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NO'T`10E QF[�EED RESTitiGTiONS: The underslgned ander.�tands�that#his.p�r.mit.may.be.sub�ect to°deed"restrtctions°
<br /> which may be:more.restrictive than County reguiatlons, 'The undersigned assurries responsibility for comp0ance with any
<br /> �pplicable de�d restricttorrs.
<br /> UNLICENSED Ct�NTRACTOt�S AidD CCtNTRACTOR RESPON�I�Il1T1ES: Ifi the awr�er has hlred a contractor ar
<br /> contractors tc� undertake work, they may be required:to be llcensed In accardan�e.with state.and•local regulatlons. If lhe
<br /> cont�actor is not licensed as requ#red by faw, bot#� the owner and cont�actor may be ctted for � inisdemeanar violation
<br /> under state law. If the awner ar intended°contractor are uncertain as to what 1(censing.requlrements may appiy for the
<br /> intended dvark, the�y are advised to contact the Pasca County�iuilding Inspectlon D[vislon—Licensing Section at 727-847-
<br /> 8009. fur#h�ermore, if the owner has h�red a aontractar or cont�aatars, he 6s adv3sed to have th� cantrac#or(s} sign
<br /> portions of th� "contractor Blaok° of this applicatio� for which they wlll be responsible. if you, as.the owner sign as the �
<br /> conttactor, tha# may be an Indicaf€an that he is nat.properly 13censed and is not enti4led to perr�tltting privlleges tn Pasca
<br /> Counky.
<br /> TRANS�ORTATICIN lMFACTIUTILITIES IMPAC�'ANL?RE38URCE RECOVERY FEES: Th�underslgned understands
<br /> that Transpar�ation Impact Fees and.Recoutse Recavesy Fees may�appty ta the construation of new buildings, change of
<br /> use in existing buildings, or expansio��of�existiri,g'bulldings, as sp�clfled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as �mended, The undecstgned also understands, thaE such fees..as�may�be due,:wrllt.be IdenUfied at the time of
<br /> permikting. I# is further understood that Transporkation Impact Fees and Resowrce Recovery�Fees must be paid prfor to
<br /> receiving�"c�rtificate of occupancy" or fl�tal po�nrer. release. .{f the pro}ect doea nQt Ir�volve a c�rtificats a�a�cupancy. ar
<br /> fnal power reiease,-the fees must be paid p�ior to permit issuance. Fu#herma�e, if Pasco�County iNaterlSewer impact
<br /> fees are due, they�must be-paid prior to permit issuance�in accorda�ce with applicable I'asca�County ordinances. '
<br /> GaNSTRUCTl�N �IEN t.de1W(Chapter 713, Flar�d�Stat�t��a,as�mended): 1f val�aation of work ls$2,500.00 or mpre, 1
<br /> certify that I, the applicant, have-been provided with a capy of the "Florida Con�tructfon Lien Law—Homeowner's
<br /> Protectlon Gulde" prepared by the Ftorida Departmen�of Ag�lautkure and Gonsumer�Affairs. If the appllaa�t ts someone
<br /> other than#he"owner", I certffy that t t�ave,abtained a capy.vf the above..described document and promise in gaad faith to
<br /> deliver ft to the"ownee"prior to-commencement.
<br /> �ONTRACTt�R'SJt3WNER'S AF�IDAYIT: # ceitify that all the Infotmatlon in thl.s appltcatton is accurate and that all work
<br /> witl�be done in compliance with all.applicable laws regulating cons9ruction, zoning and land develapmen#. Applicatian is
<br /> hereby made t� obt$In .a permit to do work and InstaBation as tndEceted.= °9 certffy that no wrark or Instai4ation has
<br /> corrimenced prior to tssuance of a permit and #haf att work will be performed to meet standards of all laws regulating-
<br /> construction, County and C6ty codes, zoning regulatic�ns, and land development regulations in the jurisd(cQian. ( al'so
<br /> certify th�t 6 ur�derstand that the regulativns of other government agencles may�apply ta the intended wrork, and that it is
<br /> my responsibiEity#a identify�what.actians I must take to be�in:.corrlpli�nce: Such agencies include but are..not Itmited to:
<br /> - D�pactmenY of Environm�ntal Protection-Cypress.Bayheads, Wetland Areas ar�d E�vironmental4y Sensitiv�
<br /> l.ands,WaterlWastewater Treatment.
<br /> - aouthwest Florida Water Management District-WeVls, Cypress. �ay.heads�, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Arrny Corps af Engineers-Seawalis, Docks, Navigable Waterways.
