r
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<br /> NOT9CE OF DEED RESTRICTIONS: The unde�signed under�tand5.:that:this,p�rmit.may_.be.sub)ect tg"deed"restrictions°
<br /> which may be�more��rest�ictive=tFial�-Gounty�regulatlons. The'�u�dersigned`�assur"ries�respon'sibiltfji for�compiiance wi'th any
<br /> applic�ble deed restrictions.
<br /> UNL.ICENSED C:ONTRACTOItS -AND CON'fRACTOR RESPONSI�ILITeES: If th� owner has -hired a contr�ctor or
<br /> cont�actors to undertake work, they may.be:r.�,quired..to::be.;llcensed In aceordance.�rith state.and�Iocal regula4lons. I�the
<br /> contractor is not Iicensed as requlred'=by law, both the owner and�contracto�•may be-clted�for�a misdemeanor vtolatlon
<br /> under st�te law. If the owner or Intended>:contr,aetor,:�re uncertaln �s to what Iicensing.requlrements:may>apply�ior•.the
<br /> intended work, they are advised 2o contact the Pasco County Building lnspectton Divislon—Licensing Sectiore at 727-847-
<br /> 8009. Fu�thermore, tf the owner has hlred a contracfor or contractors, he Is advis�d to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they rrvill be tesponslble. If you,-as.the owrier sign�as the
<br /> contrac#or, that�may be an Indication that he�is not.properly Eicensed and is noY entitled to perrriitting prlvileges in Pasco
<br /> County. -
<br /> TRAN�PORTATION IMPACTIUTILITiES=IMRACT,ANb-RESOURCE RECOVEEtY�FEES; �The�undersigned�understands
<br /> that Transportation Impact Fees.�nd.Recourse Recove.ry.F�es rr�ay��apply��to:the constructton of new_bulldings;.change�of
<br /> use in existing bulldings; o�:expansion:•.of�ezistin,g'�buildings, as specifled in Pasco County Ordlnance 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 /> permiQting. It Is fid�her understood that Tr�nsportatlon Impact Fees and�Resource Recovery�'Fees must be pald prior to
<br /> recefving a "certiflcate..of occupancy" or flnal.paw►er•rele�,se. :I€the project does.not Involve-.a certific�te of occupancy or
<br /> final powrer release; the fees must�be paid prior to permR Issuance. Fwthermore,-�ff:Pasco County Water/Se.wer�Impact
<br /> fees are due, they�must be:paid.prlo�to permlt•Issuance°On accordance wr(th�appllcabie Pascv�.County ordinances.
<br /> COOVSTRUCTION LIEN LAW(Chapter 713, Elor�da S'tatu4�a,a��mended): if valuation of work is$2,500.00.or more, I
<br /> certify that I, the applicant, have�been provlded with a copy- of the "Florida��Constructlon� Lien Law—Homeowner's
<br /> Protection Guide� prepared by the Fiorida Departmenf of Agric.ulture and ConsumerAffairs. 6f the applicant is someone
<br /> other than the°owner", I certify that I�have.obtained>a copy,of.the above.ries.cribed dbcui�ent�and.p.r.omi,se�in,good faith to
<br /> deliver it to the'owne�"�prlor.�to�cornmencement:
<br /> CONTFtP►CTOR'S/OVIIPI@R'S A�FIDAVIT: I.ce�tlfy..tti�t�II the,information In�thi.s application is accurate �nd that all work
<br /> will�be done in compliance with �li applicable I�ws regulating construcflon, zoning and:land�development. Appllcation (s
<br /> hereby made to obta(n .a permit to .do work..and Installation as Indlcefed::• i certffj+ 4hat no work=or installat(on has
<br /> commenced prior to Issuance of a permit"and that.all work will be perFormed to me�t standards of all laws regulating�
<br /> construction, County and City codes, zoning regulatians, and land development regulations-in the jurisdlction. I �Iso
<br /> certlfy that i uaderstand that the regulations of other government agencies may�apply�to the intended work, and that it is
<br /> my responsibElity to identify.what.�ct(ons I mu�t t�ke:to be�ln�.compllancs. Such agencles include but are.not Iimtted to:
<br /> - Department o� Er�vironmentai Protection'-Cypress. Bayhead�; WeUand Areas and Ern(ronmentaily Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwr�st Florida Water W9anagement: .:District-Wells, Cypress.��Bay.heads; Wetland Are�s, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigabla Waterways.
