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<br /> . IGE OP DE�D RE�TRIC'TION�: The undersigned understands that.this permit may be subject to"deed" restrictions"- i
<br /> ich may be more restrictive than Caunty regulations. The undersigned assumes responsibitity for campliance with any �'� � i
<br /> applicable deed restrictions. '�,
<br /> LIN�ICENSEO CON�R�CTOR� �ND CCJIVT'��TO� F�ESPONS��lLITIES: !f the owner has hired a contrac#or or '
<br /> contractors #o undertake work, #hey may be required to be licensed in accordance writh state and tacai regutations. If the .
<br /> conlractor is not licensed as required by law, both the ovvne� and contractor may be cited for a misdemeanar violation
<br /> under state law. if the owner oP intended contractor are uncertain as ta what licensing requirements may apply for the
<br /> intended wark, they are advised to cantac#the Pasco County Building Inspectian Division—Licensing Section at 72?-847-
<br /> 8009. Furtherrnore, if the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign
<br /> portions of the "contractor Black" of this application for which they �iii be responsibie. if you, as the owner sign as the
<br /> conkractor, thak may be an indication that he is not properly lic�nsed and is nat enti#led to permitting privileges in Pasco
<br /> Coun#y.
<br /> TRNNaP01�'TATION IMF�AC7'/IJTILI�"IE� I�f1�AC1�ANC� ���iOU��� �ECOV�itY FEES: T'he undersigned understands
<br /> that Transportation Impact Fees and Recourse Recavery Fees may apply to the construction of neuv buitdings, change of
<br /> use in existing buildings; or expansion of existing buildings, as specifled�in Pasco County Ordinance number 89-0? and '
<br /> 90-07, as amended. The undersigned also understands, that.such fees, as may be dus, wil! be identified at the time of
<br /> ' permit#ing. I# is further understood that Transportation lmpact��ees and Resource Recovery Fees must be paid prior to
<br /> receiving a '"certificate af occupancy" or final power release. !f the project does not involve a certificate of occupancy or
<br /> final power re3ease, the fees must be paiil prior ta permit issuance. Furthecmare, if Pasco County Wa#erJSewe� lmpact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> C(3N�TRUCTION LIE[� LAiiV�Gha�pt�r Y13, IFlor�d�atat�t��, a�arrier�d�c9}: (€valuation of work is$2,500.00 or rnore, 1
<br /> certify that I, the applicant, have been provided wikh a copy af the "Florida Construction Lien Law—Homeowner's
<br /> Pcotection Guide" prepared by the Florida Department of Agriculture and Cansumec Affairs. !f ths applicant is someone
<br /> other than #he"owner", 1 certify fhat 1 have obtained a copy of the above described document and promise in good faith ta
<br /> deliver it to the"owner"prior to commencement. -
<br /> CO�iT(RA�TOR'�J0�1t�1ER'S�F�ID�iV1T: 1 certify that all the information in this applicatian is aacurate and that,all work
<br /> will�be done in compliance writh all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to abtain a permit ta da wark and installation as indicated. I certify that no work or instaltation has
<br /> , commenced prior to issuance of a permit and that aif work will be perfarmed to meet s#andards of aIl iaws regulating
<br /> � construction, County and City codes, zaning regulations, and land developmenk regulatians in the jurisdiction. I also
<br /> � certify that 1-understand that the reguiations of ofher gavernment agencies may app4y to the inter�ded worfc, anci that it is
<br /> I, my responsibility ko identify what actions I must take to be in compliance. Such agencies include but are not limited ta:
<br /> - Department af Environmental Protection-Cypress Bay�ieads, Weflanci Are�s and Environmentally Sensitive
<br /> Lands, Wa#er/Was#ewater Treatment. �
<br /> � - Southwest Flarida Water Y1�anagement District-Wells, Gypress Bayheads, Wetland Areas, Altertng
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watenivays.
