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NQTIGE�OF QEED R�STRIGTlONS: The undersi ned understands that this ermlt m� b � sub ect to" ee "r "
<br /> J p Y � J d d estrictians
<br /> which may be more restrictive khan County regulations: Ttie underslgned�assumes ce pan.ibiUty for complianee wiffi any
<br /> applicable deed restr(ctions. •
<br /> UNL.ICENSED-CONTRACTORS AND CONTRACTOR RESPQNSIBIUTIE�: If #he ow er has hlred a contractor ar
<br /> contracfors fo undertake work, #hey may be required to be licensed In accardarice wlt sfa e and�iocal regufations. If fhe
<br /> contrac#or is not licensed as requ#red by taw, both t�ie owner and contractol� may be cite� for a misdemeanor vfolation
<br /> under state law. If the owner or intended contra�ckor are uncertaln as to wha# Ifcensi g r�iqulremen#s may apply for the
<br /> intended wQCk, #hey are advised to contact the Pasco County Buliding Inspection Divisi n�Llcensing Section at 727-847-
<br /> 8009. Furthermore, if the awner has hiretl a contractor or contractors, h� is advi od o have the confractor(s) sign
<br /> port(ons of the uconfractor Block" af th(s applicatian for which fhey wiil ba re�pansible If , au, as the owner sign as fhe
<br /> con#raator, that may be an indfcation that he is nof properiy licensed and is not entitl d to permitting priviiages iri Pasco
<br /> County. _ ,
<br /> TRAKSPt�RTATI4N IMPACTtUTiL!'CtE5 IMPACT AND RESQURCE RECO�/ERY FE S: The undersignsd understands
<br /> that Transportation lmpact Fees and Recourse Recavery Fees may,agply to the canst ucti n of new buildings, change of
<br /> use in existing buildings, or expanslon of existjng buildings, as specified in F�asco Co n#y Ordinance number 89-07 and'`
<br /> 90-07, as amended. The undersigned alsa�undersfands, thaf such fees, as may be ue, �w(II be Idenfified af fhe time of
<br /> permifting. it Is furfher understood that Transpo�tation lmpacf Fees and Resource R cov�ry Fees must be paid=p�ior to
<br /> receiving�a Ncertificate of aocupancy° or fina( pawer release. If the pro)ect does not i volve a cerfjficate of occupancy oc
<br /> final power release, the fees must be pafd prior;to perr»ft�issuance. Furthermore, If asc�o County WaterlSewer lmpact
<br /> fees are due,they must be pald prior to permlt fssuance!n accordance wlth a�pl(cable asc�o County ordinanees:
<br /> CONSTRUCTlQN LIEN LAW{Chapter 7'43; Florlda Statu�es, as amendedp: !f valu tion of wark is$2,500.00 or more, I
<br /> certify that !, the applicant, have been provfded with a copy of the °Florida Con tru�tion Lien Law=Flomeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affair�s, if fhe applicant is someone
<br /> ather than fhe"owner", 1 cerkify fhat I have obtained a copy of#he abave described da um�nt and promise in gaod faifh to
<br /> de(iver it ta the"owner"prior to cammencement. '
<br /> C�NTRACTt3R'3/�WNER'S AF�IDAVIT: i certify that aE#the Informatlon In this appi catic�t� is accttrate and that aN work
<br /> will'be done ln cQmpliance with al! applicable (aws regulaking constructlon, zqning an la�d davelopment. Applicattan Is
<br /> hereby made to obtaln a permit to do wark and installatfon as �indlcated. 1 certi th t na work or instailation has
<br /> commenced priar to fssuance af a permit and fhat ail work will bo perFormed to m ef standards of all laws regutattng
<br /> construcEion, Caunfy and Cify aodes, zoning regulations, and (and deveiopment re ulat ons in the jurisdiction. i also
<br /> certify #haf I unders#and that fhe regulations;of otFier governmenf agencies may apply�o t�e infended work, arid`fhaf�it is
<br /> my responsibilify to identify wh�t actions 1 must take to be 3n campfiance. Such agencf s i ciude bu#are nat limited ta:
<br /> - Deparkme'nt of�Environmen#ai Prote�tiar�-Cypress Bayheads, V1(etfand A eas ar►d Envlronmentally 3ensitive
<br /> l.ands, WaterlWastewater Treakment,
<br /> - Southwest Florida Water Management District-Wells, Cypress Ba hea� s, Wetland Areas, Alter(ng
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterway�. I
<br /> - Depa�tmenf of Heaith & Rehabiii#afive ServlaesJEnvlmnmental Health nit Weiis, Wastewater Treatment,
<br /> 8eptic Tanks. �
<br /> - US Envlronmental Protectian Agency-Asbestas abatement. �
<br /> - Federal=Aviatlon Authority-Runways. j
<br /> I understand that the following restrictions apply to the use af flll:� �
<br /> - Use of fill is not aliowed in Fiaod Zane°V°unless expressiy permitted.
