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<br /> NOTtCE fJF DEED RESTRICTIUNS: T.he undersigned understands thafi,this permit may be subject to"deed"restrictions",� '
<br /> which may be.more.restrictive:than County regulations. The undersigned assumes`responsi6ility"for.campliance with`any'
<br /> applieabte deed restricfior�s. , : <«
<br /> UNLiCENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL.ITIES: If the-owner has�hired��a contractor or
<br /> contractor�to unclertake work, they may be required to be�licensed in accardance with state and lacal r.egul�tions. if"the = `
<br /> confractar is not.(icensed as required by law, botH the owner�and contractor rriay=tie citetl=for a misdemeanor violation
<br /> under state law. If#he owner or intended contractor are uncertain as to what licensing requirements:may:apply for'the.�"�
<br /> intendec!woric, they are advised to contact the Pascci Courity Building tnspectiori Divisiori��icerising Sectior�at.727-847-
<br /> 8009. Furthermore, if the owner has hired��a contractor ar contractars, he�is advised to 'have the contractor(s). sign, ,.
<br /> partians of the "contractor Biock" of this appiicatian for which they will be responsibie. If you, as�the a�iner'sigri as�ttie " -
<br /> contractor, that may be an indica#ian#hat he is not properiy licensed and is nof entitled�ta permitting priVileg�s in Pasca
<br /> County. _ . ' ' -
<br /> TRANSPORTATEON tMPACTIUTIl.ITtES IMPACT AMD RESOURCE RECOVERY FEES: The undersigned understands "
<br /> that Transporta#ion Impact Fees and Recaurse Recovery Fees may,apply to the construction of new buildings, cfiange.�of°' � �`
<br /> use in existing buiidings, or expansion of.existing buildings, as spec�ed in Pasco County Ordinance number 89-07 and =
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may,be due, will be��identified at;�the-time=of ' .
<br /> permit#ing. It is further understood that Transpartatian lmpact Fees and Resaurce.�Recovery. Fees must be paid prior to -
<br /> receiving a °certificate af occupancy° ar ftnal power reiease. tf the project does nat invoive a certificate of accupancy.or.: -
<br /> final power release, th�: fees.must be paid prior to p�rmit issuance. Furthermore, if Pasco County Water/Sewer.lmpact. ---
<br /> fees are due,they must be paid prior to permi#issuance in accordance with applicable.Pasco County ordinances.
<br /> C�RISTRUCTION LIEN LAW(Chapter 713, Fla�ida Statutes, as amended): If valuation af work is$2,500.OQ or more,-.i.,..
<br /> certify that I, the appiicant, have been pcovided with a copy. of .the "Flotida Construction i::ien Lav�Homeowner's `
<br /> Protection Guide" prepared by the Fiorida Department of Agriculture and Consumer Affairs. if the applicant�is someone
<br /> other than the"owner", I;certify that l have obtained a copy of the above described'document-and promise-in good faitli#o , ,
<br /> deiiver it to the-"•awner"prior.-to commencement:
<br /> CONTRACTOR'S/OWNER'8 AFFIDAVIT: ,I.certify.that all the information in this application is accurate and that all work
<br /> wiil be done in compliance with ail applicable lavus regulating construction, zoning and land developmenf. Application is
<br /> hereby made to obtain a_permit to do,,work-and installation as indicated. I certify that no work or installatian has
<br /> commenced prior_to issuance of a pertnit and that all vuark will be performed to meet standards of a!I laws regulating
<br /> constructian, County and City codes, zaning regu(ations, and land develapment regulations in .the jurisdiction. I aiso
<br /> certify that I understand that the regulatians of other government agencies may apply to the intended work, and that it is .
<br /> rrty responsibilrty ta idenfify what actions 1 must take ta be in campliance. Such agencies incitsde but are not limited to:
<br /> - Department of Environmental Rrotection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> lands,WaterNlfastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks;Navigable V1laterways.
<br /> - Department of Health 8� Rehabilitative �ervices/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmen#al Protection Agency-Asbestos abatement. .
<br /> - Federa!Aviation Autharity-Runways.
<br /> I understand that the fallowing restric#ions appiy ta the use af fili:
<br /> - Use of fill is not allowed in Flaod Zane"V" unless expressly permitted.
<br /> - If the fill ma#erial is to be cised in. Flood Zane °A", it is understoad that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engin'eer �
<br /> Eicensed by the Stats of Florida.
<br /> - tf the fill material is to be used in Flood Zone "An in connection with a permitted buiiding using stem wall
<br /> construction, !certify that fill will be used only to fill the area within the stem wall.
<br /> - If fll material is to be used in any area, 1 certify that use af such�fill wi(i nat adversely affect adjacent
<br /> properties. If use of fill is fpund ta adversely aff.ect adjacent properties, the owner may be cited for vialating
<br /> tha conditions af the building permit issued under the at#ached perrnit applicatEan, for iots less than one {1}
<br /> acre which are elevated by fill, an engineered drainage plan is required. ,
<br /> If! am the AGENT FOR THE OWNER, I promise in goad faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior ta commencing construction. I understand that a separate permit may be required for eiectrical work,
<br /> plumbing, signs, wells, pools� air conditioning, gas, ar other installations not speciflcally included in the application. A ,
<br /> permit issued�shall be cons#rued to be a ticense to proceed with #he uvork and not as authority to violate, cancel, alter, ar
<br /> set aside any pravisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations�of any codes, Every permit issued shalt become invalid ;
<br /> unless the work autharized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandaned for a period-of six(6) months after the time the work is'commenced. An extension
<br /> may be requested, in writing, fram the 8uilding Official for a period nat to exceed ninety(90} days and will derr2anstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO REGORD A NOTICE� OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPR4VEMENTS TO YC1UR PROPERTY. lF YQU-lNTEND-TQ OB'TAIN FINANGlNG,_C_�NSULT __ __
<br /> WITH YQUR LENDER OR AN TTORNEY BEFOR�RECCbRD6l�G Yf2UR-Nt�TiCE C}F CC1�It�UI�NCEMENT.
<br /> FLORIDAJURAT(F.S.117.03) . '
<br /> OWNEit OR AGENT �--'�-� CONTRAGTOR �'-- ,_
<br /> Subscribed and swom to(or affi ed)before me this Subscribed and swarn to(or affirmed)before me this
<br /> by by
<br /> Who is/are persanatly known ta me or haslhave produced ` VYho islare personalty known to me ar haslhave produced
<br /> as identlfication. as identification.
<br /> Notary Public Notary Pubtio ��
<br /> Commission No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped -
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