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idOYiCE OI�DEED RE�TRIC3"ION�: Th�ur�de�es(gned un��rgQa�ds-Qh�t=thP�.�p�r:mitmay.be,.subject to"deed",restricttons" �
<br /> which may be=onore�.re�ti:Ictivelthan County�°r+eg�latCons. 'Yh�uaedersig��d°����ume�-r�spansitiillry�for"compll�ieice tivith any
<br /> applicable deed restr�ctlons. • `= r
<br /> UNLiC(ENSED CONTRAGT013S AND COPi�ti�►CTOR RESPON�IBO�ITIES: tf�the owner has �hired a �ntractor or�����
<br /> contractors to und�rt�k�wiork, they may be�requle,.e,d.�to-be;llcensed In-accordance.writh state.and•loca� r�gulations. �If the�
<br /> contractor ts not Iicensed �s requlred°by law, botFt�the own�r and-conUacto�°inay ba-•clted for a�misdeQneanor violation
<br /> und�r state Iaw. If the owneP or Intended contr;actot�ere,uncertaln as to wh�t ticen�in�;r�qulrements nnay�appiy��forthe
<br /> int�nded work, they are advised to cmntact th� Pasco County��ullding In�pection Divialori�-L•icensing�$ection at 727-847-
<br /> 800J. Fu�hermore, If ghe owner has Filred a contracfor or•contractors, he is advised<to have Qhe contractor(s)., sign
<br /> portlons of the "contractor �lock° of this appltcation for whl�h they wilLbe .responslble.�.�f.you,-as.fhe oeimer"'sigre'as'the
<br /> contractor� that�may be an indication that�he-is not.properly Iicensed and'Is not entitled to perrri6tting privlleges in Pasco
<br /> County.
<br /> T�1N��ORTATION-IMPACTIUTIL1YlES�rMPAC'�AN��RE�OURCE RECOVE�tIf'�FEE�: The und�rsigned understands
<br /> that Tra�spor4atfon Impact Fees and.Recours� Recove.ry.Fees may�apply:to:the.construction of newr buildtngs, change of
<br /> us� in exi�ting bulldings, or:.expanslon>of-+ezistin,g.:buildings, a,� speclfied.in P�sco County Ordinanc� number�9-07 and
<br /> 90-07, as amended.,_The. undersigned also�understands, thait such fees�-as,�may�be�-.due;���Ilif�be id�ntifled at th��time°of-
<br /> permitting. It Is furtFi�r understood that Transportation Impact Fees �nd°Fteaource R�cov�ryaFees.must be patd prior to
<br /> receiving a "certificate of�occupa�ncy" or�flnal�power:reiease. :If the.proj�ct.�oes.not�Involve:a-.cer�Bcate of occupancy o��
<br /> finai power rele�se, the fees mu�t be paid petor to permit issuance. F��thermore,=ifi.Pasco,County�Water/Sawer lmpact
<br /> fees aPe due,they�,[nust be=pald.pNor to permit-Is�uance�in accordance�rith appltcabF�P�sco�.County ordinances. •
<br /> CO(dSTRUCTION LIEN"LAW(Ch�pter 713, Fimrlda�tatute�,� arrsende��: If valuatlon of work ls$2,500.00�or more, I
<br /> certify that I, the appllcant, have.been �ravid�d writh a copy of 4he "Flor6da Constru�tlon Lieot Lau�t=—Homeowner's �
<br /> Protection Gutde" prepared by the Flo�ida.Depa�tment�of AgPic.ulture and ConsumerAffairs. If the applicant Is someone
<br /> other than the"owner", I certifjt�that I;have.obt�in�d�a�°copy.of.#he:above.rJes.crlbed tlor.�lrr�ent-and.promise:in,good.faith to
<br /> deliver it to the:°ownec"�_prior�to•cornmencertaent:� ' ' ,
<br /> �ONT�CTOR'SlOW6VER'�AFFIDAVIT: I.cer�ify.,that�il thg�lnf.ormation.in thi� application is �ccurat�and that�N work
<br /> will'b� done in compliance wtth aEl applicable lawrs regulating construction� zoning and land development. Ap�9lcation is ',
<br /> her�by rr�ade to obt�in .a .permit ,Co do_work...and installatlon as indicated:• -:I cenlfy that no work or installafiton has
<br /> commenc�d prior to Issuance of a permit and that.all work will be pertormed to meet standards of ail lawrs regul��ing�
<br /> construction, County and City aodes, zoning regulatians, and land �evelopment tegulatlon�-°in the jurlsdtction. I also
<br /> certify that I und�rstand that the r�gulations of other gov�rnment a���r�i�s may�apply�to.4he intend�d work, and that it is
<br /> my responsibility to identify•what.ac4�ons I must take.to be.ite:.cotr�p9lar�ce: Such agencle�Include but-ar�.not Ilmited to:
<br /> - Departrnerrt of E�viron�nental�Rrotecttbn-Cypcess.B�yhead�, V1letland Areas and E�vironmentally Sensitive
<br /> L�nds,liVat�rlWa�tewater Treatment.
