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�dOTtCE t�F �}��� FtESTRi�TtOi�S: The undersigned understands fihat this permit may be subject to "deed" restrictions"�
<br /> which may he more rsstrictive than County regulations. The undersigned assumes responsibility for campliance with any
<br /> ' applicable deed restrictions.
<br /> UNLICENSED COfVYRAC70RS AND CONTRACTOR RESPONSIBlL.lTlES: !f the owner has hired a contractar or
<br /> cantractors to undertake work, they may be required to be licensed in accordance with state and laca! regulations. !f the
<br /> contractar is not�(icensed as required by (aw, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. Ef the owr�er or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the f'asco County Builciing [nspectit�n Division—Licensing Sectian at 727-847-
<br /> 8Q09. Furthermore, if the owner has hired a cantractar or cantractars, he is advised to have the contractor(s} sigrt
<br /> portians of the "contractor Block" of this applicatian for which they will be responsible. !f you, as the owner sign as the
<br /> cantractor, that may be an indicatian that he is not properly licensed and is not entitled to permitting privileges�in Pasco
<br /> Caunty. '
<br /> TRANSFORTAT'tOR! IIi�PACT/UTILtTtES tMPACT AND RESOURCE RECaVERY FEES: The undersigned.understands
<br /> that 7ransportation lmpact Fees and Recourse Recovery Fees may apply to the canstruction af new buildings, change of
<br /> u�e in existing buildings, or expansion of existing bui{dings, as specified in Pasco County Qrdinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identifisd at the time of
<br /> permitting. lt is further�understood that Transportation Impact Fees and Resaurce Recovery Fees must be paid priar ta
<br /> receiving a "certificate of occupancy" ar final pawer release. If the project does not invoive a certificate of occupancy or
<br /> final power refease, the fees must be paid prior ta permit issuance. Furthermore, ifi Pasco�Caunty WaterJSewer lmpact
<br /> fees are due,they must be paid pripr to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCT90N LIE6d LAW (Ch�pter 713, Florida Statutes, as amended}: !f valuation of v�ork is$2,500.Q0 or more, 1
<br /> certify that I, the applicant, have been provided with a copy af the "Florida Construction• Lien Law—Homeowner's
<br /> Pro#ection Guide" prepared by the Flarida Department of Agriculture.and Consumer Affairs. If the applicant is someone
<br /> ather than the"awner", i cerEify that ( have obtained a copy of the abave described document and promise in goad faith ta
<br /> deliver it to the"owne�" priar to ccammencement.
<br /> CONTRACTOR'S!O!!11lNER'S AFFlDAV1T: I certif}r that al! the informa#ion in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating canstruction, zaning and land develapment. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> canstruction, County and City cades, zanfng regulatians, and land deveCopment regulations in the jurisdiction. i also
<br /> certify that ! understand that the reguiations of other govemment agencies may apply to the intended warK, and that it is
<br /> my respansibifity to identify what actions ! must take to be in compliance. Such agencies include but are nat limited to:
<br /> - Department of Environmenta! Protection-Cypress Bayheads, Wet(and Areas and Environmenta!!y SensitiVe
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest �(orida Water Management District-We(Is, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercaurses. .
<br /> - Army Carps afi Engineers-Seawalls, C►oc4cs, Navigable Waterways. '
<br /> , - Department of Hea(th & Rehabilitative Setvices/Envirorimental Fiealth Unit-Welis, Wastewater Treatrnent,
<br /> Septic fianks. �
<br /> - US�Environmental Protection Agency-Asbestos abatement.
<br /> - Federai Aviation Autharity-Runways.
<br /> 1 understand that the fa(lawing restrictions apply ta the use of fiil:
<br /> - Use of fi!! is not aflowed in Flood Zone"V" unfess expressly permitted.
<br /> - If the fill material is to be used in F(ood Zone "A", it is understaod that a drainage .plan addressing a
<br /> � "comp"ensating volume" will be submitted at time of permitting which is prepared by a professiana! engineer
<br /> licensed by the State of Florida.
<br /> - If the �11 material is to be used in Flood Zone "A" in connection with a permitted buiiding using stem wall
<br /> canstruction, 1 certify that fill wili be used o�ly to fili the area within the stem wal1.
<br /> - !f fill material is to be 'used in any area, ( cerCify that use of sUch fill wi{i not aduersely affect adjacent
<br /> properties. If use af fil! is faund ta adversely affect ad'}acent proparties, the owner may be cited for vio{ating
<br /> the conditions af the building permit issued under the attached permit application, for lots less than one (1}
<br /> acre which are e(evated by fill, an engineered drainage plan is required. .
<br /> if f am the AGEN�' FOR TNE CtV1li�ER, i promise in good faith ta inform the owner of the permitting conditions set forth in
<br /> this affidavrt prior ta commencing construction. 1 understand that a separate permit may be.required for electrical work,
<br /> : plumbing, signs, wells, pools, air conditioning, gas, or ather installations not specificaHy incEuded in the application. A
<br /> permit issued shall be constru�d to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical cades, nor shall issuance of a permit prevent the Building Ofificia!frQm thereafker
<br /> requiring a correction ofi errors m plans, construction or vialations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, ar if work authorized by
<br /> the permit is suspended or abandoned fbr a period;of six (6} mon#hs after t3�e time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Oificia! for a period not to exceed ninety (90) days and wilE demonstrate
<br /> � justifiable cause for the extension. If work ceases far ninety (90) consecutive days,the job is cansidered abandanetl.
<br /> WARNt�fG 'T� OWt�ER: �tOUR �AILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYl�IG 7WICE FOf� IMPROVEMENTS 1"O YOUR PRdPERTY. tF YOU 1NTEND TO OBTAIN FiNANC1NG, CON$ULT
<br /> W17H.YOUR L�NQER C?R AN ATTORNEY BEFpRE RECURDING YOUR fitOT10E{3F CCIMMENCEMENT.
<br /> FLORIDA JURAT(F.S. 1 y 7.03) � �
<br /> OWNER OFi AGENT �—�'"` ~ CONTRACTdR
<br /> Su�jjcr�b���nd swc�n to (or a irmed)before me this Subscribed and sworn to(or affirmed)before me th'ts
<br /> 1�ld.i�c�l�=..hy ,ll�.�.-✓t•fl��.'-{�,�r.:�e..:.Z�,c,'i.L�t bY
<br /> . Wfio is/are aersonally known to me or has(have produced Who is/are personaliy known to me pr hasmave produced
<br /> as identification. as identitication, �
<br /> �_;��(��� •`�"' Notary Rublie Notary Public
<br /> r' , ,,
<br /> ' Commission Na. r Gommission No.
<br /> ' Name of Natary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> P� Nofary Public State af Flarida
<br /> � �; M(cheUe Moyes
<br /> '� My Comm3sslan�G o57321
<br /> �� p� Explreb'12/21l2020
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