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NOTICE: OF DEEM REeSTRIC1rIONS: Th s Lin ers(gneci understands that this perrnit ni ybo-subjoct'to"d(:)ed restrictions" <br /> which q!ay be more restrictive than Ccaun y regulations. 'The undersigned assurnes resppn;slbllity for cornplianct3 with any <br /> applir.:able-deed restrictlon , <br /> UNLPCE:MED CONTRAQ'TORS AND GONTRACTOR RESPONSIE3ILITIES: If the owner has hired a contractor or: <br /> contractors to undertake work, they may ae required to be licensed in accordance with state and local regulations, If the <br /> contrractor is not, licensed as required b, � law, both the owner and contractor may be cited for a misderne anor violation <br /> under state law.; If the owner or intended contractor are uncertain as to what licensing requirements msay:apply for the <br /> intended work, they are advised to contact the Pasco County Building inspection DIvis}on— Licensing Sectlon at 727-.847- <br /> 8009. Furthermore, if the owner has hired !a contractor, or contractors, he is advised to have the contractors) sign <br /> portions of the "<:ontr actor Block" of this appiliDation for which they..wlll ,be,',rP sponsIble.- if you, as`the owner sign as the <br /> contrr:lotor, that may be an Indicatlon thsa he s'not,prcperlj 'llcensed and is not entitled to permitting,prIvIlege-s In P'.,tsco <br /> County, <br /> TRANSPORTATiON IMPACTIUTILIT,IE, -IMPACT AND RESOURCE REiCsGVEV FEES: The undersigned undenstrands <br /> ,that`1•ransportat(on Impact"Fees and Recourss Recovery Fees may apply to the construction of new bulldings,, changes of <br /> .use in existing buildings, or expansion of exl,ting buildings, as specified in Pasco County Ordinance numbee 139-07 and <br /> ,90-07, as amended, 'rho undersigned a so a dorstands, that such fees, as may be due, will be Identified at the firrie, of- <br /> permMIng• it Is ifurther understood, that 'ran portation Impact Fees and Ressotrrce Recovery Fees must: be paid prior to <br /> receiving a "certificate; of'occupancy" or firic i ower grrnitlease; If this project does riot Involve a certificate of occupancy or . <br /> final power release, the fees must be p ld pace to issuance, Furtherrrtore, il' Pasco County WaterfScwer Impact <br /> fetes are due, they must be paid prior to peTrmN Issuapbe In accordance..wlth'6ppilc<able Pasco County ordinances, <br /> CON13TRUCTION LIEN LAW (Chapter PKI, Tlorida Statutes, 6is3 amended): :If vaivatlon of work Is $2,600,00 or more, I <br /> certify that I, the applicant, have been� proyIded witty a copy of the "Florida Construction Lien Law••--Homeown0r's <br /> Protection Guide" prepared by the Florld a Department of Agriculture and Consumer Affairs, if the applicant is sornEaone <br /> other than the"Owner", i certify that I hav ) ob atried a copy of the above deascribed document and promises, In flood fait:-, to <br /> delivor it to the"owner" prior to commernc ame) it, <br /> CONTRACTOR'SIOWNER'S AFF11DAVII ': i certify that all the Information in this application is accurate and that all work <br /> Will'be done In compliance with all applicableg laws regulating construction, zoning and land development. Application is <br /> 'hereby made to obtetin a:a permit to do work and instFillatlon as indicated, l certify that no work or installation has <br /> -'commenced prior to issuance of as pert ilt and that all work will be performed to meet standards of ail laws regulating <br /> construction, County and City cosies, zoning regulations, and land development regulations In the jurisdiction. i also <br /> certify that i understand that the regulati O ns c f other government agenclses may ,apply to the intended work, and 'that It is <br /> my re:ssponsibility to Identify what actions rTiu,t take to be in compliance. Such agencies Include but are not limited to: <br /> Department of