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�!p'��CE p� �D��D RE�'T�IC�'i0A6�: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> , uvhich may be rnore restrictive than County regulatians. The undersEgned assutnes responsibiiity for compliance with any
<br /> applicable deed restrictions.
<br /> U�l�1C�N5ED CO[dTR�i�TOR� a�NlD C�GV'���T��t (�(��lPONSl�9LtTi��: (f #he owner has hired a contractor or
<br /> contractors to underfake work, they may be required to be licensed in accordance wtith sfate and Iocai reguiations. if fhe
<br /> cQntracEor is not licensed as required by latnr, both the owner and contractor may be cited for a misdemeanor violation
<br /> under stafe (avv. If the avuner or intended contractor are uneertain as to what licensing requiremenfs may apply for the
<br /> intended work, they are advised to corttact the Pasco County Buildirrg Inspection Division—l.icensing Section at 727-847-
<br /> 8009. Furthermore, if the o�ntner has hired a cantractor or contracfors, he is advised ta have the contrackor(s} sign
<br /> partions of the "contractor Block" of this applicatian for which they vvill be respansible. If you, as the owner sign as the
<br /> contractor, that may be an indication #hat he is not properly licensed and is not �ntitled to permitting privileges in Pasco
<br /> County.
<br /> 1C6�N��OR'fA�'IOP! IMF��C�"IIJTILI'Y'If�� I(�if��Clf�►�l� f����URC� Rf�COVf�Rl(��f�5: The undersigned understands
<br /> that Transpar#ation impact F�es and Ftecourse Recov�ry Fees may apply to the construction of nev�r buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, v�ti1! be identified at the time of
<br /> permit#ing. It is further understood that Transpor#ation Impact Fees and i2.esource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or fina! po�nrer release. (f the project does not invotve a certificate of occupancy or
<br /> final power release, fhe fees must be paid prior to peemit issuance. �urthermore, i# i'asco County WaterlSevver lmpact
<br /> fees are due, they rnust be paid prior fo permit issuance in accordance with applicable pasco County ordinances.
<br /> C�N�TRl9C�'1Q�1 �.1E�4 �.�1tV(Chapt�r 793�, �I�rieB�����ut�s, �s �mend�ef}: 9f valuation of v+rork is$2,5Q0.00 or more, !
<br /> certify that I, the applicant, have been provided with a capy of the "Florida Construction Lien Law—Hameowner's
<br /> Prc�tection Guide" prepared by the Florida Departmen# of Agricufture and Consumer Affairs. !f Ehe appiicant is someone
<br /> okher than the"owner", I certify that I have obtained a copy of fhe above described document and promise in good faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CONi'Ft���`OR'S/C�iW�l�i�'� �►1F�9��iV6Y: t certify that all the inforrnation in this application is acctarate and that all tnrork
<br /> will be done in compliance uvith all applicable laws regulating construction, zoning and land development. Applicatian is
<br /> hereby made ta obfa9n a permit to do uvork and instaflatian as indicated. 9 certify that na work or instatlation has
<br /> commenced prior to issuance of a permit and that all worbt will be performed to meet standards of all laws regulating
<br /> canstruckion, Caunty and City codes, zoning regulations, and land development regulakions in the ju�isdiction. ! also
<br /> certify thaf I understand fhat the regulations of other government agencies may apply #o the intended v�ark, and that it is
<br /> my�esponsibility to identify what actions I must take 4o be in compliance. Such agencies include bu#are not limited to:
<br /> - C7epartment of Environmental Pratection-Cypress Bayheads, VVetland Areas and �nvEranmentally Sensitive
<br /> Lands, Water/Wastewater Trea#ment.
<br /> - 8outhwest F{orida Vllater �anagement District-Wells, Cypress �ayheads, 1lUetland Areas, Al#ering
<br /> VVatercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waferways.
<br /> - Department of Health � Ftehabilitative Setvices/Environmentai �eatth Unit-Wells, Wastewater Trea#ment,
<br /> Septic T'anks.
