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<br /> Nt3TICE t3F DEED RESTRtCTtONS: The undersigned understands that this,permit may be.subject_to�"deed" restrictions"�� ;t
<br /> which may be more�r,estcicti�re:than County regnlations. The undersigned assumes�esponsibility�fo�compiiance`with any ���
<br /> applicable deed restrictions. � � . . .
<br /> UNLaCENSED COfdTRACTORS AND CI�NTRAGTOR RESPQNSfBGLITlES: If the ownec�-has .hired a contractor or
<br /> cantractors�to undertake work, they may be required ta be�licensed in accordance with state and loca! rsgulations.- If'.#he:��
<br /> contractor_is not licensed�as required by`law, bot}i the owner and:contractar maq�be�citecl�'for�a misdemeanar violation
<br /> under state law. If the owner or intended cantractor are uncertain as to what ticensing requirements rnay.apply for the:-
<br /> intended work, they are advised ta aontact the Pasco County Building Inspection-Divisibn=Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired�a corttractar or contracfars, he�is advised ta �have the contractoc(s} sign
<br /> portions of the "contractor Block" of this application for which they wN! be responsible. !f yau, as`tFie awner sign as=fhe ' ";
<br /> cantractoc, that may be an indication that he�is not properly (icensed,and is not entitled��to permit#ing�privilsges in Pasco , ;
<br /> Caunty. . ' `
<br /> TRANSPORTATiON iMPACTlUTlI.IT1ES tMPACT AND RESOURCE RECOVERY FEES:�-The undersigned understands .
<br /> tha#Transportatian Impact Fees and Recourse Recovery Fees may.apply ta the construc#ian of new buildings, cFiange of �' ,
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County t?rdinance number$9-47 and -
<br /> 90-07, as amended. The undersigned also understands,:that such,fees, as may be.due, will 6e identxfed at.the�tiriie•of � �
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Reeouery Fees must be paid prior to '
<br /> receiving a "certifica#e o#accupancy" or final power release. If#he praject daes not involve a certificate of occupancyor � �
<br /> finaf power release, the fees must be paid prior ta permit issuance. Furthermare, if Pasco Gounty W.ater/Sewer•Impacf -
<br /> fees are due,#hey must be paid priar#o permit issuance in accordance with appticable_Pasco Coun#y ordinances.�
<br /> CQNSTRUGTION LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of work is$2,500,00 or more, ( ,.,
<br /> certify that I, the applicant, have been�provided with a copy of the "Florida Construction Lien Law—Flomeawner's
<br /> Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other than the"owner�, I certify that I have obtained a copy of the above descri6ed'document and promise-in.good faith to
<br /> deliver it ta#he uowner"priar ta commencement.
<br /> CONTRACTOR'S/OWNER'S APFIDAVIT: 1 cerkify.thaf ail the information in this application is accurate and that alt"work
<br /> will be done in cc�mpliance wi#h a!! applicable laws regulating construction, zoning and iand development. Appiication is
<br /> hereby made to obtain a permit to do work and insta!lation as indicated. ! certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construc#ion, Counfy and City codes, zoning regulations, and land development regulations in the jurisdiction. I alsa
<br /> certify that 1 understand that the regulations of other gavernmen#agencies may apply to the intended work, and that it is
<br /> my resportsibility to identify what actions 1 must take to be in corripliance. Such agencies indude but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, VUetiand Areas and Enviranmentally Sensitive
<br /> Lands,WaterNVastew�te�Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps af Engineers-Seawails, Docks, Navigab(e Waterways.
<br /> - Department of Heaith & Rehabilitative Services/Environmentai Heaith Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environrnental Pratection Agency-Asbestas abatement.
<br /> - Federal Aviation Authoriry-Runways.
<br /> I understand that the follawing rest�icfions apply to the use of fill:
<br /> - Use of fill is nat allowed in Flood Zone"V"un(ess expressly permitted.
<br /> - !f_the fi!! material is to be used in Flood Zane "A", it is understood that a drainage�p(an addressing a
<br /> "cornpensating volume" will be submitted at time o# permitting which is prepared by a prafessional engineer "
<br /> licensed by the Sta#e of Florida.
<br /> - If the fill material is to be used in Flood Zane "A° in connec#ion with a permitted building using stem watl
<br /> consfruction, t certify that fill wil� be used only to fill the area within the stem wall.
<br /> - If fill material is to �be used in any area,, I certify that use of such�fill will not adversely affect adjacent
<br /> properties. If use of�I! is found to adversely affect adjacent properties, the owner may be cited for vialating.
<br /> the conditions of the building permit issued under the attached permit application, for lats 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 OWNER, I promise in good faith to infarm the owner of the permit#ing conditions set forth in
<br /> #his affidavit pcior to commencing construction. 1 understand that a separate permit may be required fw elec#rica! wark,
<br /> plumbing, signs, we11s, pools, air conditioning, gas, or�other ins#allations not specifically included i� the application. A
<br /> permit issued shati be canstrued ta be a license to proceed with the work and nat as authority to viatate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shaft issaance of a permit prevent fhe Buitding tJificial from thereafter
<br /> requiring a carrection of errors in plans, construction or violations of any codes. Every permit issued shali become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit �ssuance, ar if work authorized by
<br /> the permif is suspended or abandaned far a period..of six(6) months after the time the work is commenced. An extensian
<br /> may be requested, in writing, from the Buiiding Official for a period not to exceed-ninety (90) days and will demonstrate
<br /> justifiable cause far the extensian. tf wark ceases far ninety{90}consecutive days,the job is considered abandoned. •
<br /> WARNING TO OWNER: YOUR FAILURE TQ RECORD A NOTlCE OF GOMMENCEMENT MAY RESU[.T !N YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOUaINTEND.-TO QBTA#N FINANClNG,CC?NSU�T
<br /> WtTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF`CCIMMENCEMENT. �
<br /> �-__`�CC3RS6AJC}f�T'(F:S- _:03}---�----- -- � - — - _ _ _ — _-
<br /> OWNER OR AGENT CONTRAC70R
<br /> Subscribed and swom or affitmed)befo me this Subscribed end swam r affirmed)before me this
<br /> (r/ --� �. L /h� Pl � -t S
<br /> Who isJar ersanally own to me r has/Mave produced ' Who is/ar personally known to m or has/have produced
<br /> as iden6fication: as identificatian.
<br /> "'� �Y P�b��� Natary Pubtic
<br /> SYLVIA A.CAMPBELL � Y4p p,CAMPBEL
<br /> m issiort Not'•. • ' mi oi Ftosida
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<br /> , _ , �:.'•� I;r,; ��.•= Expites Jui 19,2417 :_« .:MY�amm.Expires Jut 19,2Qt
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<br /> '•.,;o����;,� g�,���, „ ,,;� 'va���na�NotaryAssn. ��ryAssn.
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