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<br /> NC3TtCE OF DEED RESTRtCTtG1NS: The undersigned understands.that this,permit may be subject ta"deed" restrictians"„,'�
<br /> which may,;be,more restricti�e,than County regulations. The:undersigned--asstames�responsibili#`y�for camplian`ce with�arty' '`
<br /> applicable deed restrictions. << � '
<br /> UNLICENSEQ-CONTRACTORS AND CON7RACTOR RESP4NSIBILtT1ES: !f ttie owrier has-hirec!'a�contractor or
<br /> contractors to undertake work, they may be re,quired ta be licensed in accordance with state and�local regulations. -If the.�«
<br /> cantrac#or is not licensed as required kiy law, both�the owner and°contractar-may�be cited�for.a misdemeanor violation
<br /> under s#ate law. if the owner or intended cantractor are uncertain as to what licensing requirements.�may.apply for-.tFie. "
<br /> intended wock; #hey_are advised#o contact the Pasco County Building tnspection Division=Licensing Section a#727-847-
<br /> 80Q9. -Furtherrriare, if the owner has hired a contractor or contrac#ars, he is advised to .have the cc�ntractac(s};sign,: ` '
<br /> portions of the "contractor Block" of this application for which they,will be responsible. If you, as��ftie'owrier�'sign as ttie .
<br /> contractoc, that may be an indication that he is not properly licensed and is not�entitled�to permitting privileges in Pasco
<br /> Caunty. _ _ � � �
<br /> TRANSPORTATION IMPACT/UTIUTIES IMPACT AND RESOURCE RECOVERY FEES:�The undersigned understands �
<br /> that Transpartation tmpact Fees and Recourse Recovery Fees may-apply ta the constructian of new_builtlings, cliange"afi`�=F �,
<br /> use in existing buildings, or expansion of existing buildings, as spec'�f'ied in Pasco Count}r C?rdinance number$9-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as�may�b.e.due, will be 'tdentifed at?the#iriie-of�
<br /> permitting. it is further understood tha#Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate af occupancy" or final power release. if the.praject daes nat involve a certificate of occupancy ar�- �
<br /> final pawer release, the fees must be paid prior to permit issuance.� Furthermare, if Pasco County Water/Sewer rlmpact
<br /> fees are due,#hey must be paid ptior ta permit issuance in accardance writh applicable Pasco County ordinances. �
<br /> CONSTRUCTlON UEN LAW(Ghapter 713, Plarida Statates,as amended}: tf vaivation of work is$2,500.00.,or mace, 1._,.
<br /> certify that I, the applicant,��have been provided with a copy. of .the "Florida Gonstruction Lien Law=Homeowner'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 described document and promise in,good faitfi to
<br /> deliver.it ta the"owner"prior to commencement. -
<br /> C�NTRACTOR'SlOWNER'S AFFtDAVIT: i certify.fhat ail the infarmation in this application is accurate and`that al1 work
<br /> will be clone in campliance writh all applicable laws regulating construction, zaning and land-development. Applicafion is
<br /> hereby made to obtain a perrr�it to do work and ins#allation as indicated. E certify that no work ar installaficin has
<br /> commenced prior to issuance of a permit and that all work wil! be performed to meet standards of all laws regula#ing
<br /> construc#ion, County and Cify codes, zoning regulations, and land development regulations in the jurisdictian. I �also
<br /> certify that i understand that the regula#ions of other government agencies may appiy to the intended work, and that it is
<br /> my responsibifity to identify wha#actions t must take to be in campiiance. Such agencies inctude but are not limited to: •
<br /> - Department of Enviranmental Protectian-Cypress Bayheads, Wetland Areas and EnviranmentaBy Sensitive
<br /> Lands,WaterMlastewate�Treatmen#. -
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigab(e Watenivays.
<br /> - DeparEment of Health & Rehabilitative ServiceslEnviranmental .Health Unit Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Pratectian Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> I understand thafi the follawing restric#ions apply ta the use af fill:
<br /> - Use of fitt is not ailawed in Flood Zane 4V"uniess expressiy permitted.
<br /> - lf #he fiN materia! is ta be used in Flood Zone "A", it is understaod that a drainage ptan addressing a
<br /> "campensating volume" will be submitted at time of permitting which is prepared by a professional eng'rneer "
<br /> licensed by tne State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A° in connec#ion with a permitted building using stem walf
<br /> consfruction, I certify#ha#fill will be used anly to fill the area within the stem wall.
<br /> - If fill material is ta be used in any area, I certify fhat use af such�fill will not adversely affect adjacent
<br /> properties. If use af fil! is found to adversely affect adjacent properties, the owner may be cited for vialating
<br /> the condif9ons of the building permit issued under the attached permit appiication, far lots less than one (9}
<br /> acre which are elevated by flll, an engineered drainage plan is required. �
<br /> If I am the AGENT F4R THE OWNER, I promise in good faith to inform the owner of the permitting canditions set farth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for elec#rica! work, �
<br /> plumbing, signs, wells, paats, air conditioning, gas, or.other insta(lations not specifically included in the applicatian. A
<br /> permit issued shafl be canstrued to be a ficense to.proceed with the wark and nat as authorify to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nar shalf issuance af a permit prevent the Building t3fficial froi`n thereaf#er
<br /> requiring a correction of e�rors in plans, canstruction or v�olations of any codes. Every permit issueti shat! become invalid
<br /> uNess the work authorized by such permit is commenced within six months of permit issuance, or if work autharized by
<br /> the permi#is suspended or abandoned far a periodrof six(6) manths after the time the work is commenced. An extension
<br /> may be requested, in wri#ing, from the Buildirig Official for a period.not to exceed•ninety (90) days and will demonstrate
<br /> justifable cause for the extension. If wark ceases#or ninet}r(90)consecutive days,the jab is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE T� RECORD A NOTICE QF COMMENCEMENT MAY RESUl.T IN YOUR
<br /> PAYING TWICE FQR IMPROVEMENTS TO YOUR PROPERTY. IF YOU,lNTEND�TO OBTAlN�FINANCING,CONSULT
<br /> WiTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR�NOTICE OF MMENCEMENT.
<br /> FLQFtlDA JURAT(F.S. .03) ,, � ____�_ J
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<br /> __. ______�— ___ _ -- - - �-y��� - - ..�
<br /> OWTIER OR AGENT ..- ��LP� CONTRAC70R /.�'.rl� ,P/�,,.�
<br /> Sabsc'ped nd swarr� or a#fitme be re me this Subscribed and n t (or affirtned} efore me this
<br /> ��// �.. L. /Yl t s�.t'i�P" �02//,_,� / r
<br /> Who is/are ersonally known to mt�or has/have produced � Who is/are p nally known to or has/have produced
<br /> as identifica�on. as identificatlan.
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<br /> Notary Public , Natary Pubfic
<br /> C� E v� Commissi t� •"1O""ra SYLVtA A.CAMPBECL �
<br /> ,�1"""'� YLVIA A.CAMP9ELL :a�' 2+•; Notary PuDlic-State ot Florida
<br /> PR`'pue�•
<br /> :�?°. .`�: Notar Pubiic-State f •: M Comm.Ex ires Jul 19, 2017
<br /> Name o _ _ pt}�pF��gr�Ut i 9,2d77 t�ame of R! � �inte�ORt�s9�FF Q34230
<br /> �j,. p�;^ Commission#Ff 03423Q �kru+,++"�� 8onded lhtough Nationaf Notary Assa.
<br /> '�°�����'�� Bonded Through National Noiary Assn. ,
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