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<br /> (dOT#CE OF DEED RESTRlCTIONS: The undersigned understands that this,permit may be subject,to"ae�a"restrictions», '`
<br /> which.may,.be.rnore�r.estrictive;than Caunty regulations: The-undersigned�assumes responsibitity�for`compliance wifFi any'``
<br /> applicable deed restrictions. � � - � �
<br /> UNLI�CENSED CONTRACTORS AND CONTRACTOR RESPONSlBlLlTIES: If ttie�owner has hired~a contractor or
<br /> contractors�to undertake wark, they may be required to be licensed in accordance vuith state and lacal regulafions. 'If the �
<br /> canfractar_is not licensed as required by`taw, botii�the owner and confractor rriay=�be ci#ed for�a misd"emeanor violation
<br /> under state law. If the owner or internded contractor are uncertain as to what ticensing requirements.may..apply foc:�tfie,� ��
<br /> intended work,they are advised#a cantact�the Pasco County Building`fnspectioii�Division—Licensing Secfion-at 727-847-
<br />� 8009. Furthermare, if the owner has hired a contractor or contraatars, he�is advised to 'have the contractor(s}i sign „
<br /> portions of the "contractor Block" of this application for which they will be responsible. !f you, as#he owner'sign as ttie �,
<br /> contractar, that.may be an indication that he is not properiy licensed and is not entitled to permitting privileges in f'asco �
<br /> County. . _ � � � '
<br /> TRANSPORTATII�N lMPACTLUTILITIES IMPACT AND RESt3URCE RECOVERY FEES: The undersigned understands
<br /> that Transporta#ion lmpact Fees and Recourse Recavery Fees may appiy ta the constrtact#an af new,builclings, cliarige=af' �" �
<br /> use in existing buildings, or expans'son of existing buildings, as specified in Pasca County Ordinance n�tmber 89-07 and �
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may:b.e.due, will be identified at:tlie time,of �
<br /> permit4ing. It is further understood that Transportatian Impact Fees and Resource�'Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the p,rojec#does no#involve a certificate af occupancy�:or.. �'
<br /> final power release, the fees must be paid priar ta permit issuance. Furthermore, if Pasco County W.,aterlSewer.-tmpac#
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasca Caunt}r ordinances.
<br /> CONSTRUCTI4N LIEN LAW(Chapter?13, Flortda Statutes,as amended}: If valuatian af work is$2,50Q.Q0 or mor.e,.l:,, ,
<br /> certify that I, the applicant, have been provided with a copy.of the °Florida Construe#ion Lien -Law—Homeowner's
<br /> Pratection Guide" prepared by the Florida Department of Agricul#ure and Consumer Affairs. If the applicant•is someone
<br /> other than the"owner", I certify that I have obtained a capy of the above descri6ed document and promise-in good faitli to
<br /> deiiver it,to the"awner"priar to commencemen#.
<br /> CClNTRACTQR'S/OWNER'S AFFtDAVIT: f certify that all the information in this application is accurate and fhat all wark
<br /> wil! be done in compliance with all applicable (aws regulating consttuction, zaning and-land�development. Applica#ion is
<br /> hereby made to abtain a permit to do work and installation as indicated. I certi€y that no work or irtstallation has
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of al! laws regulating
<br /> consfrucfion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certtfy that 1 understand that the regulations af other government agencies may apply to the intended work, and that i# is
<br /> my responsibility to identify what actions!must take to be in compfiance. Such agencies include but are not timited ta:
<br /> - Department of Environmental Protection-Gypress Bayheads, 1Netland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastew�ter Trea#ment.
<br /> - Southwest Florida Water Management -District-Wells, Cypress Bayheads, Wetland Areas, Altecing
<br /> Wa#ercourses.
<br /> - Army Corps af Engineers-Seawa(is, Dacks, Navigab(e Waterways.
<br /> - Department of Heaith & Rehabilitative Services/Environmenfal Health Unit Wells, Wastewater Treatment,
<br /> Septic Tanks. ,
<br /> - US Environmenta! Protection Agency-Asbestos abatement. .
<br /> - Federal Aviation Authority-Runways.
<br /> ' I undersfand that the following restric#ions apply to the use of fitl:
<br /> - Use of fill is not allawed in Flood Zane"V" uniess expressly permitted.
<br /> , - If the fiEl .materiaE is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a
<br /> � °compensating volume" will be submitted at time of permit#ing which is prepared by a professianal engineer �
<br /> '� licensed by the State of Florida.
<br /> - If the fill ma#erial is to be used in Flood Zane "A" in connection with a permitted building using stem wall
<br /> constructian, I certify that fi(I wil� be used anly to fill the area within the stem wall.
<br /> - tf �II materiaf is ta be used in any area, 1 certify that use af such-fill witi not adversely affect adjacent
<br /> properkies. If use rif fill is faund to adversely affec#adjacent properties, the owner may be ci#ed for vialating
<br /> the concfitians af the building permit issued under the attached permit application,-for lots less than orte {1} ;
<br /> acre which are elevated by fi!!,an engineered drainage plan is requi�ed. �
<br /> If I am the AGENT FOR THE OWNER, I pramise in good faith to inform the owner af the permitting conditions set forth in
<br /> #his affidavit priar ta commencing construction. I understand that a separate permit may be required for electrical work, "
<br /> plumbing, signs, welts, pools, air conditioning, gas, or�other installations not specificaliy included in the application. A
<br /> permit issued shaif�be construed to be a license fo proceed with the work and nofi as autharity to violate, cancel, alter, or �
<br /> set aside any provisions of the technica!codes, nor shall issuance ofi a permit prevent#he Suilding{)fficial fram thereafter
<br /> '� requiring a correction of errors in plans, construction or violations of any codes. Evety perrnit issued shaN 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 permi�is suspended ar abandoned for a period-.of six(6):manths,after the time the work is commenced. An extension
<br /> may be requested; in writing, from the 8uitding Official for a periad�not to exceed•ninety (90) days and wi0 demonstrate
<br /> jusiifiabte catase for the extensian. if work ceases for ninety{90}cansecutive days,the jab is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF GOMMENCEMENT MAY RESU�T IN YOUR
<br /> PAYING TWICE FOR I ROVEMENTS TO YOUR PROPERTY. IF YO.0_INTEND-TO OBTAIN FINQ►NCiNG, CONSULT
<br /> WtTH YOUR L`ENDER�AN ATT RN BEFORE RECQRDI(VG VOUR NCIT! E i3F C�Ol4111lAENCEM@ T.
<br /> -"� "FCORtDA JURAT{F.S.117 3 ,
<br /> i �=C-..___�_.�tis�� _,ta�--c ,i
<br /> OWNER OR AGENT � � � CONTRACTOR
<br /> Sub crib and sw En or rmed be or me #� Sub�crib d and swom to or affii ed for,e this
<br /> �� °bY�� � / t'/1/g by_.1.�.��� �/" cJ�e
<br /> �hp is/a e pe pally known to me ar as/have produced ` Who is/are personally known to me or has/have praduced
<br /> �� D�It/�� ����1'-aas identification. ,�,G._ ��l1v�12S L/�J�./.5� as iden6fiption.
<br /> .,1'�}"A,Ue�2?� a�.��'1./1� /��GL,�� Notary Public ,��� ��-� ��G��?1��'� Notary Publlc
<br /> Cammission No. t.�t� DI�S.�� Commissian No. �� ��Sc3�.� �
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<br /> Name of tVotar�r ty�ed;printed or stam� Name of Natary typed,printed or stamped
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