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N0710E OF DHED REiSTRICTIONS: The underslgned underslande that ihls permit may be�subJect lo"d9ed'raetrlotlons"
<br /> whic:h may be more reslrictive than Counly reguletlons, '�he underalgned assumoa reaponslbllity for campllanoe with eny
<br /> applicable deed restrlcllons.
<br /> UNLICENSED GONTRACTORS AND CONTRACTOR RESPONSIBILITIES; If the owner has hlred a conlracfor or
<br /> contractore to undertal<e work,lhey may be requlred to be Ilcensed In accordancn wtth slete antl local regulalions, If ttie
<br /> contracto�Is nol Ilcen3ed es requlred by law, bolh the owner and contreatar may be clted for e misdemaanor vloletlan
<br /> undor atale lew. H th�owner or Intended'contraotor are uncerteln ae lo what Ilcemsing requlrements may apply for ttie
<br /> Intended work,lhey are edvlsed to contact the Pesco County Building Inapectlon 171vlslon--Llcensing Seoilon el'T27-847-
<br /> 8009. Furthermore, ff the owner has hired a contractur or contractore, he la edvlaed to have the contrector(s) sicln
<br /> portlons of tl�e"contrector Block"nf lhle appllcelion for whloh lhey wlll be reaponslbfe, I(you, aa lhe owner:�Ign es!}ie
<br /> coniractor, Iha!may be an(ndlcallon thal he le not properly Ilcensed and Is not ontltled to permitling privfleges In Pasco
<br /> Courity,
<br /> TRANSPORTATION IMPACTIUTILI7IES IMPACT AND RESOURCE RECOVERY FEES: The underslgned understancls
<br /> thal Transportatlon Impact Fees and Recourae Recovery Fees may epply to the cunaiructlon of new bulldings,ohange of
<br /> use In exlating buildinE�s,or expenslon of exlating bulldings, es speclfled In Pasco County Ordlnance number 69-07 and
<br /> 90•07, as amended. 7he underelpned aiso understands,that such feea,as may I�e due,wlll.be Identl(led al thg tirne of
<br /> permllting. It 1s further understood thal Transporlatlon Impact Fees and Resourco Recovery Fees musl be palcl prlor lo
<br /> recefving e°certlilcele oi occupency"or flnel power release. Ii the proJect does not involvi�e cerllticale of occupancy or
<br /> final power relea�3e, the fees must be pald prlor lo permlt Isauance. Furthermoro, If Pasco County Waterl5ewer Impacl
<br /> fees ara due,they musf be pald prlor lo permll Iseuance In acoordance wlth eppliceble Pesco Counly ordlnances.
<br /> CON9TRUC710N LIEN LAW(ChapFer 713,Florlda$tatutes,as amended); If vc�luallon ot Work la$2,500.00 or more,I
<br /> cerlify (hal L th� appllcant, have been provlded with e copy of !he "Florldt� Conslrucllon Lien Law—Hom�owner's
<br /> Prolectlon Gulde"prepared by lhe Florlda Department ol Agrlculture end Conaumer ANalrfl, It 11ie applicant I;a someone
<br /> other lhen the"owner°;I cerllfy thet I have obtelned a copy ot the above descrlbod document and promise In gnod tallh to
<br /> deliver It to the"owner"prlor to commencgmAnl; .
<br /> CONTRACTOR'f310WNER'8 AFFIDAVIT: I certlfy ihat all the Intormatlon{n tMi�epplicatlon Is eccurete ana Ihel all work �
<br /> will be done In compllance wlth ell appllcable lews regulaling conetructlon,zpning end land developmenl, Appllcatlon Is
<br /> hereby made fo oblein a permlt to do work end Inetelletlon as Indlceled. I cortlfy that no work or Installation h:is
<br /> commenced prlor lo If�suance of a permlt and lhat ail work wlll be periormed lo meet slandarda ot all laws rogulating
<br /> conslruction, Counly�smd City codes, zoning regulaUonn, and land development regulatlona In lhe JurlsdlcUon. I also
<br /> cerl(fy that I undersland lhal lhe regulations of othier govornment agencles may apply to the Inler�ded work,and that It Is
<br /> my rnsponsiblllly io Identlf�whet actlone I must:take to be In compllance: Such agehclea Inqlude but are not Ilmlted to:
<br />, • Deparfment of Envlronmental Prolecllon-Cyprese Bayheads, Wetland Areea �nd Environmenlally Senslllve
<br /> Lands,Water/Wasteweter Trsalment,
<br /> - Southwesl Florlda Water Management Dlstrlot-Wells, Cypress 13ayheads, Wetland= Atoeti, Altertng
<br /> Wetercourses.
