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<br /> N�TlCf�p� Df��D REST�l��IOAIS: �"he undersigned und�rstands that this permit may be subject to"deed" restrictions" � �
<br /> which may be more restrictive than Gaunt}r regulations. The undersigned assumes responsibility for compliance v�rifh any
<br /> applicable deed restrictions. i
<br /> t9�9�1C�P4SED C�NTFZ�iCTOEt� AA1�3 C�FtY���'�H� ����QP��1�1L��'li��: !f the auuner has hired a cantractor or
<br /> contractors ta undertake uvork, #hey may be required to b� licensed in accardance with state and lacal reguiations. if#he
<br /> contractor is nat licensed as required by law, both the owner and contracfor may be cited for a misdemeanar violation
<br /> under state iaw. If #he owner or intended contractor are uncerfain as to what 1�censing requirements may apply for the
<br /> intended vuork, they are advised to contact the Pasco County Building Insp�ection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the ovune� has hired a cantractor ar cantracfors, he is advised fa have fhe contractor(s) sign
<br /> partions of the "contractor Block" of #his applicatian for which they vvill be responsible. If yau, 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 /> �'��9�6����"�YIOIV 6���.CTIIJ�'IL�Y"I�� 9�i��C�"G�f�� ���ID�D�C� �f�C�Vf��Y�EfE�: The undersigned understands
<br /> that Transporta6on lrnpact Fees and Recourse f2ecave�r rees may apply to the constrttction af nevu buildings, change of
<br /> use in existing buildings, ar expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understar�ds, that such fees, as may be due, v+ril! be identified at the time of
<br /> permitting. It is further understood fha# Transportation Impact Fees and IZ.esource Recovery Fees must be paid prior to
<br /> receiving a °certificate of occupancy" or final pouuer release. If the project does not involve a certiftcate of occupancy or
<br /> , final powrer reiease, the fees mtasf be paid prior to permit issuance. Furthermore, if F'asco County 1�IaterlSewer lmpact
<br /> fees are due, they rnust be paid prior ta permit issuance in accardance with applicable�'asco County ordinances.
<br /> C�N�TRt9CTi0AI �.�IE�9 L.�i�l(�fi���fi��Y�93, �I�ric���Q��u���, �s a��m�n���!): 1f valuation of work is$2,500.00 or more, 1
<br /> certify that I, the applicant, have been provided with a capy of the "Florida Cons4ructian Lien Lavu—Homeowner's
<br /> Protection Guide" prepared by the Florida Depar#ment of Agriculture and Consumer Affairs. {f the app(ican# is someane
<br /> other than the"owner", 1 certify that 1 have obtained a copy of the abave described document and promise in gaod faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> Ct�4��'G��CT4"1�2'S1Cb�i�i�i�'� �i��l���ll�f: 1 c�rtify that alE the info�matio� in this application is accurate and that ali work
<br /> will be done in compliance with all applicable lavus regulating construction, zoning and land development. Applicatian is
<br /> hereby rnade to obtain a permit to do vtirork and insta11at9Qn as ind"scated. { cerEify that na work or installation has
<br /> commenced prior ta issuance af a permit and that all �ork wrill be perfarmed to meet standards of all laws regula#ing
<br /> construction, County and City codes, zoning regulatians, and land development regulakions in the jurisdicfion. ! also
<br /> certify thaf I understand that the regulations of other gov�rnment agenci�s may appiy #o the intended rrvork, and that it is
<br /> my�esponsibility to identify vvhat actions I must take to b�in carripliance. Such agencies include but are not limited to:
<br /> - Deparfinent of`Enviranmental Prafection-Gypr�ss �ayheads, Vlletland Areas anc# Enviranmentally Sensif9ve
<br /> Lands, 1lVater/Wastewater Treatment.
<br /> - �outhwest Florida Water Mattagement C7is#ricf-Wells, Gypress Bayheads, Wetfand f�reas, f�Etering
<br /> Watercaurses.
