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<br /> fdOT1C�OF D@ED R��TItIC'fIORI�: The u�decsigned undergtands;th�t.this;.p�rmit.may:be.sub)ect to-�deed"restrlcQlons" � ��..,�:, '
<br /> wh(ch may�be<mor��:restFictive-th��'County�feg�latlons:��The u�dersign�d assurries'�esponsitiilttYfor corripliance witti"any
<br /> applicable deed_rest�ictions. _ � , , , • - �'
<br /> �NLICEM�ED-GOfVTRACTOl3S �IND CANTR�4CT013 RESPONSI�ICETSES: -(f the~owner has��hired�a .contractor or
<br /> co�t�actors to undertake work, they may:be:r.equired�to;be:,licensed In accordance.wtth state.and•local regulations. �if°the� � `
<br /> contracQor ts not I(censed as� requirod:by lainr,�both the owner and�cont�actor�rriay be�-cited for�a�misd.emeanor violatlon
<br /> under state law. If 4he owner or intended°.contractor,are.uncertaln as to vdhat Ilc�nsing.,requirements.}may�apply°for-tlie
<br /> int�nded work, th�y are advised 4o contact the Pasco County Building�lnspeetion_D(vislon.-Licensing Sectton at 727-847-
<br /> SOOg. Furthermore, if the ovmer Fias`hired a contracfor�o� contractors, he 1� advised to have the a:ontracQor(s), slgn ._
<br /> portion� of the "contractor Block" of.thls applicatlon for.which.they Wvill._be:responsible. If-you; as.#he owner"'sign as'tlie
<br /> contractor, that�may be an indication thaf'he Is noY.properiy licensed�and"is not entitled'to perrriftting privlleges In Pasco
<br /> County. ' ' �
<br /> T�4N�PORTATION�IMPACTlU1°ILIT�ES�IM�AC'��ANb RESOUitCE RECOl/�RY�•F@E�:��The undersigned�und�rstands
<br /> that Transportatbn Impact Fees�nd.Recourse.Recovery.Fees may��apply:4o:tf�e construction,of neHt bulldings,�change'of � �- �
<br /> use In �xisting bulldings, or,expar��ionrof=ezistin,g.',builiiings, as specifled.in Pasco CounQy Ordinance number �9-07 and
<br /> 90-07, as amended._.The undersigned aiso:understands, tHat`such fees,.;as��nay:tie�:=due;�wlil:ltie ident�ied at the�time�of -
<br /> permitttng. It is fu'rtFier understood that Trar�sportation Empact Fees and�Resource'Recovery�Fees rr�ust be paid prior to
<br /> receivireg a "certffic�te of occupancy" or#in�l�pow�rrelease. :If the.proJ�ct:.does,.r�ot:involve..�:•.certifloate of occupancy, or����' � �
<br /> flnal power release; the�fees mu�t be pa[d p�lor to permit issuance. Ft��tk�ermore;if:Pascv:County"Water/Sewer,lmpact -. �
<br /> fees are due,they�.must be:pald.:prior to permit-�Issyanc�=ln accordanc�witfi�appltcable Pasco'County ordlnances. •
<br /> CON�T�UCTION"LIEN-LIAW(Ch�pter 713� FlmrJcla St�tutes, aa�mended): Ifi valuation of work is$2,500.00 or more, I ,
<br /> ce�tify that I, #he applicant; h�ve.been provided vuith a-copy- of the "Florida Const�uctton.Llen.:L'av�Homeowner's
<br /> Protectio� Guide" prepared by ttie Flo�ida Department�of Agrlc.ulture and Con�umerAifaio�s. If the applicant is someone� -
<br /> other than the"owner", I certify that l,;have,obtalned�a copy.of.the�above..rfescribed�docu�ent°and.;prot�ise:in,good.faith to �
<br /> deliver it to the."owne�'=p�ioc<toacornmencement. ' � ' � .
<br /> CON7R�ICTOR'S/OWNEtt'S AFFIDAVIT: I.ce't(fy:that:ali..th�,lnf.ormation„in-thi� application is accurate and that all work
<br /> will'be done in comptfance with all appl(cable`laws ��gulating constructlon, zoning and�land-development. Application is
<br /> hereby made to obtain .a permit;to:.do._:work;,,and,insfallatlon as indl��fed:- `I cer�ify`that no work"or (nstallattoi� has
<br /> commenced prior to issuance of"a p�rmlf'"and�that.all work will be pertormed to meet.standards-of �II lauvs regula�ing-
<br /> construction, County and City codes, zoning regulatiQns, and land development tegulattons•in the.Jurisd(ct(on. I al'so
<br /> I certify that I und�rsQand that the eegulations of other gov�rnment agencies may�apply�to the intended work, and that it Is
<br /> my responsibili�r to Id�ntify.what.acttons I must take:to b�,in..compllance. Such agencies Include but�are.not Ilmited to:
<br /> - Departra�ent of E�vironmental��Protection=Cypr�ss.`Bayhead�; WeNand Are�s and EnvtPonmentaily Sensitive
<br /> Lands,WaterMlastewater Treatment.
