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NOT'ICE C�� DE�� Rf��7'�i�'�IOFd�: The undersigned understands that this permit may be subject to"deed"restrictions�
<br /> which enay be more res#fictive than Caunty regutations. The undersigned assumes responsibility for.com�rliance vuith any '
<br /> applicable deed.restrictjons.. �, , ,. -
<br /> UNL.IG��I�ED CC}N�4�CTOR� a��l� ��R9��CT?J� �f��P�At���ILI'����: !f the owr�er has hired a contractor or
<br /> contracfors #o undertake work, they may be required ta be licensed in accordance w�ith,stake and local:regutations. if the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vialativn
<br /> under. state lav�r. If the avvner ar in#ended contractor are unc�rtain as to rn�hat licensing requirements may apply fbr the
<br /> intended work, they are advised to contact the Pasco County Building Inspectian Division—Licensing Section at 72T-847-
<br /> 8009. Furthermore, if the o�nrner has hired a con#racfor or contractors, he is advised to have fhe eontractor(s} sign
<br /> portions of the "contractor Black" of this applicakion for which they vvill be responsible. If you, as the awner sign as the
<br /> contractor, that may be an indication that he is nof properly licensed and is naf �ntitled ta permitting privileges in �'asca
<br /> County. ' ° ,
<br /> YRAIdSPf�FtT'ATIOtV I�iPACY/11��t.11�'I�� Y�f����'�FVD �C��OU�C� �IEC�V��1(��ES: The undersigned understands
<br /> thaf Transportation Impact F�es and Recourse Recovery Fees may apply�o the construc#iort'af nev�r buildings, change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-Q7 and
<br /> 90-07, as amended. The undersigr�ed also understar�ds, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transpartation Impact Fees and Resaurce Recovery Fees must be paid prior ta
<br /> receiving a "'certificate of occupancy" or,final power release. If the project does not involve a certificate of occupancy or
<br /> final �owrer re[ease, the fees must be paid peiar to permit issuance. Furthermore, if Pasco County WaterlSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with appllcable Pasco County ordinances.
<br /> �0�+laT6�UGT101+} L.1�lV l.�1fi�(C�t����r Y'�3, Elme��c�a SQ��ute�, �� arner�d��): If valuation pf work is$2,500.00 or more, 1
<br /> certify that I, the applicant, have been provided with a capy of the "Florida Canstruction° Lien Law—Homeovvner's
<br /> Protection Guide" prepared by the Florida Department of Agciculture and Consumer pffairs. If the applicant is someone
<br /> other than the°OW(1@P"� I certify that 1 have obtained a copy of the above described dacument and promise in good faith to
<br /> deliver it to the"owner" prior ta commencement. ,
<br /> Ct9�CTf2�GTOR'�IO�itP1E�'s�i�FS��V1Y: 1 certify that all the informa#EOn in this application isaccurate and that a{I woek
<br /> vNill be done in campliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to ob#ain a permit to do work and installatior� as indicated. 1 cerfify that no work or instailatior� has
<br /> commenced prior to issuance of a permit and #hat all work wrill be performed to meet s#andards of all laws regulating
<br /> construction, County and City codes, zoning regulatians, and land development regulatior�s in the jttrisdiction. I alsa
<br /> certify thaf I understand #hat th� regulatians of other governtnent agenci�s may apply fo the intended work, and that it is
<br /> my responsibility to idenkify what actions I must take to be in compliance. Such agencies include buk are not limited to:
<br /> - Department af �nvironrt�ental Protectfon-Cypress �ayheads, Wetland Areas and Environmentally Sensifive
<br /> Lands, 1�/ater/Waste�nrat�r Treatment.
<br /> - Sauthuvest Florida Water l�lanagement E�istrict-V1tells, Cypress Bayheads, Wettand Areas, Attering
<br /> Watercourses. .
<br /> - Army Corps of Engineers-Seawalls, V�ocks, Navigable VVat�rvvays.
<br /> - Department of Health � Rehabilitative ServiceslEnvironmentai Neatth Unit-Weits, Wasterfvater Treatmenf,
<br /> Septic Tanks. ,. ,
<br /> - US Environmental Pratectiori Agency=Asbestos abatement.
<br /> - �ederal Aviation puthority-Runvuays. � � _ � '
<br /> ! understand that the fotlawing restrictians apply ta the use of fill:� , �
<br /> - Use of fill is not allar�ved in Fioad Zone"V"unless expressly permitted. �� " -
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that � drainage p►an addressing a
<br /> "compensating volume" v+riil be submitted at time of permitting �nrhich is prepared by a prof�ssionaf engineer
<br /> licensed by the State of Florida.
<br /> - If #he ftll material is to be used in Flood Zone "A" in connection with a permitted building using stem waf!
<br /> construction, I cerkify that fill will be used only to�II the area within the stem wall.
<br /> - !f fill material is to be usad in any area, I certify that use of such fill wrill not adversely affect adjacent
<br /> properties. If use of fili is found fo adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditians of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fili, an�ngineered drainage plan is required.
<br /> If I am the�C�fENT FO�TFIE O�Iii�fE�t, I promise in gaod faikh to inform the owneP of the permitting conditions set farth in
<br /> this atfidavit prior to commencing construction, ! understand that a separate permit may be requtred for electrical uvork,
<br /> p►umbing, signs, we(Is, pools, air conditianing, gas, ar other installafions not specificaily included in #he application. A
<br /> permit issued shall be construed to be a license to proceed vvith the work and not as authority to.viotate, cancel, alter, or
<br /> set aside any pravisions of the tech�tical codes, r�or shall issuance of a permit prevent the Buitding Offieia!from thereafter
<br /> requiring a correction of errors in plans, canstruction or violations af any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is comr�enced v�rithin six manths of permit issuance, or if uvark authorized by
<br /> fhe permit is suspended-or abandoned for a periad of six-(6) months after the-time the work is commenced. An extension
<br /> may be requested, in writing, from the Building C7fficial for a peeiod not to exceed ninety (9Q} days and will demonstrate
<br /> justifiabie cause for the.ext�nsion. if wrork ceases for ninety{90)cansecu#iv�days, the�job is considered abandoned.
<br /> 1flf�i�2iVIR1� T� �1fllP1��: Y{)I1R �AiL��2� T{l.(����1i�� � NI��"1C� �1iF ��I�ii��F10E��WT �iIAY �.��U�,T 1i� YOt9R
<br /> F'�YIFVG 'PIHIICfE IF06? Iiii9PFtOi/��I�H➢1fS �"Q 1(O�D9��'I�tI�fPEi�'fY. ICF YOIJ If�1BY�WD YCI 0�1"l�11iV i=1P1AN�CIP1(°s, COiV�I�ILY
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<br /> FLORIDA JURAT(F.S. 117 03)
<br /> p{�t�tEf2 Oit AGE�l7 _I�Q�Q�� �OPIT�tACTOR ��
<br /> Subscribed and swo�n'to irme,d)before me this Subsc�rl�bgd and swo (0 8 rme befofe me this
<br /> /I9-$�/ by UJ"�° e�b'�'i ��.=�L�bY '�
<br /> Who isla�e personatly k wn to me ar haslhave produced Who tstare personally kn tv me or haslhave produced
<br /> as ldentificaUon. as identification. ,
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<br /> Notary Public � iVotary Public
<br /> Commissfon PJo, Commission PJo.
<br /> ,.�*"r�,,, ,�.�.„
<br /> Name : ��prflfi�h�i n�P�f���3 Name of iV q� :*.p�e i�r Q253
<br /> �� a: Expires June 8,2418 �;� + Expires June S,'101$
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