<br /> - Army Corps of Engineers-Seawa!!s, Dacks, Navigable Waterways.
<br /> - Llepartment af Heaith � RehabilPtative Services/Enviranmental Nealth Unit Welfs, Wasteuvater Trea�ment,
<br /> Septic T'anks.
<br /> - US Enviranmentai Protection Agency-Asbestos abatement.
<br /> - Federal Avialion Aukhority-Runways.
<br /> I undersfand that the follawing restrictions app#y to ths.use af filf:
<br /> - Use of fill is not allowed in Ffood Zone"V"unless expressly permifted.
<br /> - If the fill mat�rial is to be used in Flood �one "p", it is understood that a drainage plan addressing a
<br /> "compensating vo(ume" vvill be submitted at fime af permiffing rrvhich is prepared by a prafessiona! engineer
<br /> � licensed by the State of Florida.
<br /> - If the fill material is to be used in Flaod �one "1�" in connecfion wtith a permifted building using stem vuall
<br /> construction, I certify that fill will be used only to flll #he area within the stem wall.
<br /> - !f �#1 material is to be used in any area, 1 c�rtify that use of such filt �nrill nat adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for viola#ing
<br /> the conditions of the building permit issued under the atkached permit applicatian, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is requiretf.
<br /> If I am the�►��PIT �OR�'Fi� 01yilPD�I�, I pramise in good faith to inform the owner of#he permitting conditions set forth in
<br /> fhis affidavit prior to commencing construction. I understand #hat a separa#e permit may be required for electrica! wark,
<br /> plumbing, signs, wrells, pools, air conditioning, gas, or other installakions not specifically included in the applicafion. A
<br /> permit issued shall be construed to be a license to proceed vuith the woek and not as authority to vialate, cancel, alter, or
<br /> set aside any provisions of the fechnical codes, r�or shali issuance of a permif prevent the �t�ilding t3�cial from thereaiter
<br /> requiring a correction of errors in plans, construction or violatians of any codes. �very permi# issued shall become invalid
<br /> unless the work authorized by such permit is commenced vuithin six tr�onths of permit issuance, or if wo�k authorized by
<br /> the permit is suspended ar abandoned for a period of six(6) manths after the time the v�rork is commenced. An extension
<br /> may be requested, in writing, frorr� the Bui3ding Officia! fior a period not to exceed ninety (901 days and vuill demonstrate
<br /> justifiable cause for the extension. If wrork ceases for ninety(�0)consecutiue days, the job is considered abandoned.
<br /> lRi1�Ft�IPIt� 'TC) OWiFl��: YOl3� F�6LU�� Y� �I��QRD .� 4�O��CI� �� CO��ii�N�g��PlT ii��,Y RiE�UE.li' IHI Yt�U�
<br /> 6't�YIWG's T1iifPIG� FOR I�11�'fROV�h�EiV�'� YOLII�t PRd)iP��YYY. 1�'1fO11 YWTEIHD YO O�Yf�IFV FIfilAW�6P1(y, �ORISl1L�'
<br /> T1
<br /> 1tY13H YC}U� �END QFZ i��1NQ�t Y�(��{1�� ����iF�D1�t�Y�t�� �IQTIC�O(�C���flENC��t1�N1�.
<br /> FLORIDA JUR/�7(F.S. 1'7. )
<br /> OV1tYdE�t Oft AGEiV7° � `' �Oftl'�32ACT0�
<br /> Subsc�ibed and s orn t or affir d)before me this Subscribed and swom to(or affitmed)before me this
<br /> by by
<br /> Wha islare persanalEy known ta me or hasthave pro Who fslare persona}ly knawn fo me or hasfhave produced
<br /> as Idenklficatlon. as identification.
<br /> Notary Public PJotary Public
<br /> Commisslan No Comm(ssion No.
<br /> IVame of IVotary typed,printed ar stamped Name of Notary typed,printed or stamped
<br />
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