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<br /> , N�T'IC�O(� C�E�D RES1'�IC�'lO�Al�: The undersigned understands that this permit may be subject to"deed" res�sictions"
<br /> wihich may be more restrictive than County regulations. 7he undersigned assumes respansibility for compliance wifh any
<br /> ' applicable deed restrictions. ` • �
<br /> �9�1L1���SED �ONT1�At�Y��� �►�{D GC9�9�'�C'��� ift�S1��H1�t�ILiY@��. If the owner has hired a contracfor ar
<br /> contractors to undertake v�rork, they may be required fo be Iicensed in accordance with state and iacal regutations. If fhe
<br /> contractor is not licensed as required by law, both the awner and conkractor may be cited for a misdemeanar violation
<br /> under stafe law. if#he a�wner or infended contrackor are uncertain as to what licensing requ'srements may apply for the
<br /> intended work, they are advised to confact the Pasco County Building Inspection Division—Licensing Section a#727-847-
<br /> 8009. Furtttermore, if the awrter has hired a contractar or contractors, he is advised to have the cantractor{s} sign
<br /> partions of the "contractar Block" of this application for which they will be responsible. If yau, as the awner sign as #he
<br /> contractor, that may be an indication that he is not properly licensed and is not �ntitled to permitting pcivileges in Pasco
<br /> County.
<br /> 76�(d��0�1'R,YION 8Ai3�,�CY/l1�'IL9YI�� YflitlCP�►C1f l�f�� �tE�IDU��� �f�C�V�9�Y fF���: T'he undersigned understands
<br /> that Transportation Impac# ��es and Recourse Recavery Fees may apply ta the construction of nevu 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 undersign�d also undersYands, that such fees, as may be due, wrill be identified at the time of
<br /> permitting. It is further urtderstood fha4 Transpor#ation Impact Fees and Ftesource Recovery Fees must be paid priar to
<br /> receiving a "certificate of occupancy° or fina! power release. !f the projeck does not involve a certificate of occupancy or
<br /> final pawier release, the fees must be paid prior ta permit issuance. Furthermore, if f'ascc� County 1lVater/Sev�er Impacf
<br /> fees are due, they must be paid prior 4o permit issuance in accordance with applicable I'asca County ordinances.
<br /> C��iS�'�21J�T1��1 l.IEN L.��(�hag�t�r 713i, �I�rie������u���, �� ���tade��: !f valuatian of wosk is$2,�oa.ao or�ore, 4
<br /> certify that I, the applicant, have been pravided with a capy of the "Florida Construction Lien Lauv—Homeowner's
<br /> Protec#ion Guide" prepared by the F'lorida Department af�lgricuE4ure ancf Car�sumer Affairs. !f the applicant is someone
<br /> other khan the"owner", 1 certify thaf t have abtained a copy of fhe abave described document and promise in gaod faith fo
<br /> deliver ik to the"owner" prior to commencement_
<br /> Cf?PITFt�ICT�'f�'SICii�1W�R'� r���i�,�i�llY: 1 certii�r that all fh� information in this application is accurate and fhat ali uvork
<br /> wrill be done in compliance with all applicable laws regulating construction, zoning and land developm�n#. Application is
<br /> hereby made to obtain a permit ta da v�rork and installation as indicated. 9 certify that no work or 9nsfallation has
<br /> commenced prior to issuance of a permit and thafi all work will be performed to meet standards of all laws regulating
<br /> construction, County and Ciky codes, zoning regulatians, and land development regulations in the jurisdictian. { also
<br /> certify that I understand thaf the regulafions of other gavernment agencies may apply #o the infended wark, 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 Bayheads, I�letfand Areas and Enviranmentally Sensifive
<br /> Lands, V�/at�r/Wastewater Treatmenf.
<br /> - �outhwest �lorida Water Management D9stric�-VV�IIs, Gypr�ss Bayheads, VI/etland ar�as, Altering
<br /> Watercaurses.
<br /> - Army Carps of�ngineers-Seauvalls, Docks, Navigable Waferuvays.
<br /> - Department of Heaifh � FZehabilitative Services/Enviranmenfal N�afth Unit-Weils, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Envi�onmental Protectian Agency-Asbestas abatem�nt.
<br /> - F'ederal Aviakion Authority-Runways.
<br /> 1 understand that the follawing restrictions apply to the use af fill:
<br /> - Use of fill is nat allawed in Flood Zone"V"unless expressly permitted.
<br /> - If the fil! materia! is to be used in Flood Zone "N", it is undersfood that a drainage plan addressing a
<br /> "compensating voiume" w�ill be submitted at time of partrtitting uvhich is prepared by a prafessional engineer
<br /> licensed by the State of Florida.
<br /> - if the fi]I ma#erial is to be used in F1ood Zone "A" in connecfian with a permifted building using stem vuai!
<br /> canstruction, I certify that fill will be used only to fill #he area within the stem wall.
<br /> - Ef fill materiai is to be used in any area, ! certify that use of such fil! v�ril! not adve�sely affect adjacent
<br /> properties. If use af fill is found to advers�iy affec# adjacent prope�ties, the ouvr�er may be cifed far viola#ing
<br /> the canditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by f'sH, an engineered drainage plan is required.
<br /> If I am the�#C�NT' IFO�7'IifE Cil�V�I��, I promise in good fai#h to inform the owner of#he permitting condi#ions set farth in
<br /> this affidavit pr9or to commer�cing canstruction. 1 understand that a separafe �ermit may be required far etectrica! vuork,
<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 4o procesd writh the worlc and not as authority 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 thereaffer
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> un(ess #he wtork aufhorizec! by such permit is commenced writhin six months of perm9t issuance, or if rrvork autharized by
<br /> khe permit is suspended ar abandoned for a periad of six(6) monQhs after the time the work is commenced. An extension
<br /> may be requested, in vuriting, frorn the �uilding Official for a period not #o exceed ninety (90) days and v�ri!! demonstrate
<br /> justifiable cause for fhe extension. If work ceases for ninety(90)consecutive days, fhe job is cons�dered abandoned.
<br /> ti3f�+�Rt1Pd�-"9't?-O!flff6��R. Y�l1i� ��1��99�� T� ����RI� � �����P� �(F.����fiLE�9C�6�d�i�T ��Y_��SCl�.'�' l�t_1C+DU�2
<br /> �'�4YIfd(� TifEYICI� �C3� IV���BZOV�G�I�Y���YCD 1(049� ��d)fPE�E'd"1f. I��fOU pRllff�P1D Ti� O�Y',�iIGV �I�I�R1CIi��, CORISY�ILT
<br /> 1t�1�N YOU�E���1C�IEFt����1�����9�1(�������t����2i�1�1�Y�l1�t i�QT1C��'!����i���lC�C�(��#Y.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> QW�f�t2 O€2 AG�fVT CQ�f'TR�.CTQE2 ��'��-! .,.�
<br /> Subscrlbed and sworn to(or affirmed)before me this Subscribed and swom ko firmed)before me this
<br /> by by
<br /> Who istare personaNy known to me or haslhave produced Who fsJare personafily knawn to rne or haslhave produced
<br /> as Identffication. as identification.
<br /> fVokary Public ,.,��� Notary Public
<br /> Commission No, Com s on No. *�1. �*= Commission#FF137473
<br /> ';;�'•�;•' 6ocdad Thtu TmY Fan Instrants&P4385-7019
<br /> .,F,.,�,.
<br /> Name of Notary typed,printed or stamped Name of PJotary typed,printed or stamped
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