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<br /> N4TiCE O�DEED RESTRtCTtONS: The undersigned understands that this permi#may be subject to"deed" restrictians"
<br /> which may be more=cesfrictive than County regulations. The�undersigned assumes responsibitity`for compliance with any '
<br /> appiicabie deed cesVictions. �
<br /> UNLIGENSED CONTRACTORS AND CONTRAGTOR RESPCINSIBI�ITlES: If the awner has hired a contractor oc �
<br /> contractors to undertake work, they may be required to be�licensed in accordance with state and loca! regulations. !f the
<br /> cantractar is not licensed as required tiy law, botti the owrner and contractor rriay be citeii for a misdemeanor violation
<br /> under sfate law. If the owner or intended contractor are uncer#ain as to what licensing requirements°may�.apply for the
<br /> intended woric, they are advised to cantact the Pasca Gounty 8uiiding tnspec#ion Division-=Licensing Section at 727-847-
<br /> 8409. Furthermore, if the owner has hired a contractbr or contractars, he is aclvised ta .have the contractar{s} sign ,,
<br /> portians of the °contraGtor Block" of this application for,which they will be responsible. Ef you, as the owner sign as the
<br /> contractar, that may be an indication that he is not properly licensed and is not entitled�to permitting privileges in Pasco
<br /> Caunty.
<br /> TRANSPORTATtUN tMPACTNT1LiTtES IMPACT AND RESOURCE REGOVERY FEES: The undersigned under.stands ,
<br /> That Transpartatian impac#Fees and Recourse Recavery Fees may appiy to the construction af new buildings, change of�
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty C?rdinance number$9-07 and
<br /> 90-07, as arnended. The undersigned also understands, that such fees, as may be due, wi!!'be identified at the time of
<br /> permitting. It is further understood that Transportation lmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project daes not involve a certificate af occupancy.or
<br /> final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer. Impact
<br /> fees are due,they must be paid prior ta pertn'rt issuance in accardance with applicabie Pasco County ordinances.
<br /> GC?NSTRUCTIQN LIEN �AW(Chapter 713, Ftorida Statutes�as amended); ff valuatian af work is$2,500.00 or more, I
<br /> certify that !, the applican#, have been provided with a capy of the "Flarida Constructian �ien Law—Homeawner's
<br /> Pratectian Guide" prepared by the Florida Qepartment of Agriculture and Consumer Affairs. !f the applicant is someane
<br /> other than the"owne�', I certify that I have obtained a copy of the above described'document and promise in good faith to
<br /> deliver it ta the"owner�prior to�commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: t certify#hat ail the informa#ion in this applicatian is accurate and that ail work
<br /> will be done in compliance with a!1 applicable Eaws regutating constructian, zoning and land-develapment. Appl'tcation is
<br /> hereby made t�a obtain a perrnit to do work and installatian as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that a!! work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiatian. I alsa
<br /> certifiy that i understand that the regu(ations of other government agencies may app(y to the intended work, and that it is
<br /> my respansibiiity to identify what actions t must take to be in compliance. Such agencies include bu#are not limited to:
<br /> - Department of Enviranmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwest Florida Water Management District Wells, Cyptess Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Heaith & Rehabilitative ServicesJEnvironmental Health Unit Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runvuays.
<br /> I understand that the following restric#ions apply to the use af�Il:
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. •
<br /> - If the fill material is to be used in Fiaod Zane "A", it is understaod that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permi#ting which is prepared by a prafessianal engineer �
<br /> licensed by the State of Flarida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wal!
<br /> construction, I certify that fill will be used anly ta fill the area within the stem wall.
<br /> - lf fil( material is to :be used in any area, I certify that use of such fill will nat adversely affect adjacent
<br /> properties. (f use af fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the at#ached permi# application, for iats tess than one (1}
<br /> acre which are elevated by ftll, an engineered drainage pEan is required.
<br /> If I am the AGENT FOR THE OWNER, ! pramise in goad faith to inform the awner of�the permitting conditions set forth in
<br /> this affidavit priar to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, welis, pools, air conditioning, gas, or other'installations not specifically included in the applicatian. A
<br /> permit issued shaii be canstrued to be a iicense to proceed with the work and not as authori#y ta violate, cancel, atter, or
<br /> set aside any provisians of#he technicat codes, nor shall issuance of a permit prevent the Building C3fficial fram thereafter
<br /> requiring a correction of errors in pfans, constructian or violations of any codes. Every permit issued sFtall become invaiid
<br /> unless the work autharized by such permit is cornmenced within si?c months of permit issuance, or if work authorized by
<br /> the permit is suspended ar abandaned for a period�of six(6) months after the time the work is'cammenced. An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifable cause far the extension. If work ceases for ninety(90}consecutive days,the job is considered abandoned.
<br /> WARNING TO QWNER: YOUR FAILURE 70 RECORD A NOTICE t)F GOMMENCEMENT MAY RESUl.T IN YOUR
<br /> PAYING TWICE FOR lMPROVEMENTS TO YOUR RROPERTY. !F YOU�INTEND-TO OBTA{N FINANCING,CONSULT
<br /> r:'C'-'!'E-l-�r'C3�SR-��td'�DE6a-OE�t�4R9-d�'�"6'06�"d���F�E:�-RECtZL4�E�9�Xf3UFc°,-N4)'i'l�G�=�25��-!!�6'�l�RlCE:l��'idT. -- - - - ---_
<br /> FlORiDA JURAT{F.S.117.03}
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom#a(or affirmed}before me this Subscribed and swo o( fr affirmed}before me this
<br /> bY ,. �Y
<br /> Who is/are personally known to me or has/have produced Wha is/are persona I nown ta me or has/have pr4duced
<br /> as identification. as identification.
<br /> fUotary Pubtio ��+' °��F, Notary Pubtic
<br /> Commisston No. Commis o �� k= �4mmission#FF 137473
<br /> .•`'��lT���'*�`�`` �edilwTroY.Fainlnsurac.rsA4b99r7019 ' -
<br /> Name of Rlotary typed,prin#ed or stamped Name af tVatary typed,printed or stamped
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