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<br /> �OTtCE tl� DE�� RES�Fdi�TEdNS: The undersigned understands that this permit may be sc�bject to "�eed" restrictions"�
<br /> which may be mare restrictive than County regulatians. The undersigned assumes responsibiiity for compliance with any
<br /> ' applicable dsed restrictions.
<br /> IDNLICENSED COIV'TRACTORS AND CON7RAGTOR RESPONSl81L1TIES: !f the owner has hired a contractor or'
<br /> contractors to undertake work, they may be required to be licensed in accordance with sfate and locak regulations, !f the
<br /> contractor is not�(icensed as required by law, both �he awner and contractor may be cited for a misdemeanor vialation
<br /> under state taw. If ths owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended worf<, they are acfvised to contact the Pasca County Buildirrg Inspec#ion Division—Licensing Sectian at 727-847-
<br /> 8009. Furthermare, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Black" of this application for which they wi!! be respansib(e. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is nat entitled to permitting privileges�in Pasco
<br /> County.
<br />' TRANSPORT.t�T1iJN tIt�PACTJUTILtTiES iMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> - that Transpo�tatian lmpa�ct Fees and Recourse Recavery Fees t�ay apply ta the canstruction of new buildings, change of
<br /> , use in existing buildings, or expansion of existing buildings, as specifiied in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, wi!l.be identified at the time of
<br /> permitting. It is further understood that Transpartation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receivmg a "certificate af accupancy" or final power release. If the project does not invalve a certificate af occupancy or I
<br /> final pawer release, the fees must be paid prior to permit issuarrce. Furthermore, if Pasco County WaterJSewer lmpact '�
<br /> fees are due,they musfi be paid priar to permit issuance in accordance with app(icabie Pasc,o Caunty ardinances.
<br /> CONSTRUCTflOP� LlEN l..�W {Gh�pter 713, Florida Statutes, as amended}: lf valuation af�ork is$2,50a.OQ or more, !
<br /> certify that I, the applicant, have been provided with a copy of the "F(orida Construction• L'ien Law—Horneowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture.and Consumer Affairs. If the applicant is someone
<br /> other than the "owner", I certify that I have obtained a copy af the abave described document and promise in good faith to
<br /> deliver it ta the"owner" prior to commencement.
<br /> COIV7RACTCDR'S/0lNNER'S AFFIDAVfT: ! certiiy that al! the information in this applicatian is accurate and that al! work
<br /> will be done in compliance witli a!I applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no wark or installation has
<br /> commenced prior ta issuance of a permit and that all work wi(1 be performed to meet standards of all (aws regulating
<br /> canstructian, County and City codes, zaning regulations, and iand deveiopment regu(atians in the jur.isdictian. i alsa
<br /> certiiy that l understand that the regulatians af ather government agencies may apply to the intended wark, and that it is
<br /> my responsibility to identify what,actions S must take ta be in campliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive -
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest �lorida Water Management District-We(Is, Cypress Bayheads, Wetland Areas, A(tering
<br /> Watercourses. .
<br /> - Army Carps af Engineers-Seawalis, Dacks, Navigable Waterways. '
<br /> - Department of Mealth & Rehabilitative Services/Environmenta! Fiealth Unit-Wells, Wastewater Treatment,.
<br /> Septic 7anks. �
<br /> i - US�Environmental Protection Agency-Asbestos abatement.
<br /> - Federa(Aviatian Authority-Runways.
<br /> l understand tkiat the#oiiowing restrictions apply to the use of fill:
<br /> - Use of f's!! is not allowed in Flood Zone"V" unless express(y permitted.
<br /> - If the fill material is to be used in Flood Zane "A", it is understood that a drainage .plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professiona! engineer
<br /> (icensed by the State of Florida.
<br /> - if the fi41 materia4 is ta be used in Flaod Zane "A" in connection with a permitted building using stem wa(1
<br /> construction, ( certi�r that fiil wi!{ be used only to fiii the area within the stem wal1.
<br /> - !f fill material is to be used in any area, l certify that use af such fil! will not adversely 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 af the building permit issued under the attached permit application, for lats less than one (1�
<br /> acre which are elevated by fili, an engineered drainage p(an is required.
<br /> ifi I am the AGlE�4�' FC7R TF6E �1NP�ER, 1 pramise in good faith to inform the awner of the permitting conditions set forth in
<br /> this affidavit priar to commencing construction. l understand that a separate permit may be.required far electrical work, �
<br /> plumbing, signs, wells, pools, air conditianing, gas, or other installations nat specificaliy included in the application. A
<br /> permit issued shall be construed 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 codea, nor shall issuance of a permit prevent th� Building Official frQm thereafter
<br /> requ[ring a correctian af,errars in p(ans, canstruction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six manths of permit issuance, ar if work authorized by
<br /> the permit is suspended or abandoned for a periad,of six (6).months after the time the wark is commenced. An eactension
<br /> may be requested, in writing, from the Building Official for a periad nat to excaed ninety (90) days and wifl demonstrate
<br /> � justifiable cause for the extension. lf work ceases for ninety (90) consecutive days,the job is cansidered abandanecl.
<br /> WARNt1�G "C� OWN�1�: Y011R �AILtIRE TO RECORD A NQTiCE �� COMMENCEMENT MAY RESIJLT IN YOUR
<br /> PAYlRlG'T1NtC� FUF� IMPROVEMENTS TO YOUR PROPERTY. IF YOU iNTEND TO OBTAIN FIN�►NC1NG, CtJNSULT
<br /> WITH YQUR LENDER C?R AN ATTQRNEY BEFC?RE RECQRDtNG YQUR NQTICE C}F COMMENCEMENT.-- -
<br /> FLQRIDA JURAT(F.S. 117.03) _. - "" "�-
<br /> OWNEFt OR AGENT /��� Ct}N7RACTtJR
<br /> S9ubs rib,e and sw/•�t���n�to (or a firmed)before me this4 Subscribed and s(.worn to(or affirmed)before me this
<br /> {� 1 ���v_.Y�1:.+�(I"j7''L�. '��fL 2r`+C.��Gi.�L '4,,,," L)f�J .
<br /> , Wlio is are personally known to me or has/have�produced Wha isiare personaHy 3tnown ta me or hasJhave produced
<br /> as identification. ' as identificatian. •
<br /> ,.�= .�•� .��r����"'�} �..Notary Pubiic � Notary Publ(c
<br /> __�� ` ,��
<br /> ' Commission Na. Commission No.
<br /> Narne of Natary typed,printed or stamped Neme of Notary typed,printed or stamped
<br /> +�+J'S�"��
<br /> �ou� Notary Public State of Flodda
<br /> � . Mich�lle Moyes
<br /> My Commisslan GC3 057324
<br /> �or� �xpl�ae 12121/2020
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