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:NOTICE OF DE��J�tES�iCT{ONS: �e undersigned�ederstands ihaY t►ais pe�nit may be sub}ect to"deed'�e.s4actions"
<br /> which may be mDr��esfictiv2 xhan Coun#y regvlaiions_ 'd�e undersigner�ass�mes resporasihiTi3y for compTiance wiYh any
<br /> ap�Jicable deed restricfions.
<br /> , ' UNLICENSED CONTS2ACTORS A1�iL1 COldTRACTQR RESPONSISILITI�S: 1�#he owner has hired a contractor or
<br /> crontracbors to undertake work,they may be required io be licensed in a�ordance with staie arrol local regu]ations. If the
<br /> �ntractor is not licensed as required by law,both the owner and confractor rnay be cited for a rra�sdemQanar violation
<br /> unr3er state law. if Uae owner or iritended�ntractor are imcertain as 3n vu�rat ficensing requiremenYs may apply for the
<br /> ' �raiended enrork,dhey are advised to�atac?#he Pas�Cauraty Bui3ding Inspection i3hiision—L'acerasing Seciion at 727-847-
<br />, 8fl09. Furtherrnore, ifi the awner has hired a con#ractor or r,�ntractors, he is advised to have the cantractor(s)sign
<br /> portions of the"contrador Bloc�of ti�is application for whicls they wi11 be responsble. 3f you,as the ownar sign as the
<br /> wtrtrador,that may be an indication i�at he is not property licensed and is nof erititled to permitting pri+nleges in Pasco
<br /> Coimiy-
<br /> ?RANSPOR'fAT�ON 31NPACTIUTJLITdES 1i1APACT AgUD�tE�OURCE�tECOVE#iY�fS: The vndersigned�aderstands
<br /> A
<br /> flaat Transportation Impact Fses and Recoiuse Recovery Fees may app9y to the construcBan of new huildmgs,daange of
<br /> a�se in existing bwldings,or expansian mf exisfirag�uildings,8s specified in�as�o County Ordtrearace nisrnber 89-fl7 and
<br /> 9II-07,as amended. 7'he undersigned also understands,ihat such fees,as may be due,will be identified at Uae time oi
<br /> perntitting. li is further understood tFaat Tta�rtation Impact Fees and Ftesource Recflvery Fees must ba paid prior to
<br /> rQceiv�ng a"certificaie of occupanc�or final power refease. IF the praject does no3 irnofve a ce�iificate ofi otxupancy or
<br /> fina3 power release,3he fees rai�si be�aid prior to perra�id assvanca Furt�aermore,if Pasto County Wa2eriSewer 9rnpact
<br /> f�es are d�ne,S�ey r�nust be paid prior to permit issuance in accordance v�ih appGcable�'asm Courety or�nances.
<br /> CONSTRUCTION LI�N LAW(Chapte�7�3,Florida Statutes,as amendedk �f valuafion af work is�2,�OO.UD ar more,f
<br /> certify that 1, ths appGcant, have been provided with a copy af the "Florida Construciion Lien Law—Homeowne�s
<br /> Protection Guide"prepared by the Florida Deparlrnent�f Agriculture and Cot�.wmer Af�Fairs. If the applicant is someone
<br /> other lhan the'owns�°,�cer#ify that 1 have obtained a copy of the above d�cribed dowment and promise in good faiYh to
<br /> �ls9iver it 20#he"owne�'praor to cornrraencement
<br /> �GONH�iACTOR'SIO1NNEi�'S AF�DA�T. 1 cQrtify fhat aD the infarmai'son in#his apPficaiion is accivate and i�ai all work
<br /> will be rJone in campliaracs wiih af1 appGcable iaws�egulating constrauban,zon�g and land deve9opmerat AppTip6on is
<br /> hereby made 30 obtain a permit to do work and installation as indicated. 1 certify dhat no work or instaliation has
<br /> commenced priot 10 issuance of a permif and thai all work will be petfqrra�ed to meet standards of all laws regulaSrLq
<br /> co�nstruction, Cau�ty and City cx�des,zoning regulations, and land develo,prnent regulations in the juri�icfion. 1 also
<br /> saettify 3i1at I understand#trat 2he regu3ations of ofiher govemmerat agencies may apply to the intended wark,and that it is
<br /> ar�y sssponsibifity 3o ider�rFy what actiens I must#ake to be ua cQmpl'ianae_ Such agencies inc3ude hut are not 6mited to=
<br /> - DeparYmenY of Er�viranrriental Prattection-Cy�ress 8ayheads,WeYland Areas and Environmeritally Sens►'b've
<br /> I Lands.WaterlWast9water3'reatrnenL
<br /> - Southwest Florida Water Managemen4 DistricFWells, Cypress Bayheads, WeBand Ar�as, AlterirLq
<br /> Watercourses.
