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NOT(CE OF D�ED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"'
<br /> which may be more restrictive than County regulations. The undersigned assumes respansibi(ity for campfiance with any ` �
<br /> applfcable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> cantractors ta undertake vuark, they may be required ta be licensed_in accordance wi#h state and local regulations. If the
<br /> cantractor is not licensed as required by law, both the owner and contractar may be cited far a misdemeanor violation
<br /> under state law. if the awner or intended cantractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection bivision—Licensing Sectian at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign
<br /> portions.of the "contractor Black" of this application #or which they wi(I be responsible. If you, as the owner sign as the
<br /> contractar, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> Caunty.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpartation Impact �ees and Recourse Recovery F'ees may apply to the cons#ruction of new buildings, change of
<br /> use in existing buiidings, or expansion af existing buildings, as specified 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 af
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recavery Fees must be paid priar to
<br /> receiving a "certificate of accupancy" or final power release. If the praject does not invalve a certificate of occupancy or
<br /> fina! pawer release, the fees must be paid prior ta permit issuance. Furthermore, if Pasca Cottnty Water/Sewer lm�act
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Sta#utes, as amended): !f valuation of wark is $2,50Q.00 or more, I
<br /> certify that 1, the applicant, have been provided with a capy of the "Florida Canstruction Lien Law--Nomeowner's
<br />, Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someane
<br /> other than the"owner", 1 certify that 1 have obtained a copy of the above described document and promise in goad faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CONTRACTOR'SlOWNER'S AEFtDAV1T: I certify that all the infarmation in this app(icatian is accurate and that al!wark
<br /> will be done in compliance with all applicabie laws regulating construction, zoning and land deveiopment. Application is
<br /> hereby made to obtain a permit to do work�and installation as indicated. I certify that no work or installation has
<br />� commenced priar to issuance of a permit and that all work wili be performed to.meet standards of all laws regu[ating
<br /> construction, County and City cades, zoning regulations, and land develapment regulations in the jurisdiction. I also
<br /> certify that I understand that the regulatians af other gavernment ageneies may apply to the in#ended work, and that it is
<br /> my responsibi�ity to identify what actions ( must take to be in compliance. Such agencies include but are nat limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterMlastewater Treatment. •
<br /> - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercaurses. � � �
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department af Health & Rehabilitative SenriceslEnvironmental Health Unit Wel4s, Wastewater Treatment,
<br /> Septic Tanks. ,
<br /> - US Environmental Protectian Agency-Asbestas abatement.
<br /> - Federal Aviation Autharity-Ftunways:
<br /> I understand that the following restrictians apply to the use of fill:
<br /> - Use of ftl! is nat allowed in Flaod Zone"V" unless expressly permitted.
<br /> - If the fi(1 material is to be used in �lood.Zone "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 engineer
<br /> licenseci by the State of Florida. �
<br /> - If the fill material is to be used in Fload Zane "A" in connection with a permitted building using stem wall
<br /> canstruction, 1 certify that fifl will be used anly to fill the area within the stem wafl.
<br /> - If fill material is to be used in any area, I certify that use of such fiill will not adversely affect adjacent
<br /> properties. If use of fill is found ta adversely affect adjacent prapertiea, the owner may be cited for violating
<br /> the conditians o#the building permit issued under the attached permit applica#ion, for lats less than one (1}
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FdR THE 01lttNER, 1 promise in good faith to inform the owner of the permitting canciitions set forth in
<br /> this affidavit prior to commencing constructian. I understand that a separate permit may be required for electrical wark,
<br /> pfumbing, signs, vuefls, pools, air conditioning, gas, or other installations not specifically included in the applicatian. A
<br /> permit issued shali pe construed to be a license to proceed with the work and not as authority to violate, cancel, aiter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction af errors in plans, canstruction ar vialatians af any codes. Every permit issued shall become invalfd
<br /> unless the worl< authorized by such permit is commenced within six months of permit issuance, or if work autharized by
<br /> the permit is suspended or abandoned for a period of six (6) months after the time the work is cammenced. An extension
<br /> may be requested, in writing, fram the Building Official far a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If wark ceases for ninety (90} consecutive days,the jab is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAIL,URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FC}R [MPROVEMENTS TC}YOUR PRCIPERTY. IF YOU INTEND TO QBTAIN F1NAI+iC1NG,CONSULT
<br /> WITH YOUR LENDER OR AN A7TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEIVT.
<br /> FLQRlDA JURAT(F.S.117.-Q3)
<br /> OWNER OR AGENT� ��'""-��—' CONTRACTOR � �� w
<br /> Sub cribed and sw4�to{or affirme�d}b�_efore me this 8ub r d swomt^ta�(or affirmed)before me this
<br /> �ti'p�����'1��, by .V�'+�'.–tt n-t'Lz�_.eZ est..�^�e�.�«e � � by V�s r►n r �iL ��.a�r l-�.��-.... .
<br /> ,_�
<br /> o is e personally I<nown to me or has/have produced h is/ar personally known to me or has/have produced
<br /> as identificatian. as identificatian.
<br /> , �~ x1G� Natary Pub[3c `�• ��±����"��---- Notary Public
<br /> _{���_�����--""� ���i��
<br /> Commission No. Commission No.
<br /> Narne of Not�ary�ty�ped,printed or stamped Name f t , r'�c ,�t�p
<br /> �Y°�e Nota Public State of Florida �Y°�'e� Notary Pubtic 5tate of Ftarida
<br /> � � �` �°� ° Gail M Donahue
<br /> ;� ; Gail M Donahue � 4� �y Commissian FF 170472
<br /> � �� Niy Commissian FF 170472 �'�oF�� Expires 1 tt18J2018
<br /> oFp. Expires 11/18/2018
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