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N0710E OF DGED RESTRICTIONS: The undersigned understands that this permit may be subject ta "deed" restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility far comp{iance with.any
<br /> appiicable deed restrictions.
<br /> UNLICENSED CONTRAC70RS AND CONTRACTOR RESPONSIBILITIES: If the awner has hired a contractor or
<br /> contractors to undertake wark, they may be required to be licensed.in accardance with state and local regu]atians. 1f the
<br /> contractar is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. !f the awner or Entended cantractor are uncertain as ta what iicensing requiremen#s may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspec#ion Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or cantractors, he is advis�d to have the contractor(s) sign
<br /> partians af the "contractor Black" of this applicafion for whicFr they will be responsib[e. 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 /> County.
<br /> TRANSPOR'�ATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation lmpact Fees and Recourse Recovery Fees may apply to the constructian af new buildings, change of
<br /> use-in existing buiidings, or expansion of existing buiidings, 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. 1t is further understood that Transpartation lmpact Fees and Resource Recovery Fees must be paid priar to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate af occupancy ar
<br /> final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco-County Water(Sewer lmpact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ardinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Sta#utes, as amended): If valuation of work is $2,500.00 ar more, I
<br /> certify that !, :the applicant, have been provided with a copy of the "Florida Canstrucfion Lien Law—Hameawner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someane
<br /> ather than the"owner", 1 certify that 1 have abtained a capy af tlie above described document and pramise in goad faith ta
<br /> deliver it to the "owner" priar to cammencement. �
<br /> CC?NTRACTOR'S/OWNER'S AFPIDAVIT: ! certify#hat all the information in this application is accurate and thaY a!! work
<br /> will be dane in compliance with ali app(icable laws regulating construction, zoning and land devefopment. Application is
<br /> hereby made to obtain a permit to da work and installation as indicated. I certify that na work or installation has
<br /> commenced prior to issuance of a permit and that ali work wili be performeci to meet standards af all laws reguSating
<br /> constructian, Caunty and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulatians af other government agencies may apply to the intended work, and that it is
<br /> my respansibility to identify what actions I must take to be in compliance. Such agencies include but are nat limited to:
<br /> - Department of Enviranmenta! 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 /> ttVatercqurses.
<br /> - Army Cprps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department af Health & Rehabilitative Services/Environmental Nealth Unit-Wells, Westewater Treatment,
<br /> Septic Tanks.
<br /> - U� Environmental Protection Agency-Asbestos abatement.
<br /> - Federal''Aviatian Autharity-Runways. ,
<br /> I understand that',the following restrictions apply to the use of fill:
<br /> - Use af fl! is�not allowed in Flood Zone"V" unless expressly permi#ted.
<br /> - If the fill material is to be used in �laod Zane "A", it is understood that a drainage plan addressing a
<br /> "compensating.volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensecl by the State of Flarida. �
<br /> - If the fill' material is ta be used in Fload Zone "A" in connection with a permitted building using stem wall
<br /> canstruction, 1 cert'sfy that fill will be used only to filS the area within the stem wali.
<br /> - If fill• m�terial is to be used in any area, I certify that use af such fill will not adversely affect adjacent
<br /> properties. !f use of fil! is found to adversely aifect adjacent praperties, the owner may be cited for violating
<br /> the conditians of the building permit issued under the attached permit applicatian, for lots less than one (1}
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> 1# 1 am the AGENT FCYR THE OVIINER, I pramise in good faith to inform the owner af the permitting canditians set forth in
<br /> this affidavit prior to commencing constructian. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, paols, air canditianing, gas, ar other installations not specifically included in the application. A
<br /> permit issued shall �e construed to be a license to proceed with the work and not as authority to vio(ate, cancel, a(ter, or
<br /> set aside any provisians af the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction af errars in plans, constructian or vioiations of any codes. Every permit issued sha[I become invalid
<br /> unless the wor{< auttiorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the perm'st is suspended o�abandoned for a period of six (6) months after the time the work is cammenced. An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justlfiable cause for the extenslon. If work ceases for ninety (90) consecutive days,the jab is considered abandaned.
<br /> f
<br /> WARNING TQ OW�IER: YOUR FAILURE 70 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TW10E FOR IMPROVEMENTS TQ YOUR PROPERTY. 1F YOU tNTEND TQ 4BTAIN f1NANGING, Ct3NSUl.T
<br /> WITH YOUR L�NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLC1RlDA JURAT{F.S. 117.0g }, _ _ _ _
<br /> OWNER QR AGENT L�`���//�—�3..�--- CONTRACTOR �«��-d"��
<br /> Subscribed and sw ta or affirmed}before me this Subsc'bed d sworn to or afFirmed)before me this
<br /> J �j��, ��
<br /> ___��F��'–f-¢-�`"y ��c-,rt rs t."�,�o.ssL.h c't.,..«� y ��r rs r.r_�'St ��.,,�k-�r�.�^ �
<br /> Who is/are personally{<n'own�to me or haslhave produced W is/ar personally known to me or has/have produced
<br /> as identification. as identification.
<br /> ��_��-' Notary Public t \,�r�iU;M���� Rtotary Public
<br /> Commissian No. Commisslon No.
<br /> Name of Notary typed,pr#nted or stamped Name of Notary typed,printed or stamped
<br /> P�'++RP"�°'��'�l'�+r
<br /> ,�ppuY paa Notary Public 5tete oi Florida .�Y�e Notary Public State of Florid�
<br /> �°�°� Gail M Donahue fo ��
<br /> t My Gammission FF 170A72 . ���1 M Donahue
<br /> �hr oF�oe� Expires 11l18/2018 a� My Commission FF 170472
<br /> ��p p.o`F Expires 11/18/2018
<br /> ,�
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