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<br /> NaTiGE QE DEED RESTRlCTIO�tS: The underslgned under�t�nds°�.th�t thf�..p�rmit�.may be�subject ta"�eed"restrlctions°
<br /> which may be�more-restciative�than Caunty.�regulattons. �Tiie-underslgned�assurimes�responsibility for co�ifipltance with any
<br /> appllcable deed reslriotions, . .. . . .'` - . ,• `' � . •� .
<br /> UNLICENSED CBNTRAGTORS -AND CONTRACTOR RESPUNSIBIL1TfiES: �'lf the�owner �has �hire�d a cvntractar esr
<br /> contractors to undertake work, they may be;required.:to b�;llcensed In accordance.with.str�te.and•local regulations. If khe
<br /> cantractor ts no# Itcensed as requlred 6y law� both #he owner an� contcactor�may be�clfed for a-misdc�meanar violation
<br /> under state law. If the owner or Intended>cantrac.kat�are;uncertain as`to what Ilcensing.requlrements;may apply��or-the
<br /> intended work, they are advlsed to coritact the Pasco County Bullding lnspectloi►Dlvislon—Ucensfng�Se:ctlon at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractbr or contractors, he is advised to have the +:ontractor(s) sign
<br /> portions of the "contractor Block° of this appllcation for whtch they wlll be respon�ible. If you, as.the c�wner sign as ti�e
<br /> contractar, that may be an ind�catiqn that�[ie fs not.prope�Ey Ilce�sed a�nd ts nat ent[Bed`to pertmitting privileges In Pasco
<br /> County.
<br /> TR.ANSPQRTATION_IMPACT/UTlUTIES IMPAC't'ANb�RESClURCE REC4VERY�FEE3;�The undersic�ned understands ,
<br /> that Transportation Impacf Fees and.Recourae Recove.ry.Fees may�appiy;ta�the canstructian of new buildings, change af
<br /> use in existing buildings, or:expanston�of-�existing:'�6uildings� as speclfted ln Pasco County Ordinance rnumber 89-07 and
<br /> 90-07, as amended. .T,he undersigned also.understands� #hat such fees,=:as;may�6e:due;:will.�be tdentt#led at the tiirie o# �
<br /> pe�mitting. It is furthe� understoad that Transportatfon Impact Fees and�Resource Recavery�'Fees must be paid prlor to
<br /> rece�ving a °ce�#i�cate of occupancy" or final power�release. :1��#he project.does nat tnvoive:a•cert�#cat� of oc:cupancy.ot
<br /> finai power release; the fees must be paid prlor to permit tssuance. F�nhermore;��if Pasco Caunty 1Nater/Sewer�lmpaat '
<br /> fees are due,they�musk be:pald prior to permit�lssuance=ln accordance wtth appltcabla Pasco Caunty atdl�nances,
<br /> CONSTRUCTiON i:IEN t,.AW(Cfi�apter 713� Elarlda S#atuEes�as amended}: t�vatua�on of work is$2,�500.00 or more, i
<br /> certify that I, the applicant, have�been provi.ded Vvith'�a� copy of the "Florida Construction_Lien: I:a�u--Homeowner's
<br /> Protectton Guide° preparec! by the Fiarlcia Departinent of'Agriculture and Gonsumer Affalrs. If the appt�cant ts someone
<br /> other than the�owner", I certify that I�have.obtainetl a copy of the_above..des,cribed document and.p.r.omise�ln,good falth to
<br /> deliver It to the.°owner"prior to�commenaemerit; � , �
<br /> CfJNTRACTClR'S/tIWNER'S A�FIDAVIT: i ce'rtiEy#hat all the;inf.ormation In thi�application is accurate and tha#aii wark
<br /> will'be done in compliance with all appl(cable laws regulating constnaction, zoning and land development. Application Is
<br /> hereby made to obtaln .a permlt to do. work and Installatlan a�s indE�ated.. `I ce�tify that no work o�� tnstalla#ton has
<br /> aommenced prior ta Issuance�of a permiC and tha#:all wark wlll be pertormed ta meet standards of all laws �egulating-
<br /> consi�uctlon, County and City cades, zontng regulations, and land devefopment r.egulatlons�in the jur�fsdiction:. i at'so
<br /> cettify#hat I unde�s#and that the regula#ions of other gove�ment agencies may�apply�to the intended w��rk, and that it is
<br /> my respansibility to identlfy�what.ecttons I must take:to besln<.cortlpliance: S,uch agencles Include but are.i�at llmited to: `
<br /> - Department of Er�vironmental�Protection-�ypress.Bayheacfs; VYeHand Areas and Envtronmentatly Sensitive
<br /> Lands, WaterNVastewater Treatment.
