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<br /> ldOTiC�QE��EL�RE�TF21GTIt}NS. The underslgned u�derstands°�.that#hls.permtt.maybe.subJect ta,"deed"restrlctlot�s"
<br /> whlch may be:more rest�ictive,than Caunty:°�egulallons. =1'Oie�undersigned-assume� responsibility for compliance witFi any
<br /> applicabls deed restcictions. . -
<br /> UNLICENSED CONTRACTOR:� AND CAMTR�►CTOR RESPANSl8iL1TtES: tf fhe owner has hired a cantracfor or
<br /> con4raotors ta undertake work, they r�tay be:r.equired.to.be<Itcensed In accardance.with �tate.and•local_regulations. .If the
<br /> contractor-ts not_1lcensed as r.equlred'by 1aw� both the owner and cantractor-rriay be cited foe� a misdemeanor violation
<br /> under state law. If the owner ar Intended contracto� are:uncerkaln as to what Ilcenstng.r�quire�nents �rnay�apply,�or.�the
<br /> intended work, they are advised ta contact�Ehe Pasco Cot�nty Bulliling"InSpectlon D!v!slon—Lfcensing Sectlon at 727-647-
<br /> 8009. Fu�thermare, ti the awner has hiFed a cont�acfor or coritractors, he is advised to have the contractar(s) slgn
<br /> partions of the "contractar Block" of this appllcatlan for which they wlll be cesponsible. .If you�-as.the ov+mer sfgn as the
<br /> contractor, that may be an IndEcation that�1ie is no#.properly Ilcensed and Is not entlt#ed to parmlttfng pr€vlleges In Pasco
<br /> County. !�
<br /> TRAN5PORTATION..IMPACTNTI6ITIES lMPACT ANb�RE�QURCE �ECClYERY��FEES: 1'he undersfgned understands `
<br /> that Transpor#ation Impact Fees and.Recourse Recovery.Fees may appiy ta�the;construction of new_bulldings,�change of
<br /> use in exis�ing bu(Idings; or��.expansion of��existiri�g`buildings, as specifled in Pasco�County Ordinance number 89-07 and `
<br /> 90-07, as amended. The undecslgned also understands, that.�such fees;-;as rmay.6e�:due,�:wiH:-�be identifed at the time af ]
<br /> permitting. It is furkher understaad that Transpo�#�41on Innpact Fees and Resource RecaVery'Fees must be paid prfor to �
<br /> rece�ving a"cer#ifcate-of occupancy" or final�pa�nrer.=release, .1€>the project does �not involve a,aertlficate af accupancy ar
<br /> final pawer reiease;,the.fees must be patd prior ta permi# Issuance. Furthermore��1f Pa�co:County�INater/Sewrerrlmpact
<br /> f�es are du�, khey�must be-paid prloe to permit•Issuance-in accordance with appllcabis Pasco�County a�dinances, �
<br /> CONSTitU�TtORt LlEN`E,AW(Chapter 713, Floctda Statut�s,as amended): !f vatuatian af work is$2,500.00 ar more, 1
<br /> certify that I, the applicant, hav�.been provided with a copy of #he "Flarida Constructton� Lien Lawr:Homeowner's
<br /> Protectlat� Guide" prepared by the Flo�tda Depa�tmenf of Agrlcutture�and ConsumerA�Fairs. If the applican# Is someone
<br /> ather than the°owner", I certify that I h�ve.obtained a copy.of the above.described docu�ent°and.promise in,good faith to
<br /> del�ver it to the°ownec"•prior#o�commencement.
<br /> CONTRACTOR'StqWNER'S ARFtDAVIT: i cectify that.ati the{nf.ormation in this appiicatlon is accurate and that ali veork
<br /> will'be done in compliance with all appi(cable laws regulating construction, zoning and land development. Applicatton (s
<br /> hereby made to obtaln .a permit to do wori�.and installation as Ind(cafed..;: '1 certlfjr"that no v�roric ar tnstallatian has
<br /> commenced prior ta Issuance of a perm(t and that all work will be pertormed to meet standards of all laws regula#ing�
<br /> constructbn, County and C4ty aodes, xoning regulatlans, and land development regulattans�ln the jurfsdlctian. ! aiso
<br /> certify that I understand that the regulations af other government agencies may��pply�ta #he Intended work, and that i# is ,
<br /> my respansibility to Ident6fy�what.actions I must take to be,in:.corr�pllance: S.uch agencles include but-are,not Iimited to:
<br /> - Department af Ertvironmental Protection-Cypress.Bajrheads, W+atland Areas and Environmentatly Sensitive ,
<br /> Lands, Water/Was#ewater Treatment. �
<br /> - Southwest Ftorida Wafer Management �7is#rlct 1Netls, Cypress. Bayheads; Weftand Areas, Altering
<br /> Watercaurses. ,
<br /> - A�my Corps of EngineersSeawalls, Docks� Navigable Waterways.
