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<br /> NOYIC� OF D��D RE:ST'RICTIONS: The underslgned understands that thfs permlt may be► subject to "dEe;cl" restrictlons"
<br /> which may be rnc�re restrictive than County regulatloris. 'f he undersigned assumej;� resporislblllty for compii��n�,e.with any
<br /> applicable d�ed restrictlons, �
<br /> UNL.ICENSE'sD CONTIRACTORS �4ND CONTRACTOR RESPONSII�ILITIES: If the owner h�s hfred ai cantractor or
<br /> contractors to undertalce work, they may be requlred to be Ilcensed in accordanc� with state and local regulations, If tPie
<br /> contractor is not licen;�ed as required by law, both the awner and contract�r may� be clt�d f.or a misdem��n��r vlolatic�n
<br /> under state law, If th�3 own�r or intended tcontractor are uncertain as tu what Iice:nsing requirements may' aK>ply for tFie
<br /> intended work, ihey are advised to contact the Pasco Co�anty Building Inspection I:)ivfsion--Cicensing Seetlon �it 727�•84'l�
<br /> 8009, Furthermure, if the owner fias hired a contract�r or contractors, he i� �dvised to have the contraator(s) sic�n
<br /> portfons of tl�e °contractor Block" of this appllcatlon for wh(ch they wlll be rospansible, If you, as the own'e;r ;�Ign.as tfie
<br /> contractor, that rriay be an indication that he is not prope;rly Iicensed and Is not Eritftled to permitting privileges in Pasc;o
<br /> County. . I
<br /> 'fRAPdSPORTA'TVON IMPAGTIUTILITIES IMPACT AND �ESOURCE RE_COVEIRY FEES: The undersigned undersFancis
<br /> that 'fransportatiun Impact Fees arid Recourse Recovery Fees may apply to the cc�nstruction of riew buildings, c��ange of
<br /> use in existing bulldinc�s, or .expansion of existing buildings, as speclfied in I'aseo County Ord(nance nwmber 8�a-07 arid
<br /> 90-C�'l, as amended. "fhe uridersigned also understantls, .that such fees, as may I�e due, will. be identifiedlat th�: time of
<br /> permitting. It is further understood that Tran�sportatic�n Irnpact Fees and Resourc�� F�ecovory Fees must b� p:aicf prior Qo
<br /> rec�iving a ucertiflcate of occupancy"or finallpower release, ,If the project does ric�t involve; a certificate of'oci�upancy ur
<br /> final power relea;�e, the fees must be pafd prior to permlt fssuance. FurthermorE3, If Pasco County Water/:3ewer Impact
<br /> fees are due, th�y mu�t be pald prior to permlt Issuance iri aecordance with applic��l�le I'asro County ordinanees,
<br /> GOh1STRUCTION LIEN L,AVV (Chapter 713, Florida Sta�utes, as amended); If v��luation c�f work i:� $2,500,0(► or more, I
<br /> certify that !, fihel applic�nt, have been provided with a copy of the "Florid�i C;onstruc;tion Lien Law!Hom��owner's
<br /> Protejction Guide" prepared by the Florida Dgpartment of Agriculture and Consumer Affair�. If the appiica�t i:� ;;omeorie
<br /> oth�r•than the "owner",�I certlfy thafi I have obtafned a copy of the above describ�;cl document and promise in guod faith.to
<br /> deliver it to the "owner" prlor to corrimenceme�nt. .
<br /> CONTRACTOR';310WNER';� AFFYDAVIT: I�certify that all the informatian In thi;� application is accurate an`cl tP�ai all work
<br /> will be done in cc�mpli<�nce with all applicabl� laws regulating construction, zoning and lanci devHlopment. Application is
<br /> here;by made to obtain a permit to do work and insta(latlon as Indicated, I rE�rtify that no work or Installation h��s
<br /> comrnenced prior to i:�suance of a permit and that all work will be performed to meet standards of all laws rE;gulatirig
<br /> con:�truction, County ��nd City, codes, zon(n� regulations, and land develo�ment regulations In the juris�ict(on, I al��o
<br /> certify that I undErstand that�he regulations of other gov�rnment agencies may apply to the intended work�, and that it Is
<br /> my r�sponsibllity fo Identify what actions I must.take tu be in compliance: Such agAr�cies Include but are not�lfmit�d to:
<br /> - Uepartment of E:nvironmental Protection-Cypcess Bayfiead�, 1Netland Areas and Environmenfally ;3ensitive
<br /> l_ands, W�ter/Wastewater Treatment, ;
<br /> � :3outriwest Florida Water Management Uistr(ct-Welis, Cypress E3ayheads, Wetland> A�i�as�, Altering
<br /> Watercourses. '
<br /> � /�rmy Corps of Englneers-Seawalls, Docks, Nav(gablo Wat�rways.
