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V�OTICC OF ¢�EC�1 RES"fRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions".
<br /> ,which may be mare restrictive than County regulations, The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictians
<br /> llNLICE�IS�D CON��ACTORS AhlD CC?N7RACTOR RESPONSIBILITIES� lf the awner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and lacal regulatians. If�the
<br /> contractor is not�licensed as required by law, bath the owner and contractor may be cited fior a misdemeanor violatian
<br /> under state 1aw. Ifi ths owner or in#ended contractor are uncertain as to what licensing requirements may app(y for the
<br /> intended work, they are advised to cantact the Pasco County Building Inspection Divisian—Licensing Section at 727-847-
<br /> 8009. Furthermare, if the owner has hired a con#ractor ar contractors, he is advised to have the contractor{s) sign
<br /> por�ions of the "contractar Block" of this appiication for which they will be responsible. If yau, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensad and is not entit(ed to permitting privileges�in Pasco
<br /> County.
<br /> TRANSPORTA7'ION IfUOP�1CT/UTILITIES IMPACT AND RESOURGE RECOVERY FELS: The undersigned.understands
<br /> that Trar�spartation Ir�pact Fees and Recaurse Ftecovery Fees may apply to the construction of new 6uildings, change af �
<br /> use in existing buildings, or expansion of existing buildings, as specified in Fasco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such faes, as may be due, wi41 be identified at the time af
<br /> permitting. lt is further understood that Transpartation Impact Fees and Resource Recovery Fees.must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fiees must be paid priar to permit issuance. Furthermore, ifi Pasco Caunty Water/Sewer lmpact
<br /> fees are due, they must be paid priorto permit issuance in accordance with applicabie Pasco County ordinances.
<br /> CQNSTRUCTUON L.lE�R t..AW {Gh�p#er 713, Ftarida 5tatutes, as amended)� if valuation of v�ork is $2,50Q.00 ar rnare, 1
<br /> certify that I, the applicant, have been provided with a copy of the "�lorida Constructian- Lien Law—Hameowner's
<br /> Protection Guide" prepared by the Florida Department of Agricufture•and Consumer Affairs. !f the applicant is someone
<br /> other than the"ovirner", 1 certify that I have obtained a copy o#the above described document and pramise in goad faifih ta
<br /> deliver it to the"owner' prior to commencernent.
<br /> CONTRACTCIR'S10lN�ICR'S AFF1DAViT: 1 certify that all the information in this applicatian is accurate anci that aff work
<br /> wiii be done in compliance with all applicable laws regulating constructian, zoning and land develapment. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. ! certify that no wark or installation has
<br /> eammenced prior to issuance of a perrnit and that all work wil( be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended wark, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. 5uch agencies include but are not limited to�:
<br /> - DeparCment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatment. '
<br /> - 5outhwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Aitering
<br /> ` Watercovrses. ,
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ' �
<br /> - Departmenfi of Heaith & Rehabilitative �ervices/Enviranmental H�alth Unit-Wells, Wastewater Treatment,.
<br /> Septic Tanks. ,
<br /> - US�Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the follawing restrictions apply to the use of fill. -
<br /> - Use of fiil is not alfowed in Fioad Zone"V" unless expressly permitted.
<br /> - (f the fill material is ta be used in Fload Zone "A", it is understood that a drainage ,p�an addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a prafessianal engineer
<br /> licensed by the State of Flarida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, i certify that fill will be used aniy to fill the area within the stem wa11.
<br /> - If fill material is to be used in any area, I certify that use of such fiil will not adversely affect adjacent
<br /> propeeties. If use of fi(l is found to adversely affect adjacent properties, the owner may be cited for viola#ing
<br /> ` the conditions of the t��ailding permit issued under ti�e attached permit app{ication, for lots less than one (1}
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> lf I am the AG�C�1" F�R TH� O1Nt�ER, I pramise in good faith ta inform the owner of the permitt'sng condi#ions set forth in
<br /> this affidavit prior to cammencing oonstruction. I understand that a separate permit may be.required for electrical work,
<br /> plumbing, signs, we(ls, pools, air canditioning, gas, or other installations not specificaily inciuded in the app(icatlan. A
<br /> permit issued sha3( be construed to be a license to proceed with the wark and not as authority to violate, cancel, aiter, ar
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the 8uilding Official frqm thereafter
<br /> requiring a carrectian afi errars in plans, construction or vialatians of any codes. Every pertnit is�ued shal] became invalid
<br /> unless the work authorized by such permit is commenced within six manths ofi permit issuance, or if work authorized by
<br /> the permit is suspended ar abandaned for a periad;.of six (6) manths after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Bui(ding Officia( for a period not to exceed ninety (90) days and wili demonstrate
<br /> � justifiable cause for the extension Ifi work ceases for ninety (90) consecutive days,the job is considered abandaned.
<br /> WARNING T� OWN�Fd: VOUR �'AILURE TO RECORD A NOTICE OF CfJMMENCEMENT MAY RESULT IN YOUR
<br /> PAYt�4G T1NIC� FOR IMPROVEMENTS TO Y{�UR PROPERTY. IF VOt3 INTEND TO C1BTAlitit FII�iANCtNG, CUNSllLT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF�C(aMMENCEMENT,
<br /> FLORIDA JURAT(F S. 177.03)
<br /> OWNEA OR AGENT_ � �"'-^✓ �---- CONTRACTOR
<br /> jSLjJ s rlbe and swQ"��n to (or affirmed) befora me this Sukascribed and swarn to(ar affirmed)before me this
<br /> t�t�_.�__b�f a/ C t:..r�-rz-r.���cy.F.���--,���-� t}y
<br /> Wfio isJare personaily known to me or has/have'produced Who is/are personally known to me or has/have produced
<br /> as identifiaation. as identlficatlon. .
<br /> �__�� �� �
<br /> : '�;,/ .Tj � Notary Fubiic Notary Publlc
<br /> ' Commission No C Commisslon No. "`
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> �,�.ar►� �ptery PwbUc State oi Florida
<br /> � , Micheile Moyes
<br /> n � My Com�isalon��057323
<br /> ��'xa p ExPiros 12/21/2020
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