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<br /> NO'T10E OF D@ED R@S'�ReGTIONS: The undersigned under.stands that this.permif may be.subJect to,"deed" restrictions"
<br /> which may be�moce r.estrictive-than County regulatlons. �The undersigned�ssumes respmnsibility for compliance with any
<br /> applicable deed restrictions. I
<br /> UtdLIC�NS@D CONTRACTOitS At�D COIdTR/ACTOR RESPONSIBILITIES: If the o�n►ner ha� hired a contractor or
<br /> contractors to undertake work, they may be required..to be.Ilcensed In.accordance.writh state.and•local regulations. If the 'I
<br /> contractor fs not Iicensed as requlred�by law, both the owner and contractor-may be clted for a-misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertaln as to what 1(censing.requlrements�may appiy�for#he
<br /> intended work, they are advised to contact the Pasco County Bulldtng Inspectlon Divislon—LBcensing $ection at 727-847-
<br /> 8009. Furthermore, If the owner has hired a contractor vr contractors, he Is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this applfcation for which they will be responsible. If you, as.the owrier sfgn�as the
<br /> cont�actor, that may be an indication that he is not properly flcensed and ls not entftled to permftting privileges fn Pasco
<br /> County.
<br /> TRANSPORTATION IMPi4CT/UTILITIES IMPAC7 APID R@SOURCE RFCOVERY FEE3: T�e undersigned understands
<br /> that Transportation Impact Fees and.Recourse Recove.ry.Fees may�apply to Qhe con�truction of new buildings,.change of
<br /> use in existing bui0dings, or,expansion of�ezistiri�g'�buildings, as speclfled.in Pasco County Ordlnance number 89-07 and
<br /> 90-07, as amend�d. The undersigned also understands, that such fees,:as�may�be.due, wlil.be identified at the time of �
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recov.ety Fees must be pafd prior to
<br /> receiving a "certificate of occupancy" or flnal power release. :If the proj�ct does not Involve a certiflcate of occupancy.or
<br /> final power release, the fees must be patd pr(or to permit Issuance. Furthermore;�if Pasco County�Water/Sewer-Impact
<br /> fees are due, they�must be.paid prior to permit-issuance-In accordance with appllcable Pasca County ordinances.
<br /> COIVSTRUCTION LIEfV LAW(Chapter 713� �lorlda Statut�s, as amended): !f valuatlon of work is$2,500.00 or more, I
<br /> certify that I, #he app8cant, have been provided with a copy of the "Florida Constructlon L(en L"aw—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and ConsumerAffairs. If the applicant fs 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 ft to the°owne�"prior to•commencement.
<br /> CONTR�ICTOR'SIOWNEtt'� AFFIDAVIT: I certify that all the InforrnaHon imthis appl(cation is accurate and that all virark
<br />�� will�be done in compliance with all appl(cable laws regulating construction, zoning and land d�velopment. Appiication is
<br />'i hereby made to obtaln .a permit Co do work and Installation as indlcafed. I certify that no work or tnstallatton has I
<br /> I commenced prior to issuance of a permit and that all work will be performed to meet standards of ali laws regulating� �
<br />�I construction, County and City codes, zoning regulations, and land development regulations-(n the jurisd(ction. ( also
<br /> I certify that I uaderstand that the regulations of other government agencies may apply to the intended work, and that it is
<br />' my responsibility to identify.what.actions I must take to be�ln:.compliance. S.uch agencles inciude but-are.not Iimited to:
<br /> - Department of Ehvironmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, VVaterNVaste�rater Treatmenfi.
<br /> - Southwr�st Florid� VI/ater Management District-iNells, Cypress. Bayheads, Vlletland Areas, Altering
<br /> Watercourses. - - - - — - _
<br /> - Army Corps of Enginee�s-Seawalls, Docks, Navigable Waterways. - -
<br /> - Department of Health'& Rehabilitative Servlces/Enyironmental Health Unit-glVells, 1Nastewater Treatment,
<br />' Septic Tanks. ,
<br /> - US Environmental ProtectEon Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. �
<br /> I understand that the follow►ing,restrlctions apply to the use of flll:�
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fiil m�terial fs to be used. in Flood Zone. "A", IQ. is understood that a drainage plan addressing a
<br /> °compensating volume" will be submitted at time of permitting vuhich is prepared by a professional engineer
<br /> Iicensed by 4he State qf�Florida.
<br /> - If the fill material is to be used in Flood Zone "A" ins connectfon wDth � permitt�d buiiding using stem wall
<br /> � construction, I certify thaE fill�wlll:be used only.to.flll the area within the stem•wail.
<br /> - If ffll material is to be used In any aree, I certify that use of such fill vuill not adversely affect ad)acent
<br /> properties. If use of�ill Is found to adversely �ffect ad)aeent properties,.the owrner may be cited for viofating
<br /> the conditions of the building:permit issued under the attached permit applicatfon, for lots less than one (1)
<br /> acre which are elevated by flil, an engineered drainage plan is requlred.
<br /> If I am the AGENT FOR THE OWNER, I,�promise In good faith to Inform 4he owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a.separate permit may be requtred 9or electrical work,
<br /> plumbing, signs, wells, pools; air coraditioning, .gas, or other installations not.speclflcally included�in.the application. .A
<br /> permit Issued shall be construed to be a license to proceed vvfth the work and not as authority to,violat�,cancel, alter, or
<br /> set aside any provisions of the technlcal cod�s; nor shall issuance�of a perrr�it prevent the �ulldfrig Official from thereafter
<br /> requiring�correction af errors in.plans, construction or violations of any codes. Every permlt issued shall become invalid
<br /> unless the work authorized by such permit�Is.commenced�within six months of permit issu�nce, or if woork authorized by
<br /> the permit is suspended or abandoned for a:period of§ix(6) months.after the tOPne the�work ts commenced. An extension
<br /> may b� requested, tn writing, from the Building,O�icial for a period�not to exceed ninety(90) days and will demonstrate
<br /> justifiable cause for.the extension. If work ceases for ninety(90)consecutive day.s,.the Job�is considered aba�doned.
<br /> WARNING TO OIRINER: YOUR.FAILURE�TO.,REC.ORD A.NOTIC�.OF�COfVIMENCEM�MT NfAY RESULT tN YOUIt
<br /> �G:7�m�'Td!lE��-FO!�!!S!�►�I�R��l�IVIEN.7'S�TO YOLIR_PR�OPEI�7Y. IF YOU•INTEND�°TO�OBTAIIV•FIId�ANCENG��CONSULT
<br /> WITH Y U NDE O AN�►TTORNEY� FORE�RECO �D G�1(OiiR �C�'OF- � °�� E' �T� -
<br /> FLORIDA JURAT(F.S.1.17. �'
<br /> OWNER OR AGENT - CONTRACTOR -
<br /> Subscribed and swam�o(or af�me�be� me thi� Subscribed and'swom to(or a ed)�before e fhis
<br /> by �DS�aJ i ���Y�iJ� .by .
<br /> Who Islare personally known lo.me or haslhave produced Who Is/are personally knoum�M me or hasR�eve produced
<br /> as Identlflcatlon, as IdenBRcaUon.
<br /> �
<br /> Notery Public . / �� Notary Public
<br /> Commisslon No. Comm s n No.
<br /> Name of Notary typed,printed or stamped Name f , �pa
<br /> �` �`�- Cbmmission#
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<br /> ��� � �xpires December 12,2018 .
<br /> i+ �� ,�y� @ond0d T�tu TmY F�n Insurance 80Q385-1Q"
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