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<br />, RIOTICE OF DEED R�3TRICTIONS: The undersigned under�Qands�-that this..p�rmit.may be.subject to"deed"restrictions"
<br /> which may be.more�r.est�ictive=tha�n County�regulatlons. 'The uridersigned assurries responsibility for coriipliance with any
<br /> applicable deed rest�ictions.
<br />' UNLICENSED CONTRACTORS AND CONTRACTOR R�SPONSI�ILITI@S: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be-required�.fo_be;ltcensed in accordance.with state.and�local regulations. If the �
<br /> contractor is not Ilcensed as requlred`by law, both the owner and contractor-may be cited for a��isdemeanor vtolation
<br /> under state law. If the owner or Intended contractor are, uncertain as to what Iicensing.requirements'may apply�for�the
<br /> intended v�ork, they are advised to contact the Pasco County Bullding Inspection Diviston—Licensing�Section at 727-847-
<br /> 8009. Furthermore, If the owner has hl"red a contracto� or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this appllcation for which they will be responsible. If you,-as.the ov�iner sign as the
<br /> contractor, that may be an indication that he is not.properiy licensed and (s not entitled to permitting privileges In Pasco
<br /> County.
<br /> TFaANSPORTATiON IMIPACTIUTILITIES•IMPAC�'ANb RESO�RCE RECOVERY;FEES: The undersigned understands
<br /> that Trensportation Impact Fees and.Recourse Recovery.Fees may��apply�to the construction of nevv bu(Idtngs,.�change of
<br />, use in existing butldings, or expansion�.of�existiri,g'-buildings, �s speclfled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees,:.as�may.be�due,:wlll.:.be tdentified at the time of�
<br /> permitting. It is further understood that Transportation Impact Eees and Resource Recovery`Fees must be paid prior to
<br /> receFving a "ce�fificate of occupancy" or flnal power release. :If the project_do�s not involve�a cer4ificate of occupanoy o�
<br /> final power release; the fees mu�t be paid prior to p�rmit issuance. Furthermore;�if Pasco County�Water/Sewer-�Impact
<br /> fees are due, they..must be-paid prior to permit�lssuance:in accordance with applicable Pasco�County ordinances.
<br /> CONSTRUCTIOId LI�RI L.AW(Chapte�713� Floe�da St�tutes, as amended): If v�luatfon of work is�2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Constructton� Llen_Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Departmenf of Agric.ulture and ConsumetAffairs. If the appl(cant is someone
<br /> other than the"owner", I certify that I have,obtained a copy of the above described docurnent�and.promise In,good faith to
<br /> deliver ft 4o the°owne�'prior to�commencement. � �
<br /> COOVTFt�4CTOR'S/OIAINEF3'�AFFIDAVIT: I certify.that all.the-,Information in this appl(cation is accurate �nd that all work
<br /> will'be done in cor�pliance with all appitcable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain .a permit to do work.and Installation as indlcafed.� 'I certffjr that no work�or Installatton has
<br /> commenced prior to is�uance of a permit and thaC.all wrork wlll be pertormed to meet standards of all laws regulating-
<br /> construction, County and City codes, zoning regulatians, and land development regulattons�in the jurisdictfon. I aiso
<br /> certify that I u�derst�nd that 4he regulations of other government agencies may�apply�to the intended wrork, and that it Is
<br /> my responsibility to Identify�what.actBons I must take to be,in:.compllance: Such agencles include but are.not Ilmited to:
<br /> - , Department of Environmental Protection-Cypres"s.'Bayheads, VVetland Areas and Envfronmentally Sensitfve
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Florida Water Management District-VVells, Cypress.• Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engin�ers-Seawralls, Docks, Navigable Water�rays.
<br /> - Depar�ment of Health & ReMab(litative Senrlces/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectfon Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following�restrictions apply to the use of flIL•� ,
<br /> - Use of fill is not allowed in Flood Zone°V"unless expressly permit@ed. ` �
<br /> - If the flll material is to be used. in �Flood Zone "A", It. is understood that a drainage plan addressing a
<br /> "compensating volume".will be�submitted at time of permltting which (s prepared by a professional engineer
<br /> licensed by the State of Flor(da:
<br /> - if ihe fill material is to be used in Flvod Zone °A" (n>connectfon wlth.a�permitted building using stem wrall
<br /> construction, I certify that fill•:w111=b.e used only.to.fill the area within the�stem•wall.
<br /> - If fill material Is to be used In any area; I cer@liy that .use. of such fill wlll not adversely affect adjacent
<br /> properties. If use of flll Is found Qo adversely.affect adJacenQ properties, the o�nrner may be c(ted for viofaQing
<br /> the conditions of the bu(Iding:permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by flil, an englneered drainage plan is requtred.
<br /> If I am the AGEIdT FOR 7'HE OWNER, I,�promise In good faith to fnforrn the mwner of the permitting conditfons set forth in
<br /> this affidavit prtor to commencing construction. I understand that a=separate permlt may be requtred for electrical work,
<br /> plumbing, signs, wells, pools, afr conditioning, .gas, or other installatlons not•specifically included in tMe application. .A
<br /> permit issued shall be constcued to be a'license to proceed vui�h the work and not as authority to.violate�.cancel, alter, or
<br /> set aside any provisions of the technical.codes; nor shall Issuance of a.permit.prevent the Bulldirig Offictal from thereafter
<br /> requiring a correction af errors In.plans, constructlon or iriolations of any codes. Every perrnit Issued shall become invalid
<br /> unless the work authorized:by such permlt�i�:commenced�wtthln six months of permlt Issuance, or if work authorized by
<br /> the pe�mft is suspended or abandoned for a period of six(8)months after the time the�work ts commenced. An extensfon
<br /> may be requested, in writing, from the �ullding_Official_for_a_p�riod_not to exceed n6r�ety(90) days and-wEil-demon$trate - ---
<br /> ju�tifiable cause for.the extension.. If work c�ases.for nineQy(90)consecutive days,.the job is considered abandoned.
<br /> MIARNING TO OWNER: YOUR FAILURE�TO.RECORD.A NOTIGE OF•CAMlWENCEMENT MAY RESU�T IN YOUR
<br /> PAYIIVG TWICE FOR INIPROVEMERITS T'O YOUi�PROPERTY. IF�YO.0 iN'fEND'T��OBTAIN•FINANCING,�C.ONSUL.T
<br /> WITH YAUR LE D O AN ATTORNEY B FORE�RECOR�D G�YOUR� O �C 'OF' •� � E CE ENT�
<br /> FLORIDA JURAT(F.S.11 .0 ) �
<br /> OViINER OR AtiENT a C-'^�1" COtdTRA�TO �• ���/� _ �h�/L C0�(ST• l�/C •
<br /> Subscribed and sarom to(or aflirmed)before me thls Subscribed and'swrom-to(or affirmedpbefore me ttiis
<br /> • y
<br /> Y b
<br /> Who Islare personaily knowm to.me or haslhave produced Who is/are personally known to,me:or has/have produced •
<br /> as Identlflcatlon. :�a as Idendfiptlon.
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<br /> � ���- Notary Public ' � /�/%"' • Nota Public �
<br /> I �.y' �Y
<br /> Comrtf slon Co" sslo . �. ,,,����,,, II
<br /> �� e'�`_. Commission#F�GS S
<br /> Name of Notary typed,printed or stamped Idame of Notary ty e� ' o e er ,
<br /> ��i,(��` 0cndod Trau Troy Fa�n Inswanca 800385•7019
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