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<br /> N()1'ICE: OIF DEE:[) RE_STFtIC1�lONS; The; undersigneci understancls that this perrnii: rnay be subJoct to "d�e��di' restric;�ions"
<br /> whicru m;ay be more r�stric;tive than Cc�unty rfagulations. 'Tlie undersignecl assurne:s respon:�ibllity for compliaiic�; vvith any
<br /> applicable deed restric;tions, '
<br /> UNLI�C��JSED CC)NTRA(oT0'RS ANE) C�t)MTRAC70R F�ESPONSIBILITIES; If the owner has hired �� c��ritrar,tar or
<br /> contr��ctors to undertake work, they may I�o required tc� be licenseci in accordancE; with state and local rec�ulal.ionC. If the
<br /> contr��ctor is not licensed as r'equired by law, both thE; c�wner �and contractor msiy be citecl for � misdeme;arior �iol�ation
<br /> under st�to law. 1f the ovvner or interid�s�� contractor ar<3 uncertain as to what lir,ensing requirements rri��y i��pply for the
<br /> intencied work, 9hey are acivise:d to corit�ct tho Pasco C�ounty Bi�ilding Insp�ction M�ivision—Licen:�ing Sec;Qic�n at 7;2�-��347-
<br /> 8009, Furthermore, of th�: ovvner ha,s hired a contractor or contractors, he is advised tc� hav� the c��ntrc�ctor(s) sign
<br /> portlans of the "cantre�ctor Block" of triis ��pplication for vvhiich they will be resporisible. If you, as the o�v�ne;r sigri ��� the
<br /> contr��ctor, that m�ay be an in�icatic�n I:h�at he Is not prop�rly lia;nsed anci i:s not e;ntikled to permitting pri�vil�gE;s iri �'��sco
<br /> County, '
<br /> TFtA1�JSF'ORTA'TI(�N {MP�CTNTILITBES IM9'ACT�ND RESOl1RC� RE;C�DVERY FEES; The undersigni�d��ind�r;�f�inds
<br /> th��t T'ransportaYioi� Impac� FeE;s and Fte�c�rur��e RecovE;ry f=ees may apply to thE; c;on�tructian of new buil��irig.��, chanc�e of
<br /> use in existing buildings, ��r expansiori c�f existing buil��ings, as specified in Pa;�co County Ordin��nce numbE:.i� l39-(�7 and
<br /> 90-0"1', as �mended. The undersigned ��I:�o understands, that �uch fees, as m��y be due, will be identlfi���� at tl�e time of
<br /> permutting. It ls furthe�r uriderstood th�t T'ransportation linpact Fee�s and Resourc;e F�ecovery Fe�es musi: be; ��aid pric�r to
<br /> rE;�oi�iinc� a "certificate of ��ccupancy" or f�nal power rele<�se. If the� project doe;> not involvE: a certificate c�f oc;cupanc;y or
<br /> final ��ower release, the fE�es inust be p�id prior to permlt issuance. Furthermi�n=, ii` Pasco County Wate:r/S�;we� Impact
<br /> fe�s s�re due, they must bE= pafd prior to pEarmit fssuanc� in accordance with applic�bl�� Pascu County ordin��n�r.•��e�.
<br /> CON'ST'I�UCTI�N LIE;N L�4W (Chapte�r 7'13, Florida �tatutes, as amended); �f valuatfon of wor9c is $2,;i()0!C)0 or rnare, I
<br /> certif?/ tf�at I, the ap��licant, F�ave been nrc�vfded wii:h a copy of the "Florida Construction Lien LaNr�---Wc�meowr�er's
<br /> Protecticm Guide" prepar�d b�� the FlGrid�� D�partmenl of Agriculture ancl C;onsurner Affairs. If the applic,an't is sornE;one
<br /> otl�er th��n the "owner", I certif!� thaf I have; obtained a c;o��y of the �bove cie;scribecj �ocument and promis�� in' c�ood faith to
<br /> delivr:;r it to the"owner" prior tc� comm�nc,E,me:nt. '
<br /> Cc�N'TR�A�TOR'SIONJNEf2'S AFF9DAVd1': I certify that ,�II the Bnfvrmation in this ap��lication is ac;curate �ind i;h�t a91 work
<br /> will be done In complianc� wiQh all applicablc3 laws rec�ulating con:�truct(on, zoning and land developmerit. F�pF�lic:ation is
<br /> herel:�y made to obteiin �i permit to da wor�l� and in;st�illation as indic�ted. I ce:riify that no work or fr�stallatian has
<br /> comrnenced prior to issu�ance� of a permit and that all wc�rk will be peri�ormed to meet standards of ali I��ws regi,al��ting
<br /> consi;ruction, County and Cit}� codes, zo�niny regulations, and land devel�pmerit risgulafi�ns in the juri:�cii,c;�fian. I also
<br /> certif;y that I understand tf�at tP�e regulatic�ns of'otlier government ��genci�ss may ��pply to the intended w��rk,j cind fhat it is
<br /> my re;sp��nsibility to fd�ntify wriat actions I must take to bf; in compliance. Such �c�encies inc;lude I�ut are nc�# lirnited to;
<br /> - Departm�nt af Erivironmontal Protection-t�ypress �ayheads, 11Vetl��nd f�reas and Environm�ntaily Sensitive
<br /> Lands, Water/Wa;�tewater TrE:atrnent.