<br /> ' - �epar#►nent of Health & Rehabilitative Services/�nvironmenta! Health Unit-Wells, Wastewater Trea#ment,
<br /> Septic Tanks.
<br /> - US �nvironmenta{ Protection Agency-Asbestos abatement. '
<br /> I - Federal Aviation Authority-Runways.
<br /> ! understand that the follovuing restrictions apply ta the use of fill:�
<br /> - Use of fill is not allowed in Flaad 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 /> "compensating uolume" wiil be submitted at time of permitting which 4s peepared by a prtrfessionaE engineer
<br /> I licensed by the State of Florida.
<br /> - If fhe fill material is to be used in Flaod Zone "A" in connection with a permitted building using stem uvaft
<br /> cons#ruction, I certify that fill will be used only to fill fhe area wi#hin the stem wail.
<br /> - If fiH material is #a be used in any area, ! certify that use of such fi!! will not adversely affect adjacent
<br /> properties. (f use of fi�i is faund to adverseiy affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> j acre which are elevated by fill, an engineered drainage plan is required.
<br />, If I am the 14GENT FOFt TIiIE 01�fIV�R, I promise in goad faith to inform the ovvner of#he permitting conditions set forth in
<br /> this affidavit prior to cammencing construction. I understarid that a sep�rate permit may be required for efectrical work,
<br />� plumbing, signs, wrells, pools, air eonditianing, gas, ar other instailafions not specificaliy included'in fhe app(ication. A
<br />. permit issued shall be construed to be a license to proceed with the work and not as autharity to violate, cancel, alter, or
<br /> set aside any provisions of tite technical cades, nor shall issuance of a permit prevent the Buitdirtg Ufficial from thereaf#er
<br /> requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced writhin six manths of permlt issuance, or if uvork aufhorized by
<br /> the permit is suspended or abandoned for a periad of six(6) rrionths after the time the work is commenced. An extensio�
<br /> rnay be requssted, in writing, fram the 8uilding Officia! for a period not to exceed ninety (9Q) days and will demonstrate
<br /> y justifiabie cause far tiie extension.�If tivorR ceases fo�ninety(90}consecutive days,-the job is considered��abandaned:�---�� _�_ ___.
<br /> 'lii►►AR[�IN� TO Q{AIN�t�: YC1t�R �All.�fR� TCt �(�Ct?ttD A NQTiC� {3i� CONlMEN�Ei�E1�T�M�Y R��UE.T pN YOE1�t
<br /> F�AYIIVG'TVVICE FOR I{ViPR01i�M�WTS 1'O YOUR PI�OI��FZYY. I�YOII IPIT�ND TO OBTAIN Fl�ll/n►INCING, COiVSUL.T
<br /> VYITN YOUR��hl�?ER QR�N TTt?R�EY��(FqR�f�(�C�FtDtNC�Y�tJR NClTICE �CC3�f1iVlENC� ENT'. �
<br /> FLORiDA JURAT(F.S. 117.03 � ,
<br /> 01�tNEE2 OFt ACEF1 � � COPlTRACTt}R �-. � .,.�'-"'"" ,
<br /> Subsc�tbed and swom o(or affirmed)before me thi Subscribed and sworn to{or affirmedj befare me t s
<br /> by • by
<br /> Who islare p ally knawn to me or haslhave produced Who{slare persanally known to me or haslhave produced
<br /> _as I entlfication. as identification.
<br /> ry Public Notary Public
<br /> � ' - ON
<br /> Commissi
<br /> ',: .•�� Cammission#FF 137073 Commission ""•y`�•: �d��-E.BACOht
<br /> y �r= xpires une , 18 �'
<br /> � :��,:�= Expires June 29,2018
<br /> rj�,;ya Bcnded Thnt Ttay Fein tnsurance 8Q43d5•T449 �
<br /> Name of otary type ,pr n e or s ampe iVame of N .
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