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<br /> DTiCE O�DEED RESTRICTIONS: The understgned under.�tands�-th2t this,permit.may be,sub)ect to"deed"restrictions"
<br /> hich may be,more r.estcictive�than County regulatlons. 'The undea�signed assunies responsibiltty for compliance w+ith any
<br /> �plicable deed restrictions.
<br /> NLICEN�ED CONTRACTORS -AND CONTRACTOR RESPOPBSI�ILITIES: If the owner has� hired a contractor or
<br /> mtractors to undertake work, they may be required.to be Ifcense� In accordance.with state.and�local regulations. If the
<br /> mtractor is not Ifcensed as requlred"by law, both the owrner and contractor may be-clted�for a misdemeanor violation
<br /> ider state law. If the owner or intended contractvr are unce�tale� as to what Iicensing.requirements may apply..=for the
<br /> tended uvork, they are advised to contact the Pasco County�utlding Inspection Divislon—Licensing Section at 727-847-
<br /> )09. Fur�hermore, (f the owner has hired a contractor or contractors, he Es advised to have the contractor(s) sign
<br /> �rtions of the "contractor Block° of this appl(catton for which they �n►ill be responsible. . If you, as..the owiier sign as the
<br /> mtractor, that tnay be an indication that he is not.prope�ly Hcensed and is noY entitled to permitting privileges in Pasco
<br /> ounty.
<br /> RANSPORTATION.IMPACTIUTILITIES IMPACT ANb�itESAl1RCE RECOVERV FEES: i'he undersigned understands I
<br /> �at�'ransportation Impact Fees and.Recourse Recove.ry.Fees may'�apply�to the cvnstruction of nevu buildings, change of
<br /> se in existing buildf�gs, or expansion>of existin,y'�buildings, as speclfled.in Pasco County Ordinance number 89-07 and
<br /> �-07, as amended. The undersigned also understands, that�such fees,;as>may be due, wiil.be identlfied at the time of
<br /> ermitting. It is further understood that Transportatlon Impacf Fees and Resource Recouery'Fees must be paid prlor to
<br /> :ceiving a "certificate of occupancy" or final powec.release. :If�the project does not Involve a certificate of occupancy or
<br /> nal power release, 4he fees must be paid prior to permft issuance. Ft�r.thermore;if Pasco County Water/Sewer Impac4
<br /> :es are due; they must be paid prlor Qo permit-Issuance�in accordance w+ith appllcable Pasca�County ordinances.
<br /> �OMSTRlJCT10N LIEN"LAW(Chapter 71�� FlorlcEa Statutes�as amended): If valuatlon of work is$2,500.00 or more, I
<br /> ertify that I, the applicant, have-been provided wlth a copy of the "Florida Construction Llen_Law—Homeowne�'s
<br /> rotection Guide° prepared by the Florida Department of Agric.ult�re and ConsumerAffairs. If the appl(cant is someone
<br /> ther than the�owner", I certffy that I have�.obtained a copy of.the above.described document�and.promise In,good faith to
<br /> elive�it to the°owner"�prior to�commencement: '
<br /> �ONTR�►CTAR'SIOWNER'3 AFFIDAVIT: I ce�tify that all the Information in this applfcation is accurate and that all work
<br /> �ill be done in complfance with all.applicable laws regulating construction, zoning and land development. Appitcation is
<br /> ereby made to obtain .a permit to do work and ,installatlon as indicafed: I certify that no work or Installation has
<br /> ommenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating�
<br /> onstruction, County and City codes, zoning regulatio.ns, and land development tegulations�tn the jurisdictton. I also
<br /> ertify th�t I uaderstand that,the regulations of other government agencies m�y�apply�to the intended work, and that it is
<br /> iy responsibility to identi6y�what,actions.l must take to be,in:.corr�pilance. Such agencles include but are.not Iimited to:
<br /> - Department of Environmental Protection'-Cypre�s'Ba'yheads, Wetland Areas and Envfronmentally Sensitive
<br /> Lands, WaterMlastewater Treatment.
