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<br /> 11 � '.� ....SF;":"'i.tST'rfn�r,=y�=;;
<br /> NOTICE�OF CIEED RESTRICTIONS: The undersigned undecstands_that;this;permitmay be:subject.to ..dee.tll�resfriction's�_�..�;,:;
<br /> � � � -��.� .�e .��,-��� �: � � �t w - � �
<br /> wF7ich�may,=.beFinare:r.estrictive:=t�ian`County°.regulations The�untlersigne�d�as`sume"s`respansibil�ty�;fo�compliance�writh any ;
<br /> appAcabie._deed Eestr�ctions. � . � � r.-�sT<'4~��� �L+�=f:
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<br /> tJNL:lCENSED.-CQNTRACTQRS�AND` CC}lVTRACTOR. RESPONSIBlI:ITlES:� �f�fFie�-aviiner�fias:=liirecE�°a~:c�ontractor or r��
<br /> : .�> ' . .,.; ,9r: a, � , ' ce with:state,.ar,id::tocals=regulafiions::=�Ifwth�e�a;M�w-`�'
<br /> contractors to undertake work;they;may.;be._re u`ired to be:_licensed �n accordan; _ _ _ ,.�.,,. „, _ _ ;
<br /> cantcactor is-.not..licensed_as_arequired by'I`aw,�"6ath the owner��and.'�contGacfor��riay��Ge�.eited��forlta�°riiiisdemeanor violation ";�,��
<br /> under sfafe law.� If#he owner.:or intended;:contractoc arefuncertain as to what licensing requirememts:�may�.apply:'for;=tFi`e�:�:��_��
<br /> -,.,,,_,.� �:.Y.-_,.,,�.:._,.
<br /> intended woek,they are.advised to contac#`#fie`Pasco County�,Buiiding°tnspecfion�Diyision�Licensing Section at`727=847= �:�
<br /> 8009. Further-rnore, 'if the owner has fi'rred"�a�'contractor or cont�ac#ors, he�is advised #o:ahave the con#ractor(s) sigri,µ,,.;;:
<br /> portians of the "contractor Block°,of�this application.,for, uvhich they wit!.be responsibie. -If.you, as`yttte�oviriier`sign a`s`the�� `"�N�
<br /> contractoc, that.may 6e an indication=#hat he is not propeTly�licen'sed�aritl�is nof ertt9#led`to.perrnitting+�:priv�leges;in Pascc�',...,;3)
<br /> County. • a. .. "_ _. . ... , ; � �.._,�_.s:�;�
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<br /> Tt�ANSPORTATiON�IMPACT/.UTtLiTIES•IMPACT AND RESOURCE RECOVERY'FEES:-fihe undersigned understands �y�
<br /> thatTranspartation Impac#Fees and Recaurse Recovery Fees�,may,appiyto the construction_of.new:bui(.dings,.�cFiang"�e�:`ofi=-�}��;
<br /> use in existing building�,�;o�<.expansion�.of,ex'isting buildings, as spec'�'ied in Pasco Caunty Clydinance number�9-07.anct `,�:� �
<br /> 9Q-07, as amended. Thea undersigned also understands,�that such:..fees,�asyrnay:,b.e�.due, will..l�e�ident�ed�af�ttie':time-:of;"{'���';a
<br /> permitting. 'IY is further understood that"Transportation Impact�Fees�and Resource�Recovery_Fees r�ust be paEd p_r.ioc'to ��
<br /> receiving.a °certificate af accwpancy.° or final;power celease. If#he pcaject does not;involve a certificate of oecuparicy°or�r�x�=��_;
<br /> finai:power-release, the�fees-r�ust be:paid prior to permif issuance,_:Furth�ecmore,-if:Fasco�Goun#y Water/�;ewe[-lmpact'.�.�-X ;
<br /> fees are due,ttiey,must�be�Paid prior�to-permit issuanee inraccordance with'applicabie.,Pasco:County ordinances.
<br /> CONSTRUCTION LiE[V!AW(Chapter 713, Flarida Statutes,as amended}: If valuafion of work is$2;500:0,O:.or rnore;tiia..�: a
<br /> � ., 4 .,.,..�„..,.r..,_,�.a .
<br /> certify #hat 1, the applicant, have -been:�provided-with�-a �copY.�of-the "Fiorida��Construetion. Lient,Law-Homeownec'"s
<br /> Protection Guide"'prepated'�by"tti� Flofida Qepartment af Agriculture and Gonsume�Affairs. If the applicant{is:<some;ane,,,, �
<br /> '� ht. �n�_ i.r ^ ; � •.,..5..�.
<br /> other than the'"owner�,;I-eertify that.l�ha�e abtained a copy of the:above described document and promise�n;goo,d fa�t!%#a ,.;..
<br /> deliver;.i#.to�thea`;owner';�:p�ior�:fa:=commeneement:�� '` " " � ' � : � . �
<br /> CQNTRACTOR'SJOWNGR'S AFFtDAV,IT:;;;l:cer#ify that a11:the informa#ion in this applica#ion i's accurate and`that'all-work .
