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�EOTE�� OF D��� REST141�TIO�IS: The undersigned understands that this permit may be subject to "deed" r�strictians"•
<br /> which may be more restrietive than Caunty regu(ations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICEPISED CONTRAC�'ORS AND CONTRACTOR RESPONSIBlLITtES: If t}ie awner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regu(ations. If the
<br /> contractor is not Iicensed as required by law, both the owner and contractor may be cited far a misdemeanor violation
<br /> under state law. If the awner or intended cantractor are uncertain as to what licensing requirements may apply for the
<br /> intended wc�rk, they are advised ta cantact the Pasco County Bui(ding inspection Division—Licensing Section at 727-847-
<br /> 8Q09. Furthermore, if the owner fzas hired a contractor or contractors, he is advised to have tha contractar(s} sign
<br /> partions of the "contractor Block" of this application for which they wil! be responsible. !f you, as the owner sign as the
<br /> contractor, that may be an indicatian that he is nat properly licensed and is not entitled to permitting-privileges�in Pasco
<br /> Caunty. ,
<br /> TRAi�SPQRTI�1'tON IIt�RACT/UTILITIES IMPACT AND RESCiURCE RECOVERY FEES: The undersigned understands
<br /> ; that 7ranspartation Impa�ct Fees and Recourse Recovery Fees may apply to the construction af new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> ,9Q-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Tr.ansportatian Impact Fees and Resaurce Recovery Fees must be paid priar to
<br /> receiving a "certificate of accupancy" or finai power re►ease. If the project does not involve a certificate of occupancy or
<br /> finaf power ralease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer lmpact
<br /> � fees are dua,they must be paid prior to permit issuance in accordance wi#h applicable Pasco County ordinances.
<br /> CONSTRUCT9��! L�E�! LAW (Ch�pter 713, Florida Statutes, as amended}: If valuati�n of v�ork is$2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction• L'ien Law—Hameowner's
<br /> Protection Guide" prepared by the Flarida Department of Agriculture.and Gonsumer Atfairs. lf the applicant is someone
<br /> ather than tfie`bwner", 1 cerEify that I have obtained a copy of the abave described document and promise in good faith ta
<br /> deliver it to the"awne�" priar to commencement. ,
<br /> CONTRACTOR'S/(?WNER'S AFFIDAVlT: I certify that aII the information in#his app[ication is acct�rate and that ail work
<br /> wi!! be done in compliance with a!! app(icable laws regulating construction, zoning anci land develapment. Rppiication is
<br /> hereby made to obtain a permit to do work and instailation as indiceted. I certify that nb 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 /> constructian, County and City cades, zaning regulations, and Iand deve(opment regulations in the jurisdiction. i also
<br /> certify that l understand that the regula#ions of ather government agencies may apply to the intended wark, and that it is
<br /> my responsibility to identify what actions ! must#ake to be in compiiance. SUch agencies inciude but are not iimited to:
<br /> - Department of Environrr�enta! Protection-Gypress Bayhsads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> �- Southwest Florida Water Management District-Wells, Cypress , Bayheads, Wetland Areas, Altering
<br /> Watercourses. ,
<br /> - Army Gorps of Engineers-Seawalls, Dacks, Navigabie Wa#erways. '
<br /> - Qepartment af Naalth & Rehabilitative ServicesJEnvironmenta( Health L}nit-Wells, Wastewater Treatmenfi,
<br /> Septic 7anks.
<br /> - US•Enviranmental Protection Agency-Asbestos abatement.
<br /> - Federa(Aviatian Autharity-Runways. �
<br /> 3 understand that the foiiawing restrictians appiy to the use of fiN:
<br /> - Usa af fi(! is nat allowed in Flood Zone"V'" un(ess expressly permitted , ,
<br /> - !f the fill materia! is to bs used in F400d Zone "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 professional engineer
<br /> iicensed by the State of F(orida.
<br /> - If the fil( material is ta be used in Fiood Zone "A" in connection with a permitted building using stem wall
<br /> construction, 1 certify#hat fill wifl be used only to fill the area within the stem wal1.
<br /> - If fi!! material is to be used in any area, l certify that use of such fill wi{i not adversely affect adjacent �
<br /> properties. If use of fil{ is found to adversely affect adjacent properties, the awner may be cited for violating �
<br /> the conditions of the building� permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are e(evated by fi(1, an engineered drainage plan is required.
<br /> 1f ( am the AGEt��' FdJR Th6E tJVVNER, 1 promise in good faith to inform the awner of the permitting conditions set forth in
<br /> this affidavit priar to commencing construction. 1 understand that a separate permit may be.required far electrical work,
<br /> plumbing, signs, wells, paals, air conditioning, gas, or ather insta(fations not specifically included in the application. A
<br /> permit issued shall be canstrued tn be a license to proceed with the work and not as authority ta vioia#e, cancel, aEter, ar
<br /> set aside any provisions of the technical cades, nor shall issuance �f a permit prevent the Building Official from thereafter
<br /> requiring a correction of error,s in plans, construction or vio�ations of any codes. Every permit issued shall become invalid
<br /> unless the wark authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period„af six {6} months after the time the wark is commenced. An e�ctension
<br /> may be requested, in writing, from the Suilding Official for a period not to sxceed ninety (90} ciays and wi([ demonstrate
<br /> � justifiable cause for the extension. If work ceases for ninety (9Q) consecutive days,the job is considered abandoned. ��
<br /> WARNf�lG 1f� OW�I�R: YOUR FAiC:URE TO RECORD A NOTICE OF COMMENCEMEN7 MAY RESULT IN YOUR
<br /> PAYIRlG TWIC� FOR IMPROVEMENTS Tt3 YOUR PROPERTY. iF YOU iNTEND TO OBTAIN FINANC,ING, CONSUL.T
<br /> WITH YOUR LENDER 4R AN ATTORNEY gEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLQRIDA JURAT(F S. 117.03) _
<br /> OWNER OR AGENT �;;�/ / """�'"� �e.._ CON7RACTOR
<br /> Su scr( ed and swc�n to (or affirmed)before me this Subscribed and sworn to(or affirmed)6efore me Thls
<br /> by ..11�.:,-n.n-c�#��.C�.L:��-,��,.,_„� bY
<br /> o�s are personal{y known to me or has/have�produced Who is)are personally knawn to me or has/have produced
<br /> as identification. as Identification. .
<br /> =�'f^� � � �" ,,�}��_Notary Pu6lic Notary Publfc
<br /> __�,�_��� ,}
<br /> ` Commission No. � " �'�
<br /> Commission No.
<br /> Name of Natery typed,printed or stamped Name of Notary typed,printed or starnped
<br /> ��q� Notery Pubtfo Siate of Florida
<br /> . . Mtohelle Mpyes
<br /> My Commisafion GG 057321
<br /> �pr¢y� �xplree 72/2!l2020
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