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Y�OTI�E OF �3E�P� RE�`B'RICTIONS: The undersigned understands that this permit may be subject to''deed" r`estrictions"
<br /> which rr�a� be mare restrictive#han Caunty regufations. The undersigned assumes responsibi(ity for compliance with any
<br /> applicable deed restrictions.
<br /> U[VLlCE�S�D CONT'��CgOR5 A�ID C{?NTRACTdR RESPONSIBiLITIES: Cf the awner has hired a �contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If�the
<br /> contractor is not�licensed as required by law, bath the owner and contractor may be cited for a misdemeanor vialatEon
<br /> under state law. If the owner or intended contractor are uncertain as ta what iicensing requirements may apply for the
<br /> intended worl<, they are advised to contact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
<br /> 8Q09. Furthermore, if the owner has hired a contractor ar cantractors, he is advised to have the can#ractor(s} sign
<br />, porEions of the "cantractar Block" of fhis application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is nat entttfed to permttting privileges in Pasca
<br /> County.
<br /> TRAfVSPOF�'TATIORI IfUVP,4CT/UTILITIES IMPACT AND RESOURGE RECOVERY FEES: The undersigned understands
<br />; that Transportation Impa�ct Fees a�d Recot2rse Recavery Faes may apply to the construction of new bulidings, change af �
<br /> use in existinc� buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and '
<br /> 90-07, as amended. The undersigned alsa understands, that such fees, as may be dua, wil3 be idsntified at the #ime of
<br /> permitting. It is further understood that Transpor�ation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate af occupancy" or final power release. lf the project does not inuolve a certificate of occupancy or
<br />' , fina[ power reiease, the fees must be paid prior to permlt issua�ce. Furthermore, if Pasco Cc�unty Water/Sewer Impact
<br /> fees are due, they must be paid priorto permit issuance in accordance with applicable Pasco Count ordinances.
<br /> Y
<br /> CQN57RUGT�ON L(E�9 !_AW {Chapter 713, �Iarida Statutes, as amended): lf valuatlon of�arit is $2,500.00 or mare, 1
<br /> certify that 1, the applicant, have been provided with a capy of the "Florida Construction L'ien Law—Hameowner's
<br /> Protection Guide" prepared by the Florida Department af Agriculture.and Consumer Affairs. (f the appiicant is someone
<br /> other fhan the "awner°, 3 ce�fify that I�have obtained a copy af the above descri�ed document and promise in good falth to
<br /> deliver it to khe"owne�' prior ta commencement.
<br /> CQNTRACTQR'S10ltUNCR'S AFFIDAVtT: 1 certiiy that ail the information in this applicatian is accurate and #hat all work
<br /> wi(I be done in compliance with all applicable laws regulating construction, zoning and land development. Applicatian is
<br /> hereby made to obtain a permit ta do work and insta!latian as indicated. I certify that no work or installa#iort has
<br /> commencad�prior ta issuance of a permit and that aCl work wi(1 be performed ta meet standards of a11 laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that 1 t�nderstand that the regulation� af ather government agencies may apply ta the inten8ed v,rark, and that it is
<br /> my responsibility ta identify what actians I must take to be in compliance. Such agencies include but are not Iimited to:
<br /> � - DeparCment of Environmenta! Protection-Cypress Bayheads, Wetfand Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewafier Treatment.
<br /> I - Southwest Florida Water Management District-Wells, Cypresa Bayheads, Wetland Areas, Altering
<br /> Watercaurses.
<br /> - Army Corps af Engineers-Seawails, Clocks, Navigable Waterways. ' '
<br /> - Department of Heaith & Renabilitative Services/Environmental Nealth Unit-Welis, Wastewater Treatment,.
<br /> Septic Tanks.
<br /> - US�Environmental Protection Agency-Asbestos abatement.
<br /> � - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill.
<br /> - Use of fil! is nat a!lowed in Flood Zone"V" un{ess expressly permitfeci.
<br /> - If the fiil material is ta be used in Fload Zone "A", it is understood that a drainage .plan addressing a
<br /> "compensating volume" wil! be submitted at time of permitting which is prepared by a professiona! enginae'r
<br /> licensed by the State of Florida.
<br /> - If the fili material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> canstruction, I certif�j that fiil will be used only ta fill#he area within the stem wall.
<br /> � - If fill material is to be used in any area, I certify that use of such fill will not ativersely affect atljacent
<br /> properties. lf use of fil! is found to adversel�r afifect adjacent praperties, the awner may be cited for vialating
<br /> the conditions af the building permit issued under the attached permit application, far lots less than ane (1)
<br /> acre which are elevated by fill, an engineered drainage pfan is required.
<br /> If ! am the AG1E��" F�R Tt�� QW�3EFt, I pramise in good faith to ipform the owner af the permitting canditians set fiorth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be.required fior electrical work,
<br /> plumbing, signs, wells, paols, air conditioning, gas, or ather installatior�s not specifically included in the application, A
<br /> � permit issued sha(( be canstrued to be a (icense to praceed with the work and not as autharity to violate, cancel, alter, or
<br /> �, set aside any provision� of the technical codes, nor shall issuance af a permit prevent the Building Official frctm thereatter
<br /> requiring a correctian af errars i� plans, canstruction or violatians of any codes. Every permit Rssueci sha11 become invalid
<br /> unless the work authorized by such permit is commenced within six manths of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned fbr a period;of slx (6) manths after the time the wark is cammenced. An e�ctension
<br /> , may be requested, in writing, from the Building fJfficial for a periad not to exceed ninety (90) days and will demonstrate
<br /> � justifiable cause far the extension. If work ceases for ninety (90) cansecutive days,the job is considered abandaneci. -
<br /> WARN�NG �'� CDWIV�Fd: 1(C1UR �AILURE TQ RECORD A NOTICE OF COMMENCEMENT MAY R�SUL.7 IN YOUR
<br /> �AYING 71NtCE Ft}R Ilt19PROV�M�NTS TO YOUR PROPERTY. IF YOU [NTEND TO OBTAIN FINANCiNG, CONSULT
<br /> WiTH YOUR LENDER OR �lN ATTORNEY BEFORE RECORDING YOl1R NOTICE OF�COMMENCEMEMT,
<br /> , FLORIDA JURAT(F.S. 117 09a .
<br /> OWNER OR AGENT �,,,�'���""� CONTRACTOR
<br /> Subscrfbed and swc�n to (or a Irmed)before me this Subscribed and sworn to(or afflrmed}before me Yhls
<br /> by .�,���r�r�-�e.... �c�¢.:td-,c,`�.�+..� �Y
<br /> Who islare�ersonai� Iv kn,,,�wn t�o me ar has/have'produced Who is/are personally known to me or has/have praduced
<br /> as identification. as ldentlficatlon. .
<br /> � _ Riotary flub(Ic t�otary Publlc
<br /> " Commis ion No.__��r7_+� .2 Commisslon No. ':` '
<br /> Name af Notary typed,printed or stamped Name of Natary typed,printed or stamped
<br /> +�t,saVt�:�A
<br /> �p��°�s� Notary pup��c gtate af Florlda � �
<br /> • . Mlchette Moyes
<br /> ` MY Co+nm►sston GK3 457321
<br /> �ox n� Earplroa 1?Jx7/202p
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