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<br /> fVOT10E OF D�ED RE3'PRICTIONS: The undersigtaed undergtands;th�t_this::p�rmit.may.b�.subJect:to.;"deed".restrictions" .,��, _ _�'
<br /> which may�be=more�restir:ictive=th��Counfy��regulatfons: The��under�lgned��ssuriies�resp6n�itifltty�`for'compilanee witfi any`'"�� �� �
<br /> applicable deed reshictions. ,•: � �..,� - • " ,.. � ._ : : • � �' ~
<br /> UNLICENSED CONTRACTORS �AND CONTR�►CTOR�RESPONSIBILIYI��: °if°tfie �wner h��° hired°��"contractar or
<br /> contractors to undertake work, titey.may.be�r�qulred..to:�bevlicensed ln�accordance.with:atate.and�local,,regulations:t�lf°the�k.� =
<br /> contractor ls-not Ucen�ed�as'requlred�tiy lainr� both�the'ou+mer and"conUactor��rriay be°�clfed�'for a�iriisd'emeanor violatton
<br /> under state law. IF the owner or tntended>oon,,.tractorare,;uncertaln as to what Ilcensing,;requirements,5may-.apply���or:�the��� �- •��.� °
<br /> Intended work,'they a�e�advised to i:oritact the Pasco County,Bullding;Inspectlon Division�-l:tcensing Section at 727-847-
<br /> 8009. Furtliermore, if the owner'has hlred"a�contracfor or contractors, he is advised to have the contractor(s),sign.
<br /> portions of the°cvntractor Block" of this_application�for which.,they wilL.be�,resp.onsible.�.�{f:you;�as;#he owne�sign"�as`the ' "`� `
<br /> cont�actor, that�may be an indication that'he-is not:prope�ly ilcensed-and-ls'not �ntiiled 4o per�viitting privlleges in Pasco ,._
<br /> County. ' , �. � • . ; : ,: , ... �,�
<br /> TRa4NSPORTATION.IMPACTIUTILITIES'rMPAC'�ANb RE$OUitCE RECOVERY FEES: The undersigned-understands
<br /> thatTransportation Impact Feas and.Reco.urse Recove.ry.Fees rriay��appiy�,to�tf�e_construction:of new._bulldings,;change�of==,''���� F`
<br /> use in exis8ng buildings, or,expansi�n�-•of�existin�g:�butid(ngs� as specifled.in Pascv County Ordinance number 89-07 and
<br /> 90-07, as amended..,�'he, undersigned also=urtderstands, that�such fees;;as�may=be:.due;�wlll;;be identified at the=#ime`:of��--�" ��
<br /> permitting. it is furtiier'understood that Tra�sportatlon Impact�Fees and=Resource.:Reco�ery-`Fees..must be paid prior to
<br /> receiving�a °certiflcate of�occupancy"�or flnal�power.release. :If`the.proJect,.does�not involve�a�:certfftcate of occupanoy_°or`��'�' • <<r;''
<br /> flnal powec release, the.fees mu�t tie"paid;p�for to.permft issuan'ce. Ft�IGthermore;•ff Pasco,County'llVater/Sewer,;lmpact -;.,.
<br /> fees are due�,they must.be�pald-pNdr to permit=lssuance=:in_accordance.wltF�:applicable:Pasco'.County'ordinances. •
<br /> CONSTRUCTION�GEN'LAW�(Cfe��ter 773� Florlda S@atute��as amended,; If valuadoni of,work Is$2�500:00�or more� l�� :� -.�, .
<br /> certify that I, the,applicant,:-have.been provided with.-a=�copy�of:.:the�"Flo�ida°�Constructlon� Lien :Law—Homeouvner's
<br /> Protection Guide" prepared by,tfie Floiida DepartmenC of Agriculture and ConsumertAffa(rs. If the applicant is someone ..
<br /> other than the"owner", I certify.that I;;h�ve,obtaJned�a�eopy.of.the`=above:.described'tiocuii�ent:and;p.r..omise.in;good#aith to �.;
<br /> deliver It to:the"owner"�p�ior:to�commencement:'�'. - � -� ' . - � - • , �
<br /> CONTRACTOR'SlOWNER'�AFFIDAVIT: I.certlfy°that•.aI).the,Inf.ormation:ln:thi� application is accu�te�nd that all work
<br /> v►►ill'be done in compliance with all.appltcable laws regulating.construction� zoning and�land�development. Application is
<br /> hereby made to obtaln .a.pecmit�:to :do.,�:w.ork:;and:liistallatlon••as indlceted:�.��=:I� cerfffy that no work��or Installatton�Fias
<br /> commenced pPlor to Issuance of'a permlf""and thaE�.all��work wlll be perFormed to meet�.standards-of all laws regulating-,
<br /> conshuctlon, Caunty and City codes, zoning regulatlQns, and land development tegulatlons�in the ,Jurlsdtctlon.- I al'so _
<br /> certlfy that I understand that.the regulatlons of other�government agencles may�apply�to the Intended work, and that it(s
<br /> my responstbllity to identify�what.act(ons I must•take to besln�cotr�pllance;_,.S.uch.agencles lnclude-but are.not Ilmited to:
<br /> - Department of E�1v(ronmental°Protection=Cyip�e§s'�Bayheads, WeNand Areas and Envlronmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management .Distrlct:Wells; Cypress.Y+�Bay�eads; Wetland Areas, Altering
<br /> Watercourses. - : �, , � • � -
<br /> - Army Corps of Engineers-Seawalls��Docks, Navlgable Waterways.
