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<br /> �OTICE OFDEED RESTRICTiONS: 7'he undersigned understands,that_this,permit may be subject to"deed".,restrictions";';�=
<br /> which.may.be..more restrictive:than.County regulations. �Tlie4unde�signed•assume"s��responsibility�fo�''compliance�with any��""'
<br /> applicable.deed restrictions. .�,;ti;;,;;,,,, ,, ,,; ;
<br /> UNLICENSED;:CONTRACTO.RS AND CONTRACTOR RESPONSI�ILITIES: If�tlie�owner-�has�hired a�contractor or�,
<br /> contractors to undertake work,'.they.may be,cequired to beilicensed in accordance with state and.local,regulations:-ulf�4he������ �
<br /> contractor is not.licensed as-required �by law, both�the owmer�and��contracto�--may�be�cited�for�_a-misdemeanor violation
<br /> under state law. If the owner or intended;contractor are�uncertain as to what licensing,requirements:�may�=apply.for'th'e�: =�' �
<br /> infended-work;�they are advised to contact'the Pasco County Building Inspection"Division=Licensing Section afi727=847= ,
<br /> 8009. Furthermore, if the owner has hired`a contracfor or cont�actors, he is advised to:ihave the,contractoe(s)._sign.., :,. ;
<br /> portions of the "contractor Block° of this application,for which they will.be:responsible: �If:you,.as�;the'owner'sign as'-the �'r
<br /> contractor, that may be an indication that he is not properly licensed and is nof entitle(i to permitting privileges in Pasco. ,- t
<br /> County. � :_�-::� ;,���_=__ . : ;
<br /> TRANSPORTATION IIWPACT/UTILITIES IRIIPACT AND RESOURCE ItECOVERY FEES: The'und"ersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may;apply'to.the construction.of.new_buildings, ctiange'�of'�==` '
<br /> use in existing buildings, or expansion.of: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�of��'�°'-"`
<br /> permitting. It is further understood that Transportation Impact Fees�.and Resource%Recovery„Fees must be paid prior to '
<br /> receiving a "certificate of occupancy" or final-power release. If the project�does not involve a certificate of occupancy�.or..:-�---
<br /> final power-release; the fees.must be paid prior to permit issuance. Furtli'e�more, if.Pasco County W.ater/.Sewer.;lmpact: ;�:
<br /> fees are due,.they must be paid prior to.permif issuance in accordance with applicable Pasco.County ordinances. ` �
<br /> CONSTRUCTION LIEN LAW(Chapter 713;'Florida Statutes, as am�rtded): If valuation of vuork is$2,500.00:.or,moce,..l..:�,.,
<br /> certify that I, the applicant, have been provided-with a copy_ of the "Florida Construetion �Lien. Law-Homeowner`s'���
<br /> Protection Guide" prepared by the�Florida Department of Agriculture and Consumer�Affairs. If the applicant is someone
<br /> other than the"owne�', I certify that I have obtained a copy of the-above described�document-and�promise in goodrfaitli�to'
<br /> deliver it to-the:"owne�'�prior-to commencement. ' - � �
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT:_�I.certify that all the information in this application is accurate and thaY all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land-�development. Application.is
<br /> hereby made to obtain a permit� to do work-and. installation as �indicated. I certify that no�-work or in`stallation=�has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standacds of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in�the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include�but are not;limited>to:
<br /> - pepartment of Environmental Protection=Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterM/astewater Treatment.
<br /> - Southwest Florida Water Management� District-Wells, Cyptess Bayfieads, Wetland Areas, Altering
<br /> Watercourses. , -
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental .Health Unit:Wells, W.astewater Treatment,
<br /> Septic.Tanks. � -
<br /> - US Environmental Protection Agency-Asbestos abatement. -
<br /> - Federal.Aviation Authority-Runways.
<br /> I understand thaf tFie following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill material is- to be used in. Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time�of permitting which is,preparetl by a professional engineer �
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall '
<br /> construction, I certify that.fill will be used only to fill the area within the stem wall. - �
<br /> - If�fill material is to be used in .ariy area, I certify that use �of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent p'roperties, the owner may be cited forviolating
<br /> the conditions`of tlie•building permit issued under the attached permit application, for lots less�than one(1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWRIER; I promise in good faith to-inform the owner of the pe�mitting conditions.set forth in
<br /> this affidavit prior to commencing construction. I_understand that.a separate permit may be required for electrical.,work,.
<br /> plumbing, signs, wells, pools, air conditioning, gas,. orother'installations not specifically included in the application.� A �-
<br /> permit issued shall,be construed to tie a license to proceed'�wifh the work and not as authority to�violate;cancel, alter, or
<br /> set aside any provisions of tlie 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 anyrcodes. Every-permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended.or abandoned-foc a period.of.six(6)montlis after the time the work is�commenced. An extension '
<br /> may be requested, in vuriting,�from the Building Official for a,period not to exceed•ninety(90) days and will demonstrate
<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_RECORD,A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE..FOR.IMPROVEMENTS TO Y�O.UR.PROPERTY. :IF YOU.�.INTEND����°�. BTAIN FINANCIN CONSUL-� -
<br /> WITH YOURtENDER OR AM ATT_ORNEI(BEEORE.�4ECORDIPIGYOU�N07`IC�'OF COMNlENCEMEN�
<br /> FLORIDA JURAT(F.S.117.03) ,/�/ //
<br /> �s ,�
<br /> %C OlNNER OR AGENT CONTRACTOR J��i�A%�c� �/"
<br /> Subscribed and swom to(or affirtned)before me�thls Subscribed and swbm�fo(or affimied)before me this
<br /> bY by /4-r��v..:r�t c�a vv�o�'�c��/
<br /> Who is/are personally known to me or has/have produced '�� Who is re pp rsQnally k�pewn to me or has/hav uc�
<br /> asldenUfication. �L•�lJ?.�1nP,r�C�d.;�crB..�J as endficaUon:
<br /> Notary Public Notary Public
<br /> �:
<br /> ,���,,,
<br /> Commission No. Commission No. ..�•°;�:r ••.
<br /> �� �:�_ Commission#FF 150422
<br /> :a=
<br /> Name of Notary typed,printed or stamped Name of Notary typed, �n���dZ218��dTM�TroyFeinlnsuzrtee800.3g5•7018
<br /> ;4'
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