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` NC}TlCE QF DEE�D RESTRtCTtONS: The undersigned understands that this permit may be subjec#to"deed" resfrictians"
<br /> which may be mare restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> appiicable deed restrictions. �
<br /> UNi�ICENSED CONTRACTORS A�tD CONTRACTOR RESPONStBtLiTIES: If #he owner has hired a contractor ar
<br /> contractars to undertake work, they may be required to be licensed in accordance with state anc3 local regulations. If the
<br /> contractflr is nat licensed as required by.law, bath the owner and contractar may be c'tted for a tnisdemeanor via{atian
<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 advised to contact the Pasco Courtty Btailding lnspection Division—Licensing Sectian at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or cantractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" af this application for whi�h they will be responsible. !f you, as the owner sign as the
<br /> contractor, that rnay be an indicafiian #hat he is not properly licensed and is not en#itled ta permitting priviieges in Pasco
<br /> County. �
<br /> TRANSPt�RTATI4N IMPACTIUTiLIT1ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportafiion Impact Fees and Recourse Recavery Fees may apply to the canstruction of new buildings, change af
<br /> use iri existing bui(dings, or expansion of existing buildings, as specified in Pasco Counfiy Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, fihat such fees, as may be due, wiil be identified at fhe time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recavery Fees must be paid prior to
<br /> receiving a "ce�tificate af occupaney" ar ftnal pawer release. If the project does nofi invo3ve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance Furthermore, if Pasco Caunty Water/Sewer Impact
<br /> fees are due, they rnust be paid prior to permit issuance in accordance with app3Ecable Pasca County ordinances.
<br /> COqVSTRUCTICIN LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuatian of work is $2,500.00 or more, I
<br /> certify that !, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Nomeawner's
<br /> Protectian Guide" prepared by the Fiorida Department of Agriculture and Consumer Affairs. if the applicant is someone
<br /> other than the"awner", I certify that I have obtained a copy af the above described document and promise in good faith to
<br /> deliver it to fhe"owner" priar to cammencement.
<br /> � COiVTRACTOR'S/OWNER'S AFFIDAVI?: I certify that all the informa#ion in this applicatian is accurate and that all work
<br /> wi!! be done in compliance with a!1 applicable laws rsgulating construction, zoning and land development. Application is
<br /> hereby made ta obtain a permit to do work and installation as indicated. I certify that no work or ins#allation has
<br /> commenced prior to issuance of a permit and that all wark wi{! �e pertormed to meet standards of alf laws regulating
<br /> construction, Caunty and City cades, zaning regulations, and land development regulations in the jurrsdiction. I also
<br /> certify that I understand tha# the regulatians of other government agencies may apply ta the intended work, and that it is
<br /> ��ny responsibility ta identify what actrons I must take to be in compliance. Such agencies 'snclude but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawaiis, Dacks, Navigable Waterways.
<br /> - Departmenfi of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Fnvironmental Pratection Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Fload Zane"V" unless express{y permitted.
<br /> - (f the �I( material is ta be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating valume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed 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 stem wall
<br /> consfiruction, ! certi#y that fill will be used only ta fil!the area within the stsm 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. !f use of fill is found to adversely affect adjacent prope�ties, the awner may be cited for viofating
<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 flll, an engineered drainage plan is required.
<br /> ff 1 am the AGEN'�FOR THE OWNER, 1 promise in gaod faith to infarm the owner af the permitting corrditions set farth in
<br /> this affidavit priar to commencing construction. I und�rstand that a separate permit may be-required for electrical work,
<br /> plurnbing, signs, wells, pools, air conditioning, gas, ar other ins�aflations nat specifically included in the application. A
<br /> permit issued shall be construed to be a iicense to proceed with #he wark and not as authority to violate, cancel, alter, or
<br /> set aside �ny provisions of the technica! codes, nor shal! issuance of a permit pravent the Building Official fcom thereafter
<br /> �equiring a carrectian of errors in plans, canstruction or violations of any codes. Every permit issued shail become inva(id
<br /> unless the work authorized by such permit is cammenced within six manths of permit issuance, or if work authoriz.ed by
<br /> #ha permit is suspended or abandoned for a period of six{6) months after the time the wark is cammenced. An extension
<br /> may be requested, in writing, frpm the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extensian. if work ceases for ninety{90}c�nsec�.�titiJe ua}rs, tha j�h i�ccnu'�ered abar�oned.
<br /> WAI�,NING TO OWNER: YOUR FAILURE TO RECORD A NOTlCE OF COMMENGEMENT IVIAY RESUl.T !N YQUR
<br /> PAYING TWfCE FOR IMPR{�VEMENTS TO YC3UR PROPERTY. (F YOU tNTEND TO OBTAtN FtNANCiNG, CONSULT
<br /> WI'f'H YnI.�R �.EN��R �Jp Q�� �rrnm*�;cy gccn�c z��,•�a��«.q�-••,,.� �5 4�•,Ti 3ti:� vi- i.i.��c�iivicivC:El'vi���i'.
<br /> v �., �Lv�V1�J71V:7 i ViJi'�JVWJ'�
<br /> FLORIC�A JUf2AT{F.S.'197.Q '
<br /> OWNER OR AGENT e��?''~" COIVTRACTOR ���..,�r���t �
<br /> Sub cr'bed and sw n to{ar �rmed}kefore me#his Su6scribed and sworn to{or a�rme }before me this
<br /> bY ��,. �#i�3�t�. � t by.� n,��j n� ��.GL
<br /> o s/are rsonally known ta m��'has/have produced Wh (s�onall nown to me o has/have produced
<br /> as identification. as idenfification. "
<br /> , Q��YI�A.L{1Y$� ,
<br /> ���.�ry Public Notary Public
<br /> e
<br /> �ommission N 19 2418 �ommissian No. �O�e3 P
<br /> Com.No. EE828129 Commission Expir�s q ust 19
<br /> Name of Notary fyped,printed or stamped Name of Notary typed,printed or sfa 0. $2$��?�
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