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10117/2016 13:29 7274474880 SOUTHPORT CONSTRUCTI PAGE 02/03
<br /> . NOTtCE O�DE�p R�STRICTIC M:'a; The undersigned understands tltat this permk may b�subject to'deed"restrictions"
<br /> whfch may be more restriGNva tAttti:�ounty reguistipns, The undersigned assumes responsibility for compi�ance with any
<br /> applicable deed restdctions.
<br /> UNt,.iC�NSED CONTRACTORS ,4M�1 CQNTRAC'fOR R�SPON8181LITIES; If the owner has hired e contractor or
<br /> - contractors td undertake work,th.V rrr�y be required to be ticensed fn accordance with state artd focal reguletsons. if the
<br /> contractor is not Ifcensed as requ(r�cf�y taw, both the awner end contractor may be cited for a misdemeanor viol�tion
<br /> . under state law. If th2 owner or lmm�ded ponUactor are uncertain as to what licensing requiremer�ts may appfy fer the
<br /> intended woYk,they are advised to cxmk��ct the Pasco County Buiiding Inspection Divlsion—Licensing Section at 727-647-
<br /> 8009. FuRhetmore, ff the owner h.3:; hired a contrdctor or contractors, he is edvised t4 have the contractpr(s) sign
<br /> portions Of the"contractot Black"c�f�Ihi;�appliC2tion for which they wili b8 responsibte. If you,2s the owner sfgn as the
<br /> . contractor,that may be an indicatG�n t`s�t he fs not properiy licensed and Is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPOf�'fATION IMPACTIUTII,f'TII�S IMPAGT AND RES�URCE RECOVERY FEES: The undersigned understands
<br /> ihat Transportqtlon Impact Fees ancl I�eCourse Recovery Fees may appty to the construetlon of n�uur buildings,change of
<br />, use in existing build'mgs,or expanafor�s�t existing buiidings,as specified in Pasco Coumy Ordinance number 89-07 and
<br /> s0-07,as amanded. The underslgnnd�(se understands,thai such fees,as may be due,will be identfied at the time of
<br /> permitting. it is further understoc�d�i�a!Trartsportatiotl Impact Fees and a�soufce Recevery Fees must�e paid prior tp
<br /> reCBiving a"certfflcate of occuparicy"e�r final power Celease, If the project does not itl�alve a certificate of occupancy or
<br /> f�nal power rele25e,the fees mus�t tx� oaid prior to permit issuance. Furthertnore,if Pasco County WatedSewer Impact
<br /> feeS are due,they must Be paid pn�nr#a perrnft issuance in accardance with applicabte Pasco County ardinances.
<br /> CONSTRUCTION UEN LAW iCp,a�rar 713,Florlda Statutes,as amendedy: If valuaGon af work ts$2,500.00 or mare,I
<br /> certify that I, the applicant, hav9 Ue:en provided with a copy of the "Florida ConstrucNon Llen Law—Ftomeowner's
<br /> Protection Gulde"prepared by th�;Flnl-Wa Departrnent of f�qKculture and Cansumer Affairs_ If the appllcant is someone
<br /> other than the"owneP,I ce�tify that t#ia3ve obteined a copy of the above described dooument and promise In good faith to
<br /> deliver(t to the'ownef prior to corttm4�nr.ement.
<br /> CONTf�qCTOR'SIOWNER'S AFI�(D,��Vli1'; I certify that all the information in this appliGation is accurate and that all work
<br /> will be done in compifance with all���Ilceble►aws regulating canswcti�n,toning and Iand development. Appficatian is
<br /> hefeby made to obtain e pertnit tn do work and instaU�tion as indiceted. I certify that no work or installation has
<br /> commenced priar to issuance of a��a�mit and that all work witl be perfom►ed to meet standards of all laws regulating
<br /> eonstruCtion, County and City ccde:, zoning negulations, and land developmeni reyulatlons in the jurlsdiCt{on. I also
<br /> certlfy that I understand that the regvlations of other govemment agencfes may apply to the intended work,and that it is
<br /> my responsibility to ideniify what F�cdt ns I must take to be in campliance. Such agenc�es inalude but are not limited to:
<br /> - Deparlment of Envircnm:�ntal Protection-C,ypress Bayheads,Wettand Areas and �avlronmentally Sensitive
<br /> Lsnds,WaterMlastewataT'ireatment.
<br /> - Southwest Florida `N'�1.cer Management Oistrict-Wells, Cypress Bayheads, Wetland Ar�as, Attering
<br /> Watercourses.
