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NOl'iCE OF DEED RESTRiCTiONS: The undersigned understands that this permit may be subject to"deed"resfricfions"
<br /> which may be mare restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restric#ians.
<br /> UNLICENSED GONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired .a contractor or
<br /> contractors ta undertake work, they may be reguired to be licensed in accordance with state and local regulations. !f the
<br /> contractor is not licensed as required by iaw, both the owner and cpntractor may be cified far.a misdemeanor vioiatior►
<br /> under state law. If the owner or intended cantractor are uncer#ain as to what licensing requirements may apply for the
<br /> inte�tded work, they are advised to contact�the Paseo Caunty Bttilding Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furkhermore, if fihe owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the 'ba�tractor Bloclt° of this applicatian for which they will be responsibfe. !f you, as the owner sign as the
<br /> contractor, #hat may be an indication that he is not properly lieertsed and is not enfitled ta permit�ing privileges in Pasco
<br /> County.
<br /> TRANSPORTATIqN IMFAGTIUT1LtTtES IMPAGT AND RESOURC�RECC}VERY FEES: The undersigned understands
<br /> --�-�— that Transportatian Impact Fees and r�ecourse Recovery�rees may apply to the canstruction of ne�v buildings�change-�f
<br /> use in existing buildings, or �xpansian of existing buildings, as specified in Pasco Gounfy Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understartds, that such fees, as may be due, will be identPfred at the t�me af
<br /> permitting. It is further understood fitiat Transportation Impact Fees and Resource Recouery Fees must be paid prior to
<br /> receiving a"cer�ificate of accupancy" or fina! power release. !f the project does not involve a certificate ot occupancy ar
<br /> finai power release, fhe fees must be paid prior to permit issuance. Furfhermore, if Pasco County Wafer/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRLJCTION LiEN LAV1t{Chapter 7`t3,Floricla Statutes,as amended}: If valuation af work is$2,500.Q0 or more, 1
<br /> certify.that I, the applicant, have been provided with a copy of the "Flarida Construction Lien Law—Homeowner's
<br /> !'rotectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !t the applicant is someone
<br /> other than the"awner", 1 certify fhat I have abtained a capy of fhe abave described document and promise in good faith to
<br /> deliver it to the"owner"prior ta commencemenfi.
<br /> CONTRACTOR'810WNER'S'AFF[DAV1T. I certify that aII the information in this app{ication is accurate and that a!1 wark
<br /> will be done in campliance wifih all applicable faws regulating canstruction, xoning and (and development. Application is
<br /> � hereby made to obtain a permit to do work and installation as indicated. ! certify that no work or installation has
<br /> cornmenced prior ta issuance af a permit and that aIl wdrk will be perfarmed to meet startdards of aIl laws regulating
<br /> construcfion, County and City codes, zoning regulations, .and land development regulations in the jurisdiction. I also
<br /> certify that l understand that fihe regulatians.af ather government agencies may appiy to the intended work, and that it is
<br /> , my responsibility to identify what actions I must take to be in comp(iance. Such agencies include but are not(imited ta
<br /> - Departrrient of'Environmerita! Protection-Cypress Bayheads, Wetland Areas and_Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercaurses.
<br /> - Army Corps of Engineers-Seawa(Is, Docks, Navigable Waterways.
<br /> - Department of Health & Reliabilitative Services/Environmental Health Unit-Wells,�Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protec#ion Agency-Asbestos abatemenfi.
<br /> - Federal Aviation Authority-Runways.
<br /> i understand that the foiiowing restrictions apply ta the use of fili:
<br /> - Use af fill is not allawed in Flood�Zone"V°unless expressly permitted.
<br /> - If the fill materiai is to be used in Flaod Zane "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submifited afi time of permitting which is prepared by a professional engineer
<br /> licensed by the State af Florida.
<br /> - If the fi11 materia( is to be used in Flood Zone "A" in connection with a permifted building using stem wali
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fili material is to be tased in any area, I certify that use of such f[i wili not adversely aifect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent praperties, the owner may be cited for violating
<br /> the..conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are eievated by fiIl, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good 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, we►ls, poo►s, air condifioning, gas, or other installatians nat specificaily included in #he applicafion. A
<br /> permit 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 provisions of the technical codes, nar.shalI issuance af a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or vialations of any codes. Every permit issued shall become invalid
<br /> unless the work au#horized by such permit is commenced v,rithin six manths of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time�he work is cammenced. An extension.
<br /> may be requested, in writing, from the Building Official for a period nat to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the a�ension. If work ceases for ninety{90}consecutive days,the jab is carrsidered abandoned.
<br /> WARNiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT !N YC1UR
<br /> PAYING TWtCE FUR IMFROVEMENTS TCI YOUR PROPERTY. IF YOU INTEND TO'OBTAIiV FiNANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEF012E R�CORDING YOUR NOTICE OF GfJMMENCEMENT.
<br /> FLC7E2IDA JUR,4-f' F.S.9'I .03
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<br /> OWNER OR AGENT
<br /> } � CONTRACTOR ,_�___a�����G..G?iLG,�.'J
<br /> Subscribed and swom to or ffrrtn befare me this Sub s�be¢and swom to(or ried}before ma this
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<br /> Who is/�pePsona ly known m or has/have produced Wh is/ e sonally kno�me or haslfiave produced
<br /> as identification. as Identification.
<br /> `�r��Cv ��_Nofaty Public �����"J��%�\,.�c✓lf l,:�(,��� Notary Pub1lc
<br /> �--cr� /� } - �r /
<br /> Commission No. �F�7.,3'(r� � Commission.No._ I�`�� / �LC�
<br /> Name of Nota Name of Notary typed,printed or stamped
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<br /> • r�, '€ MY COMMISSION#FF093699 ;=0 4�e 1�9ANCY J BROt3K
<br /> "-'" EXPIFiES Februac}t i8.2018 MY COMMISSICIN#FFQ93699
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<br /> ,.',F....oQ.' EXPrRES February 18.201
<br /> (ap7)39s-p153 FloridallotaryService.com �.,,ov�;,
<br /> (407)398-0153 FlorldallotaryService.com
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