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i � � <br /> NO'T10E�E�DEED RESTRIC3'IONS: Th��tnderslg�ed unclers�tands��th�t.thls:;p�tmi�-.mayybe.rsubject to"deed"restrlctions° � <br /> which may�.berimore�>r.estr(ctive�than•County-�re�gulations:=TFie�undersigned�assur`ries'responsitillity�far=compliarice witli�"any <br /> appllcable.deed restrtctbns. - _ _ <br /> UNIiC�NSED�CONTRACTORS AND CtiNTRACTOR RESPONSIBILITiES: - If the owner has hired �a contractor or <br /> contractors ta undertake work, #hey.may.be:cequi.r:ed<:to.be;licensed in accardance.writh state.�nd•lacal regulatiqns. �If�the <br /> contractor�ts:�not:ltcensecl�as�requlred�tiy law� botEi tha owner and i:ontractiir��nay be-atted #or a-misdemeanar vlala#ion <br /> under state law. If the owner ar Intended contrac,tor.�are,�uncertaln as to what Iicensing.requlrements;may>-apply.��for<the � � <br /> intended work,they are advtsed ta con#ac#the Pasao County Bufiding:lrispection Dlvlslon-Llcensing Secttan at 727-847- ' <br /> 8009. Furthermare, if the-owner has�hlred a conhacto�o� corifractors, he is advised to have the cantractar(s), slgn ; <br /> portlons of the "conhacto� Block" of this appllcation for which they wlll be r,esponsible. If.your.as--.khe owner`s(gn�as�`rhe ; <br /> contracfor, that may•be an indication fhat°he is nat.properiy licensed and-(s not entttlea to permltting pr€ulleges in Pasca � <br /> County. � _ .. � � � <br /> TRANSPQRTATlON..iMPAGTtUTiUTiES=1MPAG�'ANb RES�1U�t�E RECt'�VERY�FEES.J The underslgned understands � <br /> #hat Trenspor#ation impact Fees and.Recourse Recove.ry.Fee� may��appty.ta�the construation.af new,bulidings,tchange of � � <br /> use in existing buildings;�or:expansion�of�ezisting�6uildin�s, as spectfled-in Pasco County Ordlnance number 89-47 and � <br /> 90-07, as amended,;.�;he underslgned also�undetstands, #ha�t�such fees�;as Tmay��e�-due;:w,iEi�,be identified at the�tirrie af` i <br /> permitking. It is furtfier understaod that Transportatlon Impact Fees and�Resource Recove"-"ry`x Fees.rrwst be paid prior to ; <br /> receiving a °cerfi#icate..of occupar�cy"ar#inat-power.�-�elease, :i#�the praject does.not Invotve-a..cert#�cate af occupancY oT' ; <br /> final pawer•release;;;the�.fees mu�t�be paid prior ta permik issuan`ce. F��tk�ermore;-if Pasco;:County�Water/Sewe� Impact - <br /> fees are due�.they,must.be�pald..prior to permlt�lssuance-!n accordance wftfi�pptfcabis Pasco�Caunty�orcllnances, ' <br /> CONSTRUCTtON �IEN`L.AW(�t�apte�713�F1orlda Statutes�as amer�ded): if valuatian of work is$2,500.00.ar more, I � <br /> oertify that I, the applicant, have�been provided w�ith a copy� of Qhe "Flarida Constructton Lien_Law.:.-Homeowner's � <br /> Proteatian Guide" prepared by the Flntida Department of Agriculture and ConsumerAfifairs. Ef the appllcant�s someone <br /> other than the"owner", I certify#hat l have.obtained`a copy.of the•above..des.cribed document�and.p.r.omise��in,good fat#h to <br /> deliver!t to.the='ownec"�prior.�to�cotnmencement; ��� ' , <br /> CONTRACT�R'S/qWNER'S A�FIDAViT: i.ceitifyc#hat:ali the inf.ormation ln�thts appltcatlon is accurate and that ali wark <br /> will'be done in compliance with all appUcable laws regulating constnactton� zoning and:�land development. Appitc�tion Is <br /> hereby made to obfaln .a permit to do. wot'k.and Insts�llatian as Indfcafed:�:; °I certlfyt #hat no work�ar instaflation hes <br /> commenced prior to issuance of�a permtt and that all work will be pertormed�to meet standards of all laws regulating� <br /> construction, Caunty and City cades, aonfng regula#i�ns, and iand devetopmen# r,egulationsy in the jucisdlctian. ! al'so <br /> certify that 1 unders#and that the regulatlons of other government agencles may�apply#a the intended work, and #hat ik is ; <br /> my responsibility to identify�what,acttons!must take ta be,tn:.comp!lance. S.uch agencles include but-are,not Ifmiked ta: � <br /> - Department af E�rvironmenta!