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NOTICC OI= DCGD RGSTRi � n C u regulafi ons Ti�e und� signed s� esponsih'Iby 1'or�ompl a w th�any
<br /> which may be more resiri
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND COIVTRACTOR RESPONS113ILiTICS: f( the owner has hired a confirac or or
<br /> contractors to undertake work, they may be required to be licensed in accordance with siafie and local regulafiions. If the
<br /> contracfior is not licensecl as required by law, both the owner and coniraclor may be ciied �for a misdemyan�opyiolation
<br /> under state I�w. I�( fihe owner or intended confir�ctor are uncerfiain as to whaf licensing requirements ma a I for the
<br /> intended worlc, they are advisecl to�confiacfi fihe Pasco Counfy Building Inspec�ion Division—Licensing Section ai 727-8�1•7-
<br /> 8009. f=urthermore, if the owner has hired a contracfior or coniractors, he is advise.d to have the conlractor(s) sign
<br /> portions o�f'the "coniracior 131oc1<" o�F fihis application �for which ihey will be responsib(e. IF you, as the owner sign as the
<br /> contractor, that may be an indication that he is riot nroperly licensed and is not entil:led to nermiiting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AI�D RCSOURCC RCCOVCRY FCCS: The undersigned understan s
<br /> that Transportafiion Impact Fees and Recourse Recovery Fees may �pp1Y to the construciion o�f new buildings, change of
<br /> use in existing buildings, or expansion of exisfiing buiidings, as speci�fied in Pasco County Ordinanc� number 89-07 �nd
<br /> 90-07, as amended. The undersigned also understands, i:hat such �fees, as m�y be due, will be identified �fi the fiime of
<br /> permitting. It is furlher und�rstood thafi Transporfiation Impac� Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificafie of occupancy" or �(inal power release. I�F the project does not involve a certificate o�f occupancy or
<br /> •Final power release, the fees must be paid prior to permifi issuance. Furthermore, if P�sco County Water/Sewer Impact
<br /> fees are due, they musi be p�id prior to permifi issuance in accordance with �pplicable I'asco Couniy ordinances.
<br /> CONSTRUCTION LICN L.AW {Chapter 7�13, 1=lorida 5t�tutes, as amended): If valuation o� woric is $2,500.00 or more, I
<br /> certify ihat I, fihe applicant, have been provided with � co�y o�F tl�e "Florida Consfiruciion Lien Law—I-lomeowner's
<br /> Protection Guide" prepar�d by the �lorida De�artmeni o�f Agriculture and Consumer A�ffairs. If the applic�nfi is someone
<br /> other than fihe "owner", I cerlify thai I have .obiained � copy o�f the above described document and promise in good �faifih to
<br /> deliver it to the "owner" prior to commencement.
<br /> CONTRAGTOR'SIOWNER'S A1=I=lDAVIT: I certify fihal all �he information in fihis application is accurate and thafi all worlc
<br /> will be done in compliance wifih afl applicable laws regulating consfirucfiion, zoning and land developmenl. Application is
<br /> hereby made to obtain a permifi fio do worlc and installafiion as indicated. I cerfii�Fy ihafi no worlc or installation h�s
<br /> commenced prior i:o issuance of � permi[ and th�i all work will be performed fio meefi sfiandards of all laws regulating
<br /> construction, Counfiy and City codes, zoning regulations, �nd land developmenfi regulations in fihe jurisdiction. I also
<br /> certify thafi I understand thai fih� regulafiions o( other governmenfi agencies may apPly io the infiended worlc, and fihat it is
<br /> my responsibility to identify whafi actions 1 musl t�lce fio be in compliance. Such agencies include bufi are not limited to:
<br /> Department o�F Environmenfal Protection-Cypress Bayheads, Wetland Areas and Environmenfially Sensifiive
<br /> Lands, W�fier/Wasfiew�ter Tre�tment.
<br /> _ Southwesi Fforida Wafier Management Disfirici-Wells, Cypress Bayheads, Wetland Areas, Alfiering
<br /> Wafiercourses.
