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� • PdO i iGE GF DEEQ�ttES'f"R1Gi ION5: The:undersigned understands<that this:permit may be:subject to"deed"restnctions°-`
<br /> which may be more restrictive tfian County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br />�� UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> �Conrtty.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that.1, the�applicant, have:been provided with a,c�p�t of the."Florida �onstrustion Lien tava—liomsowner'�
<br /> Profectlon OuCde"prepared 5y tFie Ftorida Department of Agr'rculture and Consumer Affalrs. If the appticanY is someone
<br /> other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development. 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 prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<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 I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department.oi Environmental Protection-Cypress Bayheads,�1rUetiand xlreas,and Environmental}y.5ensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of.fill is not.allowed in Flood Zone"V"unless exQressly permitted. _ .. _ .. _ .
<br /> - l#,the �el�matedal:is to be nsed�in �loodr Zone "A', i# is anderstoo�:fkra�a d�airtage plair addressing• a
<br /> "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction,I certify that fill will 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 fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached 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 the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this„affidavit prior.to caminencing cortstrucEion, f-�nderstand-that:a.separate Fermit may be requir�d for:electrical�,vork,
<br /> plumfiing, §Igns, wetls, poots, air�conditiorifng, gas, or other'(nstallaftons not specificaiiy vnoluded in the applfcaflon. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become 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 abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Official for 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 IN YOUR
<br /> PAYWG 7itY10E FOit I1fiPR0'YENiEiVTS;TCJ YOUR FROFERTIF': IF1'�OU Ii�TE�niu 70 OBTAIN'Fihli�AiCIPIGi GOFJSUL'T
<br /> WITH YOUR LEIYDER OR AM1f ATTORNEY BEFORE RECORDMG"YOUR NOTICE OF COMIfIIEN�EMENi`.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNERORAGENT CONTRACTOR �iG}ZtUC�C �IUmbr•'1P �
<br /> Subscribed and swom to(or affirmed)before me this Su scnb d and swo�(or affirmed),befo g me this �,,� /
<br /> by �'�by `��i C,�'!C.g� ��.Q Yl Y! �l�LO
<br /> Who islare personally known to me or haslhave produced Who is/are personally cnown to me or has/have produce
<br /> as identification. ��p ka.��n ot.iti as identification.
<br /> Notary Public F/or�•4� � �/ �(/S�OYOC/4�Notary Public
<br /> Commission No. Commission No. ��9.U 2�Z 7
<br /> Name of Notary typed,printed or stamped Nam of otary typed,printe or stamp , ,���
<br /> .SF,E'���= �gRI►�fYlCCOAAAS
<br /> ;�, •': MY COMMISSION#FF202827
<br /> %. 4. . EXPIRES Februery 24,2019
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<br /> ��10/1398a'S3 FbricteNoMygervice.�
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