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<br /> NOTICE OF DE�D RESTftICTIONS: The undersigned undetstands°that this.p�rmit.may.be.subJect to tldeed"restrictlons"
<br /> which may be;rnore c�strictive th�n County regulatfons. �The undePSign�d assumes respDnsibHtty for compliance with any
<br /> applicable deed res�ictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPAf�SI@ILI'TIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required�to be-llcensed in accordance with state.and�local r�gulatlons. If the
<br /> contractor ts not Iicensed �s requlred by law, both the owner and conUactor may be cited for a misdemeanor violatlon
<br /> under state law. if the owner or Intended�c�ntra�torare uncertain as to what Ilcenstng.require�nents may appiy�for the
<br /> inlended work, they are advised to cont�ct the Pasco County�uliding Inspection Divislon—L•icensfng Section at 727-847-
<br /> 8009. Furtherrnore, if the owmer has hired a contractor or contractors, he is �dvised to have the contractor(s) sign
<br /> portions of the "contractor Block' of this application for which they v�ill be responsibie. If you, as.the owner sfgn as the
<br /> contractor, 9hat may be an indication that he is not.properly Iicerased and is not entitled to permitting privileges in Pasco
<br /> County. I
<br /> TRANSPORTATION-IMPI4CTIUTILITIES IMPACT ANb RESOURCE�RECOVERY�FEE3: The undersigned understands
<br /> th�t Transportatfon Impact Fees:and.Recourse Recove.ry.Fees may��appiy to:the constructlon of new buildings, change of
<br /> use in existing buildings, or expansion,of;ezistin,g�buildings, as sp�clfied.in Pasco County Ordinance nurrober.89-O7 and
<br /> 90-07, as �mended. The undersigned also.understands, that such fees, as�may�be�.due,.wlll�be�identified at the time of
<br /> permitting. It Is further understood that Transportatlon Impact Fees and°Ftesou�ce Recovery-Ee�s must be paid prior to
<br />_ receivin� a"cerfificate of occupancy"or flnal_power. release. _:If_the project.does not inval_v_e a cettificate af occupancy ca��, _
<br /> final power relea'se, the,fees must be paid prior to permit Issuanc�. ���tk�ermore,�if Pasco County Water/Sewer Impact
<br /> fees are due, they�must be-p�id prior to permit-issuance�in accordance writh�appllcabte Pasco'County ordinances.
<br /> CONSTRUC'i'ION LIEN I.I�dV(Chapter 713� Flor�da Statutes�a��m�nd�d); If valuation of vuork ls$2,500.00 or more, I
<br /> certify that I, the applicant, have-been provided with a copy of the "Florida Constructton Llen Law—Hom�owner's
<br /> Protectfon Guide' prepared by the Florida Department�of Agric.ulture and ConsumarAffairs. If the applicant is someone
<br /> other than th�"oinrner", I certify that I have.obtained a copy,of,the above..descrlbed�docur►�ent�and.promise in,good faith to
<br /> deliver It to the`owner"prior to�cotnmencement. •
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that all-the Informatimn In thi�application is accurate.and that ali wrork
<br /> will be done in complfance with all applicable laws regulating constructlon, zonin�and land�deeetopment. Application is
<br /> hereby made to obtatn .a permit to do wotk,and installatlon as Indicated.• 'I certifjr that no wrark or installat{on has
<br /> commenced prior to Issuance of a permit and that.all work �nrill be pertormed to meet standards of all laws regulating�
<br /> construction, County and City codes, zoning regulations, and lar�d development regulations•in the jurisdtction. ( also
<br /> certify that I understand that the regulatlons of other government agencies may��pply�to the intended work, and that it is
<br /> my responsfbility to identify�what,act(ons I must take tm be,in:.corr�pllar�ce: Such agencies..ir�clude but are..not Iimited to:
<br /> - Dep�r#ment o6 �rtvironmental Protection-Gypress.�Bay�eads, Wetland Area� and Envlronrr�entally Sensitive
<br />. Lands, WaterMlastewraQer Treatment.
<br /> - Southwrest Florida Water 11Aanagement .i�istrict-Wells, Cypress. �ay.heads; Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of EngEneers-Seawalls, Docks, Naetgable Vilaterways.
