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tVOTECE O� F�,��D FiE�'TRiCTiC3t�S: The undersigned understands that this permit may be subject to "deed" restrictians".
<br /> which may be mare restrictive than Caunty regulations. The undersigned assumes responsibiiity for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENS�ELD CO[�T�tAC`I'ORS A�ID CONTRACTCIR RESPONSlBIL.lTlES; if the awner has hired a contractor or
<br /> contractars to undertake work, they may be required to be licensed in aecordance with state and local regulatians. !f the
<br /> cantractor is not licensed as required by law, both the owner and cantractor may be cited for a misdemeanor violation
<br /> under state law. ifi the ownar or intended contractor are uncertain as fio what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasea Gounty Buiiding (nspection Division—Licensing Section at 727-847-
<br /> 80�9. Furthermore, if ths owner has hired a cantractor or contractars, he is advised to have the contractor(s) sign
<br /> portians of the "contractor Block" of this application for which they wil! be responsibls. If yo�, as the owner sign as the
<br /> contractor, that may be an indicatian that he is not properly licensed and is nat entitled to permitting privileges�in Pasco
<br /> County. �
<br /> TRANSPORTAT10�1 1PdPPACT/UTIL.ITIES IMPACT AND REStiURCE REC(JVERY FEES: The undersigned.understands
<br /> that Transportation impact Fees and Recourse Recavery Fees may apply ta the canstruction of new buildings, change of �
<br /> use in existing buildings, or expansion of existing bUildings, as specified in Pasco Caunty Ordinance numbar 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, wi!! 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 /> receiving a "certificate af occupancy" ar final power release. If the project does not involve a certificate of occupancy or
<br /> final pawer release, the fees must be paid prior to permit issuance Furthermore, if Pasco County Water/Sewer lmpact
<br /> feas are due,they must be paid priarto permit issuance in accordance with applicable Pasco County�rdinances.
<br /> C()IVSTC�UCT��tJ LlE�3 LAW {Ch�pter 713, Floricla�tatutes, as amended}: !f valuation of tr�ork is $2,500.00 or mare, i
<br /> certify that I, khe applicant, have been provided with a copy of the "Florida Construction• Lien Law—Homeawner's
<br /> Protection Guide" prepared by the Fiorida Department of Agricufture.and Consumer Affairs. if the applicant is someone
<br /> other than the 'bwner°, i certify that 1 have obtained a copy af the above described dacument and promise in goad falth to
<br /> deliver it to the"owne�' prior ta commencement.
<br /> Ct�N7RACTC�R'S1C3WNER'S A�FIDAVlT. 1 certi#y that a!i tt�e infbrmatian in this application is accUrate and that al! work
<br /> wil! be done in compliance with all �pplicable laws regulating construction, zaning and land devekopment. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. l cerkify that no wark or installation has
<br /> commenced prior to issuance ofi a permit and that all work wi(I be performed ta meet standards of all laws regulating
<br /> construction, Caunty and City codes, zoning regulations, and land development reguiations 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 respansibility to identify what actions f must talte to be in compiiance. Such agencies incfude but are n�t limited to:
<br /> - Department of Enviranmental Protectian-Gypress Bayheads, Wet(and Areas and Environmenta!!y Sensitive
<br /> Lands,Water/WastewaCer Treatment. '
<br /> - Sauthwest Florida Water Management District-Wells, Cypress Bayheatls, Wetland Areas, Altering
<br /> Watercaurses .
<br /> - Army Corps af Engineers-Seawalls, Dacks, Navigab(e Waterways. '
<br /> - Departrtzent of Health & Rehabilitative Services(Environmental Neaft4� Unit-Wells, Wastewater Treatment,.
<br /> Septic Tanks.
<br /> - US�Environmental Protection Agency-Asbestos abatement.
<br /> - Federai Aviation Authority-Runways. `
<br /> 1 understand that the follow'tng restrictians apply to the use af fill:
<br /> - Use af fil4 is not allowed in Flood Zone"V" unless expressiy 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 submifited at time of permitting which is prepared by a professional engineer
<br /> licensetl by the State of Florida.
<br /> - If the fili rrraterial is to be used in Flaod Zone "A" in connection with a permitted building using stem wall
<br /> construction, i certify that fiil will be used anly ta fiil the area within the stem wail. _
<br /> - If fill materiai is to be used in any area, ! certify that use af such fi1! wi{I not adversely affect adjacent
<br /> properties If use of fill is found to adversely affect adjacent praperties, the owner may be cited for violating
<br /> ' the conditions of the building permit issued under the attached permit appficatian, for lots less than one (1}
<br /> acre which are e(evated by fi(I, an engineered drainage plan is required.
<br /> if I am the A{.�LNT F�li� TH� C1WP�ER, I pramise in good faith to inform the awner of the permitting conditions set forth in
<br /> this af�idavit prior to commencing construction 1 understand that a separate permit may be.required for electrical work,
<br /> plumbing, signs, wells> pools, air conditioning, gas, or other instaliations not specificaliy incl�ded in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority ta violate, cancel, after, or
<br /> set aside any provisions of the technical codes, nor shall issuance afi a permii prevent the Building Official frqm thereafter
<br /> requiring a correction of errars in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six manfihs af permit issuance, ar if wark authorized by
<br /> the permit is suspended or abandoned for a perzad;.of six (6} rnonths after the time the work is cammenced. An e>ctension
<br /> may be requested, in writing, from the Building �fficial for a period nat to exceed ninety {90) days and wili demonstrate
<br /> � justifiable cause for the extension. If work ceases for ninety (90� consecutive days,the job is considered abandoneci.
<br /> WARNING �'C� OW�1�13: 'Y'O�UR �Ai�URE TO RECORD A �It�TiCE O� COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYlf�G TWlC� Ft�R 1MPROVE�UiENTS TO YOUR PROPERTY. IF VOLi INTEND TO CiBTA1N FINANCING, C(JNSULT
<br /> 1NlTH YOUR LENDER OR AN ATTORlVEY BEFORE REGORDiNG YOUR NOTICE OF C4MNfENCEMEtVT.
<br /> FLOFIIDA JURAT(F.S. 17 7.03}+r�, - -
<br /> ` L� /
<br /> OWNER OR AGENT �'�d CC�NTRAGTdR
<br /> �u scrftaed and swQLn� ta (or afflrmed)before me this Subscribed and sworn to(or affirmed)before me thls
<br /> �� - by .11�'.:-..-�n r�-�'=�,�c,a.z.;�.�-,r�`i.-�._� b `
<br /> . ho iV�sonallY know, n t,_..� o ma or haslhave'praduced Who isiare perso aily known to me or hasJhave produced
<br /> as identiffcation, as Identificatlan. �
<br /> r���(r�la�tc ��'1/t�tE' _Notary PUb!(c Notary publlc
<br /> ` Commission No � � C��, Cammisslon No. `�`
<br /> Name of Natary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> � �
<br /> ��"°� Nataryr Publla State of flodda .
<br /> . Micheile Moyes
<br /> � a N!y Ci?mmission�a�087321
<br /> p'�'atc�''� �Pires 12l211202q
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