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� -NQTICE a�F DEED RESTRICTIONS: The undersigned understands that this permit rnay be subject to"deed" restrictions"
<br /> � which may be mare restrictive than County regul�tions. The undersigned assumes responsibiiity for compiiance with any
<br /> applicable deed restrictions.
<br /> UNLtCENSED CONTR�4CTt}RS A�1D CC}NTRACT4R RESPONSIBILITIES: If the owner has hired a cantraefior or
<br /> contractors to undertake work, they may be required ta be licensed in accordance with state and local regulations. If the
<br /> contract4r is nat licensed as required by 3aw, both the awner and conts-actor may be cited for a misdemeanar violation
<br /> under state law. If the owner or intended contracfor are uncertain as to what �icensing requirernents may apply for the
<br /> intended work, they are advised to contact the Pasco County Building lnspectian Division—Licensing Section at 727-847-
<br /> 8009 Furthermore, if the owner has hired a cantractar ar contractors, he is advised to have the cantractor{s} ssgn
<br /> portions of the "contractar Black" of this application far which they will be respansible. If you, as the awner sign as the
<br /> contrac#or, that may be an indication that he is not properly licensed and is no# entitEed ta permitting privileges in Pasca
<br /> County.
<br /> TRANSPORTA7IClN IMPACT/UTlLlTlES IMPACT AND RE50URGE RECOVERY FEES: The undersigned unders#ands
<br /> that Transportation Impaet Fees and Recourse Recavery Fees may apply ta the construction of new buildings, change af
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco County C7rdinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identifiecf ak the time of
<br /> permitting It is further understood that Transportation Impact Fees and Resource Recovery Fees musk be paid prior to
<br /> receiving a "certificate of accupancy" or Fina! power release. if#he project daes not invoive a certificate af occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermare, if Pasca County WaterlSewer lmpact
<br /> fees a�e due, they must be paid prior to permit issuance in accordance with applicable Pasca County ordinances.
<br /> CONSTRtJCTiON LIEt� LAW(Chapter 7't3, Florida Statutes, as amended}: 1f�aivation af work is$2,500 00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Hameowner's
<br /> Protectian Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If fihe applicant is sameone
<br /> other than the"owner", I certify that I have obtained a copy af the above described.�acument and promise in good faith to
<br /> deliver it to the"owner" prior ta commencement.
<br /> CON7RA��TOR'S/OWNER'S AFFIDAVIT: t certify that ali the infarmation in this applicatian is accurate and fhat a(I work
<br /> will be done in campliance with all applicable laws regulating constructian, zoning and land development. Applicatian is
<br /> hereby made to obtain a permit to do work and instal3ation as indicated. E certify that no work or installatian •has
<br /> commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
<br /> consfiruction, County and City codes, zoning regulations, and land develapment regulations in the jueisdictian. 3 also
<br /> certify that I understand that the regulatians of other government agencies may apply to the intended work, and thak it is
<br /> ,-ny responsibility ta identify what actians ! must take to be in compliance. Such agencies include but are not limited to
<br /> - Department of Environmental Protection-Cypress 8ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Weiis, Cypress Bayheads, Wetiand Areas, Altering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Departmenfi of Health & Rehabilitafiive Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Sep#ic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that the fa}lawing resfrictians apply ta the use of filE:
<br /> - Use af fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill materia{ is ta be used in Flaod Zone "A", it is ur►derstood that a drainage pian addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a prafessional engineer
<br /> licensed by the State of Florida.
<br /> - if the fill material is to be used in Fiood Zane "A'" in connection with a permi#ted buiiding using stem wa{!
<br /> consfiruction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fi11 material is to be used in any area, 1°cerkify tt�at use af such fil will not adverse3y affect adjacent
<br /> properties. If use of fill is found to adversely afFect adjacent properties, the owner may be cited for vialating
<br /> the conditians af the building permit issued ssnder the attached permit applicatian, far lots less than ane {1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> !f! am the AGENT FOR THE t}WNER, I promise in good faith ta inform the owner of the permitting canditions set farth in
<br /> � this affidavit prior �