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<br /> NQTICE OE QEED RESTRICTlONS: The undersigned understands that this permit may be subJect to°deed°restrictions°
<br /> �rhtch may"be.mare.restrictive than.Gaunty r.egulatlans, The unders(gned assumesrespon�iblllty:for compllance wlth any
<br /> appiicabte deed rest�ictfons.
<br /> UNLICENSED CONTRAC7'ORS AND Ct3NTRACTOR RESPUNS181LfTiES: if the owner has hired a can#ractor or
<br /> cont�actors to unde�kake warkw they may be requtred to be licensed tn accordance with state and tocai regutations, tf the
<br /> contractar is nat ftcensed as requtred by law, bath the awner and eontractor may be cited�for a mfsdemeanor vtolatton
<br /> under stata law. if the awner or intended contractor are uncertafin as ta what liaensing requiremertts may apply for the
<br /> intended work;they are advised to contac#tiie Pasca County Building tnspectfon Divislon—k.icensing Sectlan at?27-847-
<br /> 8009. Furthermore, tf the owner has hired a confracfor or contractors, he is advised to have the contractor(s) sign
<br /> portEons of the "contractor Biack" of thls application for which they w(II be respons(ble. If you. as the awner sign,as the
<br /> contractar, that may be an Indtcatfon that he is not proper�y Iicensed and is not-entitled to permitting prtvileges.in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTlUTiLiTiES IMPACT AND I�ESOURCE RECt3VERY FEES: The undersigned understands
<br /> that T�ansportation Impact Fees and Recourse Recovery Fees may.apply to-the consfruction of new buildings, change of
<br /> use in existing buildings, or expansion af exlsting bulldings, as specifled in Pasco County Ordinance number 89-U7 and
<br /> 90-OT, as amended. "Che undersigned aiso understands, that such fees� as may�be due, wtH be [dentified at the time of
<br /> permitting. It is further undersfood that Transportation Impact fees and.Resource Recovery Fees must be paid prior to
<br /> recelving a "asrtiflcate of occupancy" or flnal power.r.elease. If tfie project daes nof irnolve a certificate af occupancy or
<br /> finai pawer celease, the fees must be pald prEor ta permit Issuance. Furthermore, if Pasco County_Wate�lSewer Impact
<br /> fees are due,they must be paid prior to permlt fssuance 1n accordance witti applicable Pasca County ordinances.
<br /> CONSTRUCTION LIEN LAVY(Cfiapfer 715� Fiorida Statutes, as amended): If valuation af work is$2;500.00 or cnore, !
<br /> cerkify that !, the appllcant, have .been provided with a copy of fiie "Florida Construction Lien Law—Hameowner's
<br /> Protectlan Guide° prepared by the Florlda Department of Agriculture and Consumer Affairs. (f the appllcant Is someone
<br /> other than#he"qwner", I cert�jr that i have abtained a copy of the above-describe�document and promfse in good#aith to
<br /> deliver it#o the°owner�prior to commencement. �
<br /> CNNTRAGTQR'SlOWNEl�'S AFFIDAV!'t': 1 cer#ify that all the information In this application is accurate and that ail work
<br /> wi{i'be done in comptiance with ai! applicable laws regulating construction, zoning and land development, Application is
<br /> hereby made ta obtain a permit ta da. wor:k and instaffation as lndicatad. ! aerklfy that no work ar instailation has
<br /> commenc�d prior to issuance of a permit and that ali work wiii be performed to meeE standards af afl laws regulating
<br /> construction, Couniy and Cify cades, zoning regulations, and iand devetopment regulations-in the jurisdicfion. ( a{sa
<br /> ° certify that 1 understand that the regulations of ottier governm�nt agencies may apply to#he intended work, and that i#is
<br /> , -my responsibility#o id�ntify what actions i must take to be!n compllance. Such agencles include but are not Iimlted to;
<br /> - Department of Environmen#al Protection-Cypress Bayheads, Wetland Areas and Envlronmentafly Sensikive
<br /> Lands,Water/Wastewater Treatment.
<br /> � - Southwest Flarida Water Management Distriot-Wells,. Cypress Bayheads, �Wefiand Areas, Aitering
<br /> VVatercourses.
