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and$that
<br /> s Permit
<br /> be sublect to' eed'
<br /> Ntxl'tCE OF OF RESTRIGTtOtdB: The undulate Theruntndersignedtttlmes responeibl ity for compliance with arty
<br /> WpCh may be more restrictive than County reg
<br /> applicable deed restrictions,
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPON918l"ES: if the owner has hired a at no. 8 the
<br /> or
<br /> contractors tors to undertake work,they may be requtred to be licensed in accordance with state and tonal tgulat0
<br /> contractor is not licensed as required by law,both the owner and contractor may be cited for a misdemeanor violation i
<br /> or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> under state taw. if the owner
<br /> Intended Welk,they are advised to contact the Pasco County Building Inspection Division—Licsnsing Section at 727.84T-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the aaniu,as the er sign
<br /> sign
<br /> contractor,that maybe an Indication that hr BICcW of this e is not p ication r which pady licensed and Is ri will be ot entitled,If
<br /> parmtttl g p in Pasco
<br /> go",
<br /> IMPAOYtti MUTING I PA'4"T AND MBUR89 R90t3URRV FU& Tie underettlrlsd unddretand6
<br /> that Traf�aonettgn impact figs and fteMllree flffi err FM tray 8D01y tD ills Mnldtnidon of new buildho.dange Of
<br /> use In etdadng buildings,or expansion of existing buildings,as specified In POW County Ordinttnoe ninn�r 88-or and
<br /> 90.07,as amended. The undersigned also understands,that such teas,as may be due,will be Identified at the trine of
<br /> permitting, it is further understood that Transportation impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°oerocate of occupancy"or final power release. if the project does not involve a oertifieats of occupancy Or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore,If Pasco County Water/Sewer impact
<br /> fees are due,they must be paid prior to permit issuance In accordance with applicable Pasco County Ordinances,
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute%as amended): If valuation of work is S2,600.00 or more l
<br /> car* that 1,the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Oukta"prepared by the Florida Department of Agriculture and Consumer Affairs. if the applicant is someone
<br /> otherthan the•ovmer',i cer ty that I have obtained a copy of the above described document and promise In good faith to
<br /> deliver it to the°owner°prior to commencement.
<br /> CONTRACTOR'SIOWNEWIS AFFIDAVIT: I cartily that sit the Information in this applicatton is accurate and that all worts
<br /> will be done in compliance with ail applicable laws regulating construction,zoning and land development. Application to
<br /> hereby made to obtain a permit to do work and Installation as Indicated. i certify that no work or Installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. t 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 responsili ft to Identify what actions I must take to be In compliance. Such agencies include but are not limited to:
<br /> Department of Environmental Protection-Cypreas Bayheads,Wetland Area and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> Southwest Florida Water Management District-Wells, Cypress Bayheada, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Englneara-Seawails,Docks,Navigable Waterways.
<br /> Department of Health & Rehabilitative Senrices/Enviro,'nmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> • US Environmental Protection Agency-Asbestas abatement,
<br /> Federal Aviation Authority-Runwaya.
<br /> I understand that the following restrictions apply to the use of till:
<br /> Use of fill Is not allowed in Flood Zone"V"unless expressly permitted.
<br /> If the fill material Is to be used In Flood Zone "A", It Is understood that a drainage plan addreastttg a
<br /> 'compensating volume"will be submitted at Time of permitting which Is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> If the fill material Is to be used In Flood Zone"A"In connection with a permitted building using stem wall
<br /> construction,I carttfy that Oil will be used only to III the area within the stem wail.
<br /> If fill material Is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill Is found to adversely afieot adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit Issued under the attached permit application,for lots teas than one(i)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise In good faith to Inform the owner of the permitting cronditons set forth In
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing,signs,wells,pools,air conditioning,gas,or other Installations not specifically Incllu�doed In the appiteatton. A
<br /> pwnc : orry ed aprty iot�on Qr�mfla adactzo be in of lames,nor snail l suanC9 0i Itttlt{}r6t113�11t t i@$(iltdiA late.annael.mdiftr-
<br /> nd g1 81#01111 hiruffff
<br /> Mqul ng i totredon of eirors in plan,construction or ulolations of any Codes. Every permit issued shall became Invdd
<br /> unless the wart authorized by such permit is commenced within six months of permit issuance,or K work authorized by
<br /> the permit Is suspended or abandoned for a period of six(6)months after the time the work Is commenced. An extension
<br /> may be requested,in writing,from the Building Ofiiclai for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work Oesees 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 WACE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> ta.ORmt}A.rU T( t �.+
<br /> O=FRORA® CONTRACTOR � \ .•.r•-
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<br /> vuno run porno my rmowm t mo or rirt'fiav+r produced o r Pe crown or Almave pry
<br /> ee tdemlAavon, n Identmemon.
<br /> =Note Putift
<br /> Commiseron tic' _�r v Cammteatan Ma
<br /> r�afie 4Lt343ir1LIlW�tr?�,5�,,d.ot� ems Hams or _-- —
<br /> :;:s¢"�%.y;.: AMANDA ACKERSON fWANC3A ACKERSpN
<br /> My COMMISSION#FF963675
<br /> .;
<br /> My COMMISSION#FF963675 "'S•' o, d� EXPIRES February 23,2020
<br /> EXPIRES February 23,2020 14cr)39a 0 r. .,.• -0 53 ftndalloa �wv,cc.cvn
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