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1 <br /> . . , <br /> PIO'Y'�CE OF DEED R�STRICTIOfdS: The undersigned undecstands that this permit may be subject to°deed"restrictions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance�with any <br /> applicable deed restrictions. <br /> UNLICENSED CQNTRACTORS AMD CON'PRACTOR RESPONSIBYLOTIES: If�the .owner has hired a contractor or <br /> contractors to undertake.work, they may be required to be licensed in accordance with state and local regulations. If the <br /> contractor is not ficensed as�required by law, both the owner and contractor may be cited fvr a misdemeanor viotation <br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the <br /> intended work, they are advise.d to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign <br /> portions of the "contractor Block" of this application for which they wif! be respon�ihle. If you, �s the owner sign as the <br /> contractor, that may be an indication thaf he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County. � , <br /> T�►f�SPORl'�►T00�9 OMP�►CT/IITOLITIE� IMPACT�►P1D RESOURCE RECOVERY FEES: The ur�dersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction vf new buildings, change�nf <br /> use in existing buiidings, or expansion of existing I�uildings, 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, will be identified_at the time �of <br /> permitting. It is further understood that 7ransportation Impact Fee� and Resource Recovery Fees must be paid prior 40 <br /> receiving a "certificate of occupancy° or final power release. If the project does not involve a certificate of occupancy or <br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact <br /> �fees are due, they must be paid prior to.permit.i5suance in accardance with applicable Pasco County ordinances. <br /> CORISTRUCTIOPI,LIEN L�►�1l(Chapter Y13, Elorida Stafutes, as amended): If valuation of work is$2,5OO.OU or more, I <br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien La.w—Homeowner's <br /> Protecfion Guide" prepared by the Florida Department of Agriculture �nd Consumer Affairs. If the applicant is someorue <br /> other than the°owner", I certify that I have obtained a copy of the above described document and promise in good faith to <br /> deliver.it fo the"owner"prior to commencement. <br />, GONTR�►CTOR'�/OWNER'S�4FFID�IVIT: I.certify that.all the information in this application is accurate and that.all work <br /> wiil be done in compiiance with all applicable laws regulating constru�tion, zoning and land development. Appiication us <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 permit and that all work will be per€ormed to meet standards of all laws regulating <br /> construction, County an�i City codeso zoning regulations, and land developmen4 regulations in the jurisdiction. I also <br /> . certify tliat I understand that the�regulations of ottier government agencies may appiy to the intended work, and that it us <br /> my responsibility to identify what actions I must take to be in compliance. �uch agencies include but are not limited to: <br /> - Deparfiment of Environmental Protection-Cypress Bayheads, Wetland Areas and Erivironmentally Sensitive <br /> Lands, llllaterMlastewater Treatrrment. <br /> - Southwest Florida Wate� Management Dosfrict-Wells, Cypress �ayheads; Wetland Areas, Altering <br /> Watercourses: � , <br /> - Army Corps of Engineers-Seawalls, Docks, Naerigable Watenruays. <br /> - Departrnent of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Runways. � , <br /> I undersfand that the following restrictions apply to the use of fill:� <br /> - ' � `::��Use of.fill is not.alloinred in Flood Zone"V"unless expressly permit�ed. <br />' - ;:�'-If';the fill material is to be used in Flood Zone "A", it os under5tood that a drainage plan addressing a <br /> " "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer <br /> li�ensed by the State of Florida. , - <br /> - If the fill material is. ta be used in Flood Zone "A" in connection with a permitted building using sterri anrall <br /> construction, I certify that fill will be used only to fill the area within,the stem wall. <br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect. adjacent <br /> ' prope�ties. if use�of fill is found to adversely affect�a,djacent properties, the owner may be cited for violating <br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1) <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> If I am the�1GENT FOFt THE O�iIP1ER, I Promise in good faith to inform�th�e owner of fhe permitting conditions set forth in <br /> this affidavit prior to commencing const�uction. I understand that a separate permit may be required for electrical work, <br /> plumbing, s'igns, wells, pools, air conditioning, gas, or other installations not specifically included in�the application. A <br /> permit issued shall be construed to be a license to proceed with the work and not as authority to,violate; canc�l, alter, or <br /> set aside any p�ovisions of the technical codes, nor shaEl issuance of a permit prevent the Buildir�g Official from thereafter <br /> requiring a correction of errors in plans, construction or violations of ar�y codes. Ev�ry permit issued shall become.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 period of six(6) months after the time the work is commenced. An extension <br /> may be �equested, in writing, from the�Bu,ilding �OfFcial for a period not to exceed ninety (9p) days and will demonstrate <br /> justifiable cause for the extension. If�work ceases for ninety(90)consecutive days,th�job is considered abandoned. <br /> WAtZIVI1VG TO OlfVfdER: YOUR FAIWRE�'�O RECORD,�► iVOTI�E OF C�MNIEPICEMENT BAA°tf iZESiJLY IPl Y�Ui� <br /> I p�►VING"�1NICE FOR IMPROVEMENTS TO YOl1Et PROPER'fY. IF YO.0 INTEND TO OBTAIN FINANCING, CONSULT <br /> Iflll'PH YOUR LEiVDER OR�1N A'T"I'ORNEY BEFOFZE OZEGORDING YOUR NOTIC�OE CAMME,NGEIIAIENT. Y_ � ;__ _ _ <br /> FLORIDA-JURAT(F:S 117.03) • _ __- ,„ <br /> (( �_yri.��.;/��� '.j:Txl`'irL;`.':"s��'�'al�'a��i�v;i`��i`•Y.:i?:s,l.��z"d'. �l /y����;��:i':["';':.=:'. <br /> 4.,Se:.,;sr,:;,,.:.a,,.. p� _� 'VLI�. ��t �'�.,,�il,i:.�T � ,1 r'':i<�� l: ' - <br /> O '�ER�(.,1t1•AGE111i'�-'�� .�U`',. r;�::i�,;r��.-�i'CbNTRACTOR�'�'" (`� FJGI�``��,-;_� <br /> jf <br /> �;:r.:�.,;�-�.:�:._-... . _ <br />� �u ed and swor (or ' rmed etore e th' Su �c� i Pand bwum. (- a rrn� bef m this <br /> ��' � by rlq 0�- �G�l.c.11;Uc� y -Z(Q. CA cclz.�v� <br />. ;_: Who is/are personally kno to me or haslhave produced W o is/are personally kno to me or has/have produced <br /> — • as identification. - as identiflcation. <br /> IVotary Public Notary Pubiic <br /> Commission � ` ` � " Commission No. • � � " <br /> �� 5 m� S � m� <br /> N , T , Name of Nota - " <br /> ppubq� <br /> .� ��''�, CNAO S;R1fMAN� ;`ip` � ��� CHAD S RYMAN <br /> _� ;� Not�ry PiibNc-SW�M Flaid� . ..: Not�ry Public-St�te of Florfd� ' <br /> 1� � Commisalon I�FF 191957- s�y o,; Commlasion�FF 191987 <br /> . %'„o���d;A'� My Comm.Expfres Jan 21�,2018 '•����;��:•• Niy Comm.Expires Jan 21,2019 <br /> _�. ,.. ,.. .. ,.� _ . <br />