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NO�{CE dF C1EED R�STRtCTtONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may 6e mare restricftue than Gaunty regulaflans. The unders3gned assumes respansibil'sty for compliance witFt any
<br /> applicable deeti restrictions.
<br /> UNLICENSED CONTT2ACTORS AND CON1"RACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contraetars to undertake work,they may be regaired to be#Ecensed in accordance with state and local regula�ons. tf fhe
<br /> contractor is not licensed as required by law, both the owner and cantractor may be cited for a misdemeanor violation
<br /> under state law. !f the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> inte�ded wortc,they are advised fa cantact the Pasco Cour�fy 8uilding Inspecfian Division—Licensing Seatlon at 727�847-
<br /> 8009. Furthermore, ff the owner has hired a wnhactor or aontractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor BIocV�of ihis application for which they will be responsible. If you, as the owner sign as the
<br /> contraetor,fhat may be an ltidlcatian that he Is not properiy Ilcensed and is nat enfiHed to permifEing ptiviteges'sn Pasco
<br /> � County,
<br /> TRANSPORI"ATION IMPACT/UTILIT1ES IMPACT AND RESQURCE RECOVERY FEES: The undersigned understands
<br /> that Transporta#ion Impacf Fees and Recourse Recavery Fees may appiy fo fhe construcfion of new buitdfings,change of
<br /> use in existlng buildi�gs,or e�cpansion of exts8ng bui(dings,as specified in Pasco County Ordinanca number 89-07 and
<br /> 90-07,as amended. The undersfgned also understands,thak such fees,as may be due,will be identffied at the time of
<br /> perml#ting. Ik Is#urther understood fhaf Transportation lmpact Fees and Resouree ftecovery Fees must 6e paid prtor to
<br /> receiving a`aertificate of occupancy°qr finai power release. (f the project does rtot involve a certifieake of occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County Water/Sewer Impact
<br /> fess are due,they must be pald priar ta pennit tssuance In acxoordance with apptica6le Pasco County ordinances.
<br /> CONS7RUCTfON tiEN LAW(Chapte�7i3,Fiorlda Statutes�as amended): tf valuation of work is$2,54�.00 or more,1
<br /> certify that 1, the applicant, have been prov(ded with a capy of the 'Florida Construction Lien Law—Hameowner's
<br /> Protectlon 6uide°prepa�ed by ths Fiotida Depa�tment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other fhan the`owner",t certify fhat 1 have o6fained a capy of the abave described documenf and promise in good faifh to
<br /> deliver it to the"owner"prior to commencement. -
<br /> GOHTl2ACTQR'StOWNER'S AFFlDAYfT: t certtfy that a!4 the lnformation in this application is aocurate and that all wark
<br /> will'be done fin compliance with ati appticable laws cegu(afing cans#ruction,zoning and land develapment. Applicatlon is
<br /> hereby made to obtain a permit to do work and installation as indicated. I cerlify that no work or Installation has
<br /> commenced prior to issuance of a petmit and lhat al!work wll! be performed to meet skandards af a!I �aws regulattng
<br /> constntc6an, Caunfy ancf City codes, xoning regulaflons, anc! land deveiopment regutaGans in the jurisdiation. 1 at'sa
<br /> certffy that I understand that the regulations of otFier govemment agencies may apply ka the intended work,and that it is
<br /> my responsibility to identity what actiorts I must iake to be in camp!lance. Such agencies tnclude but are not!lmited ta:
<br /> - Departrnent of Environmentat Protectian-Cypress 8ayheads, VlteBand Areas and Environmentatty Sensifive
<br /> Lands,WatedWastewater Treatmenk '
<br /> - Southwest Florida Water Management Distrlot-Wells, Cypress Bayheads, Wetland Areas, Alterfng
<br /> Watercaurses.
<br /> - Mny Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Departmenk of Health & Ftehabllltat3ve Servtces/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Enviranmental Protectlon Agency Asbestos abatement.
<br /> - Federal Avlation Authority-Runways.
<br /> 1 undetstand that fhe follawing resftfictions apply to the use af fill:�
<br /> - Use of fill Is not allowed in Ftood Zone'V°untess expressiy perm(tted.
<br /> - if the flll materlal ts to be used in Fload Zone 'A, it Is underatood that a drainage plan addressing a
<br /> `compensatEng volume"wAt be submtffed at ffine of permifting whtch is prepared by a professiona!engineer
<br /> Iicensed by the State of Florida.
<br /> - lf the flll material is to be used in Flood Zone"A° in connection with a permitted building using stem wall
<br /> consfruction,l cert3fy that ftl!wtil be used anty to fitl the area wtfhln the stem walt.
<br /> - tf flll materlal is to be used in any ares, i certify that use of such fiti witi not adversety affect adjacent
<br /> properties. If use of fill is found to adversely afFect adJacent properties,the owner may be cited for violaHng
<br /> the condiBons af the 6uilding permit issusd under the attached petmit appitcat9an,for lots less than one(1}
<br /> acre which are elevated by fiti,an engineered dratnage pian is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in gaod faith to inform the owner of lhe permikting condifions set fotth in
<br /> fhts afFtdavit pdor to cammencing construction. !understand that a separate permit may be requlred for eleattica!wark,
<br /> plumbing, signs,wetls, poo}s, a(r cond(Goning, gas, or other tnstailatians not specifrcatly inctuded in the applicafion. A
<br /> permik issued shall be construsd to be a license to proceed with the wark and not as authority to violate,canael,alter,or
<br /> se#aside any provis"sons of the technlcat codes,nor shatl 4ssuance of a permit prevent the 8uildirig Officia!from thereafter
<br /> requiring a aotrecfion of etrors in plans,conshucHon or violations of arry codes. Every pecmit issued shal!became invatid
<br /> unless the work authorized by such permit is commenced witi�fn six months of permit issuance,or ff wark authorrzed by
<br /> the petmtk fs suspended or abandoned for a pedod of six(Sj months atter the time the work is commenced. An extension
<br /> may be requested, En writing,ftom fhe Sui[ding Offtc3al for a per�ad not to exceed nlne#y(90)days and wlll demansfrafe
<br /> justiflable cause for the extension. If work ceases for ninety(9p)consecutive days,th 4job is considered abandoned.
<br /> WARNING 70 OWNER: YOUR FAlI.Ut2E TO RECORD A NO COMNIfN E EMC FiT MAY ULT IH YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE . IF YOU INTEND TO OBTAIN FINA G,CONSULT
<br /> V4fRN Y4UR L.ENDER OR AN TiOR EY BEFORE ECO DING Y UR NOTICE F CO M ENT
<br /> FLOR[DA JURAT{F:S.1i7.03} [w .—y
<br /> OWNERORAOENT CONTRACTO ~ � �( �U`���
<br /> Subsafbed arsd swom ta(or afiirmed)before me thls Subsatbed and swom to ffirtned)6efore me this
<br /> 6y aY
<br /> Who is/are personaly knovm to me ar hasRiava produced Who Is/are personairy imtn�m to me or hasfiave produced
<br /> asidentlficatlpn. asldenUfication.
<br /> �
<br /> Notary Public � '� � � � " -Notary Pubtic
<br /> .k: ;k� o missioa#��150422
<br /> Commtsston No.
<br /> '�'��Rf���\, ondad Thru Troy Faln InAUianaa 6C6��95�Yoi9
<br /> � '.
<br /> Name ot Ngiary typed.Pdnted or stamped • .
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