<br /> - Department of Health 8 Rehabllitative Serviaes/Environmental Ftealth Unit Il�ell.s, Was#ev�rater�Treatment,
<br /> Septic Tanks. ,
<br /> - US Environmental Proiectlon Agency-Asbestos abatement,
<br /> - Federal Aviatlan Authority-Runways.
<br /> I understand that the toltowing�res#rictlons apply to the use of flll.•
<br /> - Use of fll is not ailowed in Flood Zone°V"uniess expressly permitted.
<br /> - If the fill material. is to be used. in Flaod Zone. "A", It. Is understood that a drainage plan addresstng a
<br /> °compensating uolume" will be submltted a#time of permi#ing which is prepared by a professianal engineer
<br /> liaensed by the State-of Florida.
<br /> - if the fl!1 mat�rla!-_is.ta be used in F1aad Zone °A" in�connection�wri#h a�ermlf�ed buEiding using sfem �rali
<br /> canstruction, I certify that fill:wlli=be used only.to.fill the area withln the�stem wail.
<br /> - If fill material is to 6e used in any area, I certify that .use of sucti"flll wiil not adversely affect adjacer�f
<br /> prapertles. If use of fill is found to advetsely.,�ffect ad)acent propertie5,,the awner may be cited for vialating
<br /> the conditions of the�tiuiliding;permit issued•under the attached permit application, for lats less than one (�) .
<br /> ac�e wrhich are elevated by�fl11,an englneered drainage plar�Is requlred, . ,
<br /> If I am the ACENY F�R THE OWN@R, I;promise In good faith#a inform the owner of-the:permitting conditfar�s set forth In
<br /> thls affidavtt�prior to comrnencing construction. I understand that a,separate.permit may be requtred for electrical work,
<br /> plumbing, signs, weils, pools; air condttloning,.gas, or�other instaRtations not.spec�ftcally included in.the appiicatioe�. .A �
<br /> perPnit Issued shall be construed to be°a'license to p�oceed with the wa�k and not as-authority to,vialate,cancel� alter, or _
<br /> set aside any prov�sions of the technEca)cad�s; nor shail issuance�of a permlt.pcevent the�ulldlrig O�'Eclal#rom thereafter �
<br /> requfring a correction af errors in pians;eonstn�ctian or violations of any codes. Every peermit(ssued shall become invalid
<br /> unless the�nrark authar#zed.by such permlt:ls.commencedwlthin s�C months of�erml# issuancet or If work authorized by
<br /> the pe�mit is suspended or.abandoned for a:period of six(8}mnnti�s after the time the�work ds cammenced..An exfension
<br /> may be requested, In writing, from the Building.Official for a period.nat to.exceed ninety(90) days a�d will demonstrate i
<br /> �ustl��bte cause for.the extensior� If work ceases:for ninefy{90}consecutive daysx..the job�is considered abandoned.`� :
<br /> WARNING TO OWN�R; YQUF� FAlLURE TO.=REGQRQ,A..NQ71GE.t?���C?MM�NGEMENT IUTAY�RES�l�.T !N YOt�R �
<br /> PAYiNG TWi,CE.F�iR iMPROVEMENTS TO YOUR;PROPER'fY.,:IF�YO.U-tNTEND`T��OBTAIN�F1(dANCIN���CONSUL'�
<br /> WITH YC1UR 1�@ND��t:ORAN ATTORI�EY ,BEFORE�RECI?R��ING:YOUR'I�OTICE°OE COMNIENCE�EN'�; '
<br /> FI.ORIOA JURA�'{F.S.!.1 TA3} '
<br /> DWNER OR ACiENT CONTRACTOR,
<br /> 3ubscitbed and swom to(or affl�[ned)hefote me tt�is Subscribed and'swom#o{or af�rmed)�br�fore me ttils
<br /> bY �Y
<br /> Nho Islare personally known to.me or haslhaye produced Who is/are personalry�cnown tu me or haslhave-produced •
<br /> as ldentlRcsifon, as idenU�catton.
<br /> Y
<br /> Notary Public Notary Publ(c
<br /> �ommisslon No. - ' Commisslon No.
<br /> Vame of Notary typed,prfnted or stamped Name vf Notary typed,p�inted ar�tamped
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