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<br /> 6V0'TICE�� C1E�D RE�T�ICTIOW�: The undersigned understands that this permit may be subject to"deed" restrictians"
<br /> which may be more restrictive tiian County regulations. The undersigned assumes responsibili#y for compliance with any
<br /> applicable deed restrictions. ' `_ � �-� �
<br /> UW�ICE(�SED CUNTRA�CT{}�Z� A�1� CQ�IT�CT�� ���I�Ofl1�1�9L1�"t�S: #f the owner has hired a contractor or
<br /> contractors to undertake v�ork, they may be required to be licensed in accardance writh state and lacai regulations. lf the
<br /> contractor is not licensed as required by law, both fhe owrner and contractor may be cited for a misdemeanor violation
<br /> under state law. If fhe av�ner or intended confrac#or are uncertain as to what licensing requirements may appty fior the
<br /> intended work, they are advised to cantact the Pasco County Building Inspection Divisian—l.icensing Section at 727-847-
<br /> 8009. Furthermore, if the ovtrner has hired a contractor or contractors, he is advised to have the cantractor(s) sign
<br /> � portions of the "contractar Block" of this applicatian for wrhich they will be responsible. If:�ou,as the avvner sign as the
<br /> cant�actor, that may be an indication that he is not properly licensed and is not �ntitled to permitting privileges in Pasco
<br /> Counfy.
<br /> �"B�idSB�OR'T�TION-fiiNP,AC�IUTILI�'IE� 16�1��►�'Y(�►W� �f��1�U��� RE�OVfERY I���S: 1"he undersigned understands
<br /> #hat Trarispar#ation Irripac# F�es and Recourse Recavery Fees may apply to the car�structian of new builiiings, change�of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Clydinance number $9-07 and
<br /> 90-07, as amended. The undersigned alsa u�ders�ands, that such fees, as may be due, wii! be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Ftesource Recov@ry Fees must be paid prior to
<br /> rec�iving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> finai power r�lease, the fees must be paid prior ta permit issuance. Furthermore, if Pasco Caunty 1tNaferlSewrer Impact
<br /> fees are due, they rnust be paid prior ta permit issuance in accordance with appllcable I�asca County ordinances.
<br /> GQNSTftU��'IQN �I�N L�i�fi►{Cha��rt��'�'93, Fl�ri�9aa����cat��, �s �rn�e��1�c�}: !f valuation"o#wrork is $2,500.OQ or more, t
<br /> certify that I, the applicant, have been pravided with a copy of the °Florida Constructian Lien Law—Hameowner's
<br /> Prc�tectioe� Guide" prepared by the Florida Department of Agriculture and Consutner Affairs. Ef the applican# is someone
<br /> other than the"owner", I certify that I have obtained a copy of fhe above described document and promise in gaod faith to
<br /> deliver it ko the"owne�"prior to commencement.
<br /> CONT'iR��Tt3�t'�101iiiN(E(�'��►��Ii��iV1Y: t certify that a11 the information in this application is accurafe and that aH v�rork
<br /> uvill be done in compliance with all applicable lavvs regulating construction, zoning and land develapment. Applicakion is
<br /> hereby made to obtain a permit ta do vtirork ar�ci installatior� as Indicated. 1 ce�ti#yr that no wark or installation has
<br /> commenced prior #o issuance of a permit and that all work will be performed to meet standards of all (aws regulaking
<br /> construction, County and City codes, zoning regulations, and land development regu4ations in the ju�isdiction. ! also
<br /> cerfify thaf I unders#and #hat the regulations of other government agencies may apply to the infended wark, and fhat it is
<br /> my responsibility to identify vvhat actions I must take to be in campliance. Such agencies include bu#are not limited ta:
<br /> - Department oi Environmental Protectian-Cypress �ayheadsr V1letland Xreas and Environmen#ally Sensitive
<br /> Lands, VVat�r/Vllastewater Treatmenf. -
<br /> - Southwrest Fbrida Water Nlanagement Dis#rict-Wells, Cypress Bayheads, VVe#lanc4 Areas, R{tering
<br /> Watercourses. '
<br /> - Army Corps of Engineers�Seawalls, Docks, �lavigable Watsrnrays.
