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NOTiC� t�F P3��D RE�TR1�TiORiS: The undersigned understands that this permit may be subject to "deed" restrictions".
<br /> which may be mare restrictive than County ragu(ations. The undersigned assumes responsibility for cam�liance with any
<br /> applicable deed restrictions
<br /> UPILICEiVS�D CON'TG�AC�'ORS AND C09VTRAC70R RESPONSIBI�iTI�S: If the owner has hired a contractor or
<br /> contractars to undertake wark, they may be required to be licensec! in accordance with sta#e and local regulations. If the
<br /> contractor is not iicensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> �nder stata !aw !f the owner or intended cantractor are uncertain as to what liaensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco Counfy Building inspectian Division—Licensing 5ection at 727-847-
<br /> 8009. Furthermore, if the awner has hired a contractar or contractars, he is advised ta have the contractarts) sign
<br /> portions of the "contractor Block" of this application for which they wilf be respansible. !f you, as the owner s[gn 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 /> Caunty. ,
<br /> TRANSPOE�TATIOh� iit�PA.CT/UTtLIT(ES IMPACT ANQ RESOURCE RECOVERY FC-ES: The undersigned.understands
<br /> that Transportation lmpact Fees and Recourse Fiecavery Fses may apply to the constructian of new buildings, change of
<br /> use in existing buildings, or expansion of existing bui{dings, as specified in Pasca County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be clua, wi!! be identified at the tlme of
<br /> permitting. it is further understoad that Transportation Impact Fees and Resource Recovery Fees.must be pald prior to
<br /> receiving a "certificafe af occupancy" ar fina( power release. If the project does not involve a certificate of occupancy or
<br /> , fiinal power release, the fees must be �paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer lmpact
<br /> fees are due,they must be paid priarto permit issuance in accordance with app(icable i'asca County ordinances. ,
<br /> V C(�tVSTRUCT��N LlE�4 LAW {Gh�pter 713, �lorida 5tatutes, as amendec!): if valua#ion af v��rk is $2,500.00 or more, S
<br /> certify that I, the applicant, have been pravided with_.a copy of the "Florida Constructiom Lien Law—Homeowner's �
<br /> � Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the "owner", I certify fhat 1 have obtained a copy of the above described dacument and pramise in goad faith to '�
<br /> deliver it to the"owne�' priar ta commencement.
<br /> � C�fUTR.ACTOR'Sl€�lNN�R'S AFFiDAVlT: 1 certi#y that a!i the infarmation in this appiication is accurate and that aI( work
<br /> wilf be done in corripliance with all appiicable laws regulating constru�ction, zoning and land deve(opment. App4ication is
<br /> hereby made to obtain a permit to do work and installation as indicated. 1 certify that no work ar installation has
<br /> ' commenced prior to issuance of a permit and that all work wiil be performed to meet standards of all laws regulating �
<br /> construction, County and City codes, zoning regulatians, and land deveiopment regulations in the jurisdiction. 1 also
<br /> ` certify that l understand that the regulations of other gavernment agencies may apply ta the intended uvork, and that it is
<br /> t my respansibility to identify what actions f must take ta be in campliance. St�ch agencies includa but are not 13mited to:
<br /> i - Department of Environmental Protection-Cypress Bayt�eads, Wetland Areas and Environmentally Sensitive
<br /> � Lands,Water/Wastewater Treatment. '
<br /> � - Southwest F(orida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> � Watercourses. .
<br /> � Army Corps ofi Engineers-Seav�ral►s, Dacics, Riavigable Waterways. `
<br /> I -
<br /> �� ' - Department af NeaCth & Rehabilitative Servicesl�nvironmental Health Unit-Welis, Wastewater Treatment,,
<br /> Septic Ta�ks,
<br /> - US-Envi"ronmental Protection Agency-Asbestos abatement.
<br /> �I - Federa(Aviation Authority-Runways.
<br /> C i uncierstand that the#allowing res#rictions apply ta the use of fil1:
<br /> �� - Use af fil! is not a!lowed in Flood Zone"V" unless expressly permitted
<br /> - If the fill material is to be used in Flood Zone "A°, it is understood that a dralnage .plan addressing a
<br /> � "compensating volume" will be submitted at time af permitting which is prepared by a professiona! enginee'r
<br /> I licensed by the State of Florida.
<br /> �� - If the fill material is to be used in Flaod Zone "A" in cannection with a,permitted building using stem wal(
<br /> I canstruction, i certi€y that f(Il wili be used oniy ta fili the area within the stem wali.
<br /> � - If fifl material is to be used in any area, ! certify that use of such fi!! wi1( nat adversely affect adjacent
<br /> � properties. lf use of fill is found to adversely afifect adjacent properties, the owner may be citsd for viafating
<br /> � the conditions of the buiiding 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 1 am the AG�Nl' F�?R Tt�E a'WNEFt,.I promise in goad faith to infarm the owner af the permitting conditions set forth in
<br /> � this affidavit prior to commencing construction. i understand that a separate permit may be.required far electrica( wark,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or other instaflations not specificaliy included in the applicat[on. A
<br /> permit issued shall be construed to be a license to proceed with�the wark and not as authority to violate, cancel, alter, ar
<br /> i set aside any provisions af the technical codes, nor shall issuance of a permit prevent the Buflding Official frqm thereafter
<br /> requiring a correction of errors 1n plans, canstruction or violatians of any codes. Every permit issued shall became invalid
<br /> �E unless the wor4t authorized by such permit is commenced within six months af permit issuance, ar i#work authorized by
<br /> ' the permit is suspended or abandoned for a period;.of six (6) months after the time the work !s commenced An extension
<br /> may be requested, in writing, from the Building Official fior a period nat ta exceed ninety (90) days and wi(1 demonstrate
<br /> • justifiable cause for the extension. I�work ceases for ninety (90) consecutive days,the job is considered abandoned.
<br /> I
<br /> 1NARNf�l� �'(� t�tlV��R: oIO�UR �AILURE T� RECdRD A iVt�TICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYlNG TWlC� Ft3R IMPROVENIENTS Tt3 YOUR pROPER"i"Y, IF VOU tNTERID TO OBTAIN FtNANCING, CCiNSUL,T
<br /> WITH YOUR LENDER OR AN ATTORNEY B FORE REGOf�DlNG YOUR NQTtC� C?F CQNlMENCEMENT.
<br /> FLORIDA JURAT(F.S. 177 03) � �
<br /> � OWNER OR AGEPIT GtJNTRACTOR
<br /> Subs ibed nd swq.�n to (or aff(rmed} before me this Subscribed and sworn to (or affirmed) before me Yhis
<br /> EP��C�rs����Y .,ll�•=-,n.rz•�'��t�.a..;�d-,c_�.-+_.� by
<br /> W o is/ e p rsonally known to me or has/have�produced Who islare personaliy known to me or has/have produced
<br /> as identification. as fdentlfication. •
<br /> ��"�%�� ���+��„---- Natary Pubikc Notary Pub(lo
<br /> �-���'��-�-�� �-� , �� I
<br /> Camm�ssion No � Cammisslon No.
<br /> Name of Nofary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> - �•
<br /> �,�e� Natery Publlc State af Florida � y I
<br /> . : {t+lichelte Mayes �
<br /> My Commisalon GG 057321
<br /> of� F�pirBs 12/21/2028 I
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