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<br /> N(2T'ICE Oi� DEED Ft��1��IC�'IC�N�: The undersigned understands that this permit rnay be subjec#to"deed" restriction�"
<br /> which may be more restrictive than County regulatior�s. The undersigned assumes respansibility for campliance with any
<br /> applicable deed restrictions. •,� . • � �_ �
<br /> l9NLICEPI�ED CCINTRACTOR� �f�[� GO�YT��T��2 f�i�S�'0�59�tL17'tE�: if the owner has fiired a contractor ar
<br /> contractors to undertake work, they may be required to be licensed in accordanee with state and tacal regulations. tf#he
<br /> contractor is not licensed as required by law, both the owner and cantractor may be cited for a misdemeanar violation
<br /> under state iaw. If the owner or intended contrac#or are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to cantact the Pasco County Building Inspection Divisian—Licensing Seckion at 727-847-
<br /> 8009. Furthermore, if the ovrrner has hired a con#ractor or contractors, he .is adv'ssed ta have the contraator(s) sign
<br /> portions of the "conkractar Block" of this application for which they will be responsible. If yau, as the ovvner sign as #he
<br /> contractor, that may be an indication that he is nat properly licensed and is not enkitled to permitting privileges in Pasco
<br /> County.
<br /> 'T�1N�P0�'TAT'IdiV IMP14CY/llTIL��'If�S I�`�f��►C�"(��ID 9�f��C1U6�C� REC�V�RY F�I�S: 1"he undersigned understands
<br /> that Transpor#ation impact Fees and Recourse 9�ecovety' ��es may apply ta the constructian of nevfr bui4dings, 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 aiso understantis, that such fees, as tnay be dus, wii! be identified at the time af
<br /> permitking. It is further understaod thaf Transportation Impaat Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the p�oject does not involve a certificate of occupancy or
<br /> final power release, the fees must b� paid prior ta permit issuance. �urthermare, if Pasco Caunty Water/Sawer lmpact
<br /> fees are due, they rnust be paid prior to permit issuance in accardance with applicable Pasca County ordinances.
<br /> C�NST�t1CT40N �:11EN �.�ifl�(C�a�p��e�7�3, Flor�d��t�����s, �� �r�nend�c!): tf valuation af�work is$2,500.00 or more, 4
<br /> certify that I, the applicant, have been provided �with a copy of #he °Florid'a Constructibn� Lien Lav�r—Hameowner's
<br /> Ptotection Guide° prepared by the Florida Department of Agriculture and Consumer Affairs. !f#he appiicant is sameone
<br /> other than the°owner", 1 certify fhaf 1 have obtained a capy of the above described document and promise in good faith to
<br /> deliver it to the"ovuner"prior to commencement.
<br /> GONTRACTO�'�ItJ1�fN��t'� �iiFFlD�VIY:� ( certify that ati the information in this application is accurate and that aH v�rark
<br /> will be done in compliance with all applicabl� laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do wor4c and installation as indicated. t certify that no v�rock ar installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws �egula#ing
<br /> constructivn, County-and City codes, zaning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other gavernm�nt agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take 4o be in campliance. Such agencies include bu#are not limited to:
<br /> - C}epartmer�t af Environrt�ental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> L,ands, WaterNVastewrater Treatment. �
<br /> - �outhwest Floeida Water Management Districf-VVells, Cypress Bayheads, V{fe#land Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, iVavigable Watervvays.
<br /> - 93epartment of Heaith & Rehabititative Servicesl�nvironmental Heafth Unit-1l11eils, Wastewater Treatment,
<br /> Septic T'anks.
<br /> - US Environmentai Protectiort�gency-Asbestos abatement.
<br /> - Federal Aviakion Authority-Runways.
<br /> 1 understand that the follov�ring restrictions apply to the use of fill:
<br /> - Use of fili is no#aliowed in Ftood Zone"V"unless expressly permitted.
<br /> - If the fill� meYeria! is to be used in Flood Zone "N", it is understaod that a drainage plan addressing a
<br /> "compensafing voiuine" wiil be subinitted at time of permifting virhich is prepared by a professiona! engineer
<br /> licensed by the State of Florida. � ` ` _
<br /> - If the filE material is to be used in Flooc3 Zone ",0." in connection'writh a permitted building using sfem wrai!
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - !f fifl material is to be used in any area, ! certify that use af such fil! will not adversely affect adjacent
<br /> propeeti�s. If use of filt is found to adversely affect adjacent properties, the ouuner may be ci#ed for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre�nrhich are elevated by fi11, an engineered drainage plan is required.
<br /> If I am the�►C�Nl' �OiZ'THI� O4`il�I�V�, I promise in goad faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit pr3or to comtnencing cor�struction. 1 undersfand that a sepaca#e permit may be required far electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other insfaltakions nof specifically included in the appiicafion. A
<br /> permit issued shal! be construed fo be a license to proceed with the wrork and not as authority to violate, cancel, alter, or
<br /> s�t aside any pravisions af the technical codes, nor shall issuance of a permit prevent fhe Building C7�cial from thereaffer
<br /> requiring a correction of errors in plans, constructian or violations of any codes. Every permit issued shall become invalid
<br /> etnless the wrarlt authori�ed by such permit is camr�enced v�rithin six manths of permit issuance, or i€work authorized by
<br /> the permit is suspended ar abandoned for a periad of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in wrriting, from the Building Official for a period not ta exceed ninety (90) days and wiN demanstrate
<br /> justifiable cause for fhe extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> ii��il2id{NC 'TC3 �{i�N��: Y{lUR ���Lll�� TO R�e�0�2D A �10T��.� ��F CO�Ii��P�ICiE�fEPI�' �I�Y RiESULT �N YC}tIR
<br /> f�AY1tVC�TWI�GE it IfNIF�ROVIEMEFI'�"S Y 1(OUR�F�U�ER'r1(. IF YOU MPJTI�IVD T� OBTAIN F IV�►PdCIPIC, ICO�I�LILY
<br /> - _ifVlTM_Y-C?i!!'Z C D OR UF�I�i IE �� �Oi7D1�+1 Pl CQ1�Vi CE E � ��-
<br /> FLORIDA JURAT( S. 1 . 3)
<br /> OWltYER OFt�GEFdT �OPl1'RACTO
<br /> Subscribed and swom or affirmed)before me th Subscribed an om to(or a�rmed)befo
<br /> by y
<br /> Who istare personaily known to me or hasJhave produc d Who Islare personally known#o me or ha ave pra ucsd
<br /> as Idenklfication. as identificaGon.
<br /> ublic Notary Public
<br /> ,�t::�%��., JOEL E.BACON ,:��� %, OE�E.BACON
<br /> Com s on PJ :�' :: Commissi� FF 1 7�73 Commis ion o. _*� :•= Commission#F
<br /> ;� �: Expires June 29,2018 .,� } , r= pires June 29,2016
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<br /> Name of Nota PVame of Notary type ,pnn e or s
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