<br /> - Army Corps of Englneera-Seawells,Docks,Nevlgeble Walbrways.
<br /> - �epartment ui Heslth & f2ehabllitative Servlces/Envlronmental Health Unit-Wells, Waetewetor 'troatrnenl,
<br /> 5eptic 7anks.
<br /> • US Environmantal Prolecllon Agency-Asbestos abalemenL
<br /> Feder�l Av(atlon Authoriry•Runways.
<br /> I underetand that the fo�lowing reatrlallone apply lo tha use oi flll: �
<br /> - Use o(ilil Is not ellowed In Flood Zone"V"unless expressly permilted.
<br /> - If the flll material Is lo.be used In Flood 2one °A", It Is understood thet e drelnage plan addmssing a
<br /> °compensaling volume"wlll be submllted et tlme oi permltting which I�3 prepsrod by e profeaslon�i�ngineiar
<br /> Ilcensed by the Stdte ot F�orlda.
<br /> • It lhA flll malerlal Is to be used In Flood Zone "A" In connectlon with a permitted building using siem w�ll
<br /> conelructlon,I c@ctify that flll wlll be used unly to tlll the area wlthln tho slsm wafl.
<br /> - If fill malerlal Is to be used In any area, I certlty that uae of such flli will nol advarsely aHect adjecent
<br /> prapertles, It use ot illl Is found to adveraely aftect adJacent propertleE�,the owner may be clled for vlolating
<br /> the condillons oi lhe bullding permll lesued under ihe attached permll appflcallon,for lots less than one(i)
<br /> acre whlch are elevated by flll,an englneared dralnage plan Is requlred.
<br /> If I am ihe AGENT FOR THE OWNER, I promise In good failh to Inform lhe owner of the permllting conditions set forth!n
<br /> lhls aiildavit prlor to commencing constructlon, I undersiend that a separato pormlt may ba required for eleclrlcal worlc,
<br /> I plumhing, eipna,welis,.pools, elr conditloning, gas, or other Inslalletlona nof speciflceliy Included In the appifcatlon. A
<br /> permlt iseued shall be conatrued to be a Ilcenae to proceed with the work end not es authorlty to.violate,cancel,eltor,nr
<br /> sel eslde eny provlsions of lhe technlcal codes,nor shall issuance o(a permlt prev�nt the Bulldlrig Otticlal from tFierealtar
<br /> requiring a correcllon ot errore In plans,consiructlon nr vlolatlona oi eny codea. Every permll Isaued ahall become Invslld
<br /> unless the work eulhorized by such permll Is commenced wllhln slx months of pormlt Issuence,or It work authorized by
<br /> llie permll Is suepended or abandoned tor e perlod of elx(8)montha after the llme the work Is commenced. An extenslon
<br /> may be requested, In wrlling,irom the Bullding.Officlal for a perlod not to exeeed nlnety(80)days and wlll d�,monstrate
<br /> )usli(iable cause 1or lhe exlenslon, If work ceases lor nlnety(80)consecutive days,th�Job Is conaldered abandoned.
<br /> WARNING TO OWME12; YOUR FAILURE TO RECORn A NOTlCE OF COMMHNCEMENT MAY RESULT IN YOUR
<br /> PAYIN(3 TWICE F�OR IMPRUVEM�NT3 TO YOUR PRO�ERTY. tF YOU INT ND TO OBYAIM FINANCINa,,OMSULT
<br /> WITI�YOUR LEN E
<br /> FLORIDA JURAT(F,9,117.U3)
<br /> OWNER OR AOENT_ CONiFtACTOR
<br /> Subsvlbed end sworn to(or a(�rmed)before me Ihls ube�rlbed a to(ar ePortned)befare ma lhle �
<br /> by� —Gc5'
<br /> Who Islere peraonelly known to me or hea/heve produCe Who IN peieoneliy kt to me or hea/heve produced �
<br /> eo IdenllflcAllon. eo IdenWlraUon,
<br /> h
<br /> __. Notery Publlo Notery Publlc I
<br /> Commisslon No.`_ �
<br /> `��tir;1:P���. S '--
<br /> Name ul Notery typed,ptlnted or stemped N � f ry, r e � d --�
<br /> -; o: pires ecem er 12,2018
<br /> '�I�a���°��`, BondedTlwTroyFelnlnsurance8W3&5•7019
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