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NOTICE OiF DEE:[) R1tSTkf01rI NS: Th t Lint erslgned understands that this perrrilt:may be.'subject,t&`d+:toad?' restrlotions" <br /> which may be more restrictive than County rya ulations, 'File undersigned as;turnets responsibility for compliance with any <br /> appl€gable deed restrlatlons. <br /> UNI-110EENSED CONTRM'TORS AND :()N RACTOR RESPONSIBILITII=t.): If the owner has hired a c.oritrractar or <br /> contmotors to undertake work, they may )e rE quired to be licensed In accordance with state and !oral regulations, 11' the <br /> contmotor is not, licensed as required b, I law, both the owner and contractor may be cited for a misderneanor violation <br /> under state law.; If the owner or Intended co~tractor are uncertain as to what licensing requirements rimy'appiy-for the <br /> Intended work, they are advised to content the Pasco County Building Inspeutlon DIvlslon---LlcensIng Section at 721434I7- <br /> t1009, Furthermore, if theowner has hired �a contractor or contractors, he Is advised to have the coritractor(s) sign <br /> portions of the "contractor E3lock" of this ilappll atlon for which thby..Will t?e.re,tfio"risible• If you; as`the owner sign as the <br /> contractor, that may be an indication the he' snot prt>pe'I'!y licensed and Is not entitled to permitting pr(vllege-s in Fiasco <br /> County; ` <br /> TRAI',JSF'ORTATiON IMPACT/UTiLITVE' IMP,,ACT AND RESOURCE REiCiOV ER' Y FETES: The undersigned understands <br /> ,hat Tr•ansportati,on Impact Fees and Recoursi 3 Recovery Fees may apply to the construction of new buildings, change of <br /> use In existing buildings, or expansion of exit ting buildings, as specified In Pasco County Ordinance number 139-07 and <br /> 90-07, as amended, The undersigned a so tinder tand,,;, that such fees, as may be due, will be identifir,d gat the time of <br /> permitting. It Is 1urthetr understood that Trans portatlon Impact Fees and Resource Recovery Fees must: be paid prior to <br /> receiving a "certificate of occupancy" or €nrak power release; if the project does riot Involve a certificate of bocupancy or <br /> final power release, the fetes must be p Id pror to permit issuance, Furthenorc,, If Pasco County Water/13etwer Impact <br /> fees are due, they must bo paid prior to pormll,issuance,in-accordancewith`apftiic<ab(c3 Pasco County ordirionc;es, <br /> CONSTRUCTION LIEN LAW (Chapter 1 113, Tlorida Statutes, as amended): If valuation of work Is $2,500.00 or more, 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 Florid a Department of Agriculture and Consumer Affairs, If the applicant Is sorneone <br /> other than the"owner", I certify that I hav a ob 6Ined a copy of the above described dcacumejntrand promise In good faith to <br /> delivor It to the`owner" prior to commetnc,me t. <br /> CON'T'RACTOWS/OWNER'S AFFIIDAV1 ': I certify that all the Information In this application Is accurate and that all work <br /> will'tie done In compliance with all appi dable laws regulating coristructlon, ;zoning and land development. Appiication is <br /> :here,l;)y made to obtain ai permit to do work and Installation as Indicated, I certify that no work or Installation has <br /> ;comruienced prior to }ssut=knee of a permit a d that all work will be performed to meet standards of all !taws regulating <br /> construction, County and City codes, z p nin regulations, and land development regulations In the jurisdiction. i also <br /> certify that I understand that the regulati ns f other government-agencles may apply to the intended work, rind that it is <br /> my r(,tsponslbillty to identify what actions mu,It take to be In compliance, Sucah agencles Include but are not limited to: <br /> Department of Environment 1 Pr