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fdO�ICE OF �I��cD PtE��RICYIOPl�: The undersigned understands that this permit may be subject to"deed" restrictions"`
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> U�fLIC�PISED COIVTf�ACT0�3� �i�9� COPI�'I��T�f� ����OPISI�ILIYIf��: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance writh sfate 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 /> iniended work, they are advised to contact the 4'asco County �uilding 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 /> 7�►R���O�T�YIOR9 Iflfl��CY/U�IL�'�'I�� �f1���+�Y�P�D f���OUf�C� ��C�V��Y F���: T'he undersigned understands
<br /> that Transportation Impact Fees and Recourse �ecovery Fees may apply to the construction of-newr buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in �'asco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also undersfands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If 4he project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County VVafer/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> COR9ST'6�11C7lON.L.I�Gd Lki�(Ch�p��r��93, �Im�i�� SQ��u���,.�s aen�r�d��): If valuation of work is $2,500.00 or more, 1
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by 4he Florida 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 /> CO�9TR�iC70�t'SIOlf�R���d'S 6�fFF�f�l�VIV: i certify that all the information in this applicaYion is accurafe and that all �nrork
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit fo 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 o�other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I musQ take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress �ayheads, V1letland Areas and Environmentally Sensitive
<br /> Lands, 1lVater/Wastewater Treatment.
<br /> - Southwest Florida V1later iVianagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waferuvays.
<br /> - Department of Health � �2ehabilitative 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 "f�", it is understood that a drainage plan..addressing a
<br /> "compensating volume" uvill 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 wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely a,ffect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent proper�ies, 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 /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AG�fdT �OR TH� OW9Y�fEY�, 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 �nrork,
<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 work 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 Building 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 within 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 virork is commenced. An extension
<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 /> Y�lAF2NIf�G T'O OWIPl�6�: �011�t �AILUf�� �O ��CO�D A R90TIC� O� CONfl�N�NC���P1T fl��Y ��SIJLY IN YOIJR
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<br /> FLORIDA JURAT(F.S. 117 0
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<br /> �
<br /> °����� ���.-� PVotary Public ���������— Notary Public
<br /> Commisslon PJo. Commission No.
<br /> �,,,,,, ;?o�:�:��.,, LORI ROLLA
<br /> ,.o.�n::�;�.,, LOR!ROLLA �= Commission EE 853699
<br /> �Vame of PJota ' 'e r1P'�e PJame of Notary typed,p � ' " ��Ires November25,2016
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