<br /> - Southwest Florida 1f�ater Manag�ment .DEstrict Welis, Cypress.��Bayheads; Wetland Are�s; Altering
<br /> Watercourses.
<br /> - Army Corp�of Engine�rs-Seawralls, Docks, Navtgable Watetways. ;
<br /> - Department og H�alth'� Rehabllitative Servtces/Environmental Health Unit Wells� Vldastewtater-Trea4rr�ent, �
<br /> Septic Tanks. _
<br /> - US Environmental Prot�ction Agency-Asbestos abatement. ',
<br /> - Federal AviativnAuthorlty=Runways.
<br /> E under�tand that the followang:restrictlon�apply to the use of flll:�
<br /> - lDse of flll Is not allowed in Flood;Zone"V"unless��xpres�ly perrnitted.
<br /> - If the flll material is to �b� used. in.�Flood Zone. "A", tt. Is understood that a drainag� �E�n addresstng a
<br /> � °compensating volum�p will be subr�itted a@ time of.permifting which I� pr�pared b� a proi�s�fona9 �ngineer
<br /> licerosed by the State of'Florida:
<br /> - if ihe flli materlal .is to b� used In Ftood Zone "A" In�coron�c3ion•wOth�a peren6tt�d 6uiBding using st�rtn wrall
<br /> � const�uc�ion, i certifjr that fill�:�uill:be�used only.to.filE the area w►lthin th��stem�wali. -
<br /> - if f�ll rn�terlal Is t� b� a�sed i� any area, 0 �c�rtlfi� t#�at .us�. of such flll �11E not �red�Ps�ly �ff�ct ad)acent
<br /> prop�rti�s. If us�o�flll Ys found to advers�Py:��ect adJacent�propertfes,.th� o�►n�r ��y b�cl4ed for vtola�ing
<br /> 4he e�nditions of the building:pePmit Is�ued under the at�ached p�rmit �pplicatlon, f�r:lo�s less tt�an one (1)
<br /> acre whtch are elevated�by f]Il; ar�engineered dralnage plan is required. � .
<br /> If I am the AGERJT FOF�`�HE OIMNER, I,promtse In good faith to inform the owner of•the perml�ting conditlons set forth in
<br /> this affidavtt�prior to comr��racing construction. I vnder�t�rad �hat a separate permlt rr�ay b� requlred for elecMcal work,
<br /> plumbtng, so�ns, weils,.pools;. alr conditiontng,.g�s, or olher Inst�ll�ittons nol�spec�ically included�in.4P�e application. .A
<br /> permit Ossued shall be construed to be a Iicens�tv-proce�d w+lth the work and not as.authorify to,violat�. ca�cel, al@er, or
<br /> set a�ide any provisi�ns o�ihe.Q�chnicai codes; nor shall Issu�nce�of a.p�rrriit.prevent the�ulldtiig O#iicial from thereafter
<br /> requiring a correctio� af enors In.plans; constPuction or vlolat(ons of�ny codes. Every permit Issued shall become invalid
<br /> unless the work authorized.by such permit:is.commenced•wl@h(n sfx montha of�permit is�uance. or if wrork authorized by -
<br /> the permit is suspended�or.abar�doned-for a�:period of six f�)re�onths.after the tlrt��the�wo�k�is commenced. An extension
<br /> may b� requested, In writing, f�om the �ullding,Offlcial for a p�rlod-�no�to exceed ninety(90) days and-will demonstrate
<br /> justiflable cause for�the extenslon�. If work c�as�s:for ninety.(90)cons.ecutive day.s,..th�Job�6s considered aba�doned.
<br /> @MARNYPIG TO OUVNER: YOUR..FAILlJRE.1'O:.R�E.C.O�D 14 �9�YIGE�:OF�COII�MEMCEMEt�T NFI0IY�RESULT IN YOUIt
<br /> PAYING TWIICE,FOR IAAPROVEAAEN'�3�TO.YOtDQ�;PR�PER`TY. IF�YO.U�I1�9'�END�TO���BTAIN�FI(�tAP�E1NG;�CON3ULT
<br /> �flllT D a1M � O �O �t2 f� Oli ' : ��E" '� '�°' E
<br /> FLORIpA JURA�(F.S.1.17.031 . - - --��. � - . _
<br /> OWNEfp OR AOENT �"��°�'�f4r� CON413ACT0 � �'J�� �. .
<br /> Subscrlbed and�wom to(or afflrmed)before thls Subscelbed and'�m�tt�(ot af�rrnedpbefo e ttiis
<br /> by •by
<br /> Wfio islare personaily known M.me or haslhave produced Who.is/are p.ersonallyacnovun lo me or has/have�produced • _
<br /> as identlflcatl4n. as Identl�caUon.
<br /> Notery Publlc . Idotary Public I
<br /> Commisslon No: Commisslon Plo.
<br /> Name of Nofary typed,printed ar stampad Nam�of Not�ry typed,printed or stamped
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