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fdt7TlCE{3F ��ED R�STRICTIONS: The undersigned undersfands that this permit may be subject to"deed"restrictians°
<br /> which may be more restrictive than County regulations. The undersigned assumes respansibility for compliance with any
<br /> applicable deed restrictions. - � . .
<br /> UNLICENSE� CONTl�ACTORS ARtD CQNTRACTOR R�SPONSt�ILITtE$: If the owner tias�hired "a contractor or
<br /> contractors to undertake work, they.may be requireci to.be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the ouvne��and contractor may be`cited for a ri�isdemeanor violation
<br /> under sfate (aw. lf fhe owner or intended contractor are uncertain as to what licensing requiremen#s�may app(y for the
<br /> intended work, they are advised to contac#the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contrackor or contrac#ars, he is advised to have the contracto�{s) sign
<br /> porkions of the '"contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> cantractor, that may be an indicatian that he-is not praperly licensed and is not entitled ta permitting privi{eges in Pasco
<br /> County. � - - � . . , . .
<br /> TFtANSPC7RTATION IMPACT/UTIL[TIES Ii1�PAC'�AND RESOl1RCE RECOVERY FEIES: The undersigned understands
<br /> that Transpoctation lmpact Fees and Recaurse Recovery Fees may apply tr�the cons#ruction of new buildings, change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pascb County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned alsa understands, that such fees, as may be due,.will be identified at the time of '
<br /> permitfing. lt is further understood that Transportation Impac# Fees and Resource Recovery Fees rnust be paid priar ta
<br /> receiving a "ceRificate of occupancy"' or final power release. If the project does not invalve a certificate of occupancy or
<br /> fina! power release, the#ess must be paid prior ta permit issuance. Furthe�more, if Pasca County WaterlSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco Caunty ardinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of worK is$2,50p.00 or more, !
<br /> certify that 1, the applicarit,"have been provided vuith a°copy af the "Florida Construction �ien Law—Hameawner's
<br /> Pratection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"awner", I certify that 1 have abtained a copy of the abave described documen#and prarr►ise in gaod faith ta
<br /> de{iver it to the`bwner"prior#o commencement. ,
<br /> CONTRA,CTOR'S/OWNER'S AFFiD�►VIT: I certify that all the information in this application is accurate and that all work
<br /> wi11 be done in compliance with all applicable laws regulating canstruction, zoning and land deveiopment. AppEication is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no worlc or ins#allation has
<br /> commenced prior to issuance of a permit and that all uvork will be performed to meet standards of all laws regt�lating
<br /> construc#ion, County and City codes, zoning regvlatians, and land develapment reguiations in the jurisdicfion. i aiso
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions 1 must take to be in campliance. Such agencies include buf are not Eimited to:
<br /> - Departmen# of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Wa#erMlastewater Treatmen#. �
<br /> - Sauthwest Florida Water Management t7istrict-Wells, Cypress Bayheads, Wetland Areas, .Alfering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigable Waterways_
<br /> - Department of Health & Rehabilitative Services/Enviranmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US E�vironmental Protecfion Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> ! understand that the follawing restrictions apply to the use of filL• �
<br /> - Use of fili is not ailowed in Fload Zone"V"unless expressly permitted.
<br /> - If the fill material is ta be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permiiting which is prepared by a professional engineer
<br /> licensed by the Sta#e of Floricla.
<br /> - !f the fill materia! is to be used in Flood Zone "A'" in connection with a perrriitted huilding using stem waN
<br /> cons#ructian, !certify tha#fl(wil(be used only to fll 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 fiif is found ta adversefy afFect adjacent prope�ties, the owner may be cited for violating .
<br /> fhe conditians of the building permit issued under the at#ached permit application, for lots less than,one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required. .
<br /> If i am fhe AGEPlT FOR'�HE t�WNEFt, 1 pramise in gaod faith to inform the owner of the permitting conditions set fprth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wefls, pools, air conditioning, gas, or other installations nof specifically included in the application. A
<br /> permit issued shal( be construed to be a license ta proceed with the work and not as au#hority to violate, cancel, alter, or
<br /> set aside any provisions of the technical cades, nor shall issuance of a permit prevent the Building Official from thereafter .
<br /> requiring a correction of errors in plans, cor2stcuction or violatiarrs af any codes. Every permit issued shal!beeome invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandonsd for a period of six(6) months after the time the worlc is commertced. An extension
<br /> may be requested, in writing, from the 8uiiding Officiai far a period not to exceed ninety (90} days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> � WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT !N YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TC?YOUR PROPER'fY. IF YOU lNTENCD 70 OBTAfN FINAl�CIAIG,COIVSULT
<br /> WiTFi Yfl�IR LE�iDER OR ARt ATTQRNEY�EF€�RE R�CORDfNG YOUR NOTIGE OF CtJMfldiENCE1V�Et�i'.
<br /> FLORIDA JURAT(F.S. 17.03) � �„y — _'
<br /> --QWI�IEt2 0R AG ElV-T- —-- -� —.-_ -— -- _ ' —__• _.__£;8ist-Tf2ACT_�R--- - -_._ �3'"i'�!�T�?��=__"_—=-...T-..:�
<br /> Subscribed and swom t r ffi )be��//���- Subscribed and sworn to affirme efo� e is �`
<br /> bY by G�.:�'-if/
<br /> Wh�istars personallv knawn fo me or has have B aduced 1N„�'�slare persanall known e ar haslhave produced
<br /> as identificatian. as ide�tification.
<br /> ti
<br /> � �-� '"���"'""�Nota Public d'�4,��/ ` _'
<br /> rY �"""�� Notary Public
<br /> Gommission No. Commission No. 1"�_7_ �'7f
<br /> .
<br /> Name af Notary typed,printed or stamped Name of'Notary typed,printed ar stamped
<br /> 4 O;�jgY P�, pATR3GIA M4DERSON 'Y'6�• PATRIGIA AhDEftS4N
<br /> :r,• 'o', �^a-•y;:'�,
<br /> :,: ,,: MY CONI�ISSIQN#FF 834900 :`�' "= MY CONNIS510N#FF 934900
<br /> =;; 4' EXPIRES:Jaruary 3,2020 ;�•., 4= EXPIRE ary 3,2020
<br /> �; ��'.. S:Janu
<br /> '_'�'„'r t�. Bonded Thru Notary Pu6fic Underreriters �.�a;.�k''�' Batrc'ed'fhN Notary Pabtic UnderwriEes�
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