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NOTICC 01=DL-CD RCSTIZIC'I"IONS: Tl�e.undersigned understands fihat fihis permit may be subjecfi to "deed" resiriciipns"
<br /> which may be more restricfiive ihan County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable d�ed restrictions.
<br /> UNLICCNSED CONTI�ACTORS AND CONTRACTOR RESPONSIRILITICS: ff the owner has hired a contractor or
<br /> contractors to unciertake work, fihey may be required to be licensed in accord�nce wifih state anci local regulafiions. If ihe
<br /> contractor is nofi licensed as required by law, both the owner and contraclor may 6e Cited �For a misdemeanor violation
<br /> under stafie I�w. I�f the owner or intencled confiractor are uncertain as fio wh�t Iicensing requiremenfis may apply for the
<br /> intended worlc, they are advised fio�contacfi the Pasco County Building Inspec�ion Division—Licensing Section at 727-8�1�7-
<br /> 8009. Furthermore, if the owner has hired � contracfior or confiractors, he is advise.d fio have fihe contractor(s) sign
<br /> portions oF'the "contracfior Rlocic" o�ihis application �for which ihey will be responsible. If you, as the owner sign as the
<br /> confiractor, thafi may be an indication thal he is riot properly licensed and is nofi enfiitled to permiiting privileges in Pasco
<br /> Counfiy.
<br /> TRANSPORTATION IMPACT/UTILITIGS IMPACT AND RCSOURCC RGCOVCRY FCCS: The undersigned understan s
<br /> fihat Transportation Impact Fees and f�ecourse Recovery Fees may app1Y fio the consfirucfiion�of new buildings, change of
<br /> use in exisling buildings, or expansion of exisfiing buildings, as speci�fied in Pasco County Ordinanc� number 89-07 �nd
<br /> 90-07, as amended. The undersigned also understands, ihat sucll 'fees, as may be due, wili be identified at the fiime of
<br /> permitting. It is �Further undersfiood that Transporlafiion Impaci Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or�Final power rele�se. If thc projecfi does nofi involve a cerfilficate o�F occupancy or
<br /> final power releas�, fihe fees must be paid prior fo permifi issuance. Furthermore, if I'asco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance wifh �pplicabie Pasco Counly ordinances.
<br /> CONSTRUCTION L1CN LAW (ClZapter 713, 1=lorida 5t�i:utes, as amended): If valuafiion oF worlc is �2,500.00 or more, f
<br /> certify that I, the applicanfi, have been provided wilh � copy of ihe '`Florida Consiruciion Lien Law—I-lomeowner's
<br /> Protection Guide prepared by the Florida Deparfimeni of Agriculturc and Consumer A�ffairs. I�F the anplicant is someone
<br /> ,�
<br /> ofiher fihan the "owner", f certify that I hav�.obfiained a copy o�(the above clescrib�d document ar�d peomise in good�fait� to
<br /> deliver ih to the"owner"�rior fio commencement.
<br /> CONTRACTOR'S/OWNEP'S AFI=IDAVIT: I certify that all the information in ihis a�plication is accurafie and that all worlc
<br /> will be done in compliance wiih all applicable laws regufating construcfiion, zoning and land dovelopmenl. Application is
<br /> hereby made to obtain a permi� to do worlc �nci install�tion as inciicafied. I cer[ify thafi no wor►c or installation lias
<br /> commenced prior to issuance of � permit and th�fi all worlt wi11 be �erformed to meet sfiandards of all laws regulating
<br /> construction, Couni:y and City codes, zoning regulafiions, and fancl developmenfi regulations in the jurisdiction. I also
<br /> cerlify that I understand tiiai the regulafiions of other government agencies may apply fio the infiended worlc, ancl that it is
<br /> my responsibilifiy to identi�Fy what�ctions I musfi talte to be in compliance. Such agencies includ� but are nofi limited to:
<br /> - Departmenfi o�F Environmental Protecfiion-Cypress 13ayheads, WeLfand Areas and Environmenially Sensitive
<br /> Lands, WafierlWasiewater Tre�iment.
<br /> - Southwest Florida Water Man�gemenfi Districfi-Wells, Cypress 13ayheads, Wetland Are�s, Aitering
<br /> Watercourses.
<br /> Army Corps oF Engineers-Seawalis, Docks, Navigable 1N�terways.
