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NOTII;E;: OF DES D RESTI'tICTIONS: Th : unr ersigned understands that this permlt may be subject to "do edi' rests-I dions"
<br /> which may be more restrictive than Caw y rc:j ulations, The undersigned assurnes responsibility for complianc,(a with any
<br /> applicable deed restrictions,
<br /> UNLPIMNSED 6ONTRACTORS AND CONTRACTOR RESPONSIBILITiES: If the owner has hired a .contractor or
<br /> contractors to undertake work, they may )e r gvired to be licensed In accordance with state and local regulations. If the
<br /> contractor is not licensed as required b, i law, both the owner and contractor, may be cited for a misderneanor vlokatlon
<br /> under state law,i If the owner or intended col tractor are uncertain as to what licensing requirements may lapply for• the
<br /> Intended work, they are advised to contact tile. Pasco County Building Inspection Divislon—.1 Sectlon at 7:2Z-.847-
<br /> 8009, furthermore, if the owner hal3 hired la contractor or contractors, he. is advised to have the contractors) sign
<br /> portions of the "contractor Block" of this pppll�ation for which they will be rosponslble. If you, as the owner sign ;;'is the
<br /> contractor, that may be an indication th'a he Is riot properly licensed and Is not entitled to permitting privlleg(,s in Pasco
<br /> County,
<br /> TRANSPORTATION IMPACTAJITiLITi!E ' IMi'1 CT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportat on Impact Fees and Recours Recovery Nees may apply to the construction of new buildings, change of
<br /> use In existing buildings, or expansion o exit ting buildings, as specified In Pasco County Ordinance numb:ei, 139-07 and
<br /> 90-07, as amended, The undersigned sa sc a derstands, that such fees, as May be due, will be Identified at the time of
<br /> permitting, It Is!further understood that 'ran portation Impact Fees and Resource Recovery Fees must: be. paid prior to
<br /> recelwinci a "certificate of occupancy" or final power release; If the project does not involve a certificate of iccupancy or
<br /> final power release, the fees must be p�ld pror to permit Issuance. Furthermore, it' Pasco County Water/ )e:wer Impact
<br /> fees are due, they must bcy paid prior to perms Issuance In accordance with appllcaable Pasco County ordinan;c,c s.
<br /> CONSTRUCTION LIEN LAW (Chapter 71,11, Iflorida Statutes, as amended): If valuation of work Is $2,500;00 or rnare, I
<br /> certify that 1, the applicant, have beenl provided 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 applIcaril Is sorneone
<br /> other than the owner", I certify that I haw) obtained a copy of the above described document and promise In good faith to
<br /> 'dellvsr it to the"owner" prior to corrim )m enc e t,
<br /> CONTRACTOR'S/OWNER'S AFFIIDAVI I yertify that all the Information in this application is accurate and that all work
<br /> will be done in compliance; with all appy lable laws regulating construction, :coning and land development. Appiiration is
<br /> .herel:py made to obtain a permit to do wort and Installation as Indicated, I certify that no work or instal let ion has
<br /> commenced prior to Issuance of a permit it ar�d that all work will be performed to meek standards of all laws regulatingconstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction, I also
<br /> certify that I understand that the regulations f other government agencies May 'apply to the Intended work, and that: it is
<br /> my responsibility to identify what actions mu,t take to be In compliance, Such agencies Include but are not limited to:
<br /> Department of Environment I Pi te.ctlon-cypress Sayheads, 1Netland Areas and Environmentally Sensitive
<br /> Lands, WaterfWastewater Treatrrent.
<br /> Southwest Florida Water Ma agement District-Wells, Cypress E3ayheads, Wetland Areas, Altc;ring
<br /> Watercourses,
<br /> Army Corps of Engineers-Sd awal s, Docks, Navigable Waterways.
<br /> - Department of Health & Re habl itative S:ervlces/E:nvlronmental !-Health Unit-Wells, Wastewrate.r 1 matn'lent,
<br /> Septic Tanks,
<br /> US;Environmental Protectlo Agency-Asbestos abatement.
