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i y ;_ _ — <br /> N�TiCE OF DEED RESTRICTIONS: The underslgned under.�tands��th�t.this:p�rmif.may.be,subJect to"deed"restrlctlons" � <br /> which may be�more�rest�icttve than County regulations: 'The undersigned assumes re'spDnsibility for compliance with any <br /> appNcable deed restrictions. • <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has �hired a contractor or <br /> contractors to undertake work, they may be requlred.to�be:l(censed In accordance.with state.and•Iocal regulations. If the <br /> contractor ts not Ifcensed as required by law, both the owner and cont�actor may be cited for a misdemeanor violation � <br /> under state law. If the owner or intended=contracto� are uncertain as to what Iicensing.requirements may appiy��for the <br /> intended work, they are advised to contact the Pasco County Building.lnspectton Division—Llcensing Section at,727-847- <br /> 8008. Furthermore, tf the�owner has hired a contractor or contractors� he is advisad to have the contractor(s) sign <br /> portions of the "contractor Block" of this application for wrhich they wlil be responsible. if you� as.the owner sign as the ,� <br /> contractor, that tnay be an Indication that he ts not.properly Ilcensed and is not entiNed to permftting privileges in Pasco � <br /> County. - � <br /> TRANSPOR�TATION IMPACTIUTILITIES IMPACT AND RESOUItCE RECOVERY FEES: The undersigned understands ,_ <br />� lhat Transportation Impact Feas and.Recourse-Recove.ry.Fees may�appiy�to:the consUuction of new buiid(ngs, change of <br /> use in existing buildings, or.expansion�of`existi�ig'6uildings� as speclfled.in Pasco County O�dinance,number 89-07 and <br /> 90-07, as amended. �he undersigned aiso wnderstands, that.such fees� as=may_be:dne,:wfll tie identifled at the time of <br /> permilting. It Is further understood that Transportation Impact Fees and Resource Recovsry Fees must be pald prior to <br /> receiving a°certificate of occupancy" or flnal power.-release. :I�the project�_does not involve a certificate of occupancy or <br /> finai power release, ihe fees must be paid prior to permit tssuance. F�rthermore;-if Pasco County 1Nater/Sewer Impact <br /> fees are due, they:must be�patd prior to permit�iss4ance-(n accordance with��applicable Pasco�County ordinances. ' <br /> CONSTRUCTION LIEtd LAW(Chapter 713� Flor�da Statutes�as amended�: If valuatlon of work Is$2,500.00 or more. I <br /> certify that i� #he applicant, have�been prov(ded with a copy of the "Florida Construction�.Llen Law—Homeowne�'s <br /> Protection Guide" prepared by the Florida Department of Agricuitnre and ConsumerAff�irs. If the applicant is someone � <br /> other than the"owne�", 1 certify that I h�ve,obtained a copy;of.the above..descrl�ed�focument°and.p.romise in..good faith to <br /> deliver it to the°owner"prior to�commencement. . <br /> CONTRACTOR'S10WNER°S AFFIDAVIT: I certiiy that.all the Informatfon in thl.s appllcation is accurate.and that all work <br /> will'be done in compliance with all.appl(cable laws regulating construction� zoning and.land devetopment. Application is <br /> heeeby made to obtain .a.permit to do work and Installatlon as ind[cefed:�� `I ceKffy that no work or instailation has <br /> commenced prior to Issuance of a permit and that.all work will be pertormed to meet standa�ds of ail laws �egulating- <br /> constructton, County and City codes, zoning regulatio.ns, and land development cegulattons in the jurisd(ctlon. I also <br /> certify that I understand that the regulatlons of other government agencies may�apply�to the intended work, and that it is <br /> my responsibility to ident(fy.what.actions 1 must take to be<in:.compllance: Such agencies Include but are.not Ilm(ted to: <br /> - Department of Environmental Protectton-Cypress.Bayheads, Wetland Areas and Envlronmentaily Sensitive <br /> Lands,WatedWastewater Treatment. ,,, <br /> - Southwest Florida Water Management :DisUict-Wells, Cypress. Bayheads; Wetiand Areas. Altering <br /> Watercourses. <br /> - Army Corps of EngineersSeaw�lis, Docks. Navlgatile Waterways. _ <br /> - Department of Health� 8 ReMabllitative Serv(ces/Environmenfal Health Uhlt Wells� Wastewrater Treatment, <br /> Septic Tanks. - - � _ <br /> - US Environmental Protection_/�gency-Asbestos abatement.