�
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<br /> NC)TIC� O� DEED RESTt�ICTIONS: The undersigned understands that this permit may be subJect ta"d��d" restrictions"
<br /> whlcl� m�y be more restric.tive than Coctr�ty regulations. The underslgned assumes respartsib�lity far com�liance wi�h any
<br /> appiirable deed restrictions. � - • - ' " �
<br /> UNLt�C�W�ED CQNTRAt�Tt?RS AN[� C�NTRACTOR RESPONSIBI�lTlES: !f tt�e owner has hired a c�ntrartor or
<br /> , contr��ctors to undertake work, they may be required to be licensed in accordance with°stafe and local r�gulaiions. If fhe
<br /> j contr��ctar is not dicensed as required by law, both the owner and contractor may be cited for a misdemeanor vic�lation
<br /> under state law. If the awner or #nfend�d contracfor are uncertafin as to what licensing requiremen#s m�y apply f'or the
<br /> intencied work, they are acivised to cont�ct the Pasco County Building Inspection Division—Licensing Sec;tion at 72`7-847-
<br /> 8009. Fur#hermore, �f the owner ha� hlred a contractvr or contractars, he is adv�sed to have fhe cor�tractor(s} slgn
<br /> portions af the "contractor Block" of this application for which they will be responsible. if you, as the owner sign �s the
<br /> icontr��ct��,'that may be an indication that he is not properly Ilc�nsed and Is nat entltied #a permitting pr(vEleg�:s in �'asco
<br /> � CounEy.
<br /> TFtAP�SF'ORTA1`ION IMP�4CTIUTI4.ITIE� IMPACT AND RESOl1RCE R�CCIVERY FEES: The undersigned under.atands
<br /> th�t"f'ransportation ImpacQ Fess and Re�aurse Recavery Fees may apply to th�: construction�of new buildirtgs, change of
<br /> use in existing buildings, or expansion af existing buildings, as specified in Payco County Ordinance number 89-�7 and
<br /> � 90-07', as amended. The underslgned also understands, that such fees, as may be due, wi11 be identifi�d at the time of
<br /> ' permutting. It fs further uriderstood that Transpartation impact Fees and Resource fZecovery Fees must be paid prior to
<br /> recei�ring a "certificate of occupanay" or firta! power release. If the project doe� not irnoive a certificate of occupancy ar
<br /> I final �aower reiease, the fees must be paid prior to permit issuance. Furthermore, ii' Pasco Counfy WaferlSewer (mpact
<br /> ' feas�are due, they must b4, paid prior to #7ermit issuance in accordance wlth applicable Pasco County ordinances.
<br /> CQN�TI2UCTI�N LlEN lAW(Ch�pt�r 7�13, Florida StaEutes, as°amended); if vaivation of wark is $2,;i00.00 or mare, f
<br /> certify tha# i, the applicant, have been provided with a copy of the uFlorida Canstruction Lien l.aw—Homeowner's
<br /> Prot�ctlan Gttide" prepar�d by the Flarida Department of AgrEcuiture and Consumer Affairs. If the applicant is sarneane
<br /> other than the'bwner", i certlfy that I have obtained a copy of the �bove ciescribed dc�cument and promise in c�ood faith to ,
<br /> � deliv�r ft to the"owner"prior to commont;ement.
<br /> Ct�NTRAGTOR'S/OWNER'S AFFVDAV9T: f cerfify that a�l the information in this appiication is accurafe anci that a�i work
<br /> will be dane in campliance wfth all applicabie laws regulating constructi�n, zoning and land developmerit. Application is ,
<br /> � herek�y made ta abtain �� permit to da work and lnstallat9on as Indloated. 1 cer#ify that no work or Rnstallati�an has '
<br /> comrnenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> � consi:ruction,•Courtty and CI#y codes, zaning reguiations, and land development r�gulatlons In the jur(sdicfion. I also
<br /> � certif;y that I understand that #he regulatians of otfier government agenci�s may apply to the infended work, �md that it is
<br /> my re:sponslbility to identify what act{ons I must take to be in compliance. Such agenciss Enclude but are nat lirn4ted to:
<br /> � - Department of Environmonta) Protection-Cypress �ayheads, Wetland Areas and Environmentaily Sensitive
<br /> Lands, WaterlWastewater Treatment.
