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<br /> t�OTICE OF pEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restricilons" ,
<br /> which may be more restrictive fhan County reguEations. The t�ndersigned assumes responsibility for compliance with any r
<br /> applicable deed restrictions,
<br /> UNI.ICEMSED COMTFt�4CTdRS AMD CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contracfors ta undettake work,ihey may be required to be licensed fn accordance with state and local regula#ions. 1f the
<br /> contractor is not►icensed as required by faw, both the owner and contractar may be cited for a misdemeanor vialation
<br /> under state law. if the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intendsd work,they are advised to contaof fhe Pasco Coun#y Huilding Inspection I}ivisian—Licensing Section af 727-847-
<br /> 8009. Furthermore, if the owner has hired a confractor or contractors, he is advised to have the contractor(s) sign
<br /> portlons of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
<br /> con#ractor,that may be an indicatian fhat he is no#properly{icensed and is not ent3fied ta permittEng priviieges !n Pasco
<br /> County.
<br /> TRI4MSPORTATIOPC IAflPAGT/UTILITIES ENiPR,CT A(dD RESOURCE RECOl/EftY FEES: The undersigned understands
<br /> fhat Ttansportation fmpact Feas and Recourse Recovery Fees may apply to the constrttctian of new buildings,change af
<br /> use in existing buildings, or expansiun of existing buiidings, as specified in F'asco County Ordinance number 89-07 and
<br /> 90-Oy, as amended. The undersigned also understands,that such fees,as may be due,will be identfied at the time of
<br /> permitting. lt is fctrther undetstoad that Tsansportation lmpact Fees and Resource Ftecovery Fees must be pa�d prlor to
<br /> receiving a°certificate of occ�pancy"or final power re(ease. tf the ptojecf does not involve a certiflcete of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid priar to permit issuance in accordance with app8cable Pasca Caunty ordinances.
<br /> CfltdSTRiICTiON!.lEid U1t1N(Chapter 713,Ftor[da Sfafutes,as amendedj: tf ualuation of work is$2,5dQ.d0 ar more,i
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Canstruation Lien Law—Momeowner's
<br /> Proteciion Guide°prepared by the Florida 17epartment of Agricuilure and Cansumer Affairs. If fhe applicant is someone
<br /> other tfian tfie"owner",i certify fhat 1 have obtainec!a capy of the above rfescribed cincument and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> COh�T92ACTOR'S!OlflftNEit'S AFFlDAVlT: l certffy that a!1 the infatmatlon In thls applicatian is aacurate and that al!work
<br /> will be done 3n compliance with all applicable laws regulating canstruction,zoning and land developtnenf. Application is
<br /> hereby made to obtain a permit to do work and installatian as indicated. I ceriPfy that no wark or installation has
<br /> commenced prlor to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
<br /> construcfion, County and City codes, zoning regulafions, and land developmenf regulations in fhe jurisdlcfion. 1 aEso
<br /> certify that I understand that the regulations of otFier government agencies may apply to the intended work, and that it is
<br /> my responslbilfty to iden#ify what actions!must fake to 6e i�compliance. Such agencles inolude but are not limited ta:
<br /> - Departmenf of Environmentat Protection-Gypress Bayheads, 1Netland Ateas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management Distrlct-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis,Docks,tJavigable Waterways.
<br /> - bepartment of Health & Rehabllitatfve Services/Environmentel Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-P�sbestos abatemenf.
<br /> - Federal Aviation Authority-Runways.
<br /> t understand thaf the foilauving restricfions appty Eo fhe use of fiEl:-
<br /> - Use of fill is not allowed in Ffood Zone°V°unless expressly permitted.
<br /> - If the flll material is to be used in Flaod Zone "A", ft is understood that a drainage plan addressing a
<br /> "compensa#ing voiume"wif[be submittsd af time af permitting which is prepared by a professionai enginesr
<br /> licensed by the Sfate of Florida.
<br /> - If the fill material is to be used in Flood Zone°A° in connection with a permitted building using stem wall
<br /> consfrucfion,1 certiiSyy#hat fill wil!be used anly to f:l!fhe area within the stert�waEi.
<br /> - If fllt material is to be used in any area, 1 eertlfy tfiat use of such fill will not adversely affec# adjacent
<br /> properties. If use of fill is found to adversely aftect adjecent properties,the owner may be cited for vialating
<br /> the condltions af the 6u1lding permit issued under the attached perrr�it applicafton,for lots less than one(1)
<br /> acre which are etevated by fill,an engineered drainage pian is required.
<br /> If I am the IsaGENT FOR T�VE OVN@dEIR,I promise in good faith to inform the owner a#the permitting conditions set farth in
<br /> this affidavtt priar to commenc(ng construction. !understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, poois, air conditioning, gas, ar other instatlations not speaitically inciuded in the appCicafion. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provistans of the techntca!cades,nor shati issuance of a permlt prevent the Buildirig Official from thereafter
<br /> requiring a correction of errots in plans,consfruction or v�olatians af any codes. Every pem►It issued sfiall become invalld
<br /> unless the work authorized by such permit is commenced within six months of permlt issuance,or if work authorixed by
<br /> #he permit Is suspended or ataandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requesfed, in writing,from the Building Offiiclai#ar a period not to exceed nlnety{90)days and will demonstrate
<br /> just�iable cause for the extensian. If work ceases far ninety(90)consecutive days,the job is considered abandoned.
<br /> �i/Ri�t�tl�iG TO OWt�ER: YOtiR F�4iLURE TQ RECORU A RlOTiCE QF CONf�iti!llEtdGETVlEtdT�HAY RESULT 1PI YOUR
<br /> PI�YIIdG TWICE FQR IAflPROVEfWEPlTS TO YOUR PROPEffTY. IF YOU INTEPdD TO OBTAIiV FIidANCING,COPdSULT
<br /> NUiT@�YOUR LEtdDER 042�td ATT MEY EFO E RECLfl2DIRlG YOUR OTICE OF C AAMEi�G MEPdT.
<br /> FLORIDA JURAT(F:5.1S7. 3 t
<br /> OVVNER OR AGENT CONYRAC70R � -
<br /> Stt6scdbed and swam to{ affirsned}before me thts Su}�scxibed and swom to{or a rme )before me this
<br /> by �Y
<br /> Who is/are personally knawn to me or haslhave produced Who Is/are persanaily knavm to me or has/have produced
<br /> asidentlficaBon. asldentification.
<br /> Notary Public Natary Publia
<br /> Commission No. CammSsslon No.
<br /> Name of Notary typed,ptinted or stamped �Name at NoYary typed,printed or stamped
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