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NOTiCE O�DEED RESTRICTICtNS: The understgned understands Ehat this permit may be subject ta"cie�d"restrictions'
<br /> whtch may�:be.moce restrictive than.Gounty regulatlons. �The undersigned assumes�:ces�onsibftity�for compEiance with anjr
<br /> applicabte desd restrlcttons. � _
<br /> UNLICENSED CONTRACTORS /aCND CONTRACTOR RESPON5I�ILITIES: If the aw�er has hired a contractor or
<br /> confractars to undertake work, they may be requPred ta be licensed in accordance with s#ate and locai reguiations. if the
<br /> cantractor is not ticensed as required:by law, both the owrier and eantractor may be eited for a misdemeanor vioiatfon
<br /> under state taw. ff the owner or intended contractar are uncertain as #o what lEcensing requir�errtents may appiy for the
<br /> intended work;they are advised to aontact the Pasco County Bullding Inspeetlon Division•—L:icensing Sectlan at 727=847-
<br /> 8009. �urthermore, (f the owner has hired a contractor or contrackors, he is advised to have the contractor(s) s(gn
<br /> portians of the "contractor Black" of this appltcation for which they will be responstble. If you, as the owner sign.as the
<br /> confracfor, #hat may be an indication fhat he is not�properiy licensed�and is not entitled to permitting p�ivileges in Pasco
<br /> County. ' �
<br /> TRANSPORTAi'IQN lMPa4,CTtUTILlTf�S lMPACi'AND RESOURGE R��OVERY EEES: The underslgnedunderstands '
<br /> that Transpartatian lmpac#Fees and Recayrse Reaovery Fees may.apply.ta�the canstructia�n of new buildings, change af
<br /> use in existing buqdfngs, or expansion of existing buildings, as specifled in Pasco County Ordinance number�89-07 and -
<br /> 90-07, as amended.t The undersigned also understands, that sush fees, as may be,due, will be identified at the time of
<br /> permitting. lt is further understood that Transportation Impact Fees and.Resource Recav�ry Fees.must be paid priar ta
<br /> recaiving a "certi�cafe of occupancy° or flriat-power.release. 4f�#he project does nof-involve a certificate of occupancy ar
<br /> finai pawer re4ease, tha#ees must bs�paid prior to perinit issuance. Furthe�more, if Pasca County_1Afater/Sewer Impact
<br /> fees are due,they must be pald.prlbr to permlt lssuance�in accordance wlth appltcable Pasca"Caunty ardinanc�s.
<br /> CONSTRUCTION LIEN LAYV(Chapfe�713,Plorlda Statut�� �s amended): If valuation af work is$2;500.00 or more, I
<br /> certify that I, the applicant, have been provtded with a copy of the "Fiorida Construct(on. Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of P►griculture and Cansumer Affairs. If the appficant is someane
<br /> other#han the"awner", 1 certify that I have abtained a copy of the abave described docum�nt and promise In good fa�th to
<br /> dei�ver it to�the"awner"pr6vr to cammencement.
<br /> CQNTRACTQR'SIQWNEEt'S P►FFIQAVlT: I certtfy that.all•the Info�matton in�this applicatlon is aacurate and that all work
<br /> wlll be done In compliance wlth ail applicable laws regulating construction, zoning and�land development. Application is
<br /> hereby made to obtain a permit ta do. wock and instatlafion as indicated. 1 certify that no wrork or insfalia#ion has
<br /> commenced prlor to issuance of a permit and that a1i wark wi8 be perfarmed to meet star�dards of al! laws ragulating
<br /> canstruction, County a�d City cbdes,� zoning regulations, and�land development regutations-in the jur4sdiction.. 1 al'so
<br /> certify that i understand that the regufations o#ottie�government ageneles may apply to the intended wark, and that it Fs
<br /> my responsibil�ty to identify what acttons !must take to be ln compllance. Such agencles iraclude but are not limited to:
<br /> - Department of Enviro�mentaP Protection-Cypress Bayheads, �Wetland Areas and Environmentalty Sensitive
<br /> Lands,WaterNUastewater Treatment. �
<br /> - Sauthwest .Fiorida Wate� Management �District Wells,. Cypress Bayheaa#s, °Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawalis, Docks,Navlgable Waterways. -
<br /> - Department of.Health 8� Rehabilitative .Ser+rtceslEnvironrt�ental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks. �..
