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_ I <br /> I � S — . .!G <br /> I . <br /> I i ,,. -.. �- "a Fr'.: <br /> , .... <br /> ersigned,under�tands;th�t;this:p�rmif:may;_be,subJect;to,"deed",restrlctlons".. .�:,, ;;_,. <br /> NOTtCE OF DEED RESTftICT10NS: The und , � <br /> wrhich may�be�more.rest�ictive^th��County»regulatlons �The underslgned i ssumes'resptinsitiility'for`compllance�with--any <br /> appiicable_deed restrictions. �., :�.�: ..�.� .-, .- = ,_ . , _ .. - . .. _, ,. .__i_ :.'�. . . - <br /> UIVLICENSED-CONTRACTORS AND CONTRACTOR RESPONSIBIC:lTIES: =°If�the��owner°has'�hired��a�`aontractor or <br /> contractors to undertake work, they may:be:.ce�qulrsd•�to��be�llcensed In accordance.with,;state�.and_local::regulatlons: ��if�the=� °' -� <br /> contracto� ts-noE Ncensed�`as�required`:tiy law, both the owner and�confractor;may be•-clted°for"a��misdemeanor violation <br /> under state law. If the owner or Intended;,contra�tor.;:ere^;uncertaln as to vivhat Iicensing,requirements,$may-�epply�,for.tfie'� �� •f �°�- <br /> intended work, they are'advlsed"fo contact'the'.Pasco County,Bullding'Inspectlon�Divlslon.-Ltcensing�Section et 727-847- <br /> 800g. Furthermore, ff the owiier Fias�hired a��contracto�"o� contractors.!he�is advised to have�the contractoKs);,sign,.. .� , .: <br /> . ._.,;.,.,.:. ..,. <br /> portlons of the "contractor Block",of this.appllcation.for which..they will beNtesp.onslbie:-:.lf:.you,,as:#he owner sign„as the� <br /> contractor, that�may be an indicatlon that''he'is not properly Ilcensed-and�`is not entitled to perrriifting�prir`tileges In Pasco <br /> County. ' _ � . . ' . � . _ , 4�, , ,. , <br /> � <br /> .. .� <br /> : <br />� __ .; <br /> ,_ <br /> , - .. <br /> TFtANSP.ORTA710N:INIPAGTIUTILITIES�IMPAC7�ANb RESOURCE RECOVERY�FEES:�The undei`stgned"uriderstands <br /> thatTransportation Impact Fees�and.Reco.uree Recove.ry_Fees may��apply,to�tF�e�constructlon,of.new.buildtngs,;Tchange°-of"���� ''=f� '== <br /> use in existing buildings, oc_,expar�si�n�of��existin,g'�buildings� as specffied.in Pasco County O�dinance number 89-07 and. <br /> 90-07, as amended.�_,�he undersigned also:understands� that:�such fees;�:as��may�be::due;:�.wfll:�tie ideniifled at the�time=of.' �- �- <br /> permitting. It Is fu"rtfier understood that Tra�spo�tation Impact'Fees and�Resource�Reco�ery=Fees.:must be paid prior to <br /> _ _ . �.�.�.. <br /> receFving a:"cerfificate.of occupancy"-or�flnal�.power;celease:� :If;the.proj�ct=_.does�,not involve.a::certff„icate of occupan'cy.�o�-�--�a���'����' <br /> flnal power-release;.the:;fees�mu�t:lie paid;prlor to,permR issuerice. Ft��ttiermore;If:Pasco;County`°Vllater/3ewer�tilmpact� � �:,��-����� <br /> fees are due,.they_must.be-;,pald,.prlor#o,.permit�:l'ssuance=in.accocdance wttFi��appllbable:Pasco'�County�ordtnances. • <br /> CONSTRUCTION�LIEN'LAW"(Cfiapter 773� Florlda�Statut�s�as amended): If valuatlon of work is$2,500.00:or.more,.I� -��:; <br /> certify that I, the.�applicant;:have�been provi.ded wtth-a-copy of:the�`Florida Constructton� Lien:.Lav�Homeowner's <br /> Protection Guide" prepared bytlie Flo�ida Department�of Agriculture and Consumer;Aifairs. If the applicant Is someone: ,. <br /> other than the`owner", I certffy�that_.I�h�ve:_obta)ned�a=copy,ofthe:above:described�docu�ent�and,,pmmis��in,good`.�faith.-to . � ' �;,, <br /> deliver It to'.the<"owner.":p�ior�to>ccmmencement:''' ' � `.: ` - - <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I�certity::tt.iat:all:,the.inf.ormation��in�tht�application is accurate and that all work <br /> will'be done in comptiance wfth all.appllcabfe�laws regulating constructlon; zoning and�land�deyelopment. Applicatlon Is <br /> hereby made to obtain .a pecmit;:to do;work,,and:installatlon as indl�afed:�--=t. certffy that no work�:or Installatton has' <br /> commenced prior to issuance of�a permif�and that.all work wiil be perto�med�to meet.standards-of all laws regulating- <br /> construction, County and City codes, zoning regulatiQns, and land development cegulatlons�in the jurtsd(ction:- (�al'so. . <br /> certify that I u�derstand that the regulations of other�government agencies may�apply.to the.intended verork, and that it is <br /> my responsibiHty to identify�what,act(ons I must�take:to,be�in:,compllance,.S.uch:agencles include but�are.not limited to: : � <br /> - Department of Env(ronmental='Protectton=Cypress.