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<br /> Nt3TtCE OF DE�D RESTRICTIBNS: The undersigned understands that#his,.permit.may be subject to"deed"resfrictions"'`��`
<br /> which may;be more.restrictive:than Caunty ceguiations. The�undersigned assumes��esponsibility�.#o�compliance with`any' `�
<br /> applicable deec!�estrictions. _ �: .�
<br /> UNLICENSED CQNTIt�►CTORS AND CONTRACTOR RESP.QNSlBILlTIES: Ef the owrter has hired-a'contractar ar
<br /> cant�actors to undertake work, they may be required to be licensed in accoxdance with state.and loca! rec�ulations. If the�
<br /> cantractar is not licensed as required tiy law, both the owner and cont�actor rriay��be cited=for�:a misderrueanor vialation
<br /> under state law. If the awner ar intended contractar are uncertain as fo what licensing requirements.�msiy_:apply.for-:thef-�
<br /> intended wock,they are,advised ta confact`the Pasco Caurity Boiiding Inspection"Divisibn-=Licensing Sect�on at 727=847- �
<br /> 80Q9. Furthermore, if the owner has hired a contractar or cantractors, he is advised to �have the cantractor(s) sign;,
<br /> portians of the "contractor Block" of this applica#ion for which they.w�ll be respansible. !€you, as°ttie ovir��er sign as��ttie �,
<br /> contractor, that may be an indication that he is not properly licensed and is not entitied ta perrziitting�pri'vileges in Pasco
<br /> Caunty. _ . � - •
<br /> TRANSPORTATICJN tMPACTLUTtLIT1ES IMPACT AND RESt3URCE RECOVERY FEES: 7he undersigne:d understands
<br /> that Trartsportation impact Fees and Recourse Recovery Fees may,appty to the construction of new.buildimgs, charige ofi�-'�'' ,'`
<br /> use in existing buildings, or expansion of existing buildings, as speci�ed in Pasco County Ordinance nurr�ber 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, wiEl k�e identifie� at:t�ie�time�of� �
<br /> permitting. It is further understood that Transportatian Impact Fees and Resource�Recovery Fees must E�e paid prior ta
<br /> receiving a "certificate of occupancy� or final power release. If the,project does not involve a certifica#e of occupancy-or. -� _
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Watee!Sewer.-Impact;
<br /> fees are dus,they must be paid pr�or to permit issuarrce in accordance with appticable Pa�co County ordinances.
<br /> CONSTRUGTION lIEN LAW(Ghapter 713, Flarida Statutes,as amended): If valuation of wark is$2,50t).00.ar mare, i,. .,
<br /> certify that I, the applicant, have been provided with a copy of -the "Florida Canstruction l:ien L.aw--Hameowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant�is someone
<br /> other than the`bwner", I certify that I have obtained a capy of the above described document and promise�in good`fait{i to
<br /> deliver it to the"awner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAViT: I certify that all,the information in this application is accurate an�d�that ali work
<br /> wil! be done in compliance with all applicable laws regulating cons#ruction, zaning and tand development. Application is
<br /> hereby made to abtain a permit to da work and installation as indicated. ! certify that na wark or installatiai�t has
<br /> commenced prior to issuance of a permit and that all work wil! be pertormed to meet standards of a!I laws regula#ing
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I alsa
<br /> certify that i understand tha#the regulations of other government agencies may apply to the intended work� and that it is
<br /> my�espansibility to identify what actions t must take to be in compliance. Such agencies inciude bu#are not limi#ed to: �
<br /> - DeparEment of Ernironmental Protec#ion-Cypress 8ayheads, Wetlarrd Areas and Environmentally Sensitive
<br /> Lands,WaterM/astewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Ar�,as, Altering
<br /> Watercourses.
<br /> - Army Carps af Engineers-Seawalls, Dacks, Navigable Waterways.
<br /> - Department of Heaith 8� Rehabilitative ServicesJEnvironmental Health Unit-Weils, Wastewate:r,Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatemenE.
<br /> - Federal Aviation Autharity-Runways.
<br /> 1 understa�d that the following restricfions apply fo the use of fill:
<br /> - Use of filt is not aliawed in Flaod Zone"V"unless expressly permifted.
<br /> - !f the fil! material is to be used in Flood Zone "A", it is understaod that a drainage p(an �addressing a
<br /> °compensating volume" will be submi#ted at time of permitting which is prepared by a professio�nal engineer �
<br /> licensed by the State of Florida.
<br /> - If the fill ma#erial is to be used in Flood Zone "A" in connectian with a permitted building usiizg stem wall
<br /> construction, 1 certify that fill will be used only to fill the area within the stem wall.
<br /> - if fiH �materiai is to .be used in any area, I certify that use af such-fill will not adversely affect adjacent
<br /> properties. tf use of fifi is faund to adverse(y affect adjacen# praperties, the owner may be cited for vialating
<br /> the conditions of the building permit issued under the attached permit application, for iots less than ane (9} ,
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to infarm the owner of the permitting canditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for ele�c#rica! work,
<br /> plumbing, signs, welts, paols, air conditioning, gas, ar�other installations not specifically included in the application. A ",
<br /> permit issued sha(P be cans#rued to be a iicense#a proceed with the work and not as autharity to vialate, carucel, alter, or ,
<br /> set aside any provisions o€the technicaf codes, nar shall issuance af a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, canstruction or violations of any codes. Evecy perrr�ii issued shali beczome invalid
<br /> unless the work authorized by such permit is commenced within six months 4f permit issuance, or if work a�athorized by
<br /> #he permit is suspended or abandoned for a period..of six(6) manths after the time the work is commenced. F�n extensian _� �
<br /> �_� �rnay�e cequested,_ir�wri#ing,-from-the-Buiiding-Official-far-a�periad nat-to-exceed=riinety-(90)days anii williiemonstrate �
<br /> justifiable cause for the extensian. if work ceases for ninety(90)cansecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TQ RECORD A NOTICE OF COMMENGEMENT MAY RESULT !N YOUR
<br /> pAYING TWICE FQR IMRROVEMENTS TO YQUR.PROPERTY..IF YOU<INTEND-TO�CIBTAlN FINANGING, CONSULT
<br /> {NITH YOUR L`ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> F�Of2IDA JURAT{F.S.117.03}
<br /> OWNER OR AGENT��;� - CONTRAC70R��� �-:�..
<br /> Subscri6ed and swom to{ar affirmed} ore me this Subscribed and swom ta tor affirmed efore me this
<br /> byfP1/�l7l��l'�+l f'��`�.A� �Y.II�.'cG= `� _ • ._ /Jjl �
<br /> Who islare personal�y known to me or has/have produced ` Wha is/are personally known to me or has/have produced
<br /> as identification. as identtfication. ,
<br /> Natary Public No#ary Publlc
<br /> Cammission No. Commission No.
<br /> Name of Notary typed,pdnted ar stamped Name of Notary#yped,printed ar stamped
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