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NOT'IC� OF IDEEC! RESTRIC7'IC�PI�: The undersigned understands that this permit may be subject to"deed" restrictians°
<br /> �vhich may be mo�e restrictive than Caunty regulations. Th�undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. �
<br /> t�NL.10EN�E� CCbiVTE�C�OR� �iN� C�����T�� (���1����1��L1YtE5: !f the owner has hired a contracto� ar
<br /> contrackors to undertake work, #hey may be required to be licensed in accardance v�rith state and iocal regulations. If the
<br /> ' contractor is no# licensed as required by law, both the a�nrner and contractor may be cited for a misdemeanor violation
<br /> under state iaw. If the awner or intended contrac#or are uncertain as ta vvhat licensing requirements may appty for the
<br /> intended work, they are advised to cantact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8409. Furthermore, if �he av�rner has hirec# a contractar or cantractors, he 9s adv'ssed tv have tfi�e contractor(s} sign
<br /> portions of the "contractar Block" of this applicatian for which khey will be responsible. If you, as #he awner sign as the
<br /> cont�actor, that may be an indicatian khat he is nof �roperly licensed and is not �ntitled to permitting privileges in Pasco
<br /> �OUnfy, •
<br /> �'�td�PO�'Y'�►YION 16�i�ACTIl1TIL��'I�S IA�PAC�"ARf� �f�SID��C� Rf�C4JVf��Y�f�(ES: The undersigned understands
<br /> that Transporkatian lmpact ��es and RecoUrse Recovery Fees may apply to the canstruction of new 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 understae�ds, that such fees, as may be due, uvill be identified at the time af
<br /> permitting. It is further understood �hat Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certiftcate of occupancy" or final po�nrer release. If the project does not involve a certificate of occupancy or
<br /> fina! power release, the fees must be.paid prior to permif issuance. Furtherrrtpre, if Pasca Caunty Wate�/Se�ver Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. ,
<br /> C�N�Ti�l�GT40N �I�fd �.�{�t t��a���e"�7'�3, �lo�ie���t��ut��, �� �rrt�nd�d): 1#valuation of wrork is$2,500.00 ar more, i
<br /> certify khat I, the applicant, have be�n provided with a capy of the "Florida Coristructian Lien Lauv—Homeovuner's
<br /> P'rokection Guide" prepared by the Flarida Department of Agriculfure and Cansumer Affairs. lf the appticant is sameane
<br /> ofher than the"owner", I certify that 1 have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"ovuner"prior to commencement. ,
<br /> CONTR�►CTOR'�/t3�tNCEi�'S�1,��IiD,�i/1�': I certify fhat all the information in fhis application is accurate and that a1i wark
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land developmen#. Application is
<br /> hereby made to ob#ain a �ermit ta do �nrork and installatian as indicated. I certify that no wark or instatlation has
<br /> cammenced prior ta issuance of a permit and that att uvork will be perFormed to meet standards of all laws regulating
<br /> canstruckion, County and City codes, zoning regulations, and land development regulations in the jurisdiction: I also
<br /> certify that ( unders#and that the reguiations of otheP gavernment agencies may apply #o the intended work, and that it is
<br /> my responsibility to identify what actians I must take to be in compliance. 8uch agencies include but are nat limiked ta:
<br /> - Departmer�t of Environmental ProtectEon-Gypress Bayheads, V1letiand Areas and Environmentally Sensitive
<br /> Lands, WaterNVas#ewater Tre�#ment. `
<br /> - 5outhwest F4arida Water !�lanagement �istrict-l�fells, Cypress �ayheads, t�tetland Areas, Altering
<br /> Watercourses. �
<br /> - Nrmy Corps af Enginesrs-8eav�ra!!s, Docks, Navigable Water+nrays.
<br /> - Clepartmer►t of Hea{th, � F2ehabiiitative S�rvicesl�nvironmental Fi�afth Unit-Weits, 11Vastewater Treatment, `�
<br /> Septic Tanks.
<br /> - US Environmen#al Protection P►gency-Asbestos abatem�nt.
<br /> - Federal Aviation Au#hority-Runuvays. '
<br /> t uncferstand that the following�estrictions app#y to the use of filf:�
<br /> - Use of fili is not aliawed in Fiood Zone"V"unless expressly permitted.
<br /> - If the fil! materia! is to be used in Flood Zone "A", it is unders#ood that a drainage plan addressing a
<br /> "compensating voiume" uvill be submitted at time of pecmitting v�rhi�h is prepared by a professional engineer
<br /> licensed by the Stake of Florida. � �
<br /> - If the fill material is ta be used ie� Flood Zo�te "A" in connection vuith a permitted buildir�g using stern wali
<br /> construction, I certify that flll will be used only to flll the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of sucfi fi{I wil! not adversely affect adjacent
<br /> properties. If use af fifl is found to advers�ly af€ect adjacent properties, the ouvner may be cited for viola#ing
<br /> ` the conditions of the building permit issued under the aktached permit.application, for lots less than one (1)
<br /> acre which are elevated by�11,'an engineered drainage pian is required.
<br /> If I am the AG�NT" FOR 1'HfE CIWVN�f�, I promise in good faith to infarm the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. ( understand that a separate permit may be required far etectrical vtirork,
<br /> plumbing, signs, wrells, paols, air conditioning; gas, or other iristallations not specifically inciuded in the application. A
<br /> permit issued shall be canstrued to be a license to p�oceed uvith the work and not as aukhority to,vialate, cancel, alter, or
<br /> set aside any provisior►s of the#echnicai codes, nor shail issuance of a permit prevent the Buiidi►ig C3fficial frorn thereafter
<br /> requiring a correctian of erroPS in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless fhe �nrork authorized by such permit is comrrtenced withiri six months of permit issuance, or if vsrark authorized 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 /> rt�ay be reques#ed, in vuri#ing, frorr� the.Building Official for a period not to exceed ninety {90) days and usri}! demonstrate
<br /> justifiable cause for#he extension. (f w�ork ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> ifVARNI�� TC3 �1f�iW��: Y�tIFt �i�,ILU�� �{� Ri����D A Pf�Y�C� �� C��fl�I�N���iE�!'� �Al( �ESl1LT IiY �Otl�
<br /> �'BiYING TI�IICE IFOR IYi��ROV'iE�I��V7��'ia 1(OU�IPF20(P�R7"Y. IIF YOU YPJYEPID YCl O�Tf�1AI �INAIV�CiP1C, COi�l�ll�.�'
<br /> �itITH Yt)tJ�L.�NDER�(��N�1l�TOI�i��Y��(Ff��IE ��COI�IDIi��Y�t1� PIOYICE C)�C�Ii�i1�ENCIEC���IY.
<br /> FLORIDA JURAT(F.S. 117.03) -
<br /> O1�t�tEH2 O€�AG��lT �1� ��PI7f�ACTC}lt
<br /> Subscribed and swom to(or affir�ied) efore me this Subscribed and swom to(or affirmed)before me this
<br /> by by
<br /> Wha islare personally known fa me or haslhave produoed Who islare persanalEy knawn to me ar haslhave produced
<br /> ' as identlficaUon. as identification.
<br /> tary Public Notary Public
<br /> riinrs
<br /> ��sY eG�,, Jt3E�.E.
<br /> Com ssi .: Commission#FF 137073 Commission No.
<br /> � ,;: Expires une ,
<br /> a'f� �' BondedTlwSrc�tfaminswance846385•J019
<br /> PVame of N , or s amped iVame of Notary typed,printed ar stamped
<br />
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