<br /> - ff the fill materiai is ta be used in Flood Zane "A", it is understood � at a drainage pian addressEng a
<br /> "compensating volume° will be subm3tted at tlme of perm�tting whfch �s prep�red by a professiana! engineer
<br /> licensed by the State of Florida.,
<br /> - If th� fill materlal is #v be used in F(aod Zone "A" In cannectian wlth a perrriitted building using stem-wall
<br /> constructlon, I certEfy that flll wil! be used only to fiil the area within the ste w�ll.
<br /> - If fiU material Is to be used fn any area, I cert(fy fhat use of suah fiil wil�� nof adverseiy affec# adjacent
<br /> properfies. (f use of�Il is found to adversely affect��adjacent properties, t�e awner may be ci#ed far violating
<br /> the conditions of the tauilding permit issued under the rattaahed permft a p!lc�tion, far lots less than one<{1)
<br /> acre which are elevated by filf, an englneered drainage plan is requtred. �
<br /> 1€! arrt the AGENT FOR THE�WNER, ! promise !n good falth to Inform the owner of he �ermitting.conditfons set forth (n
<br /> this affidavit prlor to commencing constructlon. I understand that a separate permit ay�be required for electrical work,
<br /> plumbing, sfgns, wells, pools, air conditioning, gas, or ofher Insfallations not specifi ally included in the application. A
<br /> permit issued shall be construed to be a I(cense to proceed with the wark and nat as aut ori#y ta vioiafe, cancel, alfer, or
<br /> set aside any pravisions af the #echnical codes, nor shall issuance ot'a permit preven the Bttiidirig Offlcial from thereafter
<br /> requiring a correction of errors in plans, cansfruc#ion or vlolatlans of any codes. Eve perrr�it issued�shal) become lnvalle!
<br /> unless�the work authorized by such permit is commenced within six rnonth� of perm t issuance, or Ef work authorized by
<br /> the permit is suspended.or abandoned for a period of six(8) months after thQ time th wo�k ls cammenced. An extenslon
<br /> may be requested, in writing, from the Building Official for a perlod not to exceed nit�aty�(90} days:and will demonstrafe
<br /> Justifiable cause for the extens(on. if work ceases for ninefy(90}consecutiv�days, th job�is considered abandaned. �
<br /> WARNlNG Tt3 �WNER: YC7UR FA1�.URE TO RECORD A NQTICE QF GOMME GEI�lENT MAY RESUl.T !N YOUR
<br /> PAYING TWICE FaR iMPRC}VEMENTS TO YC1UR pRQPERTY. 9F YOU INTEND T 013TAlN`FlNANCING, CONSULT
<br /> W!T X�IJR�LE DER � R AN ATTQRNEY BEFORE R�CORDINt�YOUR�i TfCE F(�iOMMENCEMENT.
<br /> FLORIDA;IURATr(F.S. 117 ) ,, � — h-
<br /> tiWNEE2 012 AGEN�' 4 0 �' �` � � CQNTRACTO I � `"'�'"��
<br /> Subscrlbed an bswo to(or afflrmed)before me thi Subscribed and� or affirme )be�ore me fhls .
<br /> Y Y
<br /> Wha Istare personaily known to me or haslhava praduced Who 4§lare-p'srsonally known to me 6r ha�lhave produced
<br /> as identlflca8an. `s fdenUfi�tfon.
<br /> , ' �
<br /> Nofary Pub(ic Notary Publ�e
<br /> ��11'���, ( �
<br /> Comm! g•�,�,. . JOEL E.BACON Commisslon o
<br /> -., '•;= Commission#FF i3707 .�:�:�••Y�:�., E;BACph}
<br /> ;s: �o�: EX itBS,1t1tf8 2g,2018 =•: ►� C mmission
<br /> hlame of No r}l' "�;'prll�t�!¢p�9N§4� ' 'tfi','�"�701° Name of Notary rype. ;, ' � �S@,une 29,2018
<br /> . •,a�„'a�`� 8 ded TNu Tro F'
<br /> , _. I Y em Inswance gpp3g5•7019
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