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<br /> �10TICE OF DEED RE3TRICTlONS: The underslgned understands°that this.pprm(t.maybe.subJect to"deed"restricttons"
<br /> vhich may be.mare restcictive than County regula#ions. 'The�rnderslgned assumes rasponsibility for compliance with any
<br /> ipplicable deed restrict(ons. • ,
<br /> �NLICENSED CCiNTRACTQRS ANQ-_Ct3NTRACT{)R RESPONSIBILII'1ES: Ef the awner has hlred a contractor or
<br /> :ontractors to undertake work, they may be required.to be:l(censed in accordanee.with state.and�local regulations. If the
<br /> :ontractor is not lEcensecf as requlred-by law, both the awn�r and canVactar may be afted for a misdemeanor vtolatfon
<br /> mder state iaw. If the owner or intended contractor are uncertatn as ta what licensing.requiremenfs may apply.far fhe
<br /> �tended wark, they are advised to cantact the Pasco Gaunty Building Inspection Diviston—l.icensfng Sectton at 727-847-
<br /> 1009. Furthermore, if the owner has hired a contractor or contractars, he is advised to have the contractor(s} slgn
<br /> �ortians of the "contractar Black" of#his application far whlah they wiil be responsible. If you, as.the owner sign as the
<br /> :ontractor, that�may be an indication that he fs not properly iicensed and is not enti#!ed to permitting privileges in Pasco
<br /> �ounty.
<br /> fRANSPORTATION IMPAC'CIUTILITIES IMPACT ANL1 RE30URCE RECOVERY FEES: The undersigned understands
<br /> hat Transportatian Impac#Fees and Recourse Recove.ry.Fe�,s rn�y.apply�#o the cons#ruatian of new buildings� change af
<br /> �se in existing buildings, or.expansion-of�existing'.buildings, as speclfled in Pasco Caunty Ordinance number 89-0? and
<br /> 30-07, as amended. The undersigned also understands� that such fees, as�may�be�due,.wili be identified at the time of
<br /> �ermikking, It Is fuMher understood that Transpartation Impact Fees and Respurce Reco�ery Fees must be paid prfar to
<br /> •eceiving a "certificate of occupancy°" or flnal pawer. cetease. :If the project does nat involve a certificake o#occupancy or
<br /> •inal power re(ease, the fees must be paid prior#o permit issuanee. Furthermore, if Pasca Counfy VNaterlSewer (mpact
<br /> `ees are due, they�must be-paid prior to permit issuance°in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTtQN t1EN LAW(Chaptee 743�Flor�da Statutes,as amende�i�: If valuatia�of work ls�2,500.04 ar mare, !
<br /> �ertify that I, the applioant, have been provided with a copy of the °Florida Constructlon Lien Law—Hameowner's
<br /> ProtectEon Guide" prepared by the Ftorlda Department of Agrlculture and GonsumerAffairs. If the app!lcant ls someone
<br /> �ther than the"owner", I certify that 1 have�obtained a copy;of the above.described document and promise in.good faith to
<br /> deliver it to the°owner"�prior to>commencement.
<br /> CONTRACTOR'SI�WNER'S AFFIDAViT: i ce'rtify-.that ail the Enfvrmatlan in fhis appticatlan is accucate and that all wark
<br /> will'be done in compliance with all applicable laws regulating constructian, zoning and land develapment. Applicatian is
<br /> hereby macfe to obtaln .a perm�t ta da work..and instatiatlon as indteated. 1 certify that no work or instattatton has
<br /> �ommenced priar to issuance of a permit and that all work wilt be perFormed to meet standards of aiP iaws regulating
<br /> construction, County and City codes, zoning regulatir��s, and land development regulatians�In the jurisdictlan. I also
<br /> cerfify that 1 understand that the regulatians oi other gavernment agencles may apply�to the intended work, and that it is
<br /> my responsibility#o identify what,actions I must take to be�in.compliance. Such agencles inalude but are not limited to,:
<br /> - Depar#ment af Envlrvnmental Protection-Cypress.Bayheads, Vltetland Areas and Envlronmentatly Sensitive
<br /> Lands, WatedWastewater Treatment.
<br /> - Sou#hwest Florida Water Management District-We!!s, Cypress. Bayheads, Wetland Areas, AI#eri�g
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navfgabie Waterways.