-- - --- - -�--- -- — - ----- � <br /> Federal Aviation Aulhority-Runways. <br /> I understand that the following.restrictions apply to the use of flll: � <br /> - Use of fill is not allowed in Flood�Zone°V"unless expressly permitted. <br /> - - If the fill material (s to be used in �Flood Zone "A"� (t is understood that a drainage plan addressing a I <br /> °compensating volume" will be submitted at#ime of pecmitting which Is prepared by a professional engineer �i <br />� iicensed by the State of Florida: <br /> - If ihe flli materiai is to be used in Flood Zone °A" (n>connec�ion�with:a pecmitted building using stem wall <br /> constructfon, I certify that fiil:wJll:be used oniy.to.fill the area within�the�stem•waH. <br /> - if fill material is to be used In any area,�I �certify that use of such flll will not adversely affect ad)acent <br /> properties. If use:of flll ls fot�nd to adversely-�ffect adJaEent-praperties�_the owner may be clted for viorating � <br /> the conditions of the building:permit issued•under the attached permit applicatlon, for lots less than one (1) <br /> acre which are elevated�by fill;an engineersd drainage plan is requtred. . . <br /> If i am the AGENT FOR THE OW�IER, I;.promise in good faith to inform the owner of the permitttng.condit(ons set forth In <br /> this affidavtt`prlor to commencing const�ctlon.;�i �nderstand that a-separate permit may be requtred for electncal work,. <br /> plumbing, sig�s, wetis� pools� air conditioNng,�,gas',--o� other install�tlons nok spec.fficaUy included-in:-the application. .A <br /> permft issued shall be construed to be a'license to proceed with the work and not as.authority to,violate;cancel;alter, or <br /> set aside any provistons of the technlcal codes;�nor shali issuance�of a.permit.prevent the Bulidirig O�ictal from thereafter <br /> requiring a correctio�nf errors in plans, construction or vlolations of any codes: Every petmit Issued-shall become invalid <br /> uniess the work authorized:by such permlt--is.commenced�wlthin six months of permit issuance, or iF work authorized by <br /> the permtt is suspended or.abandoned for a perlod of�six{8)montf�s.aRer the#ime the�work��s commenced. An extenston - <br /> may be requested, in writing, from the�Building.Offlclal for a perlod�not=to exceed-nlnety(90) days and wili demonstrate <br /> justi�able cause for.�the extension: If work ceases for ninety(90)consecutive day.s,..the)ob�is:considered abandoned. <br /> WARNING TO OWNER: YOUR.FAILURE-TO.REC.ORQ A-.NOTIGE:OF COMMENCEMEMT�MAY RESUlT IN YOUR � <br /> PAYING TWICE FOR 1MPROVEMENT3�'O XOUtt PROPERTY. I�°YQU�IMTEND'�TO'OBTAIN•FII�FANEING;�CONSULT � <br /> 1NITH YOUR END O AN ATTORNEI�8 FORE-RECO � G�YOU �� � �C �:OF� �' E EN <br /> FLORIDA JURAT(F.S.-117:03) " , � _ <br /> OWNER OR AOENT - -- -- - --—-- - - -- —CONTRACTO � � / � . <br /> Subscrlbed and swom to(or afflrmed)betore me this Subscribed and' m to(o rmed)�b te e fhi� • • <br /> by . . . <br /> Who Is/are personally known to.me or has/have produced Who Is/are pers elly •to me or has/have produced " <br />_ ae Identlflcatlqn. as idenBflcaGon. � <br /> c� <br /> Notery Public . BC� ".--� Notary Publlc <br /> Commisston No:"� Com s n� o,• '�'o��,, JACOU�LINE BOGE <br /> ;;, - �;.� ommissi <br /> = :;<; �x ires December 12,2018 <br /> Name of Notary typed,printed or stamped Name of Not ',,(�,° rin�A�d° � <br /> - -- J <br />