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<br /> IVQTiCE �F DEED RESTRIGTIC}NS: The undersigned �sr�cierstands that this permit may be s�bject to°deed" restrictions"
<br /> � which may be more restric#ive than County regulatians. The undersigned assumes responsibility far compliance with any
<br /> appHcabie deed restrictions. _
<br /> UNLICENSEfJ CONTRACTORS A�ID CONTRACTOR RESPOPVSIBIL.iT(ES: If the awner has hired a contractor or
<br /> confiractors to underfiake work, they may be required to be licensed in accardance with state and lacal regulations If the
<br /> contractor is nof licensed as required by law, both the owner and�contractor may be cited for a misdemeanor violatian
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended wark, they are advised to contact the Pasco County Building Inspectian Division—Licensing Section afi 727-847-
<br /> 8009 �urthermore, if the owner has hired a contractor or contractors, he is advised to have the cantractor(s) sign
<br /> portions af the "contractor Block" of this applicatian for which they will be responsible. !f yau, as the owner sign as the
<br /> contractar, that may be an indication that he is not praperiy iicensed and is not entitled to permitting priviieges in Pasco
<br /> County. +
<br /> TRANSPORTATI4N 1�VIPACTIUTILtT1E5 1�ltPACT AND RESOURC� R�COVERY FEES: The undersigned understands
<br /> that Transpork�tion Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing builclings, or expansion of existing buildings, as specified in Pasca County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned aiso understands, that such fees, as may be due, wi11 be identified at the time of
<br /> permitting It is further understoad that Transportation Impact F'ees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certifcate af oceupancy" or final power eelease. If the project does nat invo(ve a certificate of occupancy or
<br /> final power release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco Caunty Water/Sewer Impact
<br /> fees are due,they rrtust be paid priar to permifi issuance in accardance with applicable Pasca County ardinances,
<br /> CO�ISTRUCTION L.IEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify tha# I, the applicank, have been pravided with a copy of ihe "Flarida CQf1St3'UCt1411 Lien Law—Homeowner's
<br /> Protectian Guide" prepared by the Florida Department of Agriculture and Gonsumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the abpve described document and prqmise in goad faith to
<br /> deliver it to fhe°awner" prior to commencement.
<br /> COiVTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> wifl be done 'sn eampliance with all applicable laws reguEating canstruction, zaning and land develapment. Application is
<br /> hereby made to obtain a permit to da work and installation as indicated. I certify that no work or installa#ion has
<br /> commenced prior to issuance pf a permit and that all work wil! be performed to meet standards af all laws regulating
<br /> construction, County and City codes, zoning regulations, and land deveiopment regulations in the jurisdiction. ( aiso
<br /> certify #hat I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions 1 must take ta be irt compliance. Such agencies include buf are not limited ta�
<br /> - Department of Environmental Protection-Cypress Bayhe�ds, Wetlarrd Areas and Environmentally 5ensitive
<br /> �ands, WaterlWastewater Treatment.
<br /> - Saufihwest Florida Water Management Distric#-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seawalls, Docks, Navigable Watenruays.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic I"anks.
<br /> - US Environmental Protection Agency-Asbestas abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> i understand that the following restrictipns apply to the use of fill:
<br /> - Use of fill is nat allowed in Flood Zane"V" unless expressly permitted. i
<br /> - [f the filf material is to be used in Flood Zone "A", it is understoad that a drainage pian addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional �ngineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Fload Zane °A" in connectian with a permitted building using stem wall
<br /> construction, f certify that fi!!will be used only ta fill the area within the stem wail.
<br /> - lf fill mafierial is to be used in any area, I certify that use af such fill will not adversely affect adjacent
<br /> properties. !f use of fiU is found ta adversely affect adjacent properties, the owner may be cited for violating
<br /> the canditians of the building permit issued under the attached permit application, for lots iess than one (1}
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If E am the AGENT FOR THE OINNER, I promise in goad faith to inform the owner of the�permitting conditions set forth in
<br /> this affidavit prior.to commencing constructian. I underst�nd that a separake permit may be required for electrical work,
<br /> pfumbing, signs, wells, paois, air canditioning, gas, or other instaliatians 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, ar
<br /> set aside any provisions of the technical codes, nar shall issuance of a permit prevent the Building O�cia! from thereafker
<br /> �equiring a carrecfion af errors in plans, canstruction ar via(ations of any codes. Every permit issued shail become invaiid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work autharized by
<br /> the permit is suspended or abandoned for a periad af six{6) manths after the t'sme the work is commsnced. An extensian
<br /> may be requested, in writing, from the Building Official for a period no# to exceed ninety (90) days and will demonstrate
<br /> juskifiabte cause far the extertsion. !f wark ceases for ninety(9Q)cc�nse�uti,.fe���Js, th�;�h��c�^�:�Arbd abar,�or�e�.
<br /> WARiVWG 70 OWNER: YOUR FAILURE TO REGORD A NOTlC� �F CQMMEi�10EME➢V7' M16}AY RESUL7' !tV YOUR
<br /> PAYING TWtCE FOR[MPRt3VEMENTS TO YOUR PROPEt�TY. (F YOU INTERlD TO OBTAIN Ftt�lANCING, CONSUt,T
<br /> WB iTH YC?E..pR I.����F� �!? �1 RI �T"T'�DN9�Y �u���F?� �;��C�:�6Ev:�i'v��:�;�d�� i�� ��i��ii���iv���iiCrv�.
<br /> FLORIUA JUE2A'C(f=.S.�t'!?.i}3}
<br /> OWNER OR AGENT /�/���t-- ./'i�-'7� CONTRACTOR_ /A/ ��-�l��''°
<br /> Subscribed and sw n to(or ffirmed} efore me this Subscribed and sworn to{or a med)betore me this
<br /> G��,�=by ��----�,. t�E.}tQ U�2:� by �
<br /> Wh islare n nown to me o�has/have praduced Who-is/ar a ly known,to or has/have produced
<br /> _..�a���identificaEion, as identificafian.
<br /> ----������ �►- ��r:�A,� 1,� Notary Public ����`.�e��� aGYI�-�-I_m Notary Public
<br /> Comrnission No._ 02� �11��C,��t7�FlOf� Commission tvo. �O�e3t�t PUI?IIC,���@ 0#�0�{��
<br /> My Commisslan EacpiresAug��� Y mission ExpiresAugust 1s= ��n��
<br /> Name of Notary fyped,pri r Name of Notary#yped,printed ar s •
<br />
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