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II� �IOT'ICE OF �Ef�D RfE��'�ICTIOPI�: The undersigned understands that this permit may be subject to"deed° restrictions"
<br />�� which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />' applicable deed restrictions.
<br /> URILICEfd�ED COPITR�CYO�� �R9D CORlY��GT�R ���POP➢SI�PLIYII�S: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance writh state and local regulations. If the
<br />�, contractor is not licensed as required by law, both the oNUner and contractor may be cited for a misdemeanor violation
<br /> under state lavv. If the o�nrner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building.lnspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner h�s hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this applicafion for wrhich they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is nof properly licensed and i� not e�titled to permitting pridileges in Pasco
<br /> County.
<br />-� -Y�►�}��OR�'A�'BON I�h1Pe�CYllJY1L9YY�� 9�fl�{�C7�Pl� �tfE�O��CE I��COVf�RY IF�ES: T'he 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 County Ordinance number 89-07 and
<br /> '90-07, as arriended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" oP 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 /> �O�I�TC�UCTIOiV L.I�Vd L�►!�V(Cha�p$�P'�.93, ���rid����Yu�e�,�� ���i�tud�d): If va[ua'��Oh;p�,�►iork is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with 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 "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"ovvner"prior to commencement.
<br /> COh1TFt�GTOR'S101iVP1�R'� �►f�FI�WVIY: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable lavus regulating construction, zoning.and land development. Application is
<br /> hereby made to obtain a permit to do vuork and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all �nrork will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land developmenf regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended wrork, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress �ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, VVaterNUastewater Treatment. ,
<br /> - Southwrest Florida Water YVlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable V1laterways.
<br /> - Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. .
<br />' - US Erlvironmer�4al ProQection Agency=Asbestos abatement. - ` -
<br /> - �'ederal Aviafion Authority-Runways.
<br /> I understand fhat the follovuing restrictions apply to the use of fill:�
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill maferial is to be used in Flood Zone "F+", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted�at time of permitting uNhich 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 Qhe stem vvall.
<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 cited for violating
<br /> the conditions of the building permit issued under the attached 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�►G�Fdl" �OR 7�Y� OIii9�lE�d, 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 uvork,
<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 vvith the work and not as autFiority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building 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.�/�n extension
<br /> may be requested, in uvriting, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If.work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> Ifi7e4RNIPIG 7'O ORNP1fE�: YOl1R �AIL�➢RE TO �f�C��D � PIOTVCE OI� COflfl�fiENCEBfl�iVT f1�lAY Rf�SUI.�' IN YOU�
<br /> �'AYIIdG Y`�VIC� 9=0R Irif'if�Ft0li�flii�iV�� TO YOV3R l��O�f�RYI�. If�1(011 IP➢Yf�iV�TO O�YAIW FIPV�►fNCIPI(9, CON�U�.Y
<br /> �iNl7�! YOU� LEPlDIEFL O�t�iV�i71'Of�R➢�Y B��O�� i�f�COI�fDIf�iIIG T��l1R RIO'TIG�OF CONA�i11�PICI�t1H�NT. �
<br /> FLORIDA JURAT(F.S. 117.03) �
<br /> 01M1IWEPt OY2 AGEP!'T ��lite lJ�'"'� CONI7'RACYOFt
<br /> Subscribed and sworn t or a�rmed)before me this Subscribed and swom 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 Identification. as identification.
<br /> ry Public Notary Public
<br /> Com ss �Py,'rF'••. �OEL E.BACON
<br /> _*• .��� Commission No.
<br /> ;�; :,; Expires June 29,2018
<br /> Name of N Name of Notary typed,printed or stamped
<br />
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