<br /> Federal Aviation Ailthority-R -nways_
<br /> I understand that the following rostriction ap ly to the use of fill:'
<br /> Use of fill Is not allowed 1n FI rod • one"V" unless expressly permitted.
<br /> If the fill material Is to be �c_lse in Flood Zone "A", It Is understood that ai drainage plan •addressing a
<br /> "compensating volume" will be s bmitted at time of permitting which Is prepared by a professional engineer
<br /> Iicehsed by the State of Florida,
<br /> If tie fill material is to be t sed n Flood Zone "A" In connection with a permitted building using stem wall
<br /> construction, I certify that fill vill I e used only to fill the area within the stem well.
<br /> if fill material is to .be use in any area, I certify that use of such fill will not adversely affect aclj'a properties. if use of fill Is fit and �to adversely affect adjacent properties, the owner may be cited for violat I
<br /> ng
<br /> the conditions of the bulldinl I permit issued under the attached permit application, for lots less than une (1)
<br /> acre;which are elevated by f 11, al i engineered drainage plan is required,
<br /> If I EnTi the AG N'T FOR THE OWNER, pro ise in good faith to Inform the owner of the permitting conditio.ri'3 set forth in
<br /> this ,affidavit prior to commencing constitictioin. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, a.ir condl�ionlnlg, .gas, or other installations not specifically included in the eippliccatic)n. A
<br /> perrnit issued shall bo construed to'be ' llce;nse to proceed with the work sand not as authority to.violate, o8ricel, alter, or
<br /> set .aside any provislons of the technical cod ,$, nor shall issuance of a permit prevent the 131.11idirig Official from thereafter
<br /> ermll: issued shall requiring a correction of errors in plans, corn,; ructlon or violations Ever of any comes. y p gall bEac,ame invalid
<br /> unless the work authorized by such per nit 1 commenced within :six months of permit Issuance, or If work:r:"uthoriz(.,cd by
<br /> F P
<br /> the permit Is suspended or abandoned fbor a p er•iod of six (6) months after the time the worn, is commenced, htn extension
<br /> ,
<br /> may be requested, in writing, from the Build ng.Official for a period not to exceed ninety (90) days and will demon. trate
<br /> justifiable cause for the extension, If wo k ce ses for ninety (90) consecutive days, theQob is considered abendone+.l.
<br /> W�ARNINt► TolOWNE3R YOUR FAIL II�t,l3 TO-RECORD +_NOTICE-OF-COMMENCEMENT MAY Ri7' IN YOUR
<br /> OAYING TVICIE FOFS IMpRC)VEltAtt T '1'0 YOUR PROPERTY, IF YOU VttITEf�C) 'rO OBTAIN FINAN4�11119(';I, 1; LILT
<br /> WI.L, IAYCJ.t7R ENDER OR AiN A1'"TOR EY_ 3EFORE-RE,CORi)iNG YO11 itIOTIC rE OF (3QIV Mf---tICEM1=l lT_
<br /> FLORIDA JU T(F.S, 11 Ali)
<br /> rti �s.�,3 •
<br /> OWIVIEiR c�R AGEN '„D _�=�I _..— _ _ CONTRACTOR ._.'
<br /> Subscribed and sworn b: �'afflrn ed bef re a this
<br /> Subsc;ribed a m fo( ' affirm heft),' a his (' •.
<br /> —bY __ .�—
<br /> Wha Is/aree personirlly known to me or Figs/have p ocruc d Who islare son Ic tawn to me or he+as Identifl attend
<br /> Identlflcatlon _ — --- --
<br /> hlota Public _ --
<br /> u — _ Notary Public
<br /> Co misslo _—. __ 9II �—•._.. —..�
<br /> Commission No. — __.____ --- — ar : blflr711sSiora 4 FF 150422
<br /> ci stamped - - Namo of Notary typed t1;`sta �uutrovrWnina"rnnnaeooaasao�e
<br /> Narnei of Notary typed,printed r p ��— _� ---.
<br />
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