<br /> •� Department �f F�ealth & Rehabilftative Servlces/Environmental Health Unit-Welis, Wastewator 'Tr�:atrnent,
<br /> ;>eptic Tanks, ;
<br /> �• US Environm�ntal Protection Agency-Ask�est�s abatement.
<br /> �- f=eder"al Aviation Autho�ity-Runways. , ,
<br /> I understand that the fallowing restrictions apply to th� use of fili; I
<br /> •• Use of fill is not allowed in Fiood Zone "V" unless expressly permitteci, �
<br /> •• If the flll materfal Is to be used in Flood lone "A", it is undorstoo� that a dr�inage plan ;addrE;ssing a
<br /> "compens�ting volume" wiil be submltted at time of permitting which i;� prepared by a professi;onsil i.nginef�r
<br /> iicensed by the �tate ofi F)orida, i
<br /> �- If the fill mat�;rial Is to be used in Flood Zone "A" in connE�ction with a permifted building using s�tem w�ill
<br /> construction, I certify that fill will be used only to fill the area withiri thEs stem wall. �
<br /> •• If fill material is to be used in any area, I certify that use of such fill will not advErsely affert adj�7cent
<br /> prop�rties, If use of fill is found to adversely affect adJacent propertiE�a, the owner may be cite�ci fc�r violating
<br /> the conditions of the building permit issued under the attached perm(t applic�tion, for lots less th.an one (�I)
<br /> acre�vhich ar� elevated by fill, an enginee:red drainage plan Is requir�ci. �
<br /> If I am the A�EN'T FOIR T'HE OWNER, I promise in good fa(th to Inform the owner• of the permittir�g condifio;ris set foi�th (n
<br /> this affidavit prfor to cammericing construction. I unclerstand that a sep�rat� pErinit may be required for eleciriral worlc,
<br /> piurnbing, si�ns, wells, .pools, air conditioning, gas, or olher installations not spoaifically included in the applics�tiori. A
<br /> permit issued shall be cor�strued to be a Ifcense to proceed with the worl< and not ��s authority to,uic�late, canc�;l, alf�r, or
<br /> set �iside any provis(ons of the teehnical codes, nor shail issuance of a p�rmit prev��nt fhe 13uildirig Official from triereaftE;r
<br /> requlring a correction of errors In plans, constructfon or violatlons of any oodes. Every permit fssued shall become Invalid
<br /> unless the work authorized by such permit is commenceci within s(x months of permit issu��nce, or if work ;authorized by
<br /> the p�rmit is suspended or abandoned for a period of six (6) months after the time the work fs commenced, !An exterision
<br />-----may be_requested, in writing, from the Building .Official_for a perlod not to exeee:d ninety (90) days and w(I� de,monstrate
<br /> justifiable cause f.or the extensfon, If work ceases for ninety (90) consecutive tlays;-th�jo6 is considered abandi�ned.- - --
<br /> WAFtNING TA 0.'WNER: Yt)UR FAILURE TO RECORU A NOTIC� OF COMMIE:NCEME:NI' tVIAY RESU�T IPJ Yl7UIR
<br /> PAYING TWIC� FOR IMF'ROVEMl:NTS TO�YOUR PR'OI�ERTY, IF YOIJ�IN'TENL•) TO O�1'AIN FINANCIN.C�, I;CIN�ULT
<br /> W171� YOUR�LENDER OR AN ATT'ORNEY �EFORE RE�ORDING YOI�R NOTBCE? OF Cl7MM�N�C�MENT.
<br /> FLORIDA JURAT(F,S, 117,03) I
<br /> OWNER OR AGENI' CONTRACTOR_,__� I�__
<br /> Subscribed and sworn to(or afflrmed)beforo me this Subscribeci and sworn to(or afflrmed)beforH mo thls , !
<br /> bY— by----- --
<br /> Who Isl�re personaily I<nown to me or has/have produced Who Is/are personaliy known to me or has/lieve produced
<br /> _ �as Identlflcatlon, _ _ as IdentiFlcatlon.
<br /> _ _Notary Pubilc _ __� _ _ Nota,ry Public
<br /> Commisslon No, Commisslon No,`_____ __
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<br />, Name��f Notary typed,�rinted or stamped Name of Nofary ryped,prliited oi stamped I
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