<br /> will be dane in campliance wi#h a11 applicabie`laws regulating construc#'ran, zoning�and iand�develapment. Application.is
<br /> � hereby t�nade ta obtain,_.a,..per,rrt9twto.do<,;work-and instatfation as�indicated. t�certify fhaf no work or�.instatlafiorii.has
<br /> " commencetl prior to issuancs cif a petmit antl�tl�at all work wi{I be perfarmed to.meet•sta�darcls of afl }aws reguiating
<br /> construction, County and City codes, zoning regulatians, and land development regulations"in.the jurisdiction: ;=L°also
<br /> certify that I understand that the regulations af other gavernment agencies may apply to the interided wark, and ttiat it is �`
<br /> my responsibility to identify what actions I mus#take to be in compiiance. Such.agencies include but are not limited;to: `
<br /> - A.Department af Envirarimental-'Protectian-Cypress Saylieads, Wetland Areas and Ertvironmentally Se;nsifive `
<br /> Lands,WaterlWastewater Treatment. �
<br /> - Southwest Florida Water Management District Wells, Cypress Bayheads, Wetiand Areas, Alter�ng �
<br /> Watercourses. ' ,
<br /> 3
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable VUaterways.
<br /> - Department of Hea(th & Rehabilitative Services/Environmental Health .Unit-Wells, Wastewater Treatment, :
<br /> Sep#ic:Tanks. ' ', -
<br /> - US Ettvironmerital Protection Agency-Asbestos abatement. � � � .
<br /> ;
<br /> - Federal Aviatian Authorii�Runways. �
<br /> I understand that�fhe follawing'restric#ions apply ta the use of fill:
<br /> - Use af fill is not allawed in Fload Zone"V" unless expressly permitted. ;
<br /> - lf the .fill material is to be used in_ Flaod Zone "A", it is unde�staod that a drainage plan addressing a
<br /> "campensating volurne" wit{ be submitted at time af permifting which is prepared by a professionai engineer "
<br /> licensed by the Sta#e'of Fiarida. '�
<br /> - If the fl! material is to be used in Flood Zone "A" in connection with a permitted building using stem wra11
<br /> construction, !certify that fill will be used only to fill the area within the.stem uvalL ;
<br /> - If fill material is tv�be used in any area, I certify that use of such�fill will not adversely afifect adjacent
<br /> properties. If use.of fiti is faund to adverse(y affect adjacent properties, the owner may be cited for violating- _
<br /> the canditions of�the build�ng pecmit issued under the attached-.permit application, for,lots less than one (1}
<br /> ac�e wliich are efevated by fill,an engineered drainage plan is requiteci. �
<br /> !f I am the AGEN7" FOR THE OWNER;=1 promise in good faith ta inform the owner of the permittirig condi#ians set forth in
<br /> this affidavit prior'fo commencing constructlon. 1 understand that a separate permlt may be required for electrical�work, ;
<br /> plumbing, signs, wells, pools,,air condi#ioning, gas,. or-othe'r''installations not specifically included in the application. A., �
<br /> permi#issued shail'be canstrued�to`6e a license to proceed`with #he work�and nat as authori#y to violate; cancel, alter, or �
<br /> set aside any provisions of tfie'technical codes, nor shall issuance of a permit prevent#he 8uilding �fficiai from thereafter
<br /> requiring a carrectia�of errors in,plans,-construction,or viola#ions af any codes. �Every perrrrit is�ued shal( become invalid
<br /> unless the wrork�authorized by such perrnit is commenced within six months of permit issuance, or if wark authorized by ;
<br /> the permit is suspended.or abandoned�for:a�period�of six(6)months after the time the work i�ticommenced. An eactsnsion. -
<br /> may be requested, in writing, from tlie Building Official for a period.not to exceed ninety (90� days and wrill demonstrate "
<br /> justifiabie cause for the extension. tf work ceases for ninety(90}consecutive days,the job is considered abandoned4.
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<br /> WARNlNG T� QWNER; YDUR FAILURE T,lJ-RECQRD;A.NC4TICE t3� G.OMMENCEMENT MI�Y RESUl:T IN YC1UR �
<br /> PAYING TINICE`EOR�IMP�OVEMENTS.TM'�ta YOUR..PROP�RTY., IF YOUrINTEND�TO+OBTAlN�=�INANCING,Ct?NSULT____�;___
<br /> ----- MlITFI=Y�OUR-LERJDEEi-OR�►N A'1"�C�FiNEY�EFC9RE�R�Ct�6iDING-YdUR NGITICE�O�`�C�N1I�iENC�MENT.
<br /> FLCIRIDA JURAT(F.S.i 1 . 3) " ` � ;
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<br /> OWNER OR AGENT � � CONTRACTO ���,_._,.. �
<br /> Subsaribed and swom t ( affi be�fo�re�ne this Subscnbed and wo t affi befo me this •• ,
<br /> by (t ! � �y - t .
<br /> Wha is/are personal y nown to me or has/have produced � Who is/are persona nown ta me or haslhave produced �
<br /> as identifica�on. as identificatlon. "
<br /> ,
<br /> Notary' Public NoNary Publlc
<br /> Commission Na. Commission Na.
<br /> t�ame of Notary typed,printed ar stamped tVame of Notary typed,printed or s#amped f
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