<br /> - Depa�tment af Health & Rehabilitative ServiaeslEnvimnmenfal Neaith llnit Welts, Vhlastewater Treatment,
<br /> Septic Tanks. _
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> - Federat Avfation Authority-Runways.
<br /> 1 understand that the following.�estrictions apply to the use of flU:�
<br /> - Use af�tll is not altowed in Flood Zone"V"uniess expressiy permitted.
<br /> - If the fiil material fs to be used in Flood Zone "A", it_ is understood that a drainage plan addressing a
<br /> °compensating volume" wiiE be submltted at time af perm€tting wh�ch is prepared by a professionat engfneer
<br /> I(censed by the State of Florida. �
<br /> - !# the fil! materia! is to be used in Flood Zone °A" in�connection with.a permitted building using stem wall
<br /> � construction, t certiiy tha#fi1{�will:be used anty.to fitl the area within the s#em wal3.
<br /> - If fill material is to be used in any area, I certify that use. of such flll wiil not adversely affect adjacent
<br /> propertles. If use of fill is foc�nd t� adversely:affect adjacent properties,.the awner may be c#ted for vioEating
<br /> the canditions of the building.permi# Issued under the attaahed permit application, far Iots less than ane (1)
<br /> acre whlch are elevated by fl!!{an engEneered drainage plan is required.. �
<br /> (f I am the AGENT FOR THE OWNER, i,'�aromise tn good fatth to inform#he ownerof•the permifting conditions set forth in
<br /> thts affidavit prlor to cammer�cing construction. I understand thet a.separate permit may be required for electrical work,
<br /> plumbing, stgns, wells, pools, alr condittaning..gas, or other Ins#allat�ons nat•spec�f{catly included in #he application. A
<br /> permit issued shall be constcued to be a Iicense to praceed with the work and not as�authority ta.violate, cancel, alter, or
<br /> seE aslde any prov�sions of the technlcal codes; nor shall issuance af a permft.pcevent the Bulldt►ig Q#fJcia!from thereafter
<br /> requiring a correction af.errors in�pians, canstruction ar vtolations of any codes. Every permlt issued shati become invaiid
<br /> unless the work authorized by such perm3t.�is.cammer�ced^within six_mo�nths�f-permit-issu�nce,-or-if work auQhorized-by �-
<br /> ��tne permit�s suspenciec9 0�abandon�#or a period of six{6)months after the time the wark fs cammenced. An ex#ension
<br /> may be requested, ln writing, from the Building,Official for a periad.not to exceed nlnety (90) days and will demonstrate
<br /> �ustt#iable cause for the ex#enstan: If wvrk ceases�for n�nety(90}consecutive days,..th�Job�is consEdered abandoned.
<br /> itVARNlNC 70 C?,,�t�CyUR �'A!lURE.TO,R�CC?RD A MO'TICE OF COMMENCEMENT MAY�RESU!»T IN YOUR
<br /> PAYiNG TWiCE.FOR iMPRC►VEM�NTS�TO YOUR-PROPERTY. IF�YCi.U�IN�'END`TO!{}BTAIN�FiNi�NCING;�CONSUlT
<br /> WIT R L NDE O AN A'T'I'OR � FOR � EC� �D G� O � C 'O E ENT
<br /> FLORIDA JURAT(F,S.t'f J.03} �
<br /> OWIVER OR AGENT CONTRAC'TO
<br /> 3ubsctl6ed and swom fo(or ai�rmedj befare me fhls S bscrll� nd`swom�(or a�rmed)�b' ,ne me this� ,
<br /> - _- by ---- -. - �-� -
<br /> Who isfare personally k�own to me or haslhave produced Wha Is/ar rsonaUy ownto me or hasRrave produced •
<br /> as idsn�flcaUon. � as ldentlftcaflon. - �
<br /> Notary Pubtic Natary Public
<br /> Cornmisslon Na. �Q S��ri� •
<br /> ��"PY I I���
<br /> Name of tdat2try tyfted,printed or stamped Name of Notary ty �?p t'`�r{��g��#FF 150422
<br /> :�;�,��o; Expires December 12,2018
<br /> �%.�y,pF��QQ' Bonded TNu Troy Fain Inaurance 800.385�7018
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