<br /> Army Corps oF Engineers-Seawalls, Docks, Navigable Wafierways.
<br /> ., DeparCment of I-lealth & Rehabilitative ServiceslEnvironmental I-lealfili Unii-Wells, Wastewaier Treatment,
<br /> Septic Tanks.
<br /> _ US En�.ironmenfial Protection Agency-Asb�sfios abalement.
<br /> Federal Aviafiion Authority-Runways.
<br /> I undersfiand thafi the iollowing resfiricfiions ap�ly to� ihe use o�( fiill:�
<br /> Use o�F�fill is not allowed in Flood Zone "V" unless expressly permitfied.
<br /> If the fiil materia( is io be used in Flood Zone "A", it is understoocl that a drainage plan addressing a
<br /> "compensating volume" will be submifiled at fiime of permifiting which is prepared by a professional engineer
<br /> (icensed by the Si:ate of Fiorida.
<br /> If the �fill mafierial is to be �used in Flood Zone "A" in connecfiion wilh a permitted building using sfiem wall
<br /> � consfiruction, I cerlify thafi �fill will be used onfy i:o �fill fihe area wifihin ihe si�m wall.
<br /> IF. �fill material is to be used in any area, I cerfiify fihat use of such �(ill will not adversely aFfect adjacent
<br /> � properties. ff.use o�f fill is •found to adversely a�ffect adjacent �roperlies, lhe owner may be cited for violating
<br /> the conditions of fihe building permit issued under lhe afitached permit ap�lication, �for lofis less than one ('I)
<br /> acre which �re elevafied by �fill, an engineered drainage plan is required.
<br /> I�F i am the AGENT FOR TI-I�C OWN ons�tru�cfiion! s I un al �arai �ermifi may u� equi�red for l electr cal�w�orl<,
<br /> this affidavit prior to comm n 9 as , or ofiher insiallations not specifically included in the a�plication. A
<br /> plumbing, signs, wells, pools, air conditioning, g
<br /> permit issued shall be consfr� ��h bcal codesenorp hall ss u It nce ll of a pe miaprevent the i ding Offiici�l thereafter
<br /> set aside any provisions of th
<br /> requiring a correction oF errors in plan eC�ii s I d , within six�moniis perm t i�ssua wo aufl oeized by
<br /> unless the woric authorized by such p
<br /> fhe permit is suspended or ab�ndoned �For � periorroiali fo not to xc ne y d ys and demonstrale
<br /> may be requested, in writing, from the Building ' P
<br /> justifiable cause �for the exi:ension. If worit ce�ses �for ninety (90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR.rlall..� TO YOUR PR��PC-RT�'.T1r YOU INTC D�TO Of3TA N NANC NG C
<br /> PAYING TWICC I=OR IMPi�.OVEMCNT
<br /> WITH YOUR LENDE oOR AN ATTORNEY d�I=01�C RCCORDING YOUR NOTICG 01= COMMENGEMENT.
<br /> �LORIDA JURAT (f :S. 117. ) � � �
<br /> CONTRAC"fOR
<br /> OWNER OR AGCNT Subscrib d and sworn t d) bef r h�
<br /> ubscrib�` (�d sworn t f d) b fd me this / ! �
<br /> / by Who islare personally I<nown to me or has/have produced
<br /> Who is/are personal� �o`Nn to me or has/have producecl as identificafion.
<br /> as idenEifcation.
<br /> � , k�ll1 ��i�/(�',r"'t'�� NotaryPublic
<br /> L� Notary Public
<br /> Commission No. - � -
<br /> Commission No. \ � AIt ,>L I.� ' - „
<br /> � � ;.'tsvi� ��, rinted or
<br /> `� ,�, Name of Notary iyp P , ,
<br /> Name of Notary tYpe f , ` 2013 -•
<br /> �;��,: ... "-' �.",
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<br /> .,UM1i�FL 'ik "
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