<br /> �. - Southwest Florida Water IVlanagem�nt Distr9ct-Vllells, Lyp�ess B�yheads, Wefland Are�s, Alter�ng
<br /> Watercourses.
<br /> - - Army Corps of Engirie�rs-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> ( Septfa Tanks, .
<br /> - US Environm�ntai Protection Agency-Asbestas abafement.
<br /> , - Federal Aviation Authority-Runways.
<br /> � 1 understar�d that�the fallow�ng restrtctions apply#o the use of f�ll:� - � , . :
<br /> - Use pf fill is not allowed in Flaod Zane"V" unless expressiy permitt�d.
<br /> - If fhe fill ma�erlal Is to be used In Flaod Zone "A", it is ur�derstoad that a drainage plan addressing a
<br /> i "compensating v�lume" will be subm(tted af time of permitting whici� is prepared by a prof�ssiorta! engineer
<br /> � licensed by the State of Florida,
<br /> - (f the fiil mat�rial is to be used in Flood Zone "A" in cor►nectfon with a permifted buikd9ng using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fi11 materiai is to b� used in any area, 1 certify that us� af such fi11 wi11 nat adversely aff�:ct acljacent
<br /> properties. if use of fill is fc�und ta adversely affect adjacent properties, the owner may be eited for violating
<br /> fhe cvndit�on> of#ne bu�lding permit issued under the attached permit �pplication, for lots lEss than t►ne (1)
<br />' acre which are elevated by fill, an engineered drainage plan is requlred.
<br />� If I am ti�e AGENT FOR'�HE OWNER, I promise in good faith to inform the awner af the permftting conditions set 1`orth in
<br /> this s�ffidavit priar #o commencing construction. 1 understand that a separate permit may bs required fvr elecfrical work,
<br /> plumbing, signs,,weUs, pools, air condikianing, gas, or other installatians not �pecifically included in the applicakion. A
<br /> p�;rmft issued shail be construed to be � license to proce�d with the work and nat as authority to,violate, cancei, alter, or
<br />� set aside �ny pravisions of the technical codes, nor shall issuance of a permit prevent the Building Officia(from thereafter
<br /> r�guiring a eorrection of errors fn plans, aanstrttction or v{olations of any eades. Every permit issued shal! beGome invalld
<br /> unle�,s th� work authorizE;d by such permit is commenced with(n six manths of permit issuance, or if work aufhorized by
<br /> the �ermit is suspended �r abandoned for a perfod of six(6) months after the time the wark is cammenced. �1n extension
<br /> may be requested, in writing, from fhe Buiiding Official for a p�riod nof to exceed ninety {80} days and will demo�strate
<br /> Justiffable cause for the eutension. )f work ceases for ninety(90)cansecutive d�ys, th�Job is considered abandone�.
<br /> WAFtNINCy TO OWNER: Y4UR FAILBJf�E TO RECORD A MQYICE UF COMMENCEMENT MAY REcyUL.T IN YOUR
<br /> F?A�(�I{�-'�WiC�F43R-IMIFRC�V��E(�9-T�T�-Vd�UR PROFERTI�. IF YC1U !NT['_ND'TO OBTAIN FINANl:4NG, CO�+ISULT
<br /> WI7�i YOUR L�NDER OIR AN A ORNEcY BEFORE RECt"1RI�ING Yt?t7}�NOTiCE"OF-CC3MMENCEMt�i�T-- -_-__._
<br /> FLORlDA JURAT(F.S. 117.03) 4 �
<br /> � t-----��.:���G.'�',
<br /> OWNIER l7R AGENT � .���+_.�i�� CONTKACTOR —
<br /> Subsc;ribed and sworn"to(or afflrmed)before me lhis Subscribed and s or affirmed)befare me this
<br /> by �
<br /> Who is/are personally known to me or has/have produced Who islare rsonally k to m�3 or has/have produced
<br /> as identi8cation. as identification.
<br /> � .,
<br /> tVotary Pub1Ec ` Notary Pubiic
<br /> Commisslon No, Commj s g No ����-, —
<br /> � ' r�, INE BOGES
<br /> :*� :k= Cammission#{fi .,_
<br /> Nam��of Notary typed,prinked�r stamped Name of Nata �' te andedThrutray�ytbnsv�s��e'2018
<br /> �wrww��,����85d019
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