�ProtectEon-Cypress.�Bayheads; Wetland Areas and Environmentatty Sensitive <br /> Lands, WateNWastewater Treatment. � <br /> - Southwest Florida iNater Management- .�7is#�c#-Wetls, Cy{aress. Bayheads; VYeftand Areas, Attering = <br /> Watercaurses. �� <br /> - Army Corps of Engineers-SeawaHs,Docks�Navlgable Waterways. ;: <br /> - Department of Heaith- 8 Rehabititativ.e Servtces/Environmenfai Health Uhit Weli.s, Wastewater Treatment, <br /> SeptlaTanks: , , <br /> - US Enviranmental Protection Agency-Asbestas abatement. <br /> - Federal Avlatton:Authority-Runways. <br /> i ur�derstar�d that the following�resUictions appiy to the use of flii:• <br /> - U,se af fllt is no#altowed in Fiood Zone°V"unless expressly permitted. <br /> - If the flq material is to be used��in Flood Zane. °A", (t. ls understood that•a d�ainage plan addressing a <br /> °compensating volume"wi11 be submttted a#time af permifting whlch (s prepared by a profess3onal engineer <br /> Ilcensed=by, the State-of Flortda. <br /> - !f the fl!# materlal-_is.:to be used in Fbod �ane 'A" In�connecEion�wtth.a�ermitted bu11d3ng astng stem waH - <br /> � aonstruction, I ce�tify that flil:wlll:be-used oniy.to fill the area withln.the•stem�wall. <br /> - If flll material Is �to"6e used In any area� 1 asnlfy that .use af�sucti�flll wll! not adversely affect adjacent <br /> properties. if use of fltl is t'ot�nd to adverseEy,�ffect adjaeent�properties�,the owner may be aited for vioCating ' <br /> the conditions of the"building;perm(t Issued�under the attactied permit.application, for lats less than.one (1) � <br /> acre which are etevated by flit;a�t engineered dralnage plan 3s required. `` <br /> ff 1 am the AGENT FOR THE OWNER;I,-�promise In good fatth ta inform the awner of-the permltttng condftlans set forth in <br /> this affidavlt�prlor to comrner�cing construction: l�understand that a�separate permlt may be required for eleatrlca# work, ;� <br /> plumbing, signs, welis,,paats; air candltioning,.ga:s, o�`other.insfailatlons na�,spec�ica0y included in.the apptication. .A �� <br /> permit Issued shall be construed to be°a'Iicense,to'p�oceed with tNe work and nok as:authority to.vialate; cancel; aiter, or , <br /> set aside arty prov�slons of tlte technlcat-c�des;�nor sha113ssuance�of a.permtt.pcevent fhe Bulldlrig Q#filclal from thereafter ;_ <br /> requiring a correction.af errors In.plans,-cons#ructian or violaQons of any codes. Every p�armit Issued shall become invalid �� <br /> unless the work autnorized by such permf#=�ls.�aommenced�wtthln sUc�nonths of�permlt issuance� or t!'work autharized by }. <br /> the permit is suspended or.abandoned for:a.period.of�six(8)mantiis:aftec the time the�wokk is commenced..An extensian '� <br /> may be requested� In writing� from the Building,Offlolal far a perlod:not to exceed ninety�(90) days and wrrill�demonstrate `� <br /> �ustl�abie cause foc the e�ension: If work ceases:for nlnety{90}cons.ecutive daysk..th\�ob�s.constdered abafldoned.� �k <br /> WARNING TO OWNfR: YQUR.FAIl.URE�7t�.tREGQRt?_A NQTIGE OF•Ci�MMENGEMEMT N1AY=RESUET IN YOUR �` <br /> PAY(NC TWiCE-.FOR iMPROVEMENTS�T�_YO.UR�:PR�PERTY. IF°YOU�It�'FE1�(D".TD�tJBTA1N��FINANCING,�CONSUI.T � <br /> WITH YC1UR l�END�R OR AN Aa;TTORNEY��EFOt.�E�-RECOR�'ll��,�QUR:'�dDTI��'QF-CAIiA ' ENCE'�flEM"�'�; - -- ' <br /> ��o�icaA,�uRn�tF,s.117.03} " <br /> DWNER QR AdEN7. CONTRAC70R <br /> 3ubscrlbed and swom to(ar affltmed}before ma lhts S6bscrlbed snd'swom=ta{at aflinned)�befoFe'me Uti� <br /> bY '�►Y <br /> Nho Is/are persanally known to.me or haslhave produced Who.ls/are personelly kt�nwn•to me•or#iaslhave�produced • <br /> es tden��ce�on. as Identi�cation. <br /> Y, <br /> Notery Pubitc _ Notary Public <br /> 3ommisskon No. �- ' ' Commisslon No, <br /> dame ot Notaty iyped,pti�ted ar stamped Name of Natary typed,printed or stamped <br />