<br /> - Southwest Florida Water Management .District-Wells, Cypress. Bay.heads�, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engtneers-Seawalls, Docks, Navigabie Waterways.
<br /> - Department ofi Health � Rehabilitative Servlces/Envia�onmenfal Health Unit-Welis, Wastewater Treatment, ,
<br /> Septic Tanks. � _
<br /> - US Environmental Protectfon Agency-Asbestos abatement.
<br /> - Federai Aviation Authority-Runways.
<br /> understand that the follovving�restrictlons apply to the use of flll:�
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in.;Flood Zone "A", (t. is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> Iicensed by�he State of Florlda.
<br /> - If ihe fili material is to be used in Flood �one °A" in�connection wlth.a permitted building using stem wall
<br /> � constructio�, I ce�tify that fill�:wiil=be used only.to.f111 the area within the stem�wall.
<br /> - If fill materlal is to be used in any area, I certify that use. of such flll wiil not adversely affect adjacent
<br /> properties. If use of fill is found to adversely.�ifect adJacent properties,.the owner may be cited for violating
<br /> the conditions of the buiiding:permit issued�under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by flll; an engineered dralnage plan is required. •
<br /> `I am the AGENT FOR TO1E OWNER, I,�promise In good faith to inform the•owner of the permitting condittons set forth In
<br /> iis affidavtt prior to commencing construction. I understand that a�separate permlt may be requtred for electrical work,
<br /> lumbtng, signs, wells, pools; afr condttioning, .gas, or other install�tfons not specifically included in.the appiication. .A
<br /> ermit issued shail be cor�strued to be a Itcense to p�oceed with the work and not as.authority to.violate,cancel, alter, or
<br /> et aside�ny provisions of the technical.codes; nor shall Issuance�of a.permit.pcevent the Bulldirig O#iicial from thereafter �
<br /> equirtng a correction af errors in plans, construction or vlolations of any codes. Every permit Issued shall become invalid �
<br /> �nless the work authorized.by such permit�(s.commenced�withln s�C months of permit Issuance, or if work authorized by �
<br /> ie perrnit is suspended or abandoned for a period of six(8)months.after the time the work is commenced. An extension
<br /> �ay be requested, in writing, f�om the Building,Officiai for � period not to exceed ninety(90) days and wiil-demonstrate
<br /> �sti�able cause for.the extension. If work ceases:for ninety(90)consecutive day.s,..th�joti is considered aba�doned. � ,
<br /> V�►RNING TO OWIVER: YOUR FAILURE�TO�REC.ORD A I�OTBGE OF�COMMENCEMEMT MAY°R�SUL:T tN YOUR
<br /> �AYING TWICE FOR IMPROVEMENTS TO YOUR:PRDP�RTY. IF�YO.U�INTEPID'TA�O�TAIN�FIPFI�NC1NG;�CONSULT
<br /> VITH YOUR l.ENDER OR AN ATTORNEY�BEFORE�RECOR�IfdG:YOUR`°PtOT1�E°OF�COMMENCE11frENT:
<br /> LORIDA JURAT(F.S. 1.17 03) , S �
<br /> IWNER 06t 91(iEl�{� r �� . ' CONTRACT�R
<br /> ubs be and swo to(or Hirmed) "e re me thi Subscribed and'swom to(or afflrmed)'before me tFits
<br /> _�_§ " by ��I..L��S�� � C.c�.1 �bY -
<br /> Jho{ /are onally knovm to.m�r haslhav roduced Who Is/are personally known•to me or has/have�produced •
<br /> as Identlflcatlon, as tdentlflcaUon.
<br /> Plotary Public tdotary Publlc
<br /> ;omml I lyq��4"�-- Commission•No.
<br /> ;�� �''�� Commission#FF 137073
<br /> �:
<br /> lame oi M i�; , ,� ;p�� r�,��,�8�.3�.70t9 Name of Nolary tyrped,printed or stamped
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