<br /> - Department of Health� & Rehabllitative ServlceslEnv�ronmentai Heatth Unit Wells, Wastev�rater Treatmen#,
<br /> Septic'Panks. .
<br /> - US Environmentat Rrotectlan Agenoy-Asbestos abatement.
<br /> - Federai Avia#ion Authority-Runways.
<br /> I understand that the following.restrictions apply to the use of flll:�
<br /> - �Jse of fiEl ls not alloweti in Flood Zone"1!"unless expressly perinitted.
<br /> - If tF�e fiil material is to be used in Flood Zone "A°, bt. Is understood that a drainage plan addressing a
<br /> °cors�pensating volume" wilt be submltted at t�me of pecmitting wliich fs prepared by a professlonal engfneer
<br /> ilc�nsed by#he State of�lorlda.
<br /> - !f qhe till material is to be used in Flaod �one °A° in>cannection with.a {�ermitted building using stem wall
<br /> � constrrac#ion, i cerfify tha#fill�irtll:b.e used oniy.ta fill fhe area wlthin the s#em•wa11.
<br /> - If fill materlal is to be used In any area, I certify that .use of such flll will not adve�sely affect ad)acent
<br /> pro�ertEes, !f uss�f fill Is found to advecsely-affeat adja�en#�prope�ties,.the owner may be clted for vlolating
<br /> the conditions of the bullding:permit issued under the_�ttached permit application, for lots less than one (1)
<br /> ac�e which are el�evated by fI!!,a�englneered drainage plan Is required,
<br /> If i am the�►GENT FOR THE QWNER, I,�{�romise In good faith to tnform#he owner�f the permitting conditlons set forth in
<br /> this affidavit prior ta commenctng constructlon. I understand that a-,aeparate perrnit may be requtred for electrical wark,
<br /> plumbing, signs, we0�s, po�1s, alr condittor�ing..gas, or ather Ins#allatlbns nat spec�tcally Inciuded�in.t#�e appiication. -A
<br /> permit issued shall be canstrued to be a Iicense to p�oceed with the work and nok as authority to.vialate, cancel, alter, or
<br /> se#aslde�ny provisEons of the technlcal codes; nor shall lssuance�of a.permit.pr.event the�ulldlrig C?fflcfa!from thereafter
<br /> requiring a corre�tion af errars in,pians, construction or vioiatiuns of�ny cades. Every permi#issued shall became invaiid
<br /> unless the wrork authorixed by such permit�is-commenced�within si�c months of permit lssuance, ar if wark authorized by
<br /> the perm[E is stospended or.abandoned for a periad af�slx{�3}montF�s.after the time the work-is commenced. An extensian
<br /> may be requested, In writing, from the Building.Offlcial for a period not to.exceed ninety(90) days and will demonstrate
<br /> just�iabie cause$or.the extens3ar�. if work ceases.for ninety�9Q}consecutive:days,.the job is cansfdeted aba�doned.
<br /> WARNING TO OWIdER: Y�UR.FAIl.URE•TO.,REC.ORD A.NOTI�� OF�COMMENCENiENT IVtAY RESUlT IN YOUR
<br /> PAYING'iWICE,FUR lMPRBVEMENTS Tt3 YOUR:PROPERTY. IF YO.U=1N'�E1�D`TC1°OBTAIN�FINANC]NG;�CONSUlT
<br /> � lMIT UR DE O AfV,ATTORN B FORE•R COR�D G� U � O �� 'CI : �' E E NT
<br /> FLORIDA Jl1R1AT(F.�S.f.17.08
<br /> OWNEl�OR AC3EIdT COPITRACTO C~�''� � �r
<br /> �ubsccib�d nd swom �or a�i b or� !hl S bsctlbed and's rt�►to�.aflitmed)� re e tiit
<br /> --j p-1�by --: �, -- d-/� .by l,.-z e ��,. .. ��v
<br /> Who,1s�/are,�e�rsonally knovm tp.me or asRiaya roduced Who s/a personallYknowm ta me or aslhave roduced •
<br /> f`-C_.��-rst,!c.��__ as IdentlBcallon. �, f�� ,���.° � as iden�flcation.
<br /> �`�''U's2�S`�. Notery Publlc c � Notary Pubtic
<br /> Gommiss n "„�_.IACQUELI BqGES Commissla o. ,�
<br /> =��'� �°.:: Commissian - �•,....g,��.
<br /> "' � x ires December 12,2018 _�' ';w=_ Commission#FF 150422
<br /> IVame of p �,�a�° � Name of Notazy fy o �
<br /> ( �y�if;��`�� Ba� h m'f Fa`n insuranrs SQW365�T01B
<br /> �
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