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hIQTtCE�YF DEED RESTR1CTIdNS: The undersigned understands fhat fhis permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restric#ions.
<br /> UNLICENSED CONTRACTORS ANp CONTRACTOR RESPONSIBILITIES: If the owner has hired.a contractor or
<br /> contractors to undertake work, they rr►ay be required to be licensed in accordance with state and local regulations. !f the
<br /> contractor is not licensed as required by iaw, both the owner and cantractor may be cited for a misdemeanar vio(ation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intet�ded work,they are advised ta contact the Pasco Gounty BuiIding lnspectiQn Division—Licensing Section at 727-847-
<br /> 80Q9. Furfhermare, if #he owner has hired a contractor or confractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. !f you, as the owner sign as the
<br /> cantracfor, that may be an indication that he is nat prcrperly Iicertsed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTtLITtES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> thaf Transportafion (mpacf Fees and Recourse Recovery Fees may apply to the canstruction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> - 9Q-07, as amertded. The undersigned also understands;that stach fees, as may be due;wiii be identifted at fihe tirne af �
<br /> permitting. It is further unders#ood ti�iat Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or fna! power release. It the project does not involve a certificate of occupancy or
<br /> finai power reiease, the fees must be paid prior ta permit issuance. Furthermore, if Pasco Caunty Water/Sewer impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONS3RUCTION LIEN LAV1((Chapter 793,Fiorida Stafutes,as amended}: lf valuation of work is$2,500.00 ar more, S
<br /> certify thafi I, the applicant, have been pravided with a copy of the "Flarida Construction Lien Law—Homeowner's
<br /> Pratection Guide" prepared by the Florida Depar#ment of Agriculture and Consumer Affairs. lf the applicant is someone
<br /> other than the"owner", 1 certify that 1 have obtained a copy of the above described document and promisa in gaod faith to
<br /> deliver it ta the"awner"prior ta commencement.
<br /> CO�I3RACT4R'814V1/NER'S AFFIDAVIT: I cer�ify that all the infarmation in this appiication is accurate and that al!work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and iand deveiopment. Application is
<br /> • hereby made to obtain a permit to do work and installation as indicated. I cerEify that no work ar installation has
<br /> commenced prior to issuance of a permEt and that a11 work will be performed to meet standards of ali Iaws regutating
<br /> constructian, Cqunty and City codes, zoning regulations, and land develapment regulations in the jurisdiction. I also
<br /> certify that S understand that the reguiations.af o#her gavernment agencies may apply to the intended wark, and that it is
<br /> , my responsibility to iden#ify whaf actions I must take to be in compiiance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protecfion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,INaterlUtlastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercaurses.
<br /> - Army Corps of Engineers-Seawalls, Docks, tVavigable Waterways.
<br /> - �Department of Health�&. Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treafiment,
<br /> Sepfic Tanks. _
<br /> - US Environmental Protec#ion Agency-Asbestos abatement.
<br /> - Federa!Avia#ion Authority-Runways.
<br /> 1 understand#ha#the foilowing restrictions appiy fo the use af fil(:
<br /> - Use of fill is not allowed in Flood�Zone"V"unless expressly permitted.
<br /> - If the #iSl material is ta be used in Fiood Zone °A", it is understoad that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitfing which is prepared by a professionai engineer
<br /> licensed by the Sta#e of Florida.
<br /> - If the fiil maferial is to be used in Flaod Zone "A" in cannection with a permifted buiiding using stem wali
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fili materiat is to be used in any area, 1 certify that use of such f 11 will not adversely affect adjacent
<br /> properties. If use of fill is found to adverseiy affect adjacent properfies, the awner may be cited for vio(ating
<br /> the conditians of the building permit issued under the attached permit application, far lots less than one (1)
<br /> acre which are eievated by fill, an engineered c3rainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I pramise in good faith to inform the owner of the permitting conditions set forth in
<br /> this af�davit prior to commencing construction. I understand that a separate permit may be required for electrica(wark,
<br /> plumbing, signs, wells, poois, air condifioning, gas, or other instaliations nat specificaily included in the appiicafion. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> sefi aside any provisions af fhe technical codes, nor shall issuance of a permifi prevent the Building Official from fhereaf#er
<br /> requiring a correction af errors in plans, constructian or violatians of any codes. Every permit issued shall became invalid
<br /> unlsss the work autharized by such permit is cammenced within six manths of permit issuance, or if wark authorized by
<br /> � the permit is suspended or abandoned for a period of six(6} months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Official for a period nat to exceed ninety (90) days and will demonstrate
<br /> justifable cause for the extension. [f woric ceases for ninety{90}consecutive days,the job is cons€dered abandoned.
<br /> WARNlNG TO QWNER: YOUR FAILURE TO RECORD A NOTlGE OF GOMMENCEMENT MAY RESULT !N YOUR
<br /> PAYtNG TWICE FOR IMPROVEMENTS TfJ YOUR PRt3PERTY. IF YOU tNTEND?O'OBTAIN FINANC[NG,CONSULT
<br /> WITH YOUR LENbER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF GOMMENCEMENT.
<br /> FLC}R]DA JUF2AT(F.S.917. 3} i��!s�-�-m
<br /> OWNER Of2 AGENT �� 1 CONTRACTOR_�����
<br /> Subscribed and swom t (or a�rmed}. efore me this Subscribed and sworn to{�r a irmed}be ore me fhis
<br /> i1-1 q-i to by KCk.`�'flu �1 I rYt S �-!9-t to by F��'� ('M �+'�'�5
<br /> Who is/are personally known to e ar has/have produced Who is/are personally known to me or hasJhave produced
<br /> as Identificatlon. � as Identification.
<br /> V �
<br /> Notary Pnblic
<br /> � YP`° NAeNCY J BROOKS
<br /> Commission No. }0 4�;_ Commission No. ""YP'�•
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<br /> "' MY GOMMISSI�N#FF493699 .� ,, :
<br /> � - �_
<br /> '•.�;' ......_P•�a� _' .''� MY I
<br /> Name of Notary 'p" t"'�{'r:sta�tle�-��JF ' 1� Name of Notary typ ; �'st
<br /> R��1���"5��ar:�loadallotatyService.com .,,oFfl.�.•� ��ES February 18.2018
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