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MOT[GE OF DEED RESTRIGTIONS: The unders'sgned undersfands that this permik may be subject to"deed"restrictians"
<br /> which may be more restrictive than County regulations. 7he undersigned assumes responsibility far compliance with any
<br /> � applicable deed restrictions.
<br /> UNL[GENSED CQNTRAGTOftS AND CONTRACTOR RESPONStBtLtT1ES: lf the owner has hired a cantractor ar
<br /> contractars to undertake work,they may be required to be licensed in accardance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under sfafe law. If the awner ar intended contractor are uncertain as to whaf licensing tequiremenfs may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Sectian at 727-847-
<br /> 8009. Furthermare, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> por#iar�s o€the°contractar BlocEc"of this applicatian for which they wil[be resparrsib(e. lf you, as the owner sign as fhe
<br /> contractor, that may be an indica#ion that he is not properiy Iicensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> Tl2ANSPORTATi4�i IMPAGTiUTfLtTIES i!VlPAGT AFiD REShcJRCE RECOVEl2Y FEES: The undersigned understands
<br /> fhat Transportation(mpact Fees and Recourse Recovery Fees may appiy to the construction of new buiidings,change of
<br /> use in existing buildings, or expansion of existing buiidings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees, as may be due,wiif be identifed at the tims af
<br /> permitting. It is furfher understood that 1'ransportatian(mpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving e"certificate of occupancy"or final power release. If the project does nat involve a certificate af occupancy or
<br /> final power release,the faes must be paid prior to permit issuance. Furtheemore, if Pasco Gounty WatertSewer Impact
<br /> fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,5pQ.00 or more,I
<br /> certify ihat !, the applicant, have been provided with a copy of the "Florida ConstTuction Lien Law—Hameowner's
<br /> Profectio�Guide"prepared by the Flarida Department of Agricuiture and Cansumer Affairs. (f the applicanf is someone
<br /> other than the"owner",I ce�tiy that I have obtained a copy of the above described document and promise in good falth to
<br /> deliver it to the"owne�"prior to commencement.
<br /> CQNTRACTOR'SIOWNER'S AFFIDAVlT 1 cerEi{y that alI the information in fhis app]ication is aceurate and fhat all work
<br /> will be done in campliance with all applicable laws regulating construction,zoning and land develapment. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permi#and thaf aIl work will be perfarmed to meef standards of all laws cegu(ating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
<br /> my responsibility to identity whaf actions l must fake ta be in compliance. 5uch age�cies inciude buf are not lim'sfed#a:
<br /> - Department af Enviranmentai Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest F(or'sda Wafer Management District-Weiis, Gypcess Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - t}epartment oi Health & Rehabilifative ServiceslEnvironmental Healfh Unit-We[Is, Wastswater Treatment,
<br /> ' Sepfic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federa2 Aviation Ruthority-Runways.
<br /> 1 understand fhat the following restrictions appiy to#he use of fili:
<br /> - Use of fill is nat allowed in Fload Zone"V"unless expressly perrnitted.
<br /> - if the fii! materia! is to be used in Fiood Zone "A°, it is understood ihat a drainage pfan addressing a
<br /> "compensating volume"wili be submitted at time of permifting which is prepared by a prafessionai engineer
<br /> licensed by the State of Florida.
<br /> - If the fi!! material is to ae used in Flood Zone "A" in connectian with a permitted building using stem wa!!
<br /> constructian,!cerfify thaf fit[wil!be used oNy fo fi3l the area within the stem wa((.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. !f use of fill is found to adversely affect adjacent properties,the owner may be cited for vialating
<br /> the conditia�s of fhe building permi#issued under the atfached permit epp]ication,for Iofs Iess than ane(1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set farth in
<br /> this affidavif prior to commencing canstruction. 1 understand that a separate permit may be required for e2ectrica(work,
<br /> piumbing, signs, welis, paols, air conditioning, gas, or other installations not specifically inciuded in the application. A
<br /> permit issued shall be cpnstrued to be a license to proceed with the work and not as authoeity to violate, cancel,alter,or
<br /> set aside any provisions of tt�e Eechnicai codes,nor shall issuance af a permit prevenE fFre 8uilding Ofticial from fhereafter
<br /> requiring a correction of errors in pians,canstruction or violations of any cades. Every permit issued shall Gecome invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a pesiod af six(6)monfhs after fhe time the work is cammenced. An exfension
<br /> may be requested,in writing,from the Buiiding O�cial for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. if work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUFt PROPERTY. IF YOU INTEND 70 OB7AIN FINANCING,CONSULT
<br /> WITH YOUit LENDER OR AN AT'i'ORNEY SEFORE REGORDfNG Y4UFt N4T(CE OF COMMENCEIttIEN'('
<br /> FCORIDA JURAT{F.S.417.03}
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscri4ed and�swom to(or a�rtned)before me this _$u g�ib cJ�nd s�wom r affirmed}before me this
<br /> i} z.t ytp
<br /> Who is/are personally known lo me or hasfiave produced o is/r ersonally known t me or haslhav oduaed
<br /> as identification. as identificatian.
<br /> Notary Public Notary Public
<br /> Commission No. Gommission No.
<br /> Name of Notary typed,printed ar stamped Nam o �.ype ,pn�
<br /> :�`�"'.;:�;. �&�Ot�t��
<br /> � - MY COMMISSlON�FF 983281
<br /> ;� :o' D(PlRES:Febtuery 22,2010
<br /> �'''%PFf��er' Botidfld'i1WA1�yPuhACUtfd6tWff9t�
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