<br /> - Southwest Florida Water AAanagement: .DisQrict-Welis, Cypress.��Bay.heads; Wetland Areas, Altering
<br /> W�tercourses.
<br /> - Army Cvrps of Engln�ers-S�awalis, Docks, Navigable Waterways.
<br />� - Department of Health:'.& ReY�abllit�tive,Services/Environmenfal Health Unit-Wells, Wastewater�Tre�tment,
<br /> Septic Tanks. � � -
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Avlatton.AulhoNty-Runways.
<br /> I understand that the following.:restcistlons apply to the use off flli:•
<br /> - Use of flll is not allowed in Flood;Zone"V"unless expressly permitted. .
<br /> - If the flli mate�fal I� to be useii.��ln �Flood Zone. "A", It is understood that�a drainage plan addresstng a
<br /> ucompensating volume"will b� submitted at tlme of permitting which is pr�pared by a professional eng(neer
<br /> Iicensed by#he State of florlda: �
<br /> - If ih� fllt matePlal Is to b� used in Flood Zone °A" in�connec�ion�with�a perm(tted building using stem wall
<br /> cvnstruction, I ce�ify that flll:wlll�:b.e used only.to#ill the are�vvlthin�the stem�wall.
<br /> - If fil! material is to be used in any area, I certify thaQ .us� of such fl91 will not adversely af6ect adJacent
<br /> properti�s. If use of flll is f�und_to adversely.�f�ect adJ�cent�properties,.the owner may be clted for viofating
<br /> the condifions.of the building.perrv�lt Is`sued�under the attach�d_�ermit applicatlon, for.:9ots.less 1han.one (1)
<br /> acre w►fitcli are elev�ted�by flil, an engtneered dralnage plan is requir�d. ,
<br /> If I am the AGE(VT FOIt TFIE OIMNEIt, I,�promise in_good faith to inform the owner of the permitting condtttons �et forth In
<br /> this affidavit�prior to commec9cing const�uction. I understand that a:separete permit may be required for electrical work,
<br /> plurnbing,_signs, wells, pools;. air conditioning, .gas, or other install�tlons nol.specffically included�in.the applicatton. .A
<br /> permit Issued shall be constcued to be a-llcen�e�to proceed with the�nrork and not as:authority:to,violate;�.cancel, alter, or
<br /> set aside�ny provisions of the.t�chnical code�;�nor shall issuanc��of a.peemit.prevent the Bulidirig Offictal from th�reafter
<br /> requlring a correction af enor�In,plans, constnacQion.orviolatlons of any codes. Every piarm(t"I�sued�shall become invalid
<br /> unless the wrork authorized by such permit:is.commenced�wrlthfn stx.monQhs of permit Issuance, or if work authorized by
<br /> 4he permit is suspended or.abandoned-for a:period of six(6)montfis.after the tirne the�vvork�is commenced. An extenslon
<br /> may be requested, In wrlting, from the Bullding,Officl�l for � period.�not to exceed ninety�(90) days and wfll demonstcate
<br /> justifiable cause for.the extenslon�. If work ceases:for ninety(90)cons.ecutive day.s...the)ob�is.considered aba�doned.
<br /> lMARMING TO OWN�R: YOU�..FAILWRE�TO.,REC.OltD A;,IdOTIGE:OF,�CAMMENC�MEMT�:lNAY�RESULT IN YAUR
<br /> Pe4YeNG T9NICE:FOR'IM�OVEAAENTS�.TO..XOUR_;PR�P@RTY.��.IF°.Y�.E��1�l��'Eh1D�'TA"OBTAIN��FIN�1f�E1NG,'CONSl1l�T
<br /> MlAT� . U - �. D O: �A�A� -� �X� FO��� , �(D�� ��, OU ' ;� :: E � T.
<br /> FLORIDA JURA�(FjSrt'17 ) — - � _ . -
<br /> � - �� . ��_�--=------ _-� '""
<br /> OYIIPIER MT` �O '` .
<br /> Subscribed d..swo (or atflrmed)before me this Subscribed and'suro ed)'before me thifi
<br /> by_
<br /> Who Islare personally known to.me or has/have produced !�lho.is/are p.e onaliy�cnov�m•to: or haslheve�produced
<br /> - as Identlflcatlon, as Identlficatlon.
<br /> Motery Public Notary Public
<br /> Commisslon No:` �.,,
<br /> COflI. I0�1� 8101-SBE-0OBe�uarsu�aej,Ioil pepuog ,.�iied ,
<br /> BIOZ'zl�aqwa�aQ saaidx3 ,�.• ••.`�;_
<br /> uoissiwwo� _�� :•=
<br /> Name ot Nof�ry typed,pMnted or stamped Name of Notery ed,pri�(�gs,���q�j�y� '•%;;;a x�;;.••''
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