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<br /> Nt?TICE OF DEEQ RES RlCTlC�NS: The understgned understands that this p�rmit may be subject#o"deed"testrictions" �
<br /> whlch maj►be more resfr�ctive th��n Cot�'nty regulatians: Th�undersigi�ed assumes responsibility for compliance witti any
<br /> applicable deed resEricEions. i
<br /> UNLtCENSED CUNT �GTURS AND CANTEZACTUR RESPONSiB1LITiES: if fhe awner has hired a contractor or
<br /> canfractars#a undertak��ork,they may 6e required to be ficensed in accordance with state and Ivcat regulsfions, tf the
<br /> I contr�cEor is no# licens��� as require@ by taw, 6oth the owrier and cantrac#or may be c�ted it�r a misdemeattot v[oiat[on
<br /> unde� state law. ff the c�wner o'r intended cantraetor are uncertain as to what licensing requirements may apply for the
<br /> ; intended work,they are dvised�to contact fhe Pasco Couniy Building (nspeciion Division—Licensing Section at 727-847-
<br /> 8009. Fur�hermore, if f�e owner has hired a contractor trt confractors, he is advised Eo have fhe confracfar(s) sign
<br /> parfions of the �contract�r Black" of this application for whieh=fhey wiff be responsibte_, tf yata, as the awner sign as th�
<br /> contracfor; fhat:rriay be'an indi�atian that he is rlot properly licetised and is not entiEled to permitting privileges in Pasco
<br /> Goun •
<br /> TRA SPORTATION IM AGTIUTILITIES IMPACT AND RESOURCE RECUVERY FEES: The undersigned understands
<br /> fhat Transport�tion tmp cE•Fees and Recourse Recovery Fees may appty�a the constnactivn of new buildings, change of
<br /> , use in existing buiidings or expansion of existing buildings, as specifiieci in Pasco Gounfy Ord'►nance number 89-07 and
<br /> 90-07', as amended T e uridersigned atsa understands, that such fees, as may be:due�wit! be identified at fhe fEme af
<br /> permitting. It is further ndecstooc! that Transpark�tion Impact l�ees and Resource Recovery Fees must be'paid prt�r��o
<br /> receiving � °certifcate of occupancy° ar final power release, If the project does not involve a certificate af occupancy vr
<br /> flnal power release, the�fees must be paid prior fo permit issuance. Furfhermore, if Pasco County WaEeNSewer Impact
<br /> fees are due,#hey must be paid prior fo permit issuance in accordance wi#h appiicabie Pasco Couniy ordinanc�s; �
<br /> ; CONSTRUCTiON LIEN LAW�Ghapter 713,Flarida Sfatntes,as amettded): If valuation af work#s$2,500.00 ar more, � �
<br /> cerf#iy that i, the appli anf, have been provided wi#h•a copy t�f the "FEorida Gonstruction L.ien Law Homeowner's
<br /> Protect�on Gufde" pTep ted by'the Flotida Degartment of Agriculture and.Consumer Affairs. If the �pplicant is someone
<br /> other�th�n Eti�°owner°, certify�fhat�1.have a�btained a copy of the above described document and pramise in good�faith ta
<br /> deliver it ta the°owner" rlor#o commencement. � - : -
<br /> CONTRACTOR'SIOWI�ER'S �1�FIbAVIT. I certifiy fhat ait fhe informafion in this applicatian is accurate and that att work
<br /> wiil be done in comptiafice withI afi appiicable laws regulating consirctctivn, zoning and iand-deveTopment. ApplEcatian is
<br /> hereby made to obtair� a pertntt to do wark and instaElation as indicated. ! cer{ify th�t no work or instal4atian has
<br /> commenced prior ta tssuance�of a pe�rnit and that a0 work vuil! be petfor.med to meet standards of all laws regulating
<br /> construction, County a(��d City;aodes, zoning regulations, and land development regulafions in the jurisdiation. ( al"so
<br /> certify that I �inderstand that tNe regulations of ofher govemmen#agencies may appiy#o the infended work� and fhat iE is
<br /> my responsibilify to ider�tify whak acfions t must#ake�to�be:in compiiance. Sct�h agencies include put are nofi timiked to:
<br /> - Deparfinent of Environmenfai Proteetian-Cypress Bay�ieads, WetEand Ar�as and Erivironmentaily Sensifive �
<br /> iL�nds,Wa erlWastewater Treatment: , .
<br /> - Southwest� Florida Water; Management District Wells, 'Cypress B�yheads, Wetland Areas, Altering
<br /> Wat�rcour�es. ' - .
<br /> - � Army Corp of.Engineer�-Seawatts,Docks,�tavigabie VVaferways.
