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N01"iCE OF DEEL1 RESTRICTIONS: 'fhe undersigned undersfands fhat fhis permit may be subjecE fo"deed"resfr�cftans° � ' <br /> which may be more resfricfive than Caunty regulations. The undersigned assumes responsibilify for compliance with any <br /> appfIcabfe deed restrictiosrs. � <br /> UNl.iCENSED GdN'fRAGTd12S AND GdNT12ACTOC RESP4NStBtL1T1ES: If#he awner has hired a cantractor ac <br /> contractors to undertake work,they may be required to be licensed In accordance with state and local regulations. If the <br /> confractor ts no#licensed as required by law,both fhe owner and contracfor may be cited for a misdemeanoc violation <br /> under sfafa!aw 1f fhe owner ar isrfended confracfar are unceftain as fo what ticensing requirements may appty for fhe <br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Seckion at 727-847- <br /> 8009. Furthermore, if the owner has hired a conVactor or contractors, he ts advised to have the contractor(s) sign <br /> porttons af fhe"confracfar Btack"of ftris application for wh'sch they wilt be responsi6te. If yau,as the owner s[gn as the <br /> contractor,that may be an indication that he is not properfy licensed and is not entitted to permitting priviieges in Pasco <br /> County. <br /> TRANSPORTATEON iMPACT1tlTiLITtES IMi'AGi'AMD E2ESOURCE REGOVERY FEES: The underslgned understands <br /> tl�at Transportation Impacf Fees and f2ecourse Recovery•Fees may app(y fo fhe consfnaction of new bviidings,change of <br /> use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance nurn6er 89-07 and <br /> 90-47,as amended. The csn8ersignetf alsa understands,tha#such fees,as may be due,wi(I be(dentified at the Sme af <br /> permitffng. It is furfher undersfood that Transportafion tmpacf Fees and Resource Recovery Fees musf be paid prior to <br /> receiving a"certificate of occupancy°or final power release. If the praJect does not invo(ve a certificate of occupancy or <br /> finat power refease,the fees must be paid'prior fo permit issuance. Furkhermare,if Pasca Gounty WaterlSewer lmpact <br /> fees are due,fhey must be paid prior fo permit issvance in aecordance with applicabfe Pasco Counfy ordinances. <br /> CQNSTRUCTION L,IEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of wark is$2,500.00 or more,I <br /> certify that 1, the appficanY, have been provided with a copy of the °Florida Constructlon I..ien Law—Homeowner's <br /> Profec5on Guide"pcepared by fhe Fiorida Depastmanf of Agricutture and Consusner Affairs. if the appiicant is sameone <br /> other than the"owne�",I certify that i have obtained a copy of the above described document and promise in good faith to <br /> ' deliver it ta#he"owner"prior to commencement. <br /> GONTRACTdR'SIOWtdER'S AFFiDAV1T: t cerfiiy fhat all fhe Information in thfs agpiication is accurafe and that aft wark <br /> will be done in compliance with all applicable laws regulating construction,zoning and land devetopm�nf. Application is <br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has <br /> ' commenced priac to issuattce of a permit and#nat all wark wiii bs parfarmed fa meet"sfandards af ail laws regutat(ng <br /> constructian, Coun#y and City codes,zoning regulations, and land deve(opmenf regufa6ons in#he jurisdictibn. 1 aisa <br /> certify thet 1 understand that the regulations nf other government agencies may apply to the intended work,and that it is <br /> my responsibi[ify fa identify what actians I must fake to be in comptiartce. Such agencles fnclude but are nat limited ta: <br /> - Department of Environmenfal Profecfion-Cypress Bayheads,Wetiand Areas and Environmenfaliy 8ensifive <br /> Lands,WafeNWasfewa#er Treatment. <br /> - S4U�IWPSf Florida Water ivlanagement District Welis, Gygress Bayheads, Wetfand Areas, Altacing <br /> Wafercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watetways. <br /> - bepartment of Health & Reha6iil#aEiva SecviceslEnvironmenta! Flealth Unit Wefls, Wastewater Treatment, <br /> Sepfic Tanks. - <br /> - US Environmental Protection Agency-Asbestos a6atement, <br /> - Federa!Aviatian Authorify-Runways. <br /> i undersfand fhat fhe fo((owing resfrictions apply#o the use of f 11: <br /> - Use of fill is not allowed in Flood Zone"V"unfess expressly permitted. <br /> - 1f the ftU materia! is to be used in Fload Zone "A', it is understood that a drainage plan addressing a <br /> "campensafing volume"wi116e subrr7itted at time of permifting whlch is prepared by a prafessionai engineer <br /> ' licensed by the State of Florida, <br /> - if the fil!maferia! is to be used In Flood Zone "A"in connectian with a permitted building using stem wall <br /> canstructian,l certify fhaf ftll will be used onty fo fi[I fhe area witilin fhe sfem wall. <br /> - If fill material is to be used in any area, I certify that use of such fifl will not adversely affect adjacenf <br /> properkles. If use of fill is found to adverse(y affect adjacent properties,the owner may be cited for violating <br /> the conditions of fhe building permit lssued under fhe aftached permit appiication,far tafs less fhan ane{1) <br /> acre which are elevated by fill,an engineered drainage ptan is required. <br /> If i am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in <br /> � this affdavit prior to commencicrg consfrucfion. i undersfand thaf a separafe permiE may 6e requlred for e(ectrlca[work, <br /> plumbing,signs,welfs, poo(s, air conditioning, gas,or ofher insfallations not specifically inciuded in the appiication. A <br /> permit issued shall be const�ued to be a license to proceed with the work and not as authorify#o violate,cancel,alter,ar <br /> set aslde any pcavisians of fhe fechnicai cades,nor shail issuance of a permit prevent the Bu'slding Otficia!from theceafter <br /> requiring a correction of errors in ptans,consfrucfion nr violations of any codes. Every permit issued shalt become invalid <br /> unless tfie work authorized by such permit is commenced with(n six months of permi#(ssuance,or if work autharized by <br /> the permit is suspended ar abandaned for a period of six{6)months after fhe time the work fs cammenced. An extension <br /> may be requesfed,in writing,from the Bui(ding dfficiat for a period not fo exceed nineiy(90)days and will demonsfrate <br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is oonsidered abandoned, <br /> WARNING TO OWNEE2t YOUR FAiLURE TO t2EGORD A NdTICE OF CONtMENGEMENT MAY E2EStILT 1N YOUE2 <br /> PAYING TWICE FOR IMPROVEMENTS Td YOUR PROP�RTY. IF YOU INTEND TO OBTAIN FINANCING,CONSUL.T <br /> WlTH YOUR LENDER OR AN ATTORNEY SEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FL4RIDA JURAT{F.S.117.03} <br /> OWNERORAGENT CONTRACTOR <br /> Sub crib�d and swom to{ar�a�F�rmed)before e this Subacri ed d swom to(or a�r )before ma this `�� <br /> �O��Q It? ��+c��a+c lu- ��.r�� O P by /�,^j„ �r 1+�.��`er Y4�.. <br /> V� i e ersonaify kn— o�n —�or haslhave produc� Who'!a personaity tmawn to me or has/have produced�f <br /> �5 r ti' �> as identifioadon. as IdenGfication. <br /> ic'�`L'�;" <br /> k� � ,�p���. <br /> ti¢�a� 5 �� ��^ � t�5. 0�0� <br /> Q�t�`O�Q.J�'�� � NotaryPubl(c �-f li"iv � _ _. 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