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, NOT[GE OF DEED RESTR1CT10NS: The undersigned understands that this permit may be subject to"deed"restricfians"
<br /> :., which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLtGEPISED CONTRACTORS AND CONTRACT4R RESPOFlSIBILiTiES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and locai regulations. �f the
<br /> contractor is not licensed as required by law, both the awner and contractor may be cited for a misdemeanor violation
<br /> i ander state iaw. If fhe owner ar intended contractor are uncertain as to what licensing requicements may appiy far the
<br /> intended work,they are advised to contact the Pasco County Buiiding�nspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermare, if the owner has hired a contractar or contractors, he�is advised to have the cantractar(s) sign
<br /> ' portions of the"cantractar BIocK"af this application far which they will be responsibie. If yau, as the awner sign as the
<br /> � contractar,that may be an indicafion that he is not properiy licensed and is not entitied to permft#ing privileges in Pasco
<br /> � County.
<br /> TRANSPORTATION IMPACTIUTtLITiES INIPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply#o the construction of new buiidings,change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 80-47,as amended. The undersigned aisa understands,that such fees,as may be due,wii(be identified at the time of
<br /> permitting. It is further understood fhat Transpartation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final pawer release. If the project does not involve a certificate of occupancy or
<br /> finai power release,the fees must be paid prior ta permit issuance. Furthermore, if Pasco Gounty WaterlSewer lmpact
<br /> fees are due,they must be paid prior to permit issuance in accardance wEth appiicab[e Pasca County ordinances.
<br /> CONSTRUCTION LIEN LAW(Ghapter 713,Flarida Statutes,as amended)� If valuation of wark is$2,500.00 or more, I
<br /> certify that i, the appiicent, have been provided with a capy of the "Florida Construckion �ien Law—Homeowner's
<br /> Protection Gnide°prepared by the Florida department of Agriculture and Cansumer Affairs. If the applicant is someone
<br /> other than the"awner",I certify that I have obtained a capy of the above described document and promise in goad faith ta
<br /> deliver it to the"owner'prior to commencement.
<br /> CONTRACTOR'StOWNER'S AFFiDAVIT: 1 certify fhat all the information in this appiicatian is accurate and that all wark
<br /> will be dane in compliance with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made ta obtain a permit to do work and installation as indicated. I certify that no work ar installation has
<br /> camm�nced prior ta issuance of a permit and that all worK wi11 be perfarmed to meef standards of all iaurs 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 regulatians of other government agencies may apply to the intended work,and that it is ;
<br /> my responsibility fa identiiy what actions I must take ta be in compiiance. Such agencies include but are nat I'smited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaliy Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Sauthwest Flarida Water Management Ristrict-Weiis, Cypress Bayheads, Wefland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps pf Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department a( Health & Rehabilitative SetviceslEnviranmentai Health Unit-Weiis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviatian Autharity-F2unways.
<br /> 1 understand that the foliowing restrictions apply ta the use of fiii:
<br /> - Use of fill is not allowed in Flaod Zone"V"unless expressly permitted.
<br /> - !f the fi{! material is to be used in Fload Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"wil(be submitted at time of permitting which is prepared by a professionat engineer
<br /> licensed by the State of Florida.
<br /> - !f the Fi!{ materia! is to be used in Ffoad Zone"A"in connec,ion with a permitted building using stem wall
<br /> construcfion,I certify that fi((wiil be used oniy fo fill the area within fhe stem wa1i.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> prope�ties. !f use of fi{I is found to adversely aifect adjacent properties,the owner may be cited for violating
<br /> the conditions af the bufiding permit issued under the attached permit app{ication,for Iats iess than one(1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,!pcomise in good faith to inform the owner of the permitting canditions set forth in
<br /> this a�davit prior to commencing construction, i understand that a sepacate permit may be required for electrical wo�k,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set as�de any provisions of the technical cades,nor shail issuance of a perm9t prevent the Building C}fiicial fram thereafter
<br /> requiring a correction of errors 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 months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandaned far a period of six{6}months after the time the wark is commenced. An e�ctension
<br /> may be requested, in writing,from the Building Official for a period not to exceed ninety(90) days and will demonstrate
<br /> justifiabie cause for the extension. If work ceases for ninety(90)consecutive days,the jab is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NQTfCE OF COMMENCEMENT MAY RESULT iN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO QBTAIN FINANCING,CONSUL7
<br /> WITH YOUf2 L�NDER OR AN A'iT0 EY BEFORE REGQRDING YOUR NOTtGE OF CQMMENGEMENT.
<br /> FLORIDAJURAT(F.S.i .03j
<br /> OWNER OR AGENT � CONTRACTOR !�`v�/...-
<br /> Subsaibed and swom ta{or affirmed)befoce me thi Subscribed and swom to{ar affimted)before me r
<br /> by i�2��1$ by �
<br /> 4Vho is/are personally known to me or hasAiave pro Who islare personall�known to me or has/hav roduced '
<br /> as identificatio�. as identificaUon.
<br /> Notary Pubiic �� �-- Notary Public
<br /> CommissionNo. Comr�si,o No. �-iC-i i'72'7i'Z
<br /> Name of Nata[y typed,prinfed or stamped Name af Notary ty d�:"� , §tamped
<br /> ;*; ;,: MY COMM1SSi0N#GG 1?2,7i2 ,
<br /> ': �o`: EXPIRES:January 29�2021
<br /> "''-.'FpF�;;°Q: Bonded iThtu No�sY AlbtiC Undetwtkats ,
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