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<br />.,.",,99NOITJONSOF P~~,~T AFFIDAVIT
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<br />A. NOTlCF OF DFFD RESTRICTIONS
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<br />Tho undersigned understand thaI this permil may be subject III 'deed reslriclions" which may be more restrlclive than County regulations. The
<br />undersigned assumes rosponslbllity fO( compliance with any applicable deed reslrictions,
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<br />B, j,JNIICENSED CONTRACTORS AND CONTRACTOR RESPONSIAIlITIES
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<br />II Jhe owner has hlred a contractor or contraclOrs III undertake work, they may be required III be licensed In accordance with Slala and local regula-
<br />lionS. II Jhe conl1actor Is nOllicensed as required by law, both the owner and contraclllr may be ciled lor a misdemeanor violation under slate law, II
<br />Jhe owner or intsnded contractor are uncertain as III whallicenslng requiremonlli may apply lor the Inlandod work, they are advised III contact the
<br />Pasco County Building Division - Ucenslng Section at (813) 847-8009.
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<br />FurJhennore, lIthe owner has hired a contractor or contractors, he Is advised 10 have tho contractor(s) sign portions 01 the "Conltac:tor Block" 01 this
<br />application for whictlttley will be responsible. II you, as Jhe owner sign as the contractor, you are Indicating thaI you, ralhor than the contraclOr,are
<br />rospOO6lble for lho work. little contractor wlshElli you III sign as contract9r,ttlat may be an Indl~,on that he 15 not properlylioensed and Is notendded
<br />10 pennilling privileges In Pasco County. .)!' \ '\' '''': <)
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<br />c, rRANSPORTATION IMPACT/UTILlTIE=S IMPACT AND RESOURCE RECOVERY FEES
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<br />The undersigned understand that Transportatio'llmpact Fees and Resource Recovery Fees may apply III the consl1uction of new buildings, change 01
<br />use In existing buildings. or expansion 01 existing buildings, as spedfied In Pasco County Ordinance numbers 89-07 and QO-o4, as amended. The
<br />undersigned also unden;tand that such 1006 as may be due will be identified at the time 01 permitting, 1115 lur1her understood that Transportallon Impact
<br />Fees and REIliource Recovery Fees m:Jst be paid prior III rec:eivlllg a "certificate of occupancy' or final power release. II Iho project does not Involve a
<br />certificate 01 occupancy or final power rolease, ttle foos must be paid prior III pennltlssuance,
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<br />FurJhermore, II Pasco County Water/Sewer Impact lees are due, ttley must be pa:d prior to permit issuance. In accordance wittl applicable Pasco
<br />County Ordinances.
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<br />D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Slatutas, as amended)
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<br />If valuation of worX is $2500,00 or more, I certily that I, the applicant. have been provided with a copy of "Florida Construction Lien Law - Homeowner's
<br />Prolaction Guide" prepared by the Aorida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner: I certify that I
<br />have obtained a copy of the above desaibed document and promise in good faith to deliver it to the "owner" prior to commencement.
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<br />E. CONTRACTOR'SIOWNFR'S AFFADAVIT
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<br />I certify that all the information In this application is accurate and that all work will be done in compliance with all applicable laws regulating construc-
<br />tion, zoning, and land ~evelopmenl. " '
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<br />Application is hereby made to obtain a permit to do work and Installation as indicated. I certify Iha1 no work or Installation has commended prior III .
<br />issuance of a permit and that aU work will be performed to moot standards 01 all laws regulating consl1uclion. County codes, zoning regulations, and
<br />land development regulations In ttle jurisdiction, I also certify that I understand !hat the regulations 01 other government agendes may apply to !he
<br />inlanded worX, and ttlat Ills my responsibility III Identify what actions I must take III be In compliance. Such agendElli Indude but are not limited to:
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<br />o Deoartment of Fnvironmental Reaulation - Cypress Bayheads, Weiland Areas and Environmentally Sensitive Lands, WatorlWaslawater Treatment
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<br />o Southwest Florida Water Manaoement District - Wells, Cypress Bayheads, Weiland Areas, Altering WatercourseS
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<br />o Armv Coms 01 Fnoineers - Seawalls, Docks, Navigable Waterways
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<br />o Deoartment 0' Health & Rehabilitative Services Environmental Health Unll- Wells, Wastewater Treatment, Septic Tanks
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<br />o US Environmental ProtAC1io:1 Aoencv - Asbestos abatement
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<br />I understand that the following restrictions apply to the use of fill:
<br />o Use of fill is not allowed in Flood Zone "V" unless expressly pennittad,
<br />o If fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submittad at time of
<br />permitting which is prepared by a professional engineer licensed by the Stala of Florida,
<br />o If fill malarial is to be used in Flood Zone "AM in connection with a permitted building using stem wall construction, I certify that fill will be used only
<br />to fill the area within the stem wall.
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<br />o If fill material is to be used in ~ area I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect
<br />adjacent properties, the owner may be cited for violating the conditions of the building pennit issued under the attached pennit application, for lots less
<br />than one (1) acre which are elevated by fill an engineered drainage plan is required,
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<br />If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing
<br />construction,
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<br />I understand that a separate pennit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not
<br />specifically included in the application.
<br />A permit Issued shall be constr~ed III be a license III proceed with the work and not as authority to violala, cancel, alter, or set aside any provision of
<br />the lachnical codes,nor shall issuance 01 a permit provent ttle Building Official from thereafter requiring a correction of errors In plans, construction, or
<br />viola.lions of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit
<br />issuance, or if work authorized by the pennitls suspended or abandoned for a period 01 six months after the time the work is commenced. One or
<br />more extensions 01 time, lor periods not to oxceed 90 days each, may be allowed for ttle permit. The extension 6tla1l be requestsd in writing to tho
<br />Building Official, An approved inspecllon must be logged during each six-monttl period, or the proj will be consider abandoned,
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN E
<br />TWICE FOR IMPROVEMENTS TO YOUR PROPERlY. IF YOU INTEND TO OST I
<br />LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM
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<br />DATE 2- - r
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<br />DATE
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<br />J..//'1-Q1
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<br />NOTARY AS TO
<br />OWNER OR AGENT I
<br />~'t Pl/d' LOR J. STEVENS
<br />~ &'6 COMMISSION # CC 437787
<br />MY COMMISSION"" lS EXPIRES FEB 21,1999
<br />~ ~~. BONDED THRU
<br />EXPIRES Of f\>" ATLANTIC BONDING (;0 1Nr.
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<br />NOTARY AS TO
<br />CONTRACTOR
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<br />
<br />MY COMMISSION
<br />EXPF'S
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<br />k~"-:'
<br />o -
<br />. 0
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<br />MARGIE H. TUBBS/
<br />State of Florida
<br />My Comm, Exp, July 31, 1999
<br />Comm, It CC 484151
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