<br /> - US Environmental Protectian Agency-Asbestos abatement. � -
<br /> - . Federal Aviation Authority-Runways.
<br /> t unders#and that the foiiawing restrictians app4y to the use af fi{i:�
<br /> - Use of fiil ls not ailowed i��Fload�2one"V"unless expressly permitted.
<br /> - if the fill material is t� be�used in. Flood_ Zone "A", it is understood that a�drainage plan addressing a
<br /> "compensating volume"'�will be subrriitted�.at-time of�permitting which (s prep�red by a professional engineer
<br /> Ilcensed by the State of Fiorlda. ` �
<br /> - If ihe fill material is.to be used in Fioad Zone °A� in connectlon with a permi�ted�butlding using stem wal!
<br /> � construction, 1 certify#ha#fill will be used oniy ta flii the area with4n the stem wall. �
<br /> - if fr11 materlal ls ta be used in any area, 1 certtfy that use of>such fill w111 not adversely affect adjacent
<br /> praperties. If use of fi!!�!s found�to adv�rsely affect adJacent prapert�es, the owner may be cited for violating
<br /> the conditions af the bufidtng permit issued under the attached permit•-application,#or lats-tess than one (1)
<br /> aare whfch are elevated by fil(, an.englneered drainage pian is required.
<br /> If I am the AGENT�FOR THE OWNER,�1 promise in gaod.-faith to tnform the ovuner:of-the�ermltting canclitions set forth tn
<br /> this affidav(t�.prior#o commencing.constra�c#ion.. 1 understand�that a �eparate permik may be required.for,electi�ical.work,
<br /> piumbing, signs, welts, pools, air conditioning, gas, or other Ins#a!lations nat specifically includedl.irr-the,;application. A
<br /> permit{ssued shat! be construed to be a license to proceed with the work and not as authority to.violate, cancel, atter, or
<br /> set aside any provisions-of the technical cades, nor shall issuance of a permit prevent the 8uildirig Official from thereafter
<br /> requiring a•correction of errors in plans, construction or viatations of any codes. Every permit Issueci shai4 become invaltd
<br /> unless the work authorized by such permit is cammenced within=sEx months.of permtt issuance, oc Ef wark authorized by -
<br /> the permit is suspended oc abandoned�for�'s peciad of s#x{6)months�after the time the wark is commenced. An extension
<br /> may be requested� tn writing, from the Buifding Offlaia) for a period�not to exceed ninety (90) days and wilt demonstrafe
<br /> )ustifiabie cause for the extension. If work�eases far ninety(90)consecu#ive.days,th�Job is consiciered abandoned.
<br /> WARNING TO OWNER: YOUR.FAI[:URE TO RECORD A Nt}TICE OF�CBMMENCEMENT MAY R�SULT•IN YOUR
<br /> PAYING TINiGE FOR tMPRt1VEMENTS TO YOUR`PRQP..ERTY.�Ig YQU'lNTEND TQ QBTAlN l=1NANCING,CClNSULT
<br /> �"ITN YOUR LENDER t?R AN ATTGIRNEY EiE�ORE�tECCIRDlNG YOUR NOTIGE�OF COMMENCEMENT.
<br /> FL.ORtOA Jt3RAT{F:S.'117.Q3j ..� . ..�._... � - � _ _
<br /> 01fY1dER Oit AGENT� �� �.K�� CONTRACTO `
<br /> Subsarlbed and s` or a�lr ed)before me thlr���—� Subsaibed and swom ta(or affirmed)before ' .this _
<br /> �
<br /> Who Is/are p onaity kno ta me or haslhave produced Wha istare ersoiial4y kna to me or ha as den�ficatlantl
<br /> as ldentlflcallon.
<br /> � 6
<br /> �" � `�. . Notary Public y��� "''+ NataqrPubllc
<br /> ( �r�;i��Y��+��, JACpU 8 4!��6 �;W;Y AY•,,,� mission
<br /> �W�r �
<br /> ,Gamt�t ssion Cam Issi No. .
<br /> FF 160422 -*: �*' Co� #FF 150422
<br /> � �k�lf�3 69C�tTtb �"�. '��: ' � 18
<br /> I�Bfi@O�NONdTy�PB �Y�Afnln�ureneobpp.395•70t8 NameofNotary �° ���a��CI1� •ninsurancee
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