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<br /> NOTICE 8FDEED RESTRICTIONS: The undersigned understands that this permit may beaUbirct1o "d�ed" -Ds�
<br /> vvhiohnleybon�oreraothcbve than County regu|a�ona. The undersigned amaumamrespnnsibil ^' for oon�pUan"~w�h �
<br /> aoo�ab|edeed roethobona. � ^
<br /> UNLICENSED CONTRACTORS AND CONTRACTOQ RESPO0S|B|UT|ES� If the owner has hired e contractor or
<br /> coo�actoxotounda�ake work, they may be required toba |imanoed |n accordance with state and local regulations.
<br /> If-'the
<br /> contractor is not-licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contnactor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Lice'nsing Section at 727-847-
<br /> ` 8009. Furthernnora, if the owner has hired a contractor or uontraotona, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. ifyou. aa the owner sign' as' th�
<br /> contnac1mr, that may be an ind|ob1inn that he is not properly licensed and is not entitled to permitting privileges.in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction of now buildings, change of
<br /> use in exiot|ng buUd|ngn. or expansion of existing bui|dingo, as specified in Pasco County Ordinance number88'O7 and
<br /> 90'07. as amended. The undersigned also undersbands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees.must be paid prior to
<br /> receiving a "certificate ofoccupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid-prior to permit issuance. Furthermore, if Pason-CountyVVate�Bovver Impact
<br /> fees are due,the y must bepaid d t perm|tissuance in accordance with applicable Pasco County ordinances,
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of Work is $2 5DO bO or more, |
<br /> certify that (. the applicant, have been provided with a copy of the "Florida Construction, Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department ofAgr|cu|ture.and Consumer Affairs. If the applicant is oonnoona
<br /> otharthantho"nxvner". | PertKythatihoxaobta|nedanopyoftheabovedesoribeddonurnentondpronnine (ngoodfabhto
<br /> deliver i1to the "ovvneC' prior tocommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this'
<br /> application is accurate and that all work
<br /> will bo done in compliance all applicable laws regulating oonstruction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. | oarbfv that no work or installation has
<br /> commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City oodao. zoning regulations, and land development regulations, inthe jurisdiction. | 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 identify what actions I must take to be in compliance. Such agencies include but are not limited to*:
<br /> Department of Environmental Protection-Cypress Bayheadn, Wetland Areas and Environ mentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> Southwest Florida Water Management Dintrict-Wa||a, Cypress. Bayhoada, Wetland Areas, Altering
<br /> Watercourses.
<br /> ' Army Corps ofEngineona-Saawa||a' Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Sen/ioes/Envinonnner¢a| Health Un\t4Ne|\s, Wastewater Treatment,-.
<br /> Septic Tanks.
<br /> ' U5-Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authority-Runways.
<br /> \ understand that the following restrictions apply tu the use offill:
<br /> - Use of fill ia not allowed in Flood Zone"V" unless expressly permitted.
<br /> ' If the fill nno1aha| is to be used in Flood Zone "X. it is understood that a drainage plan addressing a
<br /> .,compensating volume" will be submitted at time of permitting which is prepared by a prufesa|onal eng|nea'r
<br /> licensed by the State nfFlorida. �
<br /> ' If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> conotrucdon. lne� fi
<br /> ll
<br /> ' If fill material is to be used in any araa. | certify that use of such f||| will not adversely affect adjacent
<br /> . properties. If use of fill is found to adversely affect adjacent properUaa, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots |eoa than one (1)
<br /> -acre which are elevated by fill, an engineered drainage plan is requir,ed.
<br /> 'if | am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. | understand that o separate permit may be.required for electrical vvork,
<br /> plumbing, aiOna, vve}la` poo|a, air condbion|ng, gas, or other installations not specifically included in the application. /\
<br /> permit issued shall be construed to be a license to proceed with-the work and not as authority to vio|ote, oanue|, a|ter, or
<br /> set aside any provisions of the technical codes, nor shall issuanceof a permit prevent the Building Official from 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 ianuanne, or if work author/zed by
<br /> the permit issuspended or abandoned for a period,of six (6) months after the time the Work is commenced. An extension
<br /> may be requested, in vvr|Ung^ from the Building Official for a period not to exceed ninety /QO> dayo' and will demonstrate
<br /> ` justifiable cause for the extension, If work ceases for ninety (90) consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR.
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINA0CJ0G. CONSULTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR CONTRACTOR
<br /> ,5uo oo u ou(onxm u)before me this Subscribed and sworn tn(or affirmed)before mothis
<br /> by
<br /> moucom Who is/are p.ersonany known*omoor has/have produced
<br /> as identification. as|demification. ,
<br /> .
<br /> ~, Notary Public Notary pumm
<br /> 0
<br /> Commmomn Commission
<br /> Name of
<br /> Notary typed,printed- stamp._ ' ,,-_ printed- -stamped
<br /> Notary=Public'State of ftrlda
<br /> My Commission GG 067321
<br /> Nx
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