4ARR11Pl� T'O OIiiPPI��Y: YOUfR �ss►ILUf�� TO R�COFtD � �O�ICf� O� COf�iiifif�PdCEilfif�P1T P�fl6�Y IF2��ULT oNi Y011�2
<br /> �lAYIR1G YIh111C� �O�t 19if9�ROVIEIWIENV�� TO Y0�91R�'FtO�'EM�YY. 1�YOl1 I�I�fEF11D�f0 OBY�11R1 FIW�►IVCIFIG, C�NSLI�.Y
<br /> i!�lIY6� YOI��Lf��fD�i�Of�d��➢ d�l(YO�G��Y f�f�IF01�1� f(��C�IRI�IR9�YO�If� �IOYICI� OF GOflHf��WCIEViNfER17.
<br /> FLORIDA JURAT(F.S. 1oi/V
<br /> OFAIPlE@2 OR AGEP17 �"� COP1TFtACTOR
<br /> Subscribed and sworn to(or a�rme )before me this Subscribed and sworn to(or a�rmed)before me this
<br /> by bY
<br /> Who islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
<br /> as Identlfication. as identification.
<br /> ,•ti:.::y�; JOEL E.BACON �o ry Public Notary Public
<br /> CommissEo =�: Expires June 29,2018 Commission PJo.
<br /> �,;.3,-S�Q�=—e�aeo-:''
<br /> Name of Notary typed,printed or stamped Name of PJotary typed,printed or stamped
<br />
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