<br /> - C3epartmenf of Heaith �� ftehabilitative Services/Envi�onmenta! Health Unit-Vllells, Wastewater Treatment,
<br /> Septic Ta,nks.
<br /> - �JSEnvirc�r►rttental P�ot�ctian Agency-Asb�sto�aba��t�ent. y
<br /> - Federal Aviation Authority-Run�ays.
<br /> E understand thaf the follawing restrictions apply to th�use of filh�
<br /> - Use of fill is not aliowed in F1ood Zone"V"unless expressly permitted.
<br /> - If the fill makeria! is to be us�d in Flood Zone "N", it is understood that a drainage plan addressing a
<br /> "compensating votume" will be submitted at time of permifting vtrhich is preparecf by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in �lood Zone "A" in cannection writh a permifted building using stem waEl
<br /> construction, I certify thak fill will be used only to fill the area within the stem irvall.
<br /> - If fill material is to be used in any area, ! certify that use of 'such fil) will not adversely affect adjacent
<br /> properties. 1f use of fiil is found #o adversely affect adjacent properties, fhe owner may be cited for vioia#ing
<br /> the conditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
<br /> acre which are elevatecf by fill, an engineered drainage ptan is required.
<br /> If I am the A,GIENT �OR T�IE OViPWI�Y�, I promise in good faith to infarm the ovvner of the permitting condi#ions set forth in
<br /> fhis affidavi# prior to commencing cot�struction. 1 unde�stand that a separate permit may be required for electrical vuark,.
<br /> plumbing, signs, wells, pools, air canditioning, gas, or ather installafions not specifically included in the application. A
<br /> permit issued shall be construed to be a license to praceed writh the work and nat as authority to.violate, cancel, alker, or
<br /> set aside any provisions of the#echnicai codes, nar shall issuance,of a permit prevent fhe�uilding tJ�cia!from thereafter
<br /> requiring a cc�rrection of errors in plans, construction or violations of any codes. Every permik issued shall become invalid
<br /> uMess the work autharized by such permit is camtnenced vuithi❑ six monfhs of permit issuance, or if v�rark aetthorized by
<br /> #he permit is suspended or abandoned for a peripd of six(6) months after the time the work is commenced. An ex#ension
<br /> may be requested, in vtirriting, #rom the �uilding C7fficial far a periad nat to exceed nineEy (94) days and vsriH demonstrate
<br /> justifiable cause for the �xtension. (f v�ork ceases for ninety.(90)consecutive days, the job is considered abandoned.
<br /> t�/Ai2lVIPIG 'Tf3 01NP1��: YOUR �dl1L��� �O 92�C{31RD � �1��'1�1� O(� COii��i9EtVC��fl��IT 6��►lf ��SUE.'T 9N Y{DUR
<br /> 6��YING YV�IGE �dJR III��ROV�6W�W1��7�YOL9�I�RCifPf��t'�'Y. lf�YOII GRIY�ND TCt O��'�i11V.f�IN�►WCIFI(�, �COiV�l1�.V
<br /> IlittTF!YQt1�t�E�iDIEi��R#��t d�'�T�t���Y(���0��������}���-Y0�1� �l��'�G��!���Il�i�iE1�C��fi��Y'�.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OUVPdER Oi�AG��'T...���—� ���1'FRAGTO�2 '
<br /> Subscribed and swom to( irmed)before me this...,.._ Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who i re personal3y known to me or haslhave produced Who isJare personaNy known to me or haslhave proclaced
<br /> as Identlfication. as identificakion.�
<br /> v'" Notary Public Notary Public
<br /> C isslo No. Commission iVo.
<br /> .�''ic"Y�:y��.
<br /> ame oC PJ t8� et4�pQp���� ed Name of Notary typed,printed or stamped .
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<br /> `.;�,���a' �xPrres Jene 29,20�8Q�3
<br /> 6aeded7h�y}'�F�:n Insuran�e 8
<br /> �'3d5^i0f0
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