�Bayhead�, WeH'and Areas and Envtronmentally Sensitive <br /> Lands,WatedWastewater Treatment. ' � _ <br /> - Southwest Florida Water Management: :District VVells; Cypress.� Bay�eads;- Wetland' Areas, Altering <br /> Watercourses. ��� . <br /> - Army Corps of Engineers�Seawalls, Docks, Navigatile Watetways. - <br /> - Department of,Health_u8.,ReY�abllitative,Services/Enviconmental�Health Unit Wells, Wa�tev�raater�Treatment, � <br /> Septic Tanks:. . _ - - . , ' ' - �, <br /> - US Environmental Protection Agency-Asbestos abatement. i <br /> - FederaF Avlatlon=Authocity-Rutfways. <br /> I understand.that the.following.:restrl'ctions apply'Co the use of flIL•• I <br /> - Use of flll Is not allowed in:Flood,Zone"V"unless expressly, permitted. <br /> - If the�fill mateNal=ls to b.e use8.,ln �Flood Zone. "A", It. is understood that a drainage plan addresstng a <br /> °compensating volume" will be submitted at#ime of:permitting�which is prepared by a professfonal engineer <br /> Iicensed by#he State of Flo�ida. � - , ;� , . <br /> - If th� flll materlal�is-�to be used in Flaod Zbne 'A" in�connec�lon�with�a permitted buildi�g using stem wall , <br /> � construct(on� I certify.that fill:vidll:b.e used only.to.fill the area wlthin.the�stem wali. <br /> - If flil material Is to be used in any area; I"�aertify t#�at .use. of such flll will not adversely affect adjacent ' <br /> propertie�. If use of fill is found:to adversely::�ffect adJacent�propertles�,the owner may be clted for violating ' <br /> the condi#lons-_of the building=:permit is"sued=under the�attached,�ermit application;for lots�.less.than:one (1) <br /> acre whicfi ere elevated�tiy�illt; an engineered dralnage plan ts r,'equired. <br /> If i am the AGENT FOR THE OVYNER, I;promise In good falth to inform the owner of�the permitting conditlons set forth tn <br /> this affidavit�prior to commeracing construcNo'n'. I understand that�a-separate permit may be requtred for electMcal work, , <br /> plumbing,,.signs, wells,.pools;, alr.condttioning,�.gas,�or othe� install�'tions not•spec�l�ally included�in.the application. .A , <br /> permit issued 5hall be construed to b`e�a°Iicense'�to`;piroceed with tFie;wiork and not-as:authority�to:vlolate;.`cancel, alter, or <br /> set aside any provlstons of the.techrilcal codes;�nor shall issuance�of a.permtt.prevent the Buildirig Oftic(al from thereafter <br /> � �- • • � <br /> requlring a correction af errors in;pians; aonstFuctlon or.violations of�any codes. Every permtt�issued"sFiall-become invalid <br /> unless the work authorized.by such permit:is-commenced•withfn sUc months of�permit issuance, or If work authorized by <br /> the permtt is suspended=or;abandoned•for a�:period;of�six.(8)montfis.aRer.the,time the�work�is corrimenced. An extension <br /> may be requested, in writing,..f�om,the�Building,Offlcial for a period.�not to�exceed�•ninety(90)'�days and�wilf demonstrate <br /> justifiable cause for.�the extension�. If work ceases:for ninety.(90)cons.ecuti je day.s...th�Job:is considered aba�doned. � <br /> WARNING TO OWNER: YOUR.:EAILURE,.TO.,.REC.ORD,A;;�tOTIGE:OF.�=COMMENCEMEMT�.INAY°RESULT IN'YOUR <br /> PAYING TWICE;FOR,�IMPROVEMENTS.TO:YOUR:�:PROPERTY. �-1�°.YO.U{I�F�END:�TO`OHTAIN•�FIPFApE1NG;'C.ONSULT <br /> WITH YOUR LENDER ORAM�ATTORNEY�BEF�R��RECORdING�YOUR`NOTICE"OF'COMII�ENCE�INENT'� � � <br /> FLORIDA JURAT;(F:S:1..1T.03} � -- ---- --– _— --;_ _- _ i- . . _ -- -�- .--- -- - <br /> OWNER OR AOENT . CONTRACTOR ', .� I ' <br /> Subscrlbed and svwm to(or aflirtned)betore me th�s Subscribed and'swom to(or afflrtnedpbdfore me'ftil� <br /> by .by.. i. - � <br /> Who Isfare personelly knovm to.me or haslhave produced Who.ls/are p.ersonallyknown•to me:orhas/haveproduced • <br /> � ae identlflcatlon. - as Idendficadon. <br /> . i � <br /> � i <br /> � • I � <br /> Notery Public . C � Notary Publlc <br /> f , <br /> Commisslon No:� Commisslon No. � <br /> Name ot Notary lyped,printed or stamped Name ot Notary typed,printed or stamped <br /> � <br /> I <br /> � <br /> � <br />