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<br /> } N4TtC�t3F DEED RESTRIGTIaNS: The undersigneci understands that thi� permit may be subject to"deed" restrictions"
<br />� ► which may be more restrictive than County regulatians. The undersigned assumes responsibility far compliance with any
<br /> applicabt�deed restrictions. '
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR R�SPONSIBILITIES: If the awner has hired a contr�ctor ar
<br /> contractors to �indertake work, they may be required ta be licensed in accordance witY► state and local regulations. If the
<br /> cantractor is nofi licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended cantractar are uncertain as to what licensing requirements may apply for the
<br /> int�nded wark, they are advised to contac#the Pasca County Building Inspection Qivision—Licensing Section a#727-847-
<br /> 8009. Fu,rthermore, if the owner has hired a contractor or contractors, he is advised to have the con#ractpr(s) sign
<br /> portians of the °contractor Block" of this applica#ion for which they wilf be responsible. !f you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properiy licensed and is not entitled to permitting privileges in Pasco
<br /> Caunty.
<br /> TRANSAORTATt{}N iiVtIPACTIUTILITIES IIUIPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco Gounty Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned aiso understands, #hat such fees, as may be due, will be identified at the time af
<br /> permitting. It is further understoad that Transportatian Impact F�es and Resource Recovery Fees rnust be paid prior to
<br /> receiving a "certificate of occupancy" ar final pawer reiease. Ef fihe praject does not involve a certificate of occupancy ar
<br /> final power release, the fees must be paid prior to permi# issuance. Furthermore, if Pasco Caunty Water/Sewer Impact
<br /> fees are due,#hey must be paid priar to permit issuance in accordance with applicable Pasco Coun#y ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 ar more, I
<br /> certify that 1, the applicant, have been pravicied with a copy af the "Flarida Consfruction i.ien Law—FEomeawner's
<br /> Pratection Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant is sameone
<br /> other than the"owner", ! certify that ! 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 /> CONTR.,RA,CTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be dar�e in compliance with a11 applicable laws regulating construction, zoninc{ and Iand development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installatipn nas
<br /> cammenced priar ta issuancs of a permit and that a!E wnrk will be performed to meet standards of all laws regulating
<br /> canstruction, County and City cades, zoning regulations, and land develapment regulations in the jurisdiction. i also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take ta be in compliance. Such agencies include but are not limited ta:
<br /> - Department of Environmental Profiectian-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> �ands, WaterlWastevuater Treatment.
<br /> - Sauthwest Florida Water Management Distric#-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> � Watercourses.
<br /> - Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - U5 Fnvironmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-F2c�nways.
<br /> I understand that the fallowing restrictions apply to the use af fill:
<br /> - Use of fill is nat allowed in Flaod Zone"V" uniess expressly perrnitted.
<br /> ' - If #he fil( material is #o be used in Flaod Zone "A", it is understood that a drainage pfan addressing a
<br /> ' . °campensating volume" will be submitted at time of permitting which is prepared by a prafessional engineer
<br /> licensed by the State of Flarida.
<br /> � - If the fill material is ta be used in Flood Zone "A" in connection wi#h a permitted building using stem wall
<br /> ' construction, !certify that fN will be used anly to�i8 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 /> properties. If use of fill is found to adversely affect adjacent prope�ties, the owner may be cited far violating
<br /> i the conditions of the building permit issued under the attached permit application, for lats iess than one (1)
<br /> acre which are elevated by flll, an engineered drainage plan is required.
<br /> If I am the AGENT F4R THE OWNER, 1 promise in good faith to infarm the pwner af the permitting conditians set forth in
<br /> � this affidavit priar to cammencing construction. I und�rstand that a separate permit may be required for electrical work,
<br /> plurnbing, signs, weE1s, poals, air conditioning, gas, or other installatians 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 vialate, cancel, alter, or
<br /> set aside any provisions af the technical codes, nor shal! issuance of a permit preven#the Building Official from thereafter
<br /> :equiring a correction of errars in pians, construction or vialations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months af permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a periad of six(6} months after the time the work is cammenced. An extension
<br /> may be requested, in writing, frqm the Building Official far a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause#ar the extensian. If work ce�ses for ninety(9Q1 consec;�.ititile��},rc, thn;�h:s cc,^,�:�ered a�an�one�.
<br /> WARNlNG TQ t)1NNER: YOUR FAtLURE TO RECORD A NOTiCE OF CQMNtENCEMENT MAY RESULT !N YQUR
<br /> PAYiNG"I�NiC�FOR iMPRfJVEMENTS TO YOUR PROPERTY. IF Y4U INTEND TO OBTAIN FINANCING, CONSULT
<br /> WA'�FI Yf�UR �.�l���R �!?A�-!�r�rn;or,vc�f B�F^F:� �:i�:�::�mE'a�'t^v�;s'�,ivv����uP' �CiiL�flYiClVI:��VItYV�. --
<br /> F�C}RIGA JUf2AT{F.S '1'I7.Q3}
<br /> OWNER OR AGENT ��� �!G�`b CONTRACTOR ����� _.._
<br /> Subscrit�ed and s n ta{or �rmed} efore me this Subsc�ibed and sworn to{ar a�rmed}before me this
<br /> .�L J..�' C��bvu�����__��1Q G�� �_by 1
<br /> WFIo is�/re I o me or has/have produced W�e personally wn to me or aslhave produced
<br /> as identifcafian. as'sden#ificatian. Y
<br /> ������Z�,.�� Notary Public Natary Public
<br /> �ommission t�o. QIIVIeA.�OVBtt �ommission No. OIiV' n�
<br /> ��.A �av�---
<br /> � u ust 19 2016 No�ry Public,S�ate of Florida
<br /> Name of Notary type , rin ed o��►t�n . �E$���� �iame of Na#ary typed, i At�b �}II'8S Ai1�t1St�g,�Q'��
<br /> � Gom.Np. EE828129
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