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NOTICE OF Dmo QRestTative thN County regu atgons. The undersigned assumes resp nsib Ibry for c mpl ance w�th ny
<br /> which may b
<br /> applicabte deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES: " If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be Iicensed in accordance with state and local r�gulations. If the
<br /> cont�actor is not licensed as required by law, both the owner and contractor may be cited for a misd�m�an�op y iolation
<br /> under state law. if the owner or intended contractor are uncertain as to what licensing requirements ma a I for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division--Licensing Sectfon at 727-847-
<br /> 8009. Fu�thermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this appifcation for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATtON IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the const�uction of new buildings, change of
<br /> use in existing buildings, or exparrsion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identi�ed at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or flnal power release. If the project does no�Pasco CountycWaterlSewer Impact
<br /> f ina l p o w e r r e l e ase, the fees must be paid prior to permit issuance. Furthermore,
<br /> fees are due, they must be paid prior to permit issuance in accordance with app l ica b le Pasco C o u n ty o r d i n a nc es.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the appiicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Depa�tment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I ce�tify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�"prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> wili be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance �ae e o'ninga egulatio s�andi'I nd devel pment egulationsan thef jurlisd ction 9ulaalso
<br /> construction, County and City ,
<br /> ce�tify that I understand that the regulatio�st take t be in compl�iance! S ch agencies inc ude but are n t�limi ed to:it is
<br /> my responsibility to identify what actions
<br /> Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWaslewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
<br /> _ Department of Health 8� Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill: ermitted.
<br /> Use of fill is not allowed in Flood Zone V unless expressly p
<br /> �� �
<br /> _ If the fill material is to be used in it ed at fime of permitting wh ch is p eparedrby a9professionalreng neer
<br /> "compensating volume" �ill be subm
<br /> licensed by the State of Flo�ida.
<br /> _ If the fitl material is to be used in Flood Zone f'A�ne a ea w hin the stem w m�ted building using stem walt
<br /> construc t ion, I ce r t i f y t h a t f i l t w i i l b e u s e d o n l y t o
<br /> If fill material is to be used in any area, I certify that use of suc h f i l l wi l i n o t a d v e rbe�cit d for v i�o at ng
<br /> properties. If use of fill is foun e�mitassued under the,attached per�mit aPPlica on, foa lots less than one (1)
<br /> the conditions of the building p
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> he AGENT FOR THE OWNER, I promise in good fa ahthat a�s parat permit may be required for Ielectr ct I work�,
<br /> If I am t lication
<br /> this a�davit prior to commencing construction. I understan
<br /> si ns, wells, pools, air conditioning, gas, or other installations not specifically inciuded in the app
<br /> plumbing, 9 pfFicial from thereafter
<br /> ' issued shail be construed to be a license to procee suaincehof a pe mitp event thehBu li ding iOlate, cancel, a'nvalid
<br /> permit
<br /> set aside any provisions of the technical codes, nor shall s ennit issued shall become
<br /> requiring a correction of errors in plans, construction or violations of any
<br /> codes. Every p
<br /> ork authorized by such permit is commenced with�nths after the t me thetwork sc o�mmenced. An extens be
<br /> unless the w 90 da s and will demonst
<br /> the permit is suspended or abandoned for a period of six(6) mo
<br /> ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> may be requested, in writing, from the Bk ilding Official for a period not to exceed ninety ( Y
<br /> justifiable cause for the extension. If wor
<br /> WNER: YOUR FAILURE TO RECORD A NOTIF YOU INTE DETO OBTA NnFANANC NGTCONSULT
<br /> WARNING TO O T.
<br /> QAYING TWICE FORRIMPR�OVE�NTSElO Y FO E REPORDiNG YOUR C
<br /> WITH YO ,� �
<br /> FLORIDA JURAT(F.S.117.03) C��qCTOR - `/
<br /> pWNER OR A(iENT Subsc.�b¢d
<br /> and swom�.4ti�afflrme )before me thi
<br /> Subscribed and swom to(or affirmed)before me this ,���� . , .
<br /> Z
<br /> by Who islare person , nown to me or aslhadentlfication
<br /> Who fs'— �p onally knovm to mas identlflcaUo�roduced �
<br /> ' ~� � , �j�y Pu c
<br /> Notary Public # 14��p9
<br /> �•'y::.,..,, 608g�ES' E�
<br /> Commission N • �. �x�t�F�F�����,�y,�p�e
<br /> Commission No. '"�
<br /> Name of Notary tyPed�P�Inted or stamped
<br /> Name of Notary
<br />
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