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PIOYIC� O� �EEfD FiES"P�IC1"IOP9�: The undersigned understands that ihis permit may be subject to"deed" restrictians" ,�y
<br /> i which rnay be more restrictive than County regulations. TF�e undersigned assumes responsibilify far compEiance v�rith any
<br /> '� applicable deed restrictions.
<br /> t!PlLIC�P�SED GONTR��C7�R� ��il� CCl��'��T�� f�f�S�QP��1I���8�'1��: !f the owner has hired a contractor ar
<br /> contractors to undertake work, they may be required to be licensed in accordance writh state and local reguiations. If the
<br /> contr�ctor is not licensed as required by lavu, both th� ovvner and contractor may be cited for a misdemeanar violation
<br /> under state iavv. !f the ovuner or i�tended contr�ctor are uncertain as fo vtrhat licensing requirements may apply for the
<br /> intended work, they are advised to cantacf the Pasco County Building Inspection Divisian—Licensing Section at 727-847-
<br /> 80Q9. Furtherrnare, if �he ovvner has hired a contractor or contractors, he is advised ta have the cantractor(s} sign
<br /> partions of Qhe ucontractor Block" of this application for �vhich they wili be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indicatian Qhat he is not properly licensed and is not �ntitled to permitting privileges in Pasco
<br /> County.
<br /> 1"�P1�F�0��`�TION I�fi��►CTIU�fILI�"I�� �flfi�AC1f�RIC7 ���CbU�C� R��CB�V�RY f�f��S: The undersigned understands
<br /> that Transportation tmpacf Fees and Ft�caurse Recovery Fees may apply to th� construcfion of nevir buildings, change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also unders4ae�ds, that such fees, as tnay be due, vuill be identified at the time of
<br /> permitting. It is further understaod that Transportation Impact �e�s and Resource Recovery �ees mus� be paid prior to
<br /> receiving a "ce�tificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or '
<br /> finai power release, the f�es must be paid prior to permif issuance. Furthermore, if t'asca Cottnty Water/Se�nrer Impact
<br /> fees are due, they must be paid prior 4o permit issuance in accardance with applicable Pasco County ordinances. +
<br /> �0�1�TRt1GTtOR� �1lE� �.��(Gt���g�r'�9�, �Ic�e��a�a��@��caf��, as �et�ee�d�d}: !f valuation af work is$2,50Q_00 or more, t
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Hameowner's
<br /> i'ratection Guide" prepared by fhe Florida Depactment of Agriculture and Consumer/-lffairs. If the applican# is someone
<br /> other than the"owner", t cerfify that 1 have ob#ained a copy of the abave described document and promise in goocf faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> COiVT'��►CY0�2'SICfliii���'��#��1�►�ltllT: 1 cerf9fy that a1C the informafion in this applicatian is accurate ar�d that all work
<br /> will be done in complianc� with all applicable la�rs regulating construction, zoning and land development. Applicatian is
<br /> hereby made to abtain � permit ta do uvork and installatian as indEcated. 1 certify that na vvork or ins�allation has
<br /> commenced prior to issuance af a permiY and th�f afl vuork vvill be performed to mee# standards of all laws regu(a#ing
<br /> construction, County and Ciky codes, zoning regulations, and land development regulakions in the jurisdiction. 1 also
<br /> certify thaf I understand thaf fhe regulations vf other gavernment agencies may apply to the intended rrvark, anc! that it is
<br /> my responsibility to identify what actions I must take to be in campliance. Such agencies include buf are not limited to:
<br /> - Departmenf of Environmental Protection-Cypress Bayheads, Wetland Areas ancf �nvironmert#ally Sensitive
<br /> Lands, VVaterNVas#ewater Treatment.
<br /> - �outhwest Fforida 1Nater �(}anagement D9strict-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawalls, Docks, iVavigable VVatenrvays.
<br /> - Department of Health �, t�ehabilitative Services/�nvironmental FI�a1th Unit-V4Jells, Wastev+tater Treatment,
<br /> �eptic T'anks.
