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NOT(GE C3F DEED RESTRIGTICINS: The undersigned understands that#his permit may be subject to"deed",restrictions"
<br /> which may be more restr.ictive than County regu(ations. The undersigned assumes responsibility for compiiance wi#h any
<br /> applicable deed resfrictions. � . ,
<br /> UNLICENSEL? GONTRACTORS AND CONTRACTOR RESPONSIBlUTIES: If the owner has hired a confiracto� 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 misdemeano� violation
<br /> under state law. If the awner or intended cantractor are uncertain as fo rrvhat Iicensing requirements may appiy for the
<br /> intended work, they are advised to contact the Pasco Couniy Building Inspection Division—Lieensing Section at 727-847-
<br /> 8009. Furthermore, if the awner-has hired a contractor or contractars, he is advised to have the contractor(s) sign
<br /> portions of the "contracfor Black" 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 praperly (icensed and is not entitled ta permitting privileges in Pasco
<br /> County. ` '
<br /> � TRANSPOR7ATION IMPAC7NTlL17'IES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportatian Impact Fees and Recourse Recovery Fees may apply ta fihe construction of new bttildings, 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 fhat Transportation �impact Fees and Resource Recovery Fees must be paid prior to _
<br /> receiving a"certificate of occupancy" or firia! pawer release. Ifi the projeck does nat invalve a certificate of occupancy or
<br /> final pawer release, the fses must be paid prior to perrr►it issuance. Furthermare, if Pasco Gounty WaterfSewer 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): lf valuation of work is$2,500.00 or more, I
<br /> - certify that 1, the applicant, haue been provided with,a capy of the "Florida Construction Lien Law=Homeowner's � ,
<br /> Protection Guide"•prepared by the Florida Department of Rgriculfure and Consumer Affairs. lf the,applican# is sameone
<br /> other than the'"owner", ! certify that ! have abtained a copy of the above clescribed 'document and promise in gaad faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CONTRACTOR'S/OWI�ER'S AFFIDAVIT: I cer#ify that all the information in this applicatian is accurate and that all wark
<br /> will be dane in campliance wifh afl applicable laws regulating construction, zoning and (and deve(opment. Application is
<br /> hereby made to obtain a permit to c!o work and installation as indicated. 1 certif}r #hat na work ar instaliafion has
<br /> commenced prior to issuance of a permit and that all wark will be performed ta meet standards of all lavus regulating
<br /> construction, County and City codes, zoning regulations, and land development regulatians in the jurisdiction, ! also
<br /> certifiy that ( understand that the regulations of other gavernment agencies may apply to the intended work, and that it is
<br /> my respansibility to identify what actions i rnust take to be in compliance. Such agencies inciude but are not limited to:
<br /> - Department of Enviranmental Protection-Cypress Bayheads, Wetland�Areas and Enviranmental(y Sensi#ive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, UVetland Rreas, Altering
<br /> Ul/atercaurses. �
<br /> - Army Carps of Engineers-Seawalls, pocks, Navigable,Waterways. '
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestas abatement. ,
<br /> - Federal Aviation Authority-Runways. �
<br /> i understand that the following.restrictions app(y to the use of fill:
<br /> - llse af fill is not allowed in Flaod Zone"V" unless expressly permitted,
<br /> - If the fill materia! is ta be used irt Flood Zone "A", ifi is understaad that a drainage plan addressing a
<br /> "cornpensating volume° will be submitted at time of permitting which is prepared by a professiona! engineer
<br /> , licensed by fhe State of Florida. '
<br /> - (f the fill materia(. is.to be used in �(ood Zone "A" in connection with a permitted building using stem wall
<br /> construction, 1 cer�ify that fil!will be used anly to fill the area within the stem wa(fi.
<br /> - !f fi!! material is to be used in any area, 1 certif}r that use of such fill �wil! not adversely afFect adjacent
<br /> , properties. !f use of filf is found to adversely�affect adjacent properties, the owner may be cited for violating
<br /> the conditians of fihe building permit issued under the attached permit.application, for lots less than one (1�
<br /> acre which are elevated by fi(I, an engineered drainage plan is required.
<br /> !f 1 am the AGEfVT FOR THE �WNER, ( promise in goad,faith to inform the owner af the permitting conditions set forth in
<br /> this affidavit prior ta commencing construction. I understand that a separate perrn9t may be required for electrical work,
<br /> plumbing, signs, wel(s, poals, air conditioning, gas, or other installations not specifica(ky,included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the wark and no#as authority to vialate, cance(, alter, or
<br /> set'aside any pravisions of tiie technical codes, nor sha(( issuance of a permi# prevent the Building Official from thereafter
<br /> reqetiring a correction of errors in p(ans, construction or violatians of any codes. Every.permit issued shali become invalid ,
<br /> unlsss the wark autharized by such perrrtit is commenced within six months of permit issuance, or if work authorized by
<br /> the.permit is suspended or abandoned far a period of six(6) months after the time the work is.commertced. An e�ctension
<br /> may be requested, in writing, firom the Building Official for a periad not to exceed ninety (90).days and wil! demonstrate
<br /> jusfifiable cause for#he extension. If wark ceases for ninety(90} consecutive days, the job is cansidered abandoned.
<br /> 1f1fARNING Tt� OWNER: YOUR FAILURE 1'U RECORD .A NOTICE t3F CONtMENCEMENT MAY�RESULT tN Y{3UR
<br /> PAYING,TWICE FOR lMPROVEMENTS TQ YOUR PRt?PERTY. IF YOU 1NTEND 70 t�BTA1N FlNANGING; CON�Ul.7'
<br /> WITM YOUR LENDER OR AN TTORNEY BEFQRE RECORDlNG YOUR NOTICE OF COMMENCEMENT.
<br /> FLdR1Dfi,JURAT(F.S.117.03} �
<br /> OWNER OR AGENT CONTRACTOR � _
<br /> Subscribed and swom to(or,afflrme8 before me this � Subscribed and sworn#o(ar affirme before me this
<br /> u°-U�i`!!. by.�au Sweeney - - Q6:oG�-+z _ by Pa Sweeney _ –-- --
<br /> __ ._ -
<br /> Who is/are personallV known to me or Who is/are personallv known to me or
<br /> as identification. as idenfiftcatian.
<br /> ,�..'.�"—� �,
<br /> Notary Public � �-- Notary Pub(ic
<br /> Comrrtission No. FF98537 ' Commfssion Na. .�F9$537 '
<br /> Elissa M.Holleran ' Elissa M.Holleran ' '
<br /> Name of Notarv tvped,printed or stamped. Name of Notary typed,printed or stamped
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