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� - �E4T1�� QF €3��D FtES'�Ri�T10�iS: The undersigned undersfiands that this permit may be subject to °deed" restrictions",
<br />' which may be mare restrictive than County regulatians. The undersignad assumes responsibility for compliance with any
<br />�� ' applicable deed restrictions.
<br /> UPILICENSED COiV'fRAC'�ORS At�D CONTRACTOR RESPOPISlBI1�lTlES: !fi the owner has hired a contractor or
<br /> cantractors to undertake work, they may be required to be licensed in accordance with state and (oca! regulations. !f the
<br /> contractor is not (icensed as required by law, both the awner and contractor may be cited far a misdemeanor violation
<br /> under state taw. 1#the awner ar intended contractar are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised ta contact the Fasco County Suiiding Inspection Divisian—Licensing Section at 727-847-
<br />� 8009. Furthermare, if the owner has hired a cantractar or contractors, he is advised to have the contractar(s} sign
<br /> partians of the "contractor Block" of this application far which they will be responsible. !f you, as the owner sign as the
<br /> contractor, tiiat may be an indication that he is not properly Iicensed and is not entitled ta permitting privileges in Pasco
<br /> County.
<br /> YRAPlSPORTA'CIOi� li1�P�!!CT/UTtLET1ES IMPACT AND RESOURCE RECOVERY FE�S: The undersigned understands
<br /> that Transportatian lmpa�ct Fees and Recourse Recavery Fees may apply to the construction af new buildings, change af
<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 af
<br /> permitting. 1t is further understood that Transportation impact Fees and Resaurce Recovery Fees must be paid prior ta
<br /> receiving a "certificate af occupancy" or fina( power release. If the praject does not involve a certificate af occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Caunty Water/Sewer lmpact
<br /> fees are due,they must be paid priar to permit issuance in accardance with applicable Pasco County ordlnances.
<br /> C(�t�STRUCT80N L.IER! LAUV (Ch�pter 713, Flarida Statutes, as amended�; !f valuation af vuork is $2,500.Q0 or more, !
<br /> certify that I, the applicant, hav.e been provided with a copy af the "Florida Construction 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", 1 cerEify that ! have obtained a copy af the abave described document and promise in good faith to
<br /> deliver it to the"avune�" prior to cammerrcement. j
<br /> CON7R.ACT�R'S/OWiVER'S AFFIDAVlT: ! certify that a!! the information in#his application is accurate and that aEl 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 instailation as indicated. I certify that no work or installatian has
<br /> commenced prior ta issuance of a permit and that ai( work will be performed to meet standards of all laws regulating
<br /> construction, County and City cades, zoning regulations, and land deveiapment regulatian� in the jurisdiction. 1 aisa I
<br /> certify that l understand that the regulation� o# other government agencies may apply to#he intendec3 work, and that it is
<br /> my responsibility to iden#ify what actions 4 must take ta be in corr�pliance. Such agencies include but are not limited ta:
<br /> - Department ofi Environmental Protection-Cypress Bayheads, Wetland Areas and Environmenta!!y SensitiVe
<br /> Lands,Water/Wastewater Treatment. ' �
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercaurses. ,
<br /> - Army Corps af Eng'sneers-Seawalls, Docks, Navigalale Waterways. '
<br /> - Department of Health & Rehabilitative ServiceslEnvirorimenta! Health llnit-We!!s, Wastewater �l'reatment,,
<br /> Septic Tanks.
<br /> ' - US�Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> ! understand that the folfowing restrictions appiy to the use of fi(1:
<br /> - Use of fifl is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill material is to �e used in Flood Zane "A°, it is understood that a drainage ,p(an addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professianal enginee�r �
<br /> � licensed by the State of Florida.
<br /> �I - lf fhe fili materiai is ta be used in F400d Zane "A" in cannection with a permitted building using stem wa11
<br /> , constr�tction, ! certify that fill wili be used only to fiii the area within the stern wa11. �
<br /> - If fill material is to bs used in any area, ! certify that use of such fii! wi1L nat adversefy 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 e(evated by fili, an engineered drainage p(an is required.
<br /> lf l am the At�E�l�' Ff7R TFbE OVUNER, 1 pramise in gaad faith to inform the owner of the permitting conditions set forth in �
<br /> this affidavit prior to commencing construction. ( understand that a separate permit may be.required far eiectrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, ar other installations not specifically included in the appiication. A
<br /> permit issued shall be construed to be a license to proceed with the wark 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 frQm thereafter
<br /> �I req�iring a carrectian of errors in pians, canstruction or vioiations of any cades. Every permit issued shall become invalid
<br /> un(ess the work authorized by such permit is cammenced within six months of permit is�uance, or if work authorized by
<br /> the permit is suspended or abandoned for a period;of six (6) rnonths after the time the wark is commenced: An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety {9Q) days and wil! demoristrafie
<br /> � justifiabie cause fior the extension. If work ceases for ninety (90) consecutive days,the job is considered abandonetl.
<br /> WARNIi�G �'� +DW�t�R: 'YOUR �A1L:iJRE TO REC�RD A tVtJTiCE OF COMMENCEMENT MAY RESIJLT 1N YOUR
<br /> PAYlMG`TWlCE FOR IflC�PROVEMENTS TO YOUR PRiJPERTY. IF YOU 1NTEt3D TO OBTAiN FINANCING, CtaNSUL.T
<br /> WITH YOUR L�NDER OR AN ATTORNEY BEFORE RECORDtNG YOUR NOTICE OF COMMENCEMEI�T.
<br /> �LORIDA JURAT(F.S. 117 03)
<br /> - , `"'�
<br /> OWNER OR AGENT ���-- CQN7AACTOR
<br /> Su scribed and swc�n, to(or a irmed)before me this u Subscribed and sworn to(or affirmed)before me this
<br /> � � � by_ .3)��..-n-n-����C:�z;����.�� aY
<br /> �, , lNho isLare personally known ta me or has/have produced Who is/are personally known to me ar haslhave praduced
<br /> `—"'�dentification, as identification. •
<br /> �"���f � �� ` Notary Pubiic
<br /> � N�tary�ublic
<br /> , � Cammission No.i_-�� Commission Na ` ``
<br /> t .
<br /> Name of Natary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> ���
<br /> �*'���q� Not&ry Public Stete o9 Florida
<br /> . . Mlchelte�+tayes
<br /> �c � My Commisslan GG 057321
<br /> •q � Expirea 12/29/2020
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