<br /> - Saut#�west F#or�da Water Managemen# .C7fstrict Wells� Cypress. 8ayheads; iNetland Aress� Attering
<br /> Watercaurses. ,
<br /> - Army Cnrps of Engineers=Seawalls�Docks, Navigable Waterways.
<br /> - Department of Health � Rettabllitative ServiceslEnvitonrnenEal Fiealth Unit Well.s� WasteNrater Treatment, ,
<br /> Septic Tanks. ' � � ,
<br /> - US Environmental Protec#ion Agency Asbes#os abatement. �
<br /> Federal Avlattan.Authority-Runways. '
<br /> I understand that the following:restrietlons apply ta-the use of fl14;� ,
<br /> - Use af fitl is not allowed in Flood Zone"V"unless expressiy permitfed.
<br /> - If the �II material•is to be used�in:Flaod Zane °A", It. (s understoad that a drainage pl�in addresstng a
<br /> °campe�tsating volume"wlit bs submttted a#t�me af permitting wiilch is prepared by a profe.�sfonal eng€neer I
<br /> lice�sed by the:State�of Flarida: �
<br /> - !f #he fill matetlal..ls to 6e used fn Ftood �one °A" in�connecfion wlth.a�=�ermitted buitding us�ng stem wal! � ;
<br /> � canstrua#ion, i certify#hat fiil wlll�b.e used onty.to.fili the area within the stem watl.
<br /> - If flll material is to be used tn any area, 1 certify .that .use of such flll�wil# not adversely affect adJacent �
<br /> prope�ties. if use of flIl is fonnd to adversely:�ffect adja�ent«prdperties,.the owner may be cited for uiolating
<br /> the conditions af the building,permit issued under the.attached�permit application, fo� lats IE�ss than.one (1) '
<br /> acre whEch ace elevated by f�1i,an eng{neered dra3nage pfat�is requlred. . , j
<br /> ff I am the AGENT FOR THE.OWNER, I;:promise In good faith ta inform the awner of the.permitting candttfons set forth In
<br /> this affidavlt prtor to commencing constrvcttan. I understand thata-separate perm(t may be requtred#or elecMca! work. `
<br /> plumbing, s€gns, wells, paols; alr ca�ditloning,.gas, vr att�er installattons not�spec�icatly included�in.fhe application. .A '
<br /> permit issued shall be construed to be a'Iicense o proceed wikh tFie work and not as.authority to,vialate,cancei, alter, or �
<br /> set aside any provlsions of the teahnical , nor shall tssuance�of a.permtt.prevent ths Bultdlrig O#�icla�fram therea#ter �
<br /> requlring a correction af errors In plan o tnaction or vlalations of any codes. Every permft issued shall be invalid
<br /> unless the work authorfaed.by su pe � It-is-+co�nmenced�v+rtthln si�c mortths of permlt lssuance,'or If thorized by
<br /> the permt#is suspended or.eba on for a:period of six(8)mont�s:after the#ime the�waCk is camm d.. An extensian
<br /> may be �equested, in writ�n , fra e 8uilding.Offlclal far a perlod.not to exceed nineiy(90) da �d`vui0 demonstrate •
<br /> justlfiable cause for#he e �ns3o y If work ceases for nlnety{9Q)cansecutive:ciay.s,ttie�ob is co dered.a�a�idoned._ ---
<br /> WARNING TO OW R; Y UR EAIl.URE•'1't?,RECQltC�A NQTIGE OF�CQMMENGE T NtAY�RE:ttlkT tN YOUR
<br /> PAYING TWiCE.F iMP OVEMENTS TO YOUR,PROPERTY: �IF�YOU�IN"FErV �? �� -: IN�FI(�FANCING;'C.QNSULT
<br /> WITH UR� O AN ATTOR EY�� FOR � ECOR� G:Y0 ` ' E CE E ��,',-
<br /> Ft,Ot21DA JURA'#'(F .Q
<br /> � ,
<br /> DWNER OR AOE CONTRACTOR�._,
<br /> 5ubscribed and s r a�l betore me thts S�t�sscrlbed and swom (ot tmed}•b #tiis
<br /> b •by -
<br /> JVha is/are pe nally to e or has/have produced Who Is/ere p.ersonai kn me or.hasfi e� roduced -
<br /> as tden�ft��on. � id BBcatlan. -
<br /> �,,, -
<br /> - Notary Pubtic Notary Publlc
<br /> �am ston No. Commisslon No.
<br /> � Vame of Notary iyped�Prin#+ed or stamped ' Name of Notaty typed,pdnted or sEamped
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