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NCJTIGE�F DEEQ RESTRtCTIONS: 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 deeci restrictians.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS16tLiT1ES: if the owner has hired a confractor or
<br /> contractors to undertake work, they may be required tp be licensed in accordance with state and local regulations. If the
<br /> confractor is not licensed as requireci by Eaw, bofh the owner and cantractor may be cited for a misdemeanor viafafion
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to cantact the Pasco County Building lnspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the awner has hired a confractor or confractors, he is advised to have the confractor(s} sign
<br /> portions of the ucontractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indEcation that he is nat properly licensed and is not entitled to permitting privileges in Pasco
<br /> Gounty.
<br /> TlZANS!'t�RTATiON tMPACT/UT1�ITlES 1MPACT AND RE5laURCE RECQVERY FEES: The undersigned understands
<br /> that Transportation impact Fees and Recourse Recavery Fees may apply to the construction af new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasca County Ordinance number 89-07 and
<br /> 90-07, as arr3ended. The undersigned also understartds, that such fees, as may be due, will be identified at the time of
<br /> permitting: It is further understood-thafTransportation Impact-Fees and Resource Recovery�Fees-must-be paid prior-to- -
<br /> receiving a "cerkificate of occupancy" or fina! pawer release. If the project does not involve a certificate of occupancy or
<br /> . final power release, the feas must be paid prior ta permit issuance. Furthermore, if Pasca County Water/Sew�r Impact
<br /> fees are due,they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CQNSTRIJCT{ON L1EN LAW{Chapter 7't3,Florida Statutes, as amended): if valuation of work is$2,500.Q0 or mare, l
<br /> cer#ify that f, the applicant, have been provided with a copy of the "F�orida Construcfion Lien Law—Homeowner's
<br /> Protection Guide" prepared by the �lorida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", 1 certify that 1 have abtained a copy of the above described document and promise in gaod faith to
<br /> deliver it to the"owner"prior ta commencement. -
<br /> CC}NTRACTOR'SIOWNER'S AFFlDAVIT: I cectify that al] the infarmation in this applica#ian is accurate and that a!1 work
<br /> will be done in compliance wifh alf applicab�e laws regu�ating construction, zoning and (arid developmenf. Applieation is
<br /> hereby made to obtain a permit ta do work and installatian as indicated. 1 certify that no work or installatian has
<br /> commenced prior ta issuance of a permit and that a11 work wili be performed to meet standards of all laws regulating
<br /> construction, Caunty and Gity codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that 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 I must fake to be in compliance. Such agencies include but are not(imited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> l.ands,VltaterlUUastewater Treatment,
<br /> - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Enviranmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Enviranmental Pratection Agency-Asbestos abatement.
<br /> - Federa!Aviation Autharity-Runways.
<br /> 1 undersfand fhat fhe following restrictions app(y to the use af fili:
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fll material is to be used in Flaad Zane "A", it is understood that a drainage plan addressing a
<br /> "campensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State af Florida.
<br /> - if the fiil materia( is ta be used in Fiood 2one "A° in connection with a permitted building using stem wall
<br /> constructian, I certify that fill will be used only to fill the area wi#hin the stem wall.
<br /> - If fi11 material is ta be used in any a�ea, i certify that use af such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
<br /> acre which are elevafed by fill, an angineered drainage plan is required.
<br /> If I am#he AGENT FOR THE OWNER, I promise in gaod faith to infarm the owner of the permitting conditians set forth in
<br /> this affdavit prior ta cammencing canstructian. i understand ttrat a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air eonditioning, gas, ar other insfallations not specifical(y included in #he 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 pravisions of the technical cades, nor shall issuance of a permit prevent the Building C?fficial fram thereafter
<br /> requiring a correction of errars in plans, construc#ion or violations of any cades. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months af permit issuance, or if work autha�ized by
<br /> the permi#is suspended or abandoned far a period of six(6) monfhs affer the time fhe work 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 /> justi�abie cause for the e�ctension. If worK ceases for ninety(90)consecutive days,the job is consiciereci abandoned.
<br /> WARNING TO OWNER: YQUR FAILURE TQ RECORD A N4TIGE OF GOMMENCEMENT MAY RESULT 1N YOUR
<br /> FAYING TWICE FOR 1MPRQVEMENTS Tt3 YOUR PROPERTY. IF YOU INTEND TO OBTAtN FtNANC(NG,CC1NSi1LT
<br /> WITH YOUR LENDER OR N ATTORN�Y BEFORE RECORDING YOUR N ICE OF CO MENCEMENT.
<br /> FCt}R]DA JURAT(F. 7.03
<br /> �i �,.--
<br /> OWNER 012 AG� CONTRACTOi2
<br /> Subscribed and swor or affirme.� a me this Subscribed and s rn ta ar affir ed before me this
<br /> os—(7—/S by LtoH+as !►"v ler c�—t?—/S by �tvswa.s �Yt�{�zer
<br /> Who is/are personally known to me or haslhave produced Who islare personally known to me or haslhave produced
<br /> �.L• as identification. d7•L� as identificatian.
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