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_NO'ilCE QF DEEL?RESTRICTtQNS: The undersigned understands that this permit may be subject to°deed"sesfric�ions"
<br /> ' which may be more reshictive than County regulaGons. The undersigned assumes responsibitity far comptiance with any
<br /> applicable deed res#rictions.
<br /> UNI.ICENSED CONiRACTORS AND COtd3RACTOR RESPONS{BILETIES� 1f the owner has hired a contractor ar
<br /> contractors to undertake work,they may be required to be licensed in acxordance wi#h state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cfted for a misdemeanor vialation
<br /> under state 2aw_ tf the awner or intended contrac#or are tsncertain as to what iicensing reqairements may appty for#he
<br /> intended wqrk,they are advised to contac#the Pasco County Building tnspection Division--Licensing Section af 72?-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> pottians af fhe°contractor S1ock"of this applicatiort for which they will he respans'sbie. if you,as the owner sign as the
<br /> cantractor,that may be an indication that he is not properly iicensed and is not entitied to permitting privileges in Pasco
<br /> County. '
<br /> TRARtSFORTATiON fMPACTiUTt�tTlES IMPACT AtdD RES013RCE RE�01tERY EEES: The u�derssgned understands
<br /> that Transportation tmpaat Fees and Recaurse Recovery Fees may appty to the canstruction of new buiidings,change of
<br /> use in existing buildings,or expansion of ewsting buiidings,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. Ttre undersigned afso understands,that such fees,as may be due,wiA be identified at Ehe time of
<br /> permitfing. It is fu�ther understood that TransportaGon impact Fees and Resouree Recovety Fees must be paid prior to
<br /> receiving a"certificate of accupancy°or final power release. If the project does not involve a certificate of occupancy or
<br /> finat power release,ihe fees must be paid priar to pe�rnit issuance. Furthermore, if Pasco Caunty Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accardance with appiicabte Pasca Gaunty ordinances.
<br /> CONSTRUCTION LIEN f.l�W(Chapter 713,Flonda Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> � cettify that !, the app(icant, have besn provided with a copy af the "�londa Construction Lien Law--Homeowners
<br /> ' Protection Guide"prepared by#he Florida Departmen#of Agricuiture and Consumer Affaiss, tf the applicant is sameone
<br /> � other than the"owner",I certify that I have obtained a copy af the above described document and pramise in good faith to
<br /> � defiver it to the"owner"priar to cammencement
<br /> i CONIRACTOR'SIOWNER'S AFFIDAVIT: 1 certify that atE the infomration in ihis applicaEian is accurate and that ali work
<br /> ' will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made ta obtain a pesmit to do work and installation as indicated. ! certify that no work or installation has
<br /> cammenced prior ta issuance of a permit and#hat all wotk will be pe�ormed to mset standards of all laws reguia#ing
<br /> canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> ( certify that 1 understand that the regulations of other govemment agencies may apply to the intended work,and that it is
<br /> my responsibitity to identify what actians 4 must take to be in coir�pliance. Such agettcies inetade but are nat fimited to:
<br /> - Department of Enviranmental Protection-Cypress Bayheads, Wetland Areas and Environmentalfy Sensfive
<br /> Lands,WatedWastewater Treatment.
<br /> - Soufhwest Ftorida Water Nlanagement L3istrict-Wel1s, Gypress Bayheads, Wetland Areas, Altertng
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways_
<br /> - Depat#ment of Fiealth 8. F2ehabiiita6ve ServiceslEnvironmenta! Health Unit-Wells, Wastewater Treahnent,
<br /> Septic 7anks.
<br /> - US Environmental ProtecUon Agency-Asbestns abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of i11:
<br /> - Use af fill is not allowed in Flood Zone"V°unless expressly permitted.
<br /> - if the fi[3 materia3 is to be used "sn Fload Zone "A", it is understaod ihat a drainage plan addressing a
<br /> °compensating volume"wiA be submitted at time of permitting which is prepared by a professionai engineer
<br /> i licensed by the State af Florida.
<br /> - !f fhe f!! material is ta be used in Flood Zane°A° 'sn conneation with a permitied building using stem wal!
<br />, constntc6on,I certity that fitl will be used onty#o filk the area within the stem wail.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not aduersely affect adjacent
<br /> properties. Ef use af fil!is faund to adversely affect edjacent properties,the owner may be cited for violaling
<br /> fhe canditians of fhe building permit issued under the attached permit application,for tots tess than one{1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> !f I am the AGENT FOR THE OWNER,t promise in gaod faith to inform the owner of the permitting conditions set forth in -
<br /> this affidavit prior fo cammet�cing construction_ t understand that a separate permit may be required for electricat work,
<br /> I plumbing, signs, wells, paols, air conditioning, gas, or ather,installations not specifically included in the application. A
<br /> permit issued shall be construed to tre a license ta proceed with ttte work and not as autharity to violate,cancel,alter,or
<br /> set aside any pravisions of the technical codes,nar shalf issuance of a permit prevent the Building Officiai frorn fhereaitar
<br /> requiring a correction of errors in plans,consVuctian or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authonzed by such permit is commenced within six mon#hs of permit issuance,or if work authorized by
<br /> the permit is suspended ar abandaned for a pedad of si�c{8}months af#er the time fhe woi'k is commenced. An extension
<br /> may be requested,in writing,fram the Building Official for a periad not to exceed ninety(90)days and will demonstrate
<br /> jusUfiabls cause for the e�ension. If work ceases for ninety(90)consecutive days,the job is considered ebandoned.
<br /> WARNING TO QWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT tN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IPITEND TO QBTAIN FINANCING,CQNSULT
<br /> W4TH YOUR LEt�1DEft 4R AN ATTORiVEY SEFORE RECORDilVG Y Ft OTtC NfENCEMENT_
<br /> FI.ORIDA JURAT(F.S.117.03) �-•�"'
<br />� OWNERORAGEN7 NTRA TOR
<br />� Subscribed and swom to(oc affirmed}before me ttiis m W o be m
<br />' by bY
<br /> Who islaro personally known ta me or haslhave praduced isla rsonally kno o me or has/have produced
<br />� as idenlifiwtion. as iden4fication.
<br />�
<br /> Notary Public Notary Public
<br /> Commission No. mmissinn � �
<br /> � � ,,.;;��►�-.,, LOqIJOHNSQN
<br /> Name of Natary typed,printed or stamped Nams of hlotary typed,printed or stamped � * * � Y �blle-State at F#orfda
<br /> ='+ .•= Commisston A�FF 905353
<br />� %:,'�lFa�f`��q;� My Comm.Expires Nav 26,2019
<br />; � `•,,���•"• Bonded ihmugh National N�ary Assn.
<br />�
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