<br /> - �1S Environmen�al Protection f�gency-Asb�stos abatement.
<br /> - F'ederal Aviation Authority-F�unvvays.
<br /> t understand that the follouving restrictions apply to th�use af fil1:
<br /> - Use of fill is not allowed i�t Fiood Zone°V"unless expressly permitted.
<br /> - If the fill mat�rial is to be used in Flood Zone "N", it is unders400d that a drainage pl�n addressing a
<br /> °compensating vo(ume° wi11 be submitted at time af permiffing v�rhich is prepared by a professiona} engineer
<br /> licensed by the State of Florida.
<br /> - If ftre fill material is to be used in Flood Zone °A" in cann�ctian vtrith a permitted building using stem vvaN
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fifl materia! is to be used in any area, ! certify that use of such fil! will not advefsely affect adjacent
<br /> properties. lf use af fill is found to �dvers�My affect adjacent properties, the owner may be ci#ed for violating
<br /> 4he conditions of the building permit issued under the attached permit applicatian, for lots I�ss than one (1)
<br /> acre which are eievated by fill, an engineered drainage plart is required,
<br /> If I am the AG��17 �OR�'F8� OlI�'�I��, I promise in goad faith to infarm the owner of#he permitting conditions sef forkh in
<br /> #his affidavit prior to comm�ncing construction. I understand that a separate permit may be required for electrica! uvork,
<br /> plumbing, signs, wrells, poois, air canditioning, gas, or other installations not specifically included in #h� appiicafion. A
<br /> permit issued shal! be construed 4o be a license to procesd uvith khe woek and nr�t as authority to.violate, cancel, alter, or
<br /> set aside any provisions of the#echnical codes, nar shal! issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correckian of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> uniess the �nrork authorized by such permit is comrnenced vuithin six months of perrnit issuance, or if vuatk atafhorized by
<br /> the permit is suspended ar abandoned for a period of six(6) months after the time the work is cornmenced. An extension
<br /> rnay be requesteci, in �rriting, from the Building Official far a period not to exceed ninety (90) days and wrill demons�rate
<br /> justifiabfe cause for�he �xtension. tf work ceases for ninefy(90}consecutive days, �he job is considered abandoned.
<br /> i�A��iiR6C� 7'C3 �iW���: Y�t3� ��,���J�� T� �(�C�Ri� �# ft9��`fCi� {?F ��i��I�FIC���P1�' �AY ��Sl9L'�' 1�i Yt�U�
<br /> 3��Y9Wt,� 'YlbillCE �'Ol� �i1���OV�nIiEHI�"� Y�YOIUI�I�IFtOfPfE�'Y'Y. YF VOII 9R�YIEWf�TO OI�YAIM FIi11�►i�aCI�V(y, �OPi�IJL�
<br /> it�i�H Y417�t��NCI�F'��iF'�a��t�l�"'i�iE�i���'I���'��� ����11����9t9 VO���Q�"fl��CD��t��i�ilE�dCEbifi(E�Y.
<br /> FLORIDA JURAT(F.S. 117 03 J
<br /> 1 Q A_ �
<br /> 01t1�AlEP2 Oft AGE�IT f i�,j1 �`" GOA�'TPtA�'TC}�
<br /> Subscribed and sworA to( r affirmed)befor me this Subscribed and swom to(or affirmed)before me this
<br /> by Y�,��G��,n l� �c�r by
<br /> Who istare personaNy known to me or haslhave prad�ced Who islare personally knawn fo me or haslhave produced
<br /> as Identification. as identification.
<br /> "���••���. 0 Q Notary Public Notary Public
<br /> ;� OICltTliSStOA
<br /> Comm " Q Expires June 29,2018 Commission IVo.
<br /> •..p1�.,°,,� Bond�l hruTroyFan nsurenee
<br /> Name af Notary typed,printed or stamped Name of Notary typed,printed or stamped
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