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<br /> ;;� NOl'ICE OF UEED RES7WCTIONB: The undersigned understands that this perm�t 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 restriotions.
<br /> UNllCENSEd CONTRACTfl12S AND Gt}NTRACTOR RESPONSIBILI'i'tES: if the awner has hired a conUactor or
<br /> c.�antractors to undertake work,they may be required to be Ifcensed in accordance with state and local regulations. if the
<br /> contractar is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor viaEaBan
<br /> under state law. lf fhe owner ar intended contraator are uncertain as to what licensing raquiramenfs may apply for the
<br /> intended work,they are advised ta contact the Pesco County Building Inspection Division---Licensing Section at 727-847-
<br /> 8009. Furthermare, if the owner has hired a cantractor or corrtractors, he is advised to have the cantractor{s) sign
<br /> portians of the"confrackor Block"of th9s applicatian for wttich ftiay wii3 be responsibte. �lf you,as the owner sign as fhe
<br /> cqntractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasca
<br /> County.
<br /> TE2ANSPORTA11pN iNfPACT1UTfl1T�ES IMPAC'F AND RESOURCE RECOVERX FEE&: The undersigned understands
<br /> that Transportation impact Fees and Recourse Recovery Fees may apply to the construction of new buifdings,change of
<br /> use in existing buildings,or expansion of existing buildings,as specified in Pasca County Ordinance number 89-Q7 and
<br /> 90-47,as amended. Tt�e undersigned aiso understands,that such Fees,as may be due,witt be Iden'tit'ied at the t'srrte of
<br /> permitting. it is further understoad that Transportation(mpact Fees and Resource Recavery Fees must be paid prior ta
<br /> receiving a°certificate of occupancy'or final power release. If the project does nat invalve a cettificate qf occupancy or
<br /> �ina!power release,#he Pees must be ga'sd pr'sar to permit issuance_ Furthermore,if Pasco Coonty WaterlSewer trrapact
<br /> fees are due,they must be paid prior fo permk issuance in accordance with applicable Pasco County ordinances.
<br /> CQNSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of woric is$2,500.00 or more,1
<br /> certify that 1, the apglicant, have been provided with a copy of the "Florida Cor�shucction �ien !aw—HomBOwnets
<br /> ` Protection Guide°prepared by the Fforida Depardment of Agriculture and Consumer Affairs. if the applicant is someone
<br /> ather than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"awnef'prior to commencement
<br /> CQNTRACTOR'S/dWNER'S AFFlDAVIT: i certify that al)the information in ifiis apptication is accurate and that ali work
<br /> will be dane in campliance with all appliceble laws regulating construction,zoning and land development Application is
<br /> hereby made to obtain a permit to do work artd instaftatian as indicated. E certify that no wortc or 9ns#alla#ion tias
<br /> cc�mmenced prior ta issuance af a permit and that aN work witt Be performed to meet standards of all laws regutating
<br /> construcUan, Counry and City codes, zoning regulations, and land developmenl regulations in the jurisdiction. I also
<br /> cectify that I understand that the regulatians af other govemment agencies may appty io 2he intended work,and that it is
<br /> my respansi6ility to identii'y wiia#actions t rrzust take to be in campliance. Such agencies incEude 6ut are nof iimifed to:
<br /> - Departrnent of Environmental Protect3on-Cypress Bayheads, Wetland Areas and Envlronmentally Sensitive
<br /> Lands,Water/Wastewater Treatment
<br /> - 5outhwest Flarida Wafer Management District WeSts, Cypress Bayheads, Wet{snd Areas, Attering
<br /> Watercourses.
<br /> - Army Corps of Engineers-SeawaUs,Docks,Navlgable Waterways.
<br /> - Department of Health � Reh�bilitative SeNiceslEnv'tranmerrtal Heal#h Unit Wetls, Wastewater Treafinent,
<br /> Septic Tanks.
<br /> - US Environmental Protectio�Agency-Asbestos abatement.
<br /> - Federa!Avia#ion Ae�ihorify-Runways.
<br /> . I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is nqt allowed in Flood Zone"'V°unless expressly permitted.
<br /> - If the fill rnateriat is ta be used in Fload Zone A", it is understoad that a drainage plan addressing a
<br /> "compensating vo�ume'will be submitted at time of pertnitting which is preparetl by�professfonal engineer
<br /> licensed by the State af Florida. �
<br /> - !f fhe fitt material is to be used in Fiqod Zone A in connection wiih a permitted building tasing stem wall
<br /> consMuction,I certify that fill wil�be used onty ta fill the area within the stem wall.
<br /> - If flll material is to be used in any area, I certify that use of such fill will not advetsely affect adjacent
<br /> properties. if use af fi3I is ivund ta adve�sely affiect adjacen#properties,ti�e owner may be ctted for vla3ating
<br /> the conditions of the buitding pertnit issued under th'e attached permit application,for lots Iess than one(1)
<br /> acre which are elevated by fill,an engineened drainage plan is required.
<br /> If I am ihe AGENT FQR TtiE OWNER,!promise in good faith to inform rite awner of the permi#ing condit3ons set torth in
<br /> this affidavit prior ta commencing eonstruction. t understand that a separate perrnit may be required for�etectrical work,
<br /> plumbing, signs, wells, poals, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be c:onstrued to be a license to proceed with the wark and not as auttrority to viofate,cancel,atter,or
<br /> set aside any pravisions of#he fechnical codes,nor shalt issuance of a permit preverrt tha Buitding Oifiaal from thereafter
<br /> requiring a oomectic�n of errars in plans,canstruction or violations of any cades. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is cammenced within six months of perrnit issuance,ar if work authorized by
<br /> ihe perfniE is suspended or abandoned far a period of six{6}months after the 6me the work is cammenced. An extension
<br /> may be requested, in writing,from the Building Officlal for a period not ta exceed ninety(90)days and will demonstrate
<br /> justifiable cause far the extension. (f work aeases for ninety{9Q)consecutive days,the job is consldered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM�NCEMENT MAY RESULT IN YOUR
<br /> PAYIN(3 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENp 70 OBTAIN FlNANClNG,CONSULT
<br /> YO END N A OR 8EF E 12 d G YOtI CE 8F GO M E -
<br /> F�ORtDA.lURAT(F.S. 17.03
<br /> OYVNER OR AGENT '? `ce me u,� sa���{or n }�er"re me.��""�'.!'��
<br /> S swom to ar
<br /> /S by ��Y t,.,.
<br /> Whp Is/are ptsr&onall_�kn or. p� Wha Islare personal to me or h p -
<br /> .�— as id:t tifica• t'{ie ' tion.
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<br /> ",�,, A!E A�.l otary c �e'�.� SUZ-At�NE I�EN No PnbJtc
<br /> oi,�s•��' �: Notary Public- tai Florida �m� �`'�Q *, : Notary Putiti�-S ate af F(orida
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<br /> � �m8�t}F, , ,#jrFed.p r stamped Name ' Notar� .Printed vr sfam '
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