<br /> - Department of-Health�_$,.ReMabllitaflve,Sen►.Ices/Environmen#al:.Health-Unit Well.s,.Wastev+tater�Tre�trnent,
<br /> Septic Tanks:. " . � � - . ,
<br /> - US Environmental Protectlon Agency-Asbestos abatement.. '
<br /> - Federal Avlatton:Aulhodty-Runways. '
<br /> I understand that the.following:restrlctions apply'to the use of flll:•
<br /> - Use of fill Is not alloinred In;Flood=Zone"V"unless expressly.pennitted.
<br /> - .If the,:�11-tnaterlal�;ls��,to`be used:.�ln ';Flood;Zone. "A"� It Is understood, that:,a�,drainage plan addressing a
<br /> ''"compensating voluine".will.be�.submltted_at�tlme of�;permitting which Is prepa��d�by.,a'pr�fessf�nal engineer
<br /> Ilcensed by�he�tate of;Florlda: ` - � .
<br /> - -!f ih� flll-materlal°.Is-'to�be used In Flood �one 'A" In�'connection�Hrlth�a�permitted building using �tem wall _
<br /> � construction, I certify th,at flll�:wall:b.e used only.to.flll the area wlthln�the�stem�wall.
<br /> - If flll mate�al Is to be used In any area� I �certlfy that .use. of`such flll wfll not adversely afiect adjacent
<br /> propertles. If use of flll ls found_to.adversely:�ffect ad)aeent��properties,.the owner may be clted for vlolating
<br /> the condlfions.of the building:permlt�lssued�under the'atEacfied permlt epplicatlon; for�lots:less than.one (1)
<br /> acre wlitcii a"re elevated�by flll,a�englneersd dralnage plan Is requlred. . ��
<br /> If I am the AGENT FOR.THE:OVYNER;.I?.promise In,good falth to Inform the owner of the permltting condltlons set forth In
<br /> this aifidav(t�prlor to�commencing construction. �I understand that a�aeparete petmlt may be requlred for electrlcaf work, .
<br /> plumbing, signs, wells,.,pools; alr condltloning,-.g�s, or-othe� Ins#all�ttons nok spec�lcally lncluded�tn.the appltcation. .A �
<br /> permlt Issued shall be construed to b`e:a'Ilcense�to'proceed wlth`tNe;work_and�not•as:authoHty:to:vlolate,�,cancel; alter, or
<br /> set aslde any provls(ons of ttie.technlcal codes;�nor shall Issu�nce of a.permtt.pcevent the Bulldlrig Officlal from thereafter
<br /> requlring a correctlo�Af enors In ptans; consfructlon.oc vlolations of�any codes. .Every�permlE'Issued shall beaome invalid
<br /> unless the work authorized.by such permlt:ls.commenced•wlthtn sfx m.onths of permlt Issuance. or tf work authorized by
<br /> the permlt Is suspended�or.abandoned,for.a�:period:of:,�slx,f�)�monfFis.after the tlme the�work��fe commenced. An extenslon
<br /> may be requested, In wrfting,f�om ttie�Bullding,Offlcfal-for a perlod�.:not.-to exceed=nlnety(90)`days a�d will demonstrate
<br /> justlfiable cause tor.�the extenslon�. If work ceas�s.for nlnety(90)cons.ecutive day.s,..the)ob:is.consldered aba�doned.
<br /> WARNIMG TO OWNER: OUR.FAILURE.TO..R�EC.ORD.A��NOTIGE:OF:°COMMENCEMEMT:MAY=RESULT IN YOUR
<br /> PAYING TWICE;FOR 1. . . OVEMEN�3:,TO,X0�.I��:PROPER7Y:=�I�°YO.UaI�'F � ��i09TA1N��FIN�1t�E G;'CONSULT
<br /> WIT D � � AMATTO N � RE�R AR� ��� OIJ ' � �'Q�`. :�, � _- - _-----
<br /> --�l.�RIDA-JiiFt/4�'(P:S:= . . )-'`__ _ . -- . , , _, -
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<br /> OWNER OR AOENT �� CONTttACTO '
<br /> Subscxlbed a�d ewo to(or aflirmed)before me thls Subscribed and' m-to(ot atflrmed)�befot+e me'ffilg.�
<br /> by � �
<br /> Who Islare person y knovm to.me or heslhave.produced Who.ls/are p.ers ally lmown•to me�or heslhave:produced • �
<br /> as Identlflcatlon. as Identlflcaflon.
<br /> Notery Publlc . Notary Publlc
<br /> Commisslon No: Commleslon�No. •
<br /> Name oI Notary typed,pHnted ar stamped Name of Notery typed,pdnted or atamped
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