<br /> - Army Corps of Engineer�•S�awalls,Docks,Navlgable Waterways.
<br /> - Oepartment of Health �� ft�bfiabit'dative Senrices/Environrtierrtat Health Unit-W�lls, Wastewater Tr�tment,
<br /> Septia 7anks.
<br /> - US Environmerita!Prato�tic�n Agency-Asbestos abatement.
<br /> - Federal Aviation Auth�Srfi�••liurlw8ys.
<br /> �understand that the following res�troctl�ms appty to the use af All:
<br /> - Use of fill is not aflow��d in 1=1ood Zone"V"unless exprnssly pertnitted.
<br /> - ff the fill material is to ae± used in Flood Zone "A°, it is undeistood that a dralnage plan addressing a
<br /> "oompensating vofum�"•��III be subm'�tked at tlme of pertnitting which is prepared by a professional engineer
<br /> licensed by the Stste���4�r1da.
<br />� - Ii the fill matetlal is ko IK. used in Floqd ZoRe°A° In WnneCtton with a permitted building using stem w211
<br /> construoHon,I certify ihac fill will be used anly to fiIt the area withln the stem wall.
<br />� - If fiA materiat is to bs uE�ed in any area, 1 certify thai use of such fill will not adversey afiect adjacent
<br /> properties. !f use of 1iU�t:lound to adversely aHect adjacent properties,the awner may be aited far violating
<br /> the condiHons of the auil:li��permft issued under the attached permit application,for iots less than one(1)
<br /> acre which are elevatNd l^�r fil1,an�gtneered dra"mage plan is required.
<br /> If I am the AGENT fOR THE QW�IEr;,i promise in good faith to inform the owner of the perm}tting conditions set fnrth in
<br /> thls affidavft prior to commencfng con3truction. 1 understand that a separate pertnft may be required for electrical wo�C,
<br /> plumbing, signs,wells, pools,arc Ct�nrlitioning,gaB,or other insteflations not specificelly included in the applica8on. A
<br /> permit issued shall be coristrued to U,2:e license to proceed with the work and not as authorityr to violete,cancel,aHer,or
<br /> set aside any provlsi0ns of the technfcal codes,nor shall issuence of a pertnit prevent the Building Clfficial frqm thgreafter
<br /> requirlqg a Correctl4n of errors in plr�r�s;,construction or violations of any codes. Every permft issued shsll become invalld
<br /> unless the work authorized by sur,ti Fr�nnit is commenced within six mamhs of permR issuance,ar if work author¢ed by
<br /> the permit ts suspended or abandnr�c�al for a period of slx(6)months after the time the work is commenced. An extension
<br /> may be requested,in writing,from�e:Etuilding Offidal for a period�ot to exceed ninety(9�)days and will demonstrafe
<br /> justifiable c�use for the extensian, If��c�tk ceases for nineiy(90)consecutive days,the job is eonsidered abandaned.
<br /> WARNING TO OWNER: YOUR F/4�ILLIRE'f�RECORD A MOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TYVICE FOR IMPti01lBA1�A!'fS TO YOUR PROPERTY. IF YOU IN'I'END TO OBTAIN FINANCING,CCNSULT
<br /> WITH YpUR L,E l5 R OR AN ATTO^lIVEY BEFORE RECORDING YOUR N TICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.797.03)
<br /> 011uNER OR AGENS COIJ7RACT0
<br /> SubsplbcW a�swom to(or effmt�2W betora mei��Is Subserfbed and�y�o��o(or afthmed)bePore tMs
<br /> by �{'3D�fle bv Rl5 C�S�'r Gt7 _�M YN
<br /> \M10 islare personaAy known lo me or haslAave�pn�rced Who ts m to me or trashtsve produGCd'•,
<br /> as IdanUtica�an. ,(�p��,, ,� �n+mmt as IdertNfiCaUon.
<br /> `'� J
<br /> ,.,�,,.N��taty Pu611e N018ry Publlc
<br /> Commiss�on No. __.._„ Comm�a�lon No. �1G'D�7/.�.�
<br /> I __„
<br /> j� Name or Notary typetl,p+�ned w stamped� Name oi Note�y typetl,pr'Nted m stemped
<br /> �� �{��� SUZANNE M,LASKY
<br /> s., :; Commission�PF 047i�
<br /> : Explree SeptemCer 26,2017
<br /> ��, wn+bNTW iro/RuMu�wanve000d65JG19
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