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NO'TlCE O� [DEE�7 RE�'�`RICT�ON�: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be mare restrictive than County reguiations. The �andersigned assumes r�sporisibility for compliance with any
<br /> applicable deed restrictions. �� �
<br /> ll�lL10EN�ED CQNT1��►CTOR� AN�. G��Y�C'��}R R�S��ti�151��L1�'IES: !f the owner has hired a contractor ar
<br /> contractors to undertake vvork, they may be required to be licensed in accardance wrifh state and Iocal regulations. If the
<br /> contractor is not licensed as r�quired by law, bath fhe awner and contractor may be cited for a misdemeanor violation
<br /> under state law. tf the owner or intended cantrac�or are uncertain as to virhaf licensing requirerr�ents may apply far the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—l.icensing Section at 727-847-
<br /> 80Q9. Fur#hermore, if the o�nrner has hired a contracfor or contractors, he is advised to have fhe contractor�s} sign �
<br /> portions of the "conkractor Block" of this applicatian for which they vvill be respansibie. If you, as the owrner sign as the
<br /> contractar, that may be an indication that he is not prop�rly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> 1'9�1td�SPOR'TA�'IC�N I�f➢�l�C�/IJTILI'YI�� IiifI�AC�'�Pl� f���IDUR�� Rf��OiI�ERV F�f��: T"he undersigned understands
<br /> that Transportation lmpact Fees and Recaurse Recovery Fees rnay apply tv the canstruction of new buildings, change af
<br /> use in existing buildings, or expansion of exisfing buildings, as sp�cified ir� Pasco Caunty Ordinance number $9-07 and
<br /> 90-07, as amended. Th� undersigned also understands, that such fees, as may be due, v�ri1! be identified at the time of
<br /> permitling. It is further understood fhat Transporkation Impact Fees and FZ.esource Ftecovery Fees must be paid prior to
<br /> receiving a "eertificate of.occupancy" or fina! po�nrer release. (f the project does no# involve a ce�tificate of occupancy or
<br /> frnai povver release, the iees must be paid prior to permit issuance. Fuethe�mare, if E'asca Caunty 1�laterlSewer {mpact
<br /> fees �re due, they must be paid prior ta permit issuance in accordance with appllcable Pasco County ordinances.
<br /> ��NSTRt�CTIOt� �.I�F! �.�►ifV�Cha����Y'�3, �It�r�c9��t������, a� �ener�d�e�}: If valuation of work is$2,540.04}or mare, 1
<br /> certify that I, the applicant, have been provided vvith a copy of the °Florida Construction Lien Lauv—Homeowrner's
<br /> Pratection Guide" prepared by the Florida Deparfinent of Agriculture and Cansumer Aifairs. If the appticant is someone
<br /> okher than the°owner", 1 cerfify fhat I have obtained a capy of the above described document and promise.in good faith to
<br /> deliver it to the"owner"prio�to commencement.
<br /> C�OWT'IRAGTt7R'SI{��itNiEl�'��F�l��+►iliT: 1 certify that all the information in this applicafion is accurate and that all wark
<br /> will be done in compliance with all applicable lavvs regulating consfruction, zoning and land development. Application is
<br /> hereby made to abtain a permit to da vtirork and ins#allatior� as ind9cated. 1 certif}r that no vtiror#c or installation has
<br /> commenced prior to issuance of a permit and that all work will b�a perfarmed to meet standards of all laws regula#ing
<br /> constructian, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify thaf 1 undersfand that the reguiations of other government agencies may appiy to the infended work, and that it is
<br /> my responsibility fo identify vuhat actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Prafectian-Gypress �ayheads, V1letland Areas and Enviranmen#ally Sensifive
<br /> Lands, Vilater/Wastewater Treatment.
<br /> - Sauthwesf Florida Water �llanagernent �is#rict-Wells, Cypress Bayheads, V1tetEand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers�Seawalls, Dacks, Navigable Waterways.
<br /> - E3epartmen# of Health & FZehabilitative Services/�nvironmentai Ffieafth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmen#ai Protection Agency-Asbestos abat�ment. .
<br /> - Federal Aviation Authority-Runvvays.
<br /> i understand that the folla�ring restc9ctions apply ta the use of fill;
<br /> - Use of fifl is not allowed in Fiood Zone"V"unless expressly permitted.
<br /> - If the �II materia! is to be used in Flood Zone "A", if is understood that a drainage plan addressing a
<br /> "compensating vatume" wil! be submitted at time of permitting uvhich is prepared by a professional engirteer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Fload Zone °A" in connection with a permitted building using stecn v�rall
<br /> construction, I certify that fill wrill be used only to f111 the area wi#hin th�stem wall.
<br /> - If fill rnaterial is to b� used in any ar�a, I certify that use of such fifl wi!! not adversely affect adjacent
<br /> properties. If use of fill is found to advers�ly affect adjacent proper#ies, the owner may be cited for viola#ing
<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 ftl(, an engineered drainage plan is required.
<br /> If I am the�Gf�NT FOR 7fi� QI�1'P1�V't, I promise in good faith to infarm the owner of the permitting condi#ions set farth in
<br /> this affidavit prior to cornmencing constructio�. I understand that a separate permiE may be required for electricaf v�rork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installakions not specifically included in the application. A
<br /> permit issu�d shall be construed to be a license to proceed vuith the work�nd not as aukhority to violate, cancel, alter, or
<br /> set aside any provisions of the#echnical codes, r�or shall issuance of a permit prevent the�uildinc�Officiai fram thereafter
<br /> requiring a carrection of errors in plans, constructian or violations of any codes. Every permit issued shall became invalid
<br /> un{ess the work atathorized by such permit is comrnenced writhin six manths af permit issuance, or if work aufhorized by
<br /> the permit is suspended ar abandoned for a periad of six(6) months after the Qime the work is commenced. An extension
<br /> may be reques#ed, in writing, from the �uilding C7�cial for a period nat to exceed nineEy (90) days and wrill demonstrate
<br /> justifiable cause for lhe extension. if w�ork ceases for ninety(90)consecutive days, the job is cons�dered abandoned.
<br /> i�ill�lRNtPIG i'+D O1iilA1EG�: Y�i.�R ��ii.U�� �'O R���Rt� A AQ���C� O(� COi����1�����1'T �I�Y R(��UL'if' �iY Yt�t��t
<br /> ,__.���rrr��-�t►I��-�o�-i���ov���w�-���►vo��a��o����v.-=i�-�rou uw��n��-�o o��,�a�-�wn�w��in�G,-co��t��.�
<br /> 1�ITH Y�U�t��N�i�i��R�ilN��°f����Y�IEiF���f�����D�WC Y�ElR PI�TIGE C1�C�#i��V1E1VCEti���1T.
<br /> FLORIDA JURAT(F`S. 117,03)_ ---__--_._._.,_
<br /> OWFtEFt OF�AGEWT ��P1T��'FO�t
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
<br /> by by
<br /> Who istare persona3ly known to me or haslt�ave produced Who lsJare petsonally knainrn to me or haslhave produced
<br /> as Ident(ficaUan. as identification.
<br /> Notary Public YVotary Public
<br /> Commission YVo. Commission No.
<br /> Name af Notary typed,printed or stamped Plame af Notary typed,printed ar stamped
<br />
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