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�OTi�� OF D���3 RE�TRi�T3Qt�5- 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 restrictions
<br /> IDPILICEiVS�D CON'T'�tACTORS A1VD COIUTRAG7CIR RESPQNSlBtLITfES: if the awner has hired a contractor ar
<br /> contractars to undertake work, they may be required to be licensed in accordance with state and foca! regulations. (f the
<br /> contractar is not licensed as required by law, both the owner and cantractor may be cited for a misdemeanor vialatian
<br /> under state (aw. if tha owner or intended contractor are uncertain as ta what licensing requirements may apply for the
<br /> intended work, they are advised ta contact the Pasco County Building (nspectian Division—Licensing Sectlon at 727-847-
<br /> � � 80Q9. Furthermore, if the owner has hired a contractor or contractors, he is advised ta have the contractar(s} sign
<br /> portions of the "contractor Block" of fhis application far whicn they wil! be responsil�le. If yau, as the owner sign as the
<br /> contractor, that may be an indication that he is not praperly licensed and is not entitled to permitting privileges�in Pasca
<br /> County.
<br /> TRANSPORTATtOE� [tt�PACTjUT1LfiTtES 1MPACT AND AESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transpartation lmpact Fees and Recourse Ftecovery Fees may apply to the construction af new buildings, change of
<br /> use in existing buildings, or expansion of existing buiSdings, as specified in Pasca County Ordinance number 89-d7 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, wi!! be id�ntified at the time of
<br /> � permitting. It is further understaod that Transpartation Impact Fees and Resource Flecovery Fees must be paid prior ta
<br /> � receiving a "cerEificate af occupancy" or final power release. If the project does not involve a certificate ofi occupancy or
<br /> , final pawer release, the fess must be paid prior ta permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they m�st be paid priarto permit issuance in accordance with appiicable Pasca County ordin�rrces.
<br /> , ClJAlSTk�UCTIl�N �lE�§ LAW {Chapter 713, Florida Statutes, as amended): lf valuation af vuork is $2,500.00 or more, f
<br /> certify that I, the applicant, have be�n pravided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someane
<br /> , ofher than the "owner", i cerEify fhat I have obtained a copy of the above described dacument antl promise in goad falth ta
<br /> , deliver it to fihe'"owne�" prior to commencement. ,
<br /> � CON7RACTOR'S10lNIUER'S AFFiDAVlT. ! certi#y that ali the information in this appiication is accurate and that a(i work
<br /> ' wil! be done in campliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. f certify that no work ar insta!lation has
<br /> 'p commenced prior to issuance ofi a permit and that all work wil( be performed to meet standards of all laws cegulating
<br /> construction, County and City codes, zoning regulations, and land deveiapment regulations in the jurisdiction. 1 also
<br /> certify that i understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identifiy what actions ! must take ta be in compiiance. Such agencies include but are not limited ta:
<br /> - Department of Environmental Pratection-Gypress Bayheads, Wetland Areas and Environmentafly Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> � Watercaurses. .
<br /> - Army Corps af Engineers-SeawaNs, Docks, Navigabia Waterways. '
<br /> � - Department of Health & Rehabilitative Services/Cnviranmental F{ealth Unit-Welfs, Wasfiewater Treatment, f
<br /> Septic Tanks. ,
<br /> - US�Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> i understand that the followtng restrietions apply to the use a#fill:
<br /> - Use of fi!! is not allowed in Flood Zane "V" unless expressiy permitted.
<br /> - lf the fill materiai is to be used in Flood 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 /> licensed by the State ofi Florida.
<br /> - If the fii( material is ta be used in Fiood Zone "A" in connection with a permitted building using stem wal(
<br /> constructlon, S certify that fiil wiil be used aniy to fill the area within the stem wal{
<br /> - If fill materia{ is to be used in any area, I certify that use of such fiii wifl not adverseEy affect adjacent
<br /> properties. If use of fi(I is found to adversely aifect adjacent properties, the owner may be cited for vioiatirtg
<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 fili, an engineered drainage plan is required. .
<br /> � 1f I am the AC�Rl�' F�1R TH� �1Nh�ER, 1 pramise in good faith to infarm the owner af the permit�ing canditions set forth in
<br /> this affidavit prior ta cammencing construction. i understand that a separate permit may be.required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specificaliy inciuded in the appiication. A
<br /> � permit issued shall be construed to be a license ta proceed with•the work and not as authority to violate, cancel, alter, or
<br /> i set aside any provisions af the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a carrection of errars in plans, constructian ar vioiations of any codes. Every permit issued shall become invalid
<br /> � unless the work autharized by such permit is cammenced within six monfihs af permit issuance, ar if wark authorized by
<br /> � the permit is suspended or abandoned for a period,.a�six (6) months after the time the v�'roric is commenced. An extension
<br /> I may be requested, in writing, from the Building C7fficial for a period not ta exceed ninety (90) days and wi(1 demonstrate
<br /> � ` justifiable cause for the extension, If work ceases for ninety (90) consecutive days,the job is considered abandonecl.
<br /> I
<br /> I WARNE�IC �'C� ��IV�1�E3: VOUR IFAIL:URE TQ RECORD A NUTICE OF Cf3MMENCEMENT MAY RESULT 1N YOUR
<br /> PAYlNG TWlC� FC}R tMPROV�.MENTS T(�YtJUR PROPERTY. 1F VOU INTEND TO OSTAIN FtNANC1tVG, CONSULT
<br /> W1TH YOUR LENDER OR AN A7TORNEY BEFORE ftECORb1NG YCJUR NdTtCE OF COMMENCEM�NT.
<br /> FLORIDA JURAT(F.S 117.03) � �
<br /> OWNER OR AGENT � ���–P"'—'"" CONTRAGTdR
<br /> Sub cribed and sw4i�n ta (or afflrmed)before me this Subscribed and sworn to(or affirmed) before me thls
<br /> 41 by .1��.1-�n•n•����tz.a.�.�e-,�-�5.--....� by
<br /> . Vi/ho is aU�kae�ara-Yar.n�.,Qr has/haveproduced , Who is(are persflnally known ta me or haslhave produced
<br /> as identification. as fdentlficatlon. r
<br /> � � � �l �
<br /> � ` J �=�"r ' ,.-- Notary Rublic Notary publlc
<br /> ' Cammission No t„�, (�� � Commfsslon No. ''�`
<br /> Name of N t y ty > r' e t i Name of Notary typed,printed or stamped
<br /> =o��,� Notery PuDlic 5tata of Fiorida
<br /> � . iUiiche!!e MoyBs _
<br /> � ��rr My Commisefan GG 057321
<br /> oF�v' �XPftes 12l21J2820
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