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<br /> �� NQT�CE OF�EED FtiES�'!�lCT14iVS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> � which may be more restrictive than Caunty regulations. The undersigned assumes respansitaility for campliance with any
<br /> applicable deed restrickions
<br /> UNLICE�lSED CON�'R�CTORS A�l� COh]Tt�AC1'OR �t�SPt7�1S1�1�.9T1ES: If the owner has hired a contractar or
<br /> cantractors to under'ta{<e work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> I contractor is not licensed as required by law, bath the owner and contractar may be cited for a misdemeanor violation
<br /> under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for fihe
<br /> intended work, they are advised to contact the Pasco County Building lnspection Divisian—Licensing Section at 727-847-
<br /> 8009 Furthermore, if the owner has hired a cpntractar ar contractars, he is advised to have the contractor{s} sign
<br /> portions of the "contractor Block" of this application for which they will be respansible If yau, as the owner sign as the
<br /> _._�._can.tr.actor,-that-may be an indication that he is not properly licensed and is not entitled ta permitting privileges in Pasca
<br /> County.
<br /> TRANSPORT,ATION INlPACT/UTtLlTIES IIVrPACT AND RESC)lBkaCE F2�COVERY FEES: The undersigned understands
<br /> that Transportation impact Fees and Recourse Recovery Fees n�ay appiy to the construction of new buildings, change af
<br /> use in existing buildings, ar expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amsnded. The undersigned also understands, that such fees, as may be due, vuill be identified at the tirr�e of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid priar to ,
<br /> receiving a "certificate of occupancy"' or final power release. lf#he praject does not invalve a certificate af occupancy or
<br /> final power release, khe fees must be paid prior to permit issuance. Furthermore, if Pasco Coun#y WaterlSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> Ca�STRt1C"CIO1V LIEN Ll�W�Chapter 7�3, Fiorida Statutes, as amended): If va(uatian of work is$2,540.00 ar mare, 1
<br /> certify that I, the applicant, have been provided with a copy of il�e "Florida Constructian Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Flarida Department of Agriculture and Cansumer Affairs. If the applicant is sorrteone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in gaad faith to
<br /> deliver it ta the"owner" prior fa cammencement.
<br /> CONTRACTOR'SIOWfVER'S AFFID�►VfT: I certify that all the information in this application is accurate and that aii work
<br /> will be done in compliance with a!! applicable laws regulating construction, zoning and land development. Application is
<br /> hereUy made to obtain a perrnit ta do work and installation as indicated. ! cerfify that no work or installation has
<br /> commenced prior to issuance af a permit and that all work will be performed ta meet standards of all laws regulating
<br /> eonstrucfiion, Caunty and City codes, zaning regulatians, and land development regulatians in the jurisdiction. 1 a{so
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> �ny responsibility ta identify what actions 1 must take to be in compliance. Such agencies include but are not limited.to
<br /> - Clepartment of Environmental Protection-Cypress Bayheads, Wetlarid Areas and Environmental{y Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Wa#er Management District-V1/eHs, Gypress Bayheads, Wetiand Areas, Altaring
<br /> Watercaurses.
<br /> - Army Carps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Enviranmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Fnvironmental Profection Agency-Asbesfios abatement.
<br /> - Federal Aviatian Authority-Runways. '
<br /> ! understand fihafi the failowing restrictians apply to the use af f1i:
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "campensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - if the fiil material is to be used in Flood Zone "A" in cannection with a permitted buiiding using stem waH
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - 1t fill material is ta be used in any area, { certify that use af such €ili will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating ,
<br /> the canditians of the building permit issued under t#�e attached permit application, far 3ots less than one �1}
<br /> acre which are elevated by fill,.an engineered drainage plan is required.
<br /> If( am 1he AGENT FOR 1'F9E OWNER, ! pramise in good fai#h to info�rn the awner af the permitting canditians set far#h in
<br /> this affidavit prior to commencing cons#ruction. I untierstand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shal} be construed to be a license to proceed with the work and not as authority to vialate, cancel, alter, or
<br /> s�et aside any provisions af the fiechnical codes, nar shall issuance of a permit prevent the Building Official from #hereafter
<br /> �equiring a correction of errors in plans, canstruction or violations af any codes. Every permit issued shall become invalid
<br />� unless the work authorized by such permit is commenced within six months 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 Clfficial for a period not to exceed ninefy (90) days and wili demonstrate
<br /> justifiable cause for the extension. If work ceases far ninety(9Q1 cc�nsecuti�,�e da}��, th�;^h :���n�:d�red abar�oned.
<br /> VilAI�fVI1VG TO OWNER: '�OUR FAILUfZfE TO RIECOFtD A IVOTlCIE OF COIVIIl�ENCEMEiVT MAY RESULY IN YOUR
<br /> PAYING TWIGE FOR[NtPRO01EMENTS TO YQUR PROPERTY. IF YOU INTE�lD'F't) t"�BT1�1� Fli�lAA1Ct1VG, Ct�NSUL7
<br /> �QTb"����� w.��L��C� �i? A,Sl1 �7'Tfl�AVCV�GCr'1�C �1r.nn'��+r,� u�.,..r...� xo.-.-T .-., �;.. .
<br /> -f.. . .-. �. v � :.,.,.vi�:.00Evt.� �v�;���v �a,.� u�` irC.Pik�ilPiiLYVL:f�'�'IUIC6V I.
<br /> FLORlUA JUF3A"f(F.S. '!17.03)
<br />� QWNER OR AG�NT �.(.J � CONTRACTOR
<br /> Subscribe�d sw,o�n to(or affirmed)qefore me this Subscribed and sworn to{or a ' e before me this
<br /> by . �'J lA� o � by t � ����CL
<br /> Wk�p onall known to m has/have produced W o is are perso - y fcnt� e or Yias/have produced
<br /> as identification. as identification.
<br /> I � �1��,[alti�t���� Q����a•�'��� Notary Rublic
<br /> Commission o ��k�� �9,2�"�bmmission Na. �C�l Pl1bIIC,State of Florida
<br /> Com.No. EE828i29 � �����,�Q =
<br /> Name of Notary typed,prinled or stamped Name af Notary typed,printed or stamped
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