<br /> - Deparlmenfi of I-lealth & Rehabilitative Services/Environmental I-lealfih Unifi-Wells, W�stewater Treatment,
<br /> Septic Tanks.
<br /> _ US Env.ironmenial 1'rotection Agency-Asb�sios abafiement.
<br /> F�deral Aviation Authorifiy-Runways.
<br /> I understand that ihe following restriciions apply to�tfie use o�F�filf:�
<br /> Use o�F�fill is not allowed in Flood Zone"V"unless expressly �ermifited.
<br /> If the fill mafierial is to be used in F(ood Zone "A", it is undersfiood that a drainage plan addressing �
<br /> "compensating volume" will be submifiLed afi time of permitLing which is prepared by a professional engineer
<br /> (icensed by the Stafie o�F Florida.
<br /> l( the fill material is fio be-used in Flood Zon� "A" in conneciion with � permitted building using stem wall
<br /> ' construcfiion, I certify thafi fill will be used only to�(ill fihe area within the siem wall.
<br /> If.fill material is to be usecl in any are�, I certi�y fih�i use of such •Filih���owner mayrbelcified for vi�olat ng
<br /> ' properties. If.use o�(fill is •(ound to advers�fy affecfi adj�cent properties,
<br /> the conditions of the building permit issued under t[�e atfiacl�ed permit application, for lo[s less fihan one (1)
<br /> acre which are elevafied by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR ThIC OWNonstrucfii nIS I �underst�nld,tl alna�s�arai permifi imlay ue requg ed for Ielectr c I�wlorlc,
<br /> this afFidavit prior io commencing �S, or oi:her install�tions not specifically included in the application. A
<br /> plumbing, signs, wells, pools, air conditioning, g
<br /> permit issued shall be construed fion cal clodesenorp hall ssua�tnce�lof a pe mil�' Prevent ihehR ilding Officialcfrom therie�fter
<br /> set aside any provisions o�F the fiech
<br /> requiring a correction of errors in plans, coi Ssrcotmmenced'within �'i�montla�oF n rm t ssu Ince,uor�if wolrk autl oeized by
<br /> unless tlie woric authorized by such permi
<br /> the permit is suspended or abando the.Buildp gI'Off�ial fo6a pertod nofi to,exoeedin n�yr(�0) d ys andewill demonstrale
<br /> may be requested, in writing, 'From
<br /> justifiable cause for fhe extension. IF worlc ce�ses'For ninefiy (90) consecutive days, the job is considered abandone .
<br /> WARNING TO OWNER: YOUI�.I=AIL�1�0 YOUR PRO�PC T`f.TII=YOU INTG D�TO aTA NM NANC NGTCONS�LT
<br /> PAYING TWICG I=OR IMP110VEMCNTS T
<br /> WITH YOUR LENDEI�OR AN ATTORNEY BCI=ORG RECOI�QING YOC1R NOTICC 01= COMMENCEMENT.
<br /> �LORIDA JURAT(1=:S.1�3) , `��' , . � ���/J
<br /> �� CONTRACTOR --�'
<br /> OWNGR OR AGCNT Subscribed and sworn t or at�ed)b ore e th�s �--� �/ _
<br /> Subscribed and sworn t (o��ffirm bef re�tne this �/p1. �Y
<br /> b y * W l�o is%are personail wn to me or has/have p oduced
<br /> Wl�o is%are personally i<�own fo me or has l have pro d u c ecl as i d e n f i f i c a t i o n.
<br /> . as identifcation.
<br /> %Z�y�✓,L��''— Notary Public
<br /> Notary Public
<br /> �ST�1TF.OF FL�RIDA Commission No. NOTARY PtiBLIGSTATE OF FLORIDA
<br /> Commission No. �u,�rri�; SuzaPn
<br /> ': 044504 ��, rinled or stamped : :Comr:�i�sio��#FF044504
<br /> ,, �� �OV 22,2014 Name of Notary typ P '., .:Exp�re� ti OV 22,2014
<br /> Name of Notary typed,prit�i, , � ''� '' , �, �_,�c�n,�c
<br /> BOh�ED THRC:1'l LA.�:.�.itu\1lLtiG CO.,TNC.
<br /> BOA'DF�THF.0 1!" _
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