<br /> - Southwest Florida Wat�r Managemeni; District-Wells, (�ypress E3ayheads, Wetland ��re�is, Alte;ring
<br /> Water'courses,
<br /> - Army Corps of Englnee;rs•�Se<�walls, Qocks, N�ivigable Waterways. �
<br /> - Departme,nt of H��alth & Rehak�ilitative ServiceslE:nvironment�l He��lth Unit-Welis, ,Wastew��ler TrE;atment,
<br /> Septic;Tanks,
<br /> - US Environm��ntal Protection Agdsncy-AsbE;si:os abatement. �
<br /> - Federal aviatlon f�uthority-Runw��ys, ,
<br /> I �mderstand that the 1`oilowing restrictlons apply to the u:�e of f(II: � j
<br /> - Use of fill is n�t allowed in Flood 'I_one"V" unle;ss exprE;ssly permitt�d. �
<br /> - If the flll mal;erial is to be i_ised ln Flood Zone "A", it is ur�der��tc�od that a drainaye plan �Gu�clre�ssing a
<br /> "comE�en��ating v�lume" will t�e :>ubmitted at time of permitting whir,h is prepared by a profe:ss�brial E;ngineer
<br /> licensed f�y the State of Floricia. �
<br /> - If the �II mat��rial is to be �a;�ed in Flood Z��rie "A" in conn�cl;fon with � permitted building �asir�g skenn wall
<br /> construction, I certify that fill�vill be used onl�/to fill fihe area witliin tlie ste:m wall,
<br /> If fill material is to be used in any are�i, I certif,y tliat us� of suah fill will not adversely ��ffE:ct ;�cijacent
<br /> prop�rtie:�. If use of fill Is fc�iand to advers;ely affect adJacenk propertles, the owner rnay be cit��cl for vlolating
<br /> the condition:� of the buildinc� pE:rmit issuE�d under the attaciied perrni� ��pplication, for lots less th,�n c�ne (1)
<br /> acre which are elE;vated by fill, an engineered drainago plan is requlre�d,
<br /> If i am ti}e AG�N7 F(aR �'HE OWNEIt, I promise in g��od faith to inform th� ownE3r of the permitting conditior7:> set i`orth in
<br /> this ��ffidavit prior to c;vminencing constriacti�n. I under�tand that a separate F�ermit may be required fc�r eic�ci:ric:al work,
<br /> plut�nbing, signs, wells, pQols, air coriditioning, gas, c�r other inst��llations not ;speci�ically included in the a��plic��tion. A
<br /> pE;rrr�it i:�sued sh�ll bE; construed to b� �� IicEnse to proceE;d wfth ti�e work and not as authority tc� violate, c,ai�c��l, altc;r, or
<br /> sE;t asid� any provisic�ns of th� technical codes, nor shall issuance of a permit F�r�;vent the 13uild(ng Officia( f�c�m tf�ereafter
<br /> requirinc� a con�ection of error� in plans, cono-�tructfon ar vic�lations of any codes. �very permit issued sh�all b',es,c�me ir�valid
<br /> unle��s the work �uthorize�d by such per�rnit is commencec� within uix montlis oi� F�ermit Issuance, or if wr.�rk��►�athori;zE;d by
<br /> the Feermit Is suspended c►r at�andoned far a period of siu �6) months after the time the work is commenc�:c�,I f\ri extension
<br /> may he requested, iri writing, from the B�uiicling Offici�l for a period not to exc�ae;d ninety (90) days and will ��E;mon:�trate
<br /> justifiable cause for the e�ctension. If work cf�:ases for niriefy(90) consecutive d��ys, th�Job is cons(dered ak�aridoned.
<br /> --- --w�F-tNlNG TO,aWI�ER; YOUR FAILviftE TO RECORi� A tdOYICE UF COMMENCEMENT WIAY Rf;:;3UL,T' IIV YOUR
<br /> F�AYINC�TWICE FOft IMIPRC)VEIVIEt�i a 'TC8 YC36�R �R���P�RT�I,- !F YDU INT[=WC) 'TO O�TAIN FIfVANC�IIIVCa, Ct)t�::iULT
<br /> WI'Pl�YO.UR LIEP�DER �2 AIN ATTORNE;I( F3EFORE I�ECORI)ING YOIJR NOTICE OF CPJM�IAE�NGEN19=,l�iT_
<br /> FL.OF:IDA JURAT(F 5. 11 .0 ) �
<br /> UWNI�R�JR AGEN7_ �'�"�_��� ' ��ONTkACTOR!_ ___ .___—_.__
<br /> � --- �' bed and sworn to or afflrmed)before me this ,
<br /> orn to or afflrmecl before me thls ��ubscrl �
<br /> Subscrlbed an ( )
<br /> —bY�— —bY- .-----•--
<br /> Who is/are personally known to me or has/have procluced Who is/are personally known I:o mi�or hasas Ide tifi atio n j
<br /> as Identificatlon. _ -- — -- i
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<br /> _� _ _ _Notary Publlc _ __ ,____Notary Public
<br /> (�omrnlssfon No.__ _ ____. Commlasion No,� __ •-----------
<br /> Namc�of Notary typed,printed or stamped ^ Name of Notary typed,printeci or�tamped �
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