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<br />NOTICE OF OEEO RESTRICTIONS: The undersigned understands that this permit may be Bubjec' (0 'ceec' 'ost"ol'o""
<br />Which may be more restrictive than County regulations. The undersigned assumes responsibility for GOmpl",nce ,,,Ih any
<br />
<br />applicable deed restrictions. . . .' . .
<br />UNLlCENSEO CONTRACTORS ANO CONTRACTOR RESPONSIBI~ITIES: If the owner has hrred a ",mln,ctor or
<br />conlraclors to undertake work; they may be requtred to be licensed In accordance With ~Iateand ,Iooal r"90Iahon", 'I f Ilhe
<br />contraotor is not licensed as required by law, bolh the owner and contractor may be cited for a ""sdemeanor ,,,olahon
<br />under slate law. lithe owoer or Interided contractor are uncertain as 10 what IicelUllng requtrem,Ms may appll' for the
<br />Intended work. they are advised 10 contact the Pasco Counly Building Inspecll~n Dlvl~lon-Ucensll!l Sedion al 7;07"B47-
<br />B009, Furthennore, IIlhe owner has hired a GOntractor or contractors, he IS advised 10 have the conlractor(s) sign
<br />portions of the 'GOntractor Block', of this application for which they will be responsible. If you, as ,the own"r sign as Ihe
<br />contractor, thatmay be an indication thai he Is not properly licensed and Is not entitled to permltlln9 priVileges m pasCO
<br />
<br />County. . ... j . d .
<br />TRANSPORTATION IMPACTIUTILlTIES IMPACT AND RESOURCE RECOVERY rEI'S: Theundersigneo un erslands
<br />that Transportation Impact Fees and Recourse RecoverY Fees may apply 10 the constrttctlon of neW buildings, ohange Of
<br />use In existing buildings, a. expansion o!"exlstlng buildings, as specified In Pasco County Ordiriance humber B9.o7 and
<br />90-07, as amended. The undersigned also understands, Ihat such fees, as may be due, will be ,identllied allhe lime of
<br />pennltling. It is further underslood that TralUlpprtatlon Impaot Foes and ResoUrce Recovery Fees musl be paid prior 10
<br />reoelvlng a 'oertllioale of occupancy~ or final power release, ,If tbe project does not Involve a oerUflcale of oocupanoy or
<br />'final power reiease, the, fees must be paid, prior to perintl lsOuance. Furthermore, If PasGO Counly Water/Sewer Impaot
<br />fees ere due, they must be paid prior 10 penn it Issuance In accordance with applicable Pasco County, ordinances,
<br />CONSTRUCTION LIEN LAW (Chapler713, Florida Slalutas, aa amanded): If valuallon of work i~ $2,500.00 or more, I
<br />cerllfy that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowners
<br />protection Guide' prepared by the Florida Departmenl of Agrloulture and Consumer AlIalrs. If Ihe applicant Is someone
<br />olher than the 'owne", I cerllfy that I have obtained a copy of the above described document and promise in good falih to
<br />deliver it to the "ownerft prior to commencement. . '
<br />: CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify thai all Ihe Information In this eppilcatlon is accurale and Ihal all work
<br />will be done In oompllance wlih all applloable laws regulating oonstruotlon, zontng and land development. Appllcalton Is
<br />hereby made to obtain a penn Ii 'to do wdrk and Installation as Indlcat.,d. I oertlfy that no work or Installalton has
<br />commenced prtor to Issuance of a' pennlt and that all, work will be perlormed to meet standards of all laws regUlating
<br />00 nstruction , Gounty and Cily codes, zoning regulations, and land development regulations In the jurisdiction. I also
<br />certify thai I understand that the regulations of other govemment agencies may apply 10 the Intended work, and that it Is
<br />my responsibility to Identify what aotions i inust lake to be In compliance. S~eh agencte.lnclude bul are not limited to:
<br />Deparlmenl of Environmental Protecllon-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br />Lands, WaterlWastewater Treatment.' .
<br />Southwest Floride Water Management DiStrlcl-Wells, Cypress Bayheads, Weiland Areas, Allering
<br />watercourses.' . .
<br />Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. '
<br />Department of Health & Rehabllitetlve servk:eslEnvlronmenlal Health Unit-Wells, WasteiNater Treatment,
<br />Septic T-anks. .. .
<br />US Environmental Protection Agency-Asbestps abatement.
<br />Federal Aviation Authority-Hunways. .
<br />I understand that the following restrictions apply to the use of fill:
<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 "N,I it is understood that a drainage plan addressing a
<br />"compensating volume' will be submltled at time of ~nnllllng which Is prepared by a profe.sional engineer
<br />licensed by the State of Florida.' '
<br />If the fill malerlal is to be used in Flood Zone "1\', in connection with a permllled building using stem wail
<br />construction, I certify that fill will be used only to fill the area within the stem Wall.
<br />If fill material is to be used In any area, I oarllfy tha,l use of such fill will not adversely affeel edjacenl '
<br />properties. If use of fill is found to advelSelY affeet adjacent propertie., the owner may be oiled for Violating
<br />, the oonditlons of the building permit Issued under the attaohed pennit eppUcatlon, for lots loss than one (1)
<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 permllllng conditions sel forth In
<br />this affidavit prior to commencing construetion. I undelStand that a separate permit may be requtred for electrical work,
<br />plumbl~g, signs, wells, pools, air oondittonlng. gas,'or olher Installations hot spacllically Included In the application. A
<br />permit ,ssued shall be GOnstrued to be a IlcelUle to proceed with the work and not as authorlly to vlolale,cancel, alter, or
<br />set aside any provisions of thelechnlcal codes, nor shall Issuance of a permit prevent the Building Offlclal irom thereaiter
<br />requiring a correction Of errors in plans, construction or violations Of any codes. Every permit Issued shall become Invalid
<br />uniess the work authorized by such permllls commenced within six months 01 permli Issuance, or If work authortted by
<br />the permit Is suspended or abandoned for a period of six (ti) mOflths efter thellmli the work Is commenced. An extension
<br />may be requested, in writtng, from the Building OIlIolal for a period not to exceed ninety (90) days and will domonstrate
<br />lustlllable cause for the extension. If work oea.es for ninety (90) cons_ttve days, the job Is conslde",d abendoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF 'COMMENCEMENT MAY RESULT IN YOUR
<br />PA YINGTWICE FOR IMPROVEMENTS TO YOult PROPERTY. IF YOU INtEND TO OBTAIN FINANCiNG, CONSULT
<br />WITH YOUR LE DER OR A A 0 E BEFO E RECO D NG OU OTICE OF COM CEiAE.
<br />FLORIDA JURAT (F.S. 117.03) .'.,' /. /)
<br />
<br />OWNER OR AGENT .;t- ~ c;!- ~/ " CONTRACTOR
<br />Sub cri ed and swornTto (or affirmed) before me this Subscribed and swom to (or affirmed) before me this
<br />1'2- " O(P by ~?l.Y'\\~ b. ('00\<" . by
<br />,'i!l>O '''':'''' p."on"~ known 10 m. '" h,"""ve prod"""" Who 1sI", p"",""~ """"'" to m. 0' ha"""ve prod",,'"
<br />J:::b, S~ \)~\Jf S \...\~.c; as. Identification. as Identification.
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<br />Commission No.
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<br />Notary Public
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<br />Commission No.
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<br />Name of Notary typed. printed or stamped
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<br />Name of Notary typed,
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