<br /> - Army Corps of Engineers-Seawaiis, Docks, Navigabie Waterways.
<br /> - Department of Health 8 RehabilitaEive ServiceslEnvironmentai Health Unit-WeUs, Wastewater Treatment,
<br /> Septic Tanks. .
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority=Runways.
<br /> !understand that the foAow►ing restrictlons apply to the use of flll:�
<br /> - Use o€fill Is not al{owed in Flood�Zone"V"unless expressly permitted. - -
<br /> - if the fifl materiat is to be used in Flood Zane "A", tt fs understaod that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting whEah is prepared by a professional engfieer
<br /> licensed by the State of Florida.
<br /> - If the fiH ma#erial is to be used in Flood Zone "A" in connection with a permifted buiiding using stem wal!
<br /> ' construction, i certify that fiii wiA be used only to t111 the area withtn the stern wall.
<br /> - lf fiil mater.ial is to be used in any area, i certify that use of,such fill wi!! not adversely affect adjaaent
<br /> properties. If use of�Il�ts found to adversely affect adjacent propert9es, the owner may be clted for viotating
<br /> the aonditions of the bullding permit issued under the atfached permit application, .far iots.less than one (1)
<br /> acre which are elevated by f�ti, an enginee�ed draPnage plan!s required.
<br /> !f I am the AGENT Ft3R THE OWNER, {promise,in good.#aith to lnfarm the awner of the permitting conditfons set forth in
<br /> this affidavlt prior t'ti�comim+encing constr.uction. i`,underst�ind that a.separate permit may be required far electrical work,
<br /> piumbing, signs, weHs, poots, air conditioning, gas, ar other instaltations not specfficatly inc#uded"in the application. A
<br /> permit issued shalt,be construed to be a license to proceed wlth the work and ncit as.authority to.viotate, cancei, aiter, or
<br /> set aside any provisions�af�tFie techt�ical codes, nar shail fssuance of a permlt prevent the Bulldirig Official from fhereafter
<br /> requ�rEng a correction of e�rors In plans, construotion or vialatians af any codes. Every pemtit fssued shall becorne invalid
<br /> uniess the wark authar�Zed by such permit is commenced withln-six months,of permit issuance, or if wark authorized by
<br /> the permit is suspended or abandoned for-a perlod of s4x(6�months afke�the time the work is commenced. An extensian �
<br /> may be requested, in wri#ing, from the Buiiding Official for a period not!o excesd ninety (90) days and will demonstrate
<br /> )ust�iable cause fo�the extensiany If wotk ceasas for ninety(90)cansecuEive.days,the�)ob is consEdered abandoned.
<br /> WARNING TO OWNER: YOUR.�AILURE TU RECORD'� NOTICE OF�COMMENCEMENT MAY R�SULT iN YOUR
<br /> PAYING TWICE FUR tMPRC1VEMENTS TO YCtUR PROPERTY. IE YOU INTEND TO OBTAIN°FINANCING�CONSULT
<br /> W!T !?UR LE DER O �1 ATTOR EY B . - CORD G�Y U i:l .IG �la . G E EM
<br /> FLORlDA JURAT(F.S.117.03) „� �
<br /> QWPlEtZ OEt AGEN7' �—K�'' .`.;�' � CONTR�4CT0 ��
<br /> Subscribed and swom to{or a rmed}before me ~ Subscrlbed and suvom to ot af�rmed), , me:this
<br /> b
<br /> Wha ls/are pecs4na41y known to me or haslhave produced Who is/are pe onaliy kna to me or hasthave produced �
<br /> as IdentlBcatlon, as 1dsn8Rcatton.
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<br /> Notary Pudlic Nok�ery Public
<br /> i
<br /> Commisslan No. Commissio
<br /> ,��",a. ? r E BOGES
<br /> N�me of Notary tYPgd�Pdnked or stamped Name af Nota t�. '''t�9t�Rt'r�1�IDP�F
<br /> -�. • = 2d18
<br /> - Ex�ites December 12,
<br /> �. , +N'r .a`,' ,;�,�,n fiy Tmy Faln Insurence 8003&5 7ti59
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