<br /> - US Enviconmentai Pratec�ion Agency-Asbestas abatem�nt.
<br /> - Federal Aviation AuthoriQy-Runv�ays.
<br /> t understand that the€olla�ing restrictions apply ta the use of filf;�
<br /> - Use of fill is not allowed in Fiood Zone"V"unless expressly permitted.
<br /> - If the fill maferial is to be used in Flood Zone "A", it is understaod that a drainage plan addressing a
<br /> "compensating volume" �ill be submifted at time of permitfing v�rhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zane "A" in connecfion uvith a permifted building using sfem vval!
<br /> construction, I cer#ify thak fill will be used only to fill the area within the stem wall.
<br /> - !f fill material is to be used in any area, I certify that use of such fill wiN not adversely affect adjacent
<br /> properties. If use of fiH is found to advers�ly affec# adjacent properties, #he owner may be cited for violating
<br /> the conditions of the building permit issued under the atfached permit application, for Iots less than one (1)
<br /> acre uvhich are elevafed by fi11, an engine�red drainage plan is required.
<br /> If I am the AGIENT FOR'6'HIE O!f°IYP1fE�, I promise in good faith to inform the owner of the permitting conditions set farth in
<br /> fhis aff'tdavit prior ta commencing canstrucfiion. 1 understand thaf a separate permit may be requirecf for electricaf vuork,
<br /> plumbing, signs, vvells, pools, air conditioning, gas, or other installations not specifically inctuded in fhe application. A
<br /> permit issued shaU be canstrusd to be a license to proceed uvith the work and not as authority to violate, cancel, alter, or
<br /> set aside any pravisions of the fechnicai crsdes, nar shall issuance of a permif prevent fhe �uilding Officia!from thereafter
<br /> requiring a carrection of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br />� un(ess the work authorized by such permit is commenced within six months of permit issuance, or if vsrork aufhorizecf by
<br /> the permit is suspended or abandoned for a periad of six (6) months after the time the work is commenced. An extension
<br /> rnay be requested, in v�rri#ing, fram fh� �uilding Official far a period not to exc�ed ninety (9Q) days and wil! demonstrate
<br /> justifiable cause for the �xtension. If w�ork ceases for nirtety(80)consecutive ciays, the job is cons�dered abandoned.
<br /> iRlA9tFIti�C T� Oliiii�(��: YOI.IR iF6�ILURi� TQ ��Ct2R� � �l��TiC(E {3� C�ii�i�f1�NC�i{��P1T M�1/ R�SU�.'C 1�1 Vt�U�
<br /> �'B�YIM� 'TWII�E FOR IiilII1�ROVIE�iIEINY�YO YOI�R�fRC1fPEFt7Y. ICF YOU pPlTI�ND�Cl O��'AIN �IIV�INCING, CON�l1L�'
<br /> Itit1TN Y�l9R ��N��R �2�N s�i'1"OlR�l�Y I���Ct�������(Dt�if�YQt11R �10T1C�C���Cili���NCEti�i�Q+IT.
<br /> FLORIDA JURAT(F.S. .0
<br /> C}1�l�1�#2 4�2�9G�PIT � �^cx✓l T--- C��1'ft2ACTOR
<br /> Subscrlbed and sworn to(or aNirmed)before me thls Subscribed and swom to(or a�rmed)before me this
<br /> by by
<br /> Who istare persanall knawn ta me or has/have produced Who(slare personally known fa me or haslhave produced
<br /> as identlficatlon. as identification.
<br /> .••"�p'�� E.BACON Notary ublic Notary Public
<br /> ' :,;_ Cammission#FF 1 3
<br /> Commis o �*� ;�: Ex�ires June 29,2018 Commission No.
<br /> e.
<br /> 'yt�„pr�,°..� Bonded Thm T�oy Fam I����
<br /> �
<br /> fJame of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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