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V�OTtC� t3F �3��D FiE�TF2i�Ttat�S: The undersigned understands that this permit may be subject to "deed" restrictians".
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictians.
<br /> UNLICEiVS�D COIVT�AC�'OR5 AfVD CO�ITR;A-CTC?R RESPOMSIBILITIES, ff the owner has hired a cantractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance +nrith state and local regu(ations. ff the
<br /> cantractor is not (icensed as required by law, both the owner and cc�ntractor may be cited far a misdsmeanor via(ation.
<br /> under state law. If the owner or infiended cantracto"r are uncertain as to what licensing requirements may apply for tlie
<br /> intended work, the�r are advised ta contact the Pasca County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised ta have the contractor(s} sign
<br /> partions of the "cantractor Block" of this application for which they wil! be responsible. If yau, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges�in Pasca �
<br /> Caunty. . ,
<br /> TRANSPORTAT[ON (PdPPACT/UTtI.IT(ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transportatian Impact Fses and Recourse i�ecovery Fees may apply to the constructian of new buildings, ciiange of �
<br /> . use in existing buildinc�s, or expansion af existing buildings, as specified in Pasco C�unty Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned a(so understands, that such fees, as may be due, wil! be identified at the time of
<br /> permitting It is further understood that Transportation Impact Fees and Resource Ftecovery Fees must be paid prior to
<br /> receiving a "certificate af occupancy" or final power release If the project does not involve a certificate of occupancy or
<br /> finai power release, the fees must be paid priar to permit issuance. Furthermore, ifi Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid priar to permit issuance in accordance with applicabie Pasco County ordlnances.
<br /> C(:(:'DNSTRUCTQON �IE�3 LAW (Ch�pter 713, Fioricla�tatutes, as amended}: (f valuation af v�rork is $2,500.00 or mare, l ,
<br /> certify that I, the applicant, have been provided with a copy of–the "Florida Construction Lien Law—Homeawner's
<br /> Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Aff_airs. if the applicant is someone
<br /> other than the "owner", i cerEify fhat I have obtained a copy of the above described dacument and-promise in good falth ta
<br /> deliver i#to the"owne�' prior to commencement.
<br /> CONTRACTO�'�If1WNER'S AFFIpAViT. l certify that ai1 ihe informatiorr in this appiication Is accurate and that aR work
<br /> will be done in compliance with al! applicable laws regulating construction, zaning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that r,o work or installation has
<br /> cammenced prior to issuance of a permit and that all work wiil be performed to meet standards of all laws cegulating
<br /> , canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aisa
<br /> certify that 1 understand that the regulations af other government agencies may appiy ta the intended work, and that it is
<br /> my responsibility to ider�tify what actions ! must talte to be in compliance. Such agencies include bufi are not llmited ta:
<br /> - Department of Enviror�menta! Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive �
<br /> Lands,Water/Wastewater Treatment. - '
<br /> - Southwest �lorida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering '
<br /> Watercourses. ,
<br /> - Army Carps af Engineers-Seawaiis, Dacks, Navigable Waterways. '
<br /> ' - Department of Nealth & Rehabilitative �ervices/Environmenta! Health tJnit-Wefls, Wasfiewater Treatment,.
<br /> Septic Tanks,
<br /> - US�Environmental Frotection Agency-Asbestos abatement.
<br /> , - Federa(Aviation Authority-Runways.
<br /> ' 1 understand that the foilowing res#rictions appiy to the use of fill:
<br /> II - Use of till is nat allowed in Flood Zane"V" unless expressly permitted
<br /> - If the fill material 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 /> i licensed by the State af Florida. �
<br /> I - !f the fill material is ta be used in F{ood Z.one "A" in cannection with a permitted bui(ding using stem wail
<br /> canstruction, i certi#y that fiil wili be used anSy#o fili the area within the stem wa11.
<br /> - If fill material is ta be used in any area, I certify that use of such fill wi11 nat adversely affect adjacent i
<br /> 'i properties. If use of fill is found to adversely affect adjacent propsrties, the owner may be cited for violatirtg
<br /> 'i the conditions of the builtling permit issued under the attached permit app(icatian, for lots less than one (1)
<br /> acre which are e{evated by fili, an engineered drainage pian is required.
<br /> 1f I am the A��t�T F�R Tt--6� C1WP�EFi, i promise in goad faith to inform the owner of the permitking canditions set forth in ;
<br /> �� this afifidavit prior ta commencing construction ( understand that a separate permit may be.required far electrical work,
<br /> plumbing, signs, wells, pools, �ir conditioning, gas, or other installations not specificalfy included in the application. A
<br /> permit issued shall be construed ta be a license ta proceed with�the work and not as authority to violate, cancel, a(ter, or
<br /> set aside any provieions af the technical codes, nor shall issuance of a permit prevent the Building Ofificial frQm thereafter
<br /> requiring a correction af errors in p(ans, eonstructian or violatians of any cades Every permit issued shall became invalid
<br /> unless the work authorized by such perrr�it is commenced within six manths of permit issuance, or if work authorized by
<br /> the permit is suspended or abandaned fbr a period;of six (6) months aiter the time the wark is commenced. An extension
<br /> may be requested, in writing, from the guilding Official for a period nat to exceed ninety (9Q) days and wiii demonstrate
<br /> �• justifiabie cause for the extension If work ceases for ninety (90) consecutive days,the job is considered abandone�.
<br /> 1NARNl�1{;� 1"� t�W��E3: VOUR �AE�URE Tt� RECORD A Nt�TiCE OF COMMENCEMENT MAY RESULT 1N YOUR
<br /> PAYI�lG T1NlC� F(JR 1MPRt3VEMENTS TO YOUR PRt3PERTY. IF YQU [NTEND TO OBTAtN FINANCING, CCINSUL,T
<br /> WITH YOUR LENDER QR AN ATTORNEY BEFORE F�EGORDING YQUR NOTICE C1F�CONiMEt�ICEMER3T.
<br /> FLORIDA JURAT(F S. 117.03)
<br /> OWNER OR ACaENT ��E """'j�� • CONTRACTOR
<br /> �Su scri c� nd swgLn� to (or afflrmed)I�efore me this Subscribed and sworn to(or affirmed)before me this
<br /> � � � by_„�}��..-r�•r1��C.'�c�c;L z.:�d-,c�.--�.�. aY I
<br /> , Who islare per! s,y,�onally known to me or hasJhave•praduced Who is(are personally known to me or has/have praduced
<br /> as identification. as Identificatlon. . �
<br /> � �. � �� �� - Notary Pubilc Notary Publlc
<br /> ������
<br /> ' Cammissian No � j t�� Cpmmisslon No. '`
<br /> a
<br /> Name of{�atary typed,printed or stamped Name ot Notary typed,printed or stamped
<br /> ��e,� tlotery PuBlic State of Florida
<br /> � , . Micheile Moyes
<br /> � My Gammfaston C30 057321
<br /> �opno� Explyde12J21/202p
<br /> ii
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