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�1071C� Of� DEED FtE�Y�ICYl01��: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> wrhich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UFdLICIEFISED CON7RACTOR� �AND COR9Y�,C'�O� ���POi�SI�ILIYIES: If the owner has hired a contractor or
<br /> contractors to undertake uvork, they may be required to be licensed in accordance vvith state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner 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 Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> Yi�P➢SPOR�P►TION Ii�iPR,C�/ll�'IL171�� IfW��+C�Af�� �f�S(;U����R�CONE�Y FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Ftecovery 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 amended. 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 ImpacttFees and Resource Recovery Fees must be paid prior to
<br /> receiving a certificate of occupancy or final power release. If the pr�ject does not involve a certificate of occupancy or
<br /> �� n
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> I fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> COPI�Y�UCYIOW L�IEP➢ LA1�9 (Cha�4eP'P9�, f�I�Picl��4��u4�s, a� aenend�rd): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided �nrith a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the �lorida 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"owner" prior to commencement.
<br /> COWTR�iC�OR'Sl0l�11F1��'S �►�'F�fDi�VIT: 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 work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, 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, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterMlastewater Treatment.
<br /> - Southwest Florida Water Nlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br />� - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following 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 material is to be used in Flood Zone A , it is understood that a drainage plan addressing a
<br /> u n
<br /> "compensating volume" will be submitted at time of permitting which 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 the 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 Iots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br />� If I am the AG�NY FOR TFII� OWlPIER, 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 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 to proceed with the vuork 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 �uilding 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 �iithin 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. An exfension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If wrork ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> IAIAR�IR�G TO OWIPIER: YOIJR ��►IWRE �O ��CO�D e�, R90TIG� O� COBflflflfENCE�iflEP1Y flflflilY �2ESlJLl' IR� VOl➢�
<br /> 6'AYI�G Y1filICE �012 INHPI2ON�Rfl�P➢Y� 7'O YOIJV� �ROPfERYY. YF YOII �R1TE�D TO OBY�►IPl FIN�►PICIPIC, COf�S�11LT
<br /> �iIIT9i VOIJR LE�IDEf�OR APl�1YYOI�RYfEY���ORE �f�CO�DIIVG YOUff�Rl0'�ICI�Q� COHA6ifiE�lC�f�iEP1Y.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OWME�i OFi AGEPIT ~ Z
<br /> 2«2P�4�� COPITRACTOR � , ��
<br /> I� Subscribed and swom to o affirmed)bef e m this Subscribed and bw to(or affirmed)before me this
<br /> by Y
<br /> Who islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
<br /> as ldentlfication. as identification.
<br /> PJotary Public fVotary Public
<br /> Commission No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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