<br /> - Depa�tment of Heaith� � ReY�abllitative ServOces/fEnvironments,l Healt� Uhit:Wells,..Wastewater Treatment,
<br /> Septtc Tanks. _
<br /> - US Environnnental Protection Agency-Asbe�tos abatement.
<br /> - Federal Avlatlorr Authority-Runway�.
<br /> I understand that the following;restrlctions applyto the t�se of flll:•
<br /> - Use of fill is not allowed in Fiood Zone"V"unless expressly permitted.
<br /> - If the ffll materlal fs to be used�In Flood Zone. "A", It. (s understood that a drainage plan addressing a
<br /> °compensating volume" wlll be submitted at#ime of permitting whlch Is prepared by a professfonal engineer
<br /> Iicensed by�he State-of Florida:
<br /> - Of the flll materlal .i's to be us�d in Flood Zone "A" ins connection�wlth:a��p�rmitted buflding using stem wall
<br /> construction� I certify that fill:wlll�b.e used only.to.fill the area�n►lthin�the stem�wall.
<br /> - if flll material Is to be�used in any area, I ce�tify that .use. of such flll wlll not adversely affec@ ad)acent
<br /> propertles. If use of fiiil Is found to �dvers�ly.�ffect adJacent��properties,.th�owner may be cited for violating
<br /> the condi#ions of the�b�iid(ng-;permit issued under tha attacfied p�rmit applicatlon, for:loQs less ihan one (1)
<br /> acre which are elevated�by flll, art engineered dralnage plan is required. .
<br /> If 9 am the AGENT�OR TH�OIWNER, I;promise In good falth to inform the�owner of�the permitting conditions set forth in
<br />� this aPfidavit�prior fo comrriencing construction. 0 understand that �;separate permit may be requtred for elecMcal work,
<br />' plumbing, signs, wells, pools; air conditioning,.gas, or othec Installations not•spec�ficaily included�in the application. A
<br /> permit Issued shall be constcued to be a�Ilcense.Qo�proceed with the work and not as:authoNty to.violate,cancel, alte�, or
<br /> set aside any provisions of the technical.codes;�nor shail issuance�of a.permlt.prevent the Bullding Officl�l from thereafter �
<br /> requirin.g a correction af er�ors in.plans, construction or violatlons of any codes. Every permit issued shall become invalid
<br /> unless the work authorized.by such permit.•ls.co�nmenc�d•withtn sUc months of permit issuance, or if work authorfzed by
<br /> the permtt is suspended or abandoned#or a:period of�six�8)�months..after the time the�work fs commenced. An extension
<br /> may be requested, In writ(ng,.from the Building;Officlal•for a perlod.:not to.exceed ninety�(90) days and will'demonstrate
<br /> justifiable cause for.the extension. If work ceas�s.for ninety(90)cons.ecutive:day.s�..the Job�is�considered aba�doned.
<br /> WARNING TO OWRIER: YOUi�..FAILURE TO..R�EC.ORD.A �IOTIGE OF•COMMENCEMENT:MI01Y RESU�T IM�YOIJR
<br /> PAVINC TWICE;FOR�IMPROVEMEN.TS�TO.YOU��:PR�OPERTY. IF�YO.t1;IR�'�EWD'�T��OBTAIN��FIPtl�1�E1NG;�C.OIdSfllLT
<br /> �lIITH YOU D API ATfO N .�B FO'REt ECO D G:YO � -C :� ' °' E C� N
<br /> FL�JRlDA JI��RA'�(F.�.-1.7 � _ --- -- - – —
<br /> OWPOER OR AOEN CONTRACTO '
<br /> Subscrlbed and m to(or aHi ed efore m is Subscribed. m to(or dpbefore me thi5
<br /> by _�
<br /> WFio is/are personally knovm to.me or hasla�ave prqduced VNho ls/are p:et onallykno w�`►•to me�or has/heve•produced •
<br /> as IdenUflcatlon. - � / as Identlflcatlon.
<br /> r ; n 'n//�
<br /> Not�ry Public �--' �'�X ��� � Notary Publlc
<br /> Commisslon�tdo. Com � sion No
<br /> �qiiRY.?Y,e�, .
<br /> =':• �°k= Commission#FF 150422
<br /> Name oi Plotary typed,printed or stamped Name of Notary " �• �0 8Ce �
<br /> �'ryf'••FOQ•� eandedThruTroyFainlnsurenc+600�305•7018
<br /> P�����
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