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<br /> NOTlCE OF DEE� RES"PRICTIOMs: The undersigned understands that this permit may be subject to"de�d"r�strictions" -
<br /> which may,be morerrestrictiVe than County regula#ions: 'The undersigned assumes respa�sibili#yfor compliance with any
<br /> applicable de�d restrictions. - �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPt?NSIBILlTIES: !f the owner has hired a contractor or
<br /> contractors ta undertake work, they may be required to be'licensed in accordance with state and local regu(ations. �f#he.
<br /> cantractor is not licensed as required by law, both�the awner and canfractor may b'e cited far•a misdemeanor violation
<br /> under state lauv. 1€the awner or intended confractor are uncertain as to wha# (iaensing requiremen#s.may�,appiy for.the-
<br /> intended work, they are advised to contact`the Pasco Courity Building Inspection Divisian=Licensing Section at 727-847-
<br /> 80Q9. Furthermore, if the owrter has hired a contractor or contractors, he is advised #o ;have the cantractar,(s} sign
<br /> portions of the "contractar Biock" of this applicatian for which they will be responsible. (f you, as ttie owner sign as tiie
<br /> contractor, that may be an indication tfiat he is nat properly licensed and is not entitled`to permitting privileges in Pasco
<br /> Gounty. �
<br /> TRANSPORTATION IMPACT/UTILITIES IMRACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpar#ation Impact Fees and Recaurse Recavery Fees may apply to the consfruction of new buildings, ct�ange°of`
<br /> use in existing buildings, ar expansion of existing buildings, as specified in Pasca County Ordinance number 89�U7 and
<br /> 90-07, as amended. The undersigned also understands, that such #ees, as may be due, will be identified at tlie time'of
<br /> permitting. It is further understoad that Transportation Impact Fees and Resource�Recovery Fees must be paid prior fo
<br /> receiving a "certificate of accupancy" or final power release. If the praject does nat invalve a certificate of occupancy or.
<br /> ftnal pawer release, the fees must be paid priar to permit issuance. Furthermore, �f Pasco County WaterlSewer fmpact
<br /> fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco Caunty ordinances,
<br /> CQNSTRUGTION LIEN �:AW(Chapter 713, Florida Statutes,as amended}: lf valuation of work is$2,500.04 or more,�l �
<br /> certify #hat I, the applicant, have been pravided with a copy of the "Florida Constrwction Lien Law--Homeowner's
<br /> Protection Guide" prepared by the Florida Department af Agriculture and Consumer Affairs. If the applicant is sameone
<br /> ather than the`bwner", 1 certify that 1 have obtained a copy of the above described dacument and promise in good'faith to
<br /> deliver it to the°owner"priar to cammencement.
<br /> CI'�NTRACTOR'SICfWNERSS AFFIDAVIT: 1 certify that all the infarmation in this applicatian is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to abtain a permit ta do work and installatian as indicated. 1 certify that no work or installation has
<br /> commenced prior ta issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that 1 understand that the regulations of other government agencies may apply ta the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentatly Sensi#ive
<br /> Lands,Water/Wastewater Treatment. � '
<br /> - Southwest Florida Water Management District-We!!s, Cyptess Bayheads, Wetland Areas, Alterirtg
<br /> Watercaurses.
<br /> - Army Carps of Engineers-Seawalls, Dacks, Navigable Waterways.
<br /> - Departtnent of Health & Rehabilitative SenticeslEnvironmental Health Unit-We11s, Wastewa#er Treatmertt,
<br /> 5eptic Tanks. -
<br /> - US Environmental Pratec#ion Agency,Asbestas abatement.
<br /> - Federal Aviation Authority-Runways.•
<br /> I understand that the following restricfions apply to the use of fill:
<br /> - Use af ft1E is not altowed in F1aod Zane"V" unless expressly permitted.
<br /> - If the fill material is to be used in, Flaod Zone "A°, it is understaad that a drainage plan addressing a
<br /> °compensating volume" will be submitted at#ime of permitting which is prepared by a prafessianat engineer �
<br /> licensed by th�State of Florida.
<br /> - lf the �II material is to be used in Flood Zone "A° in connection with a permitted building using stem wall
<br /> construction, I certify that�II will be used only to fili the area within the stem wa(1.
<br /> - If fill material is to :be used in any area, I certifiy that use of such fill will not adversely affect adjacent
<br /> propecties. If use of fi11 is found ta adversely afFect adjacent properties, the owner may be cited far violating
<br /> the conditions of the building permit issued under the attached permit application, for.lo#s less than one (1)
<br /> acre which are elevated by fill,an engineered drainage plan is reguired.
<br /> lfi 1 am the AGENT FOR THE OWNER, I.promise in good faith to inform the owner of�the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. ( understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, poals, air conditioning, gas, ar other installatians not specifically included in the application. A '
<br /> permit issued shall be construed to be a license ta proceed with the work and no#as authority to violate, cancel, alter, or
<br /> se#aside any provisions af the technical codes, nar sFtall issuance of a permit prevent the Building C}ffRciat€rom thereafter
<br /> requiring a correctian of errors in plans, construction or vialations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is cammenced within six months af permit issuance, or if worEc autharized by
<br /> the permit is suspended or abandoned for a period.of six(6)months after the time the work is'commenced. An extension
<br /> may be requested, in writing, fram the Building Official far a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the e3ctension. [f work ceases for ninety{90)consecutive days,the job is considered abandoned.
<br /> WARNING TC? OWNER: YOUR F�4l�URE TO REGORD A Nt?TlCE OF COMMENCEMENT MAY RESULT !N YOUR
<br /> PAYING TWtCE FOR IMPROVEMENTS TO YOUR PROPERTY. iF YOU�INTEND-TO OBTAIN FINANCING, CONSUI.T
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE REGORDING YOUR NOTICE OF COMMENCEMENT.
<br /> F1.OF21DA JURAT(F. . T.43} .ti r
<br /> OWNER QR AGE �„� ;�,(/L._ CONTRACTOR �vY",Y'�.� .'�Yr�C/�
<br /> Subscribed and swom t r affirmed)b me this Subscribed and s to{or affirtned}before me th9s
<br /> by by
<br /> Who is/are personally known to me or hasJhave produced � Who is/are perso�ally knawn to me or has/have produced
<br /> as identification. as iden�fication.
<br /> Notary Public Notary Public
<br /> Commiss'san No. Commissian No.
<br /> Name of Natary typed,printed or stamped Name af 1Votacy typed,printed or stamped
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