tection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, Water/Wastewater Tr4,atrr ent. <br /> Southwest Florida Water Ma agement District-Wells, Cypress E]l ayheads, Wetland Aresis, Altering <br /> Watercourses, <br /> Army Corps of Englneers••Se;awal s, Docks, Navigable Waterway;,, <br /> Department of Health & R habl native Services/Environmental Health Unit-Wells; Wastewater Treiatnlient, <br /> Septic;Tanks, <br /> US EnvIronniontal Protectio Ageincy-Asbestos abatement. <br /> Federal Aviation Authorlty-R �nw< ys. <br /> 1,understand that the following restriction ap ly to the use of fill <br /> Use of fill Is not allowed In F! )od one W" unless expressly permitted. <br /> If the fill material Is to be use In Flood Zone "A", it is understood that a drainage plan saddre�ssing a <br /> "compensating volume" will yes bmitted at time of permitting which Is prepared by a profe:sslonal engineer <br /> licensed by the State of Florida, <br /> If tie fill material Is to be t�,Nvlll <br /> >ed n Flood Zone "A" In connection with a permitted building using steti7 wail <br /> construction, I certify that fill be used only to fill the area within the steam wall, <br /> If fl,11 material Is to .be use. In any area, i certify that use of such fill will not adversely affect adjacent <br /> properties. if use of fill is ft and to adversely affect adjacent properties, the owner may be'citecl for violating <br /> the conditions of the bu€ldlncl po mit issued under the attached permit rapplication, for lots less than one (1) <br /> acre which are elevated by f 11, 'ail 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 condItIoris set North in <br /> this affidavit prior to commencing constlucti(Jn, I understand that a separate permit may be required for elect:ricai work, <br /> plumbing, signs, wells, pools, stir coed! loning, gas, or other Installations riot specifically Included In the application. A <br /> permit issued shall be construed to be < llcei�se to proceed with the work and not as authority to,violate, cancisl, alter, or <br /> set ,aside any provisions of the technical cods, nor shall Issuance of a permit prevent the BuIldirig Official from thereafter <br /> requiring a connection of errors In plans, cons► ruction or violations of any codes. Every permit Issued shall become Invalid <br /> unless the work authorized by such per nit 1' commenced within six months-, of permit ISSLIance, or If work author€:zed by <br /> the permit is suspended or abandoned f r a�erlod of six (6) months after the time the work is commenced,:Dirt extension <br /> may be requested, In writing, from the T uIld�ng.Officiial for a perlod not to exciae)d ninety (90) days and will demonstrate <br /> justifiable cause for the extension, If wo k ce ses for ninety(90) consecutivet days, the;\job Is considered abandoned. <br /> WARNING, TOi OWNER; YOUR FAIL R1E TO R€�C7CQD AHNO T ICE OF 01,10MMENCrEMENT MAY RESULT IN YC).UIR. <br /> PA`eINCG 'rWIC.E FOFZ IMiPRC)VEMENT 'i'C) YC9UR PROPERTY, iF YOU Nnt"NC) '1'O OBTAIN FINAN�i,314G, CONSULT' <br /> WI')'(1 Yt�tJR Ll.NDER O QjN_ 1��"�R E:Y EF:0RE i�E CORi31NG YOt F�_�IOTLE OF C�OiV1ME�NCEMI t <br /> Fi.QRlDA JURAT F.S. 117.t? <br /> t)WiV1E:Ft i)Fd GENT, _ '0NTRACTOR_ -__ _ , , _._ <br /> S �e (or a read)b rei)rs n :subscribed and sworn to(or affirmed)before ma this <br /> _ J ._..by._.__ <br /> Who glare p s oily kn n to me or i have p oduc d Who is/are personally known to me or h7slhave produced <br /> as Identification _ __ _ .__.___ _as identification, <br /> �e� }J1Qr Public ._._�_._..� __ .,...Nntary Public <br /> -.• :; MY COMMiss(JN Commission No. <br /> ComrrilsSion No. :n. F -7 .-.___,_.___.__ <br /> TJer t T lei <br /> Bonded Thru Notary P b(ic Un nartiers ; _ ._� _. <br /> mri„tart or stamoec Name of Notary typed,printed or stamped— <br />