<br /> - Departme t af Healtfi&"Rehatiiiifative Servic�sJErivironm`+entat Heaith Unit Welts,.ilUastew�fer Treatment,
<br /> Septic Tan s. � �
<br /> - US�Enviro mental�Protection Agency-Asbestos aba#ement.
<br /> - Federal Avjiation AuthQrity-Runways. � �
<br /> � 1 understand that the fdllawing�restrictions apply to fhe.use af fill: - �
<br /> - Use of fil(is not allowed in Flaod Zone°V"uniess expressly petmiffed: "
<br /> - If fhe fiif r�naterial is fo be used in F.lood Zane °A°, i# is understood tha� a drainage plan addressing a
<br /> �campens Eirig vo�ume°will be submitted at•time of pecmitting which is prep�ted by a professio�ial`eng(rteer
<br /> iicensed b' the State of Florida. ' - � '
<br /> - !f fhe fill t�taterial�is to be used in Flood Zone "A" in conriection with a permitted building Using,sfem walf
<br /> constructidn,,I certify that fill will be used only ta fitt'fhe area within fhe stem walt.
<br /> - If.fill mat �rial is fo be used in any aTea; 1 certify fhaf use ofi such fi11 wiii not adversely affect.adjacent
<br /> � proper#ies if.use af fiti is faund ta adverseiy affect adjacet�t properties,fhe owner may be citeii far. vtolating
<br /> , fhe condif ans•of�the building permit issued uncler the attached permit applic�tion, for lots less than one (�)
<br /> acre which are efevated by fill,�an engineered drainage plan is re,quired.
<br /> (f 1 am the AGENT FOR THE�OWNER, t promise in ga4d�faitH to infarm the owner of fhe permifting condifions set forth in
<br /> this affidavit prior to c�mmen�cing consfruction. ( undersfand fhat a separate permit tnay be required for electrical work,
<br /> plumbing, signs, weil , poois; air conditianing, gas, ar afher'ins#alia#ions no� specifically inctuded in the app{icatioci. A
<br /> permit issued shaii be�cons#ru�d to 6e a license#o proceed with the wark and not as authoriky to_violate, cancel, alter, or
<br /> seE aside any pravisia�rs of fhe technicai cc�des, nor shail issuance of a permit prevent the Build9ng Officia!from thereaffer
<br /> �requir:.i»g=.a;.carrection:�of-,e�r:ots��n.,plar�s,-,.cons#r.uctio�.oi'violatians of any codes. Eve�pecmit�issued shall-became-i�t►,alid- �-���.
<br /> unless the work aukh�rized by such permit is commenced within six monfhs of permit issuance, or if work adthorized by
<br /> khe permit is suspended or abandaned for a period of six(6)monfhs after flie#ime#he work is commenced. An extension
<br /> may be•requested, in�wri#ingj from fhe 8uilding C7fficiai for a-period no�to sxceed ninety{90} days and wiiE demans#cate
<br /> justifabte cause far th�e extensfion. if work ceases for ninety, {9Q�cansecutive�lays,the job is conslder.ed abandoned. ,
<br /> WARNlNG TO.OWN�R` YQUR FAILURE-T(•? RECORD IA NOTICE O� C+OMMENCEMENT 1fAAY RESULT �Tl YOUR
<br /> �`- P�1YIti��=TW[���4.R;;III��F�OVEMENT�'TO°YOUR•PRt3PEFlTY. �iFYt3ti,ii+ITEf�D,TO.OBTAIN F1i�i4.NGiNG�,CQNSULT
<br /> WITH'YC1UR ENDEFt OR�•AN�A C1RNElf"BEFt)RE'RE�ORDI`t7�Y{�UR��t�QT�� �CliF'��U4!lt41!lE6ttC�1V1��l�'. - ___ _
<br /> 'FLCfR1DA JURAT(F:S.1_� .1 •� ' .������� 1 .,
<br /> OWNER OR AGENT ' ������R ' ~v-'
<br /> S sq�ed a d swom to��sr a e eEote me thts ' - Sub cribed an.,,1c suvom to{o�ffirmed�be re r�7e�is�
<br /> i�.�"/�by !U'.�^ve'��d+�E"..�' �3 /,5 by "?�i^�X� GFi 2.°
<br /> Who ls/are personally knoVun fo me 5r hasfhave produGed Who istare personatiy known to me or haslhave praduced
<br /> i as�ldenlification. as identiBcatton.
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<br /> �.�.�f � Notary Public Nofary Publie
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<br /> Name af iVotary,,typed,printed orst mped _ - --- Name of hloha etl -Printed orsFamped-----____._ ._A��. -
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