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<br /> Ni3TICE OF DEED RESTRtCT10NS: The undersigned understands that this permit.may be subject to"deed"_restric�ions",_`,
<br /> which may-be more:restrict9ve than Ca.unty r.egulations: The�undersigned-assurries�respcinsibiiityfor compliance with any-�
<br /> applicable deed restrictions. .. � �
<br /> UNUCENSED. CONTRACTORS AND C�lNTRACTOR RESP.ONSlBIUTIES: If the owner has tiired a��contractor or
<br /> contractors to undertake�wark, they may be re,quired to be licensed in accordance with state and�local regulations. �lf the �
<br /> cantractor is .not licensed as required by (aw, both'the owner and:contractor-may��be cited for�a misdemeanor violation ,
<br /> under state iaw. If the awner or intended contractar are uncertain as to what licensing requirements:rna.y,�appiy�:for.the:�• "�
<br /> intended wor-k, they are advised#o coritact the Pasco Gaunty Buiiding Inspectiori�Division=Licensing Section at 727=847-
<br /> 80Q9. Furthermore, if the owner has hired a contractor or contractors, he�is advised to have the contractar(s} sign ,,,
<br /> partians of the "contractor Block" of this application for which they will be responsible. If you, as tfie�owner sign a`s the `
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled-to permitting privileges in Pasca
<br /> county. _ - � t
<br /> TRANSPORTATION IMPACTLUTtLIT1ES IMPACT AND RESaURCE RECOVERY FEES: The undersigned understands
<br /> that 1'ranspartatian impact Fees and Recourse Recovery Fees may.appfy to the canstruction af new buildings, change`of' `
<br /> - use in existing buildings, or expansion of existing.buildings, as speci�ed in Fasco County Qrdinance numbec$9-47 and „
<br /> 90-OT, as amended. The undersigned also understands, that such fees, as may be due, will be�identified at:the�tiriie of
<br /> permitting. It is further understoad tha#Transportation Impact Fees and Resource�Recovery. Fees mus# be paid prio� to ,
<br /> receiving a "certificate of occupancy" or finai power re(ease. If the�praject daes nat involve a certificate of occupancy-or.� ,.
<br /> final power relesse, the fees must be paid prior#o permit issuance. F.urthermore, if Pasco County Waterl�ew,er•Impact.
<br /> fees are due,they rr�ust be paid prior ta permi#issuance in accardance with applicable Pasco County ordinances.
<br /> CClNSTRUCTION LIEN�LAW{Chapter 743, Flarida Statutes,as amended): if valuatiort of work is$2,500.0.0 ar more, I,. .
<br /> certify that 1, the applicant, have been provided with a copy� of the °Florida ConstrucEion Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> ather than the`bwner�, ( certify that I have abtained a copy of the above described'document and promise in good faith to
<br /> deiiver it to the."awner"prior to cammencement. � �
<br /> GONTRAGTQR'SfOWNER'S AFFIDAVIT: 1 certify#hat aH the information in this applicatian is accura#e and that ai(work
<br /> wil! be done in compliance with all applicable laws regulating construction, zoning and land-developrrtent. Applicatian is
<br /> hereby made to ob#ain a permit to do wark and installatian as indicated. 1 certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of a!I laws regulating
<br /> consfruc#ion, County and Cify codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that 1 understand that the regu(atians of ather gavernment agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take ta be in compliance. Such agencies inc{ude but are not iimited to: �
<br /> - Department of Environmental Protectian-Cypress Bayheads, Wetiand Areas and Environmen#ally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheadst Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seawa{is, Dacks, Navigable Waterways.
<br /> - Department of Health & Rehabititative Services/Environmental Heafth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Pratection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> t understand that the follawing restric#ions apply to the use of fill:
<br /> - Use of fil!is not aliowed in Fiood Zone"V"unless expressly permitted.
<br /> - !f the fil! material is to be used in Flood Zane "A", it is understood that a drainage p(an addressing a
<br /> °compensating volume" wilt be submitted at time af permitting which is prepared by a professional engineer �
<br /> licensed by the State of Florida.
<br /> - �f the fill material is ta be used in Flood Zone "A" in cannection with.a permitted building using stern wal!
<br /> canstruction, t certify that filt will be used anly to fill the area within the stem wall.
<br /> - If fil! material is to be used icn _any area, t certify that use af such-fill will nat adversely affect adjacent
<br /> properties. If use of fiil is found ta adversely affect adjacent properties, the owner may be cited for viala#ing '
<br /> the conditions of the building permit issued under the attached permit applicafion, far lots less than one (1)
<br /> acre which are elevated by fill,an engineered drainage plan is required. �
<br /> if I am the AGENT FOR THE OWNER, I pramise in good faith to inform the owner of_the permitting conditions set forth in �
<br /> this affidavit priar to commencing consfruction. ( understand that a separate permit may be required for electrica! work, �
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ather installations not specifica(ly included in #he applicatian. A
<br /> permit issued shall be construed to be a license to proceed wi#h the work and not as autharity ta vialate, cancel, alter, or
<br /> set aside any pravisions of the technica! codes, nor shall issuance of a permit prevent fhe Building tJfficia(from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any cades. Every permit issued shall become invafid
<br /> un(ess fhe work authorized by such permit is commenced within six manths af permit issuance, or if work au#horized by
<br /> the permi#is suspended ar abandaned for a period-of six(6) months after the time the work is commenced. An extensian
<br /> may 6e requested, in writing, from the Suildirig Official for a periad not to exceed•ninety (90) days and will demonstrate
<br /> justifiable cause far the extension. If wark ceases far ninety{90}consecutive days,the job is cansidered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TC1 RECORD A NOTlGE�OF GOMMENGEMENT MAY RESULT tN YOUR
<br /> PAYING TWtCE FCiR IMPRUVEMENTS TO YOUR PROPERTY. !F YOU=INTEND TO�BTAIN�FINANCING,CQNSULT
<br /> WiTH YOUR LENDER OR AN AT"TORNEY.BEFORE RECORDING YOUR�NOTICE OF COMMENCEMENT. ._ �
<br /> FLORlDA JURAT(F.S.917.03�_-= .__ __—_ . --`——_----.- __..__—�--- -
<br /> OWNER OR AGENT CONTRAC70R
<br /> Subscribed and swom to{or affirmed)befare me thls Subscribed and swom to(or affirmed}before me this
<br /> Y
<br /> Y b
<br /> Wfio islare persanaiiy known to me or has/have produced ' Who is/are personally known to me or has/have produced
<br /> as identifica6on. as identification.
<br /> Notary Public Notary Pubfic
<br /> Commission No. Commission No. �
<br /> Name of lVotary typed,prtnted or stamped Name of Notary typed,printed ar stamped
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