Environmental Pr taction-Cypress Bayheads, VVetlsand Areas and Environmentally Sensitive <br /> Lands, Waterf esstewater TrEeatrn�ent, <br /> Southwest Florida Water I Mar agement District-Wells, Cypress Bayheads, Wetland Arecss, Altering <br /> Watercourses. <br /> Army Corps of Englneers••Senwal s, Docks, Navigable Waterways, <br /> Department of Health & R habl itative ServlcesfEEnvironmental-Health Unit-Wells, Wastewater Treatment, <br /> Septic;Tanks, <br /> US,Environmontal Protectio Agelncy-Asbestos abatement, <br /> Federal Aviation Authority-Runways. <br /> I Understand that the following restriction apply to the use of fill <br /> Use of fill is not allowed In Flood • one "V" unless expressly permitted. <br /> If the fill material is to be isec In Flood Zone "A", it Is understood that adrainage plan -.addressing a <br /> "compensating volume" will �,,)e submitted bmitted 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 n Flood Zone "A" In connection with a permitted building using stem wall <br /> construction, I certify that fill will be used only to fill the area within the stern wall, <br /> if fill material is to .be, used in any area, I certify that use of such fill will not adversely affect adjacent <br /> proportlets, If use of fill Is ft and o adversely affect adjacent properties, the owner may be cited for violating <br /> the'conditionrs of the bulld(nci pe mlt Issued tinder the attached permit cappilcation, for lots less than ane (1} <br /> acre which are elevated by f Il, 'al engineered drainage plan is required, <br /> If I am the AGENT FOR THE OWNER, promise in good faith to inform the owner of the permitting conditlon s set forth in <br /> this affidavit prior to commencing cortstluctlJn, I understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air condi !oiling, gas, or other Installations not specifically Included In the application. A <br /> permit issued shall bo construed to i ce c ilCEri! to proceed with the Work 'ancl not as authority to,violate, cancel, alter, or <br /> set ;aside any provisions of the technical cods, nor shall Issuance of a permit prevent the Buildirg Official from thereafter <br /> requiring a correction of errors in plans, cons ruction or violations of any codes. Every permit Issued shall become invalid <br /> unless:ss the work authorized b such per-nit 1' commenced within six months, of permit Issuance, or If work tuthori:zed by <br /> the permit Is suspended or abandoned f r a�eriod of six (a) months after the time the work is commenced,-Ara extension <br /> may be requested, In writing, from the a.lild ng.Officisal for a p6rlod not to exceed ninety (90) days and will demonstrate <br /> Justifiable cause for the extension If'wok cca ses for ninety (90) consecutive, days, the <br /> jot) is considered abandoned, <br /> WARNING TO! OWNER: YOUR FAILURE TO RECORD A NOTICE OF G'01VIMENCEEMENT MAY RH.115ULT IN YOUR <br /> PA`rINt3 'fWiC,iE FOR IMPROVEMENTi"C8 Yt�UFt PROPERTY. iF you ifgnsil C! 'ro OBTAIN FINAN�CIING1 COtd:;IULT <br /> W1'I_Q Yt�llR LENDER C)t AN "T 3R E;Y EFORE RE CORD NG YOt R_�VOTtCE.OF C�bIVIfNEIJCEM[ ih17', <br /> Ft.ORIDA JURAT F.S, 117 ) <br /> UWNIEiR aal:t GENT ._ I;ONTfdAACTQR,_._-.H.___._�_. � ._..—...__ <br /> vr(b a o r a flrme ) are me �a Subscribed and sworn to(or affirmed)before me this <br /> ._...�bY ;_' .---by,_.- <br /> Who __ <br /> roduced <br /> Who Is/are p nown to a ar fibs/have p oduc d Who islets personally krsown to msa Dr has/haveas Identification. <br /> as identlncation ----_—•-- <br /> - flN1CA`e`If+KS�N135aB� <br /> $� ot6 ' u SIOe o Public <br /> *.• •.� pP FMB <br /> _ _.� _... -__.__ _ =r . � 1R�a•�ep publicUn�°r�1e <br /> Commission No. ___-_ rF moo°_bond ThNNotasY ommisslon <br /> .,...__.-_.-�,�,,,�,,,,,,a�„r3nfacf to StartlDed �• --�•t•^ IVamo of Notary typed,lirinteii or.stamped ~-�•- --�----J <br />