<br /> - Department oB Health 8 ReMabilitatfve Serv(ces/Environmenfal Health Unit-Wells, Wastewater �'reatment,
<br /> Septic�'anks. ,
<br /> - US �nvironmental Protection Agency-Asbestos abatem�nt.
<br /> Fede�al Avfatlon Authortty-Runways.
<br /> I undersQand that��the follow►ing,restrictions apply to the use of flll:�
<br /> - Use of fill Is not allowed in Flood Zone"V"unless expr�ssly permitted.
<br /> - If the flll material ts to b.e used in_�Flood_Zone "A°, It. (s understood that a drainage plan addressing a
<br /> acompensating volume" will be submitted at time of permitting which Is prepared by a professfonal engineer
<br /> Iicensed by the�tate of Fiotida. �
<br /> - if the fiil material is to be used (n Flood �one °A" In>connectton�with.a�permitted building using stem wall
<br /> construction, I certiry that flll�:wlll:b.e used only.to.fill the�rea wtth(n the�stem�wall.
<br /> - If flll material is to be� used in any area, I certify that .use. of such flll will �ot adversely affect adjacent
<br /> properties. If use of fll6 Is found to adversely:a9fect adJaeent��properties,.the own�r may be cited for violating
<br /> the condi#ions of the building,permit Issu�d�under the �ttached p�rmit appl(cation, for�lots less than one (1)
<br /> a�re which ere elevated by flll,aR engtneered dralnage plan Is required. • .
<br /> If I am the/�GENT FOR TH�OWNER, I,�prorvdse In good fatth to iaform the owner of-the permitting conditlons set forQh In
<br /> this affrdavit prior to commencing constructfon. I understarod.that�-aeparate permit may be requtred for elecMcal work,
<br /> plurvabing, s6gn�, welis, pools, alr condlt(oning, .gas, or other instaill�tlons not.speclflcally included�in.the application. A
<br /> permit lssued shall be constcued to be�a�licen�e�to.proceed with the'�work and not as:authority to.violate;cancel, alter, or
<br /> set aslde any provisions of the technical.codes;:nor shall Issuance�of a.permit.prevent the Bulldf�ig Offictal ftom thereafter
<br /> requ6rBng�correction af enors In.plans,-construction or violatlons of any codes. Every permlt Issued shall becom�invalid
<br /> unless the work authorized.by such permit.�s-commenced�wtthin sCx months of�permit lssuance, or if work authorized by
<br /> the permit is suspended or.abandoned for a:period ofislx(9)montfis.after the:time the�work�ls commenced. An extenston
<br /> may be requested, In writing, from the Building,Official for a perfod not to.exceed nfnety(90) days a�d�will demonstrate
<br /> justifiabie cause for.4he extenslor�. If work ceases:for ninety(90)cons.ecut(ve�day.s,..th�job ts.considered aba�doned.
<br /> WARNIfdG TO OWId@R: Y�U�.FAIL'URE�TQ.R�EC.ORD..A-NATIGE>�F-COMM9EI�CEMENT IIIIAY RESULT IN YOUR
<br /> �AY9NG TYVICE FOR IMPROVEMENTS T�.YOUF�PROPERTY.-IF�YO.U�IN'FEMD�'T��O�TAIN�PIIV�ANCENG�'CONSULT
<br /> 9PVIT UR D O N ORN � � FO.E� ,, CO E;', .ll ;' ��; �:O r� `,.' � E .
<br /> FLORIDA JURA'�(F.S�1.1 .03) � " ' `
<br /> OWNER OR 9►t3ENT � � CONTRACTOR_ "
<br /> Subsaibed an b�wom to(or aNirmed)before me thla Subscribed and'buvom-to(or aHirmedpbefore me'ttits
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<br /> 1fIR10 is/are personally Imowm to.me or haslhave produc�d Who fs/are personelly#cnovm tc me•or has/have�produced. •
<br /> i as Identlflcatlon. as Identlflcatlon.
<br /> ' Notery Publlc . Notary Public
<br /> Commisslon No. � Commis�lon�No.
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<br /> Name of Nolery typed,p�inted or stampad Name of Notary lyped,printed or stamped
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