<br /> I - Amay Corps of Er�gineersSeawalls,Docks,S�favigable V►laterways.
<br /> - Departraient af Health S� 93elaabilitafirs ServiceslEnuimnn�ental Hea3th 11niRWel)s, Wastewater Treafineni,
<br /> Septi�Tan9cs.
<br /> - US Environmental Protection Agency Asbes4as abatement
<br /> - Federal Aviation Aufhority-Rumvays.
<br /> 1 understarad that fihe fo]lowing restr�ctions apply to the use of fi13:
<br /> - Usa of fitl is nai allowed�Ffood Zone`1/"un{ess ezpressly per�aitied.
<br /> - 9f the f�l! material is 30 'be used 9n Flood Zane"A, �6s �ederstood thai a dra'urage pfan addressing a
<br /> I `compensatuag volwaie"wi➢be submiited at�ir�ne af germ9ffing which is pre�red by a professioroal er�qineer
<br /> licensed by the Sfate af Fli orida.
<br /> - tf the fill rraateeial is�be used in Flood Zone A in connec�on wifih a pertniited bui4dir�q using siem wa11
<br /> ,�nstruction,I certify that fill will be used anly to fill the area within the sfem wall.
<br /> - tf fill maYeriat is to be used in any area, 1 cer5fy tha2 use of such fi11 wi� no2 adversely af�ed adjaceni
<br /> prAperties. 9f use of Ti➢as fcwnd io adversely afieci adacent g�rnper3ies,the owner may be ated for violatirLg
<br /> the condibo�of 3he�uild"ang pemvi essined auader i�e at3ached permit appTication,�or lots less 3han one(1)
<br /> acre which are elevated by fi0,an engineer+ed drainage plan is required.
<br /> tf 1 am the AGENT FOR TF3E OWNER,I promise in good faith io irrform the owner of the�errr�itling cond�iions sei fiorth in
<br /> this affidadrt prior tn�mmencing cflnstruction. 1 understand that a ssparate permit may be required for electrical work,
<br /> p9umbing, sigras,vvells,poofs,aQ cond'�ioning,gas,ar athar installations not specifically included'ua ihe applicafian. A
<br /> permit 3ssved sha(1 be�onsirued to be a license to proceed with the wrork and�ot as autherity to vio}ate,cancel,alter,or
<br /> sei aside ar�y provisions of the technica3�des,nor shall issuance af a parmit prevent#he Building Offic3al from thereafter
<br /> requiring a correct'son of errors in plans,cflnstruc[ion or v�ofatinns af any codes. Every permii essued shall become invaGd
<br /> unless the work authorized by such permit is wmmenced within sa months of pertnit issuance,or if work author�zed by
<br /> the�ermit is suspended or abandoned for a period of six(&)raionths aRer�e�me the work is cammenced_ An extension
<br /> orray be eeyuested,in mitmg,froran#he Bua�d�ng Officia]for a�eriod not to exceed nine3y{90)rlays and will demonstrate
<br /> piastifiable cause iort�e exiension_ 9f wo�k ceases far nineiy(9D)consecutive days,the job as cons�dered abandoned.
<br /> 1NARNING TO OWNER YOUR�A11URE TO RECORD A NOTIC�OF COMMENCETt7ENT MAY RESLDLT IN YOUR
<br /> PAYING T1MC�FOR liNPROVEiNEA1TS TO YOUR S�ROPERTY. IF YOU 1A17'END TO OBTAiN FINAWGING,CONSUIT
<br /> ITH YOUR LEND�R OR AN ATd'O id B£FORS R� ORDIWG YOt➢R P10TlCE OF COMAAENCEMEAtT.
<br /> �ZfIRIDA 3URAT(F S.99Z0�
<br /> UVYNER QR A�ENT TiON7RACTOR
<br /> Subsraibed and sworn to(or affumed)�fae me this Subscnbed and svarn (or affumed me Uds
<br /> bY bY
<br /> Who islare personally known So me aQ fi�Jhave pcoduced Who is/are pe�sona0y Imown to me ar hasRrave iroduced
<br /> as identificabaoL as idenGfica6on
<br /> Nof�y Pu66c Nnl�y PubSc
<br /> Canrtiussion No_ Comniasion Na
<br /> f�larne of N�tary typed,g�rinted wsNarnped Pdame of N��Y tYPed.g�nnied or starnped
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