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�IOTICE C1F OEED RESTRIGT{ONS: The undersigned understands that ttrls permit may be subject ta"deed"restrictlons"
<br /> which may be more resirictive than County regulations. The undersigned assumes responsibiiity for compliance with any
<br /> applicable deed res#rictions. � ,
<br /> tlCdLtGEtrtSED GQ1dTRACTORS AAtD GOPITRi�G1'OR RESPONSl�ILiTtES: if the owner has hired a cantractor or
<br /> contracfors to undertake work,:they may be required to be 13censed in accordance with state and tocat regutations. (f fhe '�r .'�-...�
<br /> contractor Is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation c
<br /> under sfate law. 1f the owner or intended contraetot are uncertain as to what Hcensing requirements may appty for the ' ,
<br /> intended work,they are advised to con#act the Pasoo Caunty Building tnspect3on Division—�icensing Section at 727-847- �
<br /> 8009. Furthermore, ff the owner has hired a cantractor ar contractors, he is advised to have the con#ractor(s) sign
<br /> portions of the"contractor Block"of this appfication for which they wtl!be responslble. If you,as the owner sign as the
<br /> contractar,that may be an findication that he is not psoperly fiicensed and is not entit{ed to permitting privileges in Pasco
<br /> County.
<br /> 7RANSPORTATlON IMPACTlUT!!.lTIES IMPAC7 ANQ RESOURCE RECOYERY FEES: The undetsigned understands
<br /> that Transportafion impact Fees and Ftecourse Recovery Fees may apply to the consfsvction af new buildings,change of
<br /> use In existing bulidings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 94-07,as amended. The underslgned aiso understands,that such fees,as may be due,wUl be Identified at the#ime of
<br /> permif#ing. lt is further undersfood thaf Transportation impact Fees and Resource Reeavery Fees must be paid prior to
<br /> receiving a°certficate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore,iF Pasco County WatedSewer Impact
<br /> fees are due>fhey must be pald priar ta permlt issuance 3n accordance wifh appltcable Pasao CaunEy ordinances.
<br /> CONSTRUCTION LIEtd LAW(Chapter 713,Florida Statutes,as amendeda: If valuation cff work is$2,5q0.00 or more,I
<br /> certify that 1, the appiicant, have been provided with a copy of the °Florida Construction Lien Law—Homeow�er's
<br /> Protection Gaide"prepared by the Flarlda Deparfinenf of Agriculture and Cansumer Affairs. If tfie appiicant ts someone =.
<br /> other than the°owner",I cerfify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner�prior to commencement.
<br /> COiVTRACTOR'SIOWNER'S APFIDAVIT: 1 cert3fy tha#all the inform�tion En fhls appiication is accurate and that all work
<br /> witl'be done in compliance with all applicable laws regutating constnuction,zoning and land devetopment. Apptication is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no wark or installation has
<br /> commenced prior ta issuance o#a permit and fhat a11 work wli] be perFarmed to meat standasds of a!S laws regutaking
<br /> construction, County and Cify codes, zon(ng regulafions, and land development regulations in the jurisdicfion. ( atso
<br /> certify that I understand that the regulations of ottier govemment agencies may apply to the intended work,and that it is
<br /> my respansibiiity to idenflfy what acfions i must fake to be In cotnptiance. Such agencles€nclude buf are nat limlted to:
<br /> - Department of EnvironmentaY Protection-Cypress Hayheads, iNetland Areas and Ernironmentatly Sen"sitrve
<br /> Lands,Water/Wastewater Treatment. '
<br /> - Southwesf Ftorida Water Management Dlstric#-Welts, Cypress Bayheads, Wetiand Area's, Aitering .
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Qepartment of Health & Rehabilitafive 5ervicestEnvironmentat Health Unit-WeNs, Wastewater Treatmertt,
<br /> Septic Tanks. '
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federa!AvlatEan Authorlty-Runways.
<br /> 1 understand fhat the fotlowing resMctions apply fo fhe use of fill:� -
<br /> - Use of fill is not allowed in Flood Zone"V°unless expressly permftted.
<br /> - It the f311 materiai is to be used 'sn Ffood Zone "A°, It is u�derstoad that e drainage plan addressing a
<br /> "compensating voiume"witl be submitfed at time of permttting which is prepared by a professianal engineer '
<br /> licensed by the Sta1e of Florida. � • `�
<br /> - if the ft!! materfai is to tae used in Flood Zone°A"in cannec�ion with a permitted building using stem wall �
<br /> consfn.�ction,1 certKy that fltl wiii be used on[y ta fiil the area withtn the stem walt.
<br /> - If flll material is to be used in any area, I certffy that use of such fill will not adversely affiect adjacent
<br /> propestfes. !f use of fill!s found to advetsely affect adJacent properties,the owner may be cited for vialating
<br /> fiie condifions of the building psrmit issued under fhe attaahed permif application,for lots less than one{1}
<br /> acre which are elevated by flll,an engineered drainage plan is required.
<br /> tf 1 am the AGENT FOR TtiE OWNER,!promise in good faith to inform the owner of the permitting conditions set fiorth in
<br /> this affidavit prior ta oommencing consiruction. 1 understand thaf a separate perm3t may be requlred#ar elecErical work,
<br /> plumbing, signs,wells, poals, air conditioning, gas, or other fnstallations not specffically included in the application. A
<br /> permit 9ssued shall be construed to be a license tp proceed with the work and not as authority to violate,cancel,al#er,or
<br /> set aside ar�y provisions of the fechntcal codes,nor shalt issuance of a permit prevent fhe 8ulfdirig Official�tom thereafter
<br /> requiring a correction of errors in plans,construction or vialations af any codes. Every perntit fssued shaft become invalid
<br /> unless the work authorized by such permlt is commenced withfn six months of permit issuance,or if work authorized by
<br /> the petmit is suspended ar abandaned far a periad of s3ac(6}months after the#ime the work is commenced. An extension
<br /> may be requested, in writing,from the Building Ofticial for a period not to exceed ninety(90j days and witi demonstrate,
<br /> justifiable cause for the extension. If work ceases far ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO ftECORD A NOTiCE OF CONiMENCEM�tdT HAAY RESULT IN YdUR
<br /> PAYING TWICE FOR IMPROVEMENTS T4 YOUR PROPERTY. IF YOU INTEPID TO OBTAIN FINpNCING,CONSULT
<br /> WITli YOUR LENDER OR AN A7TC9Rt�EY BEFORE l2ECORd}N�YQUR NOTICE OF GOMMENCEMENT.
<br /> Fi.OF21DA JGRAT(F:S.117.03)
<br /> OWNER UR AGEMT CONTRACTOR
<br /> Subscribed and swnm io(or atfirtned}6etore me fhfs Subscri6ed and swom to{or aflirmed}before me this
<br /> by �Y
<br /> VYha Islare personaliy knovm to me or haslheve produced Who Islare personally known to me or has/Fiave produced
<br /> as tdentlficaHon. as identiflcafion.
<br /> Notary Pu6llc Notary PubOc
<br /> Commisslon No. Cqmmission No.
<br /> Name of Notary typed,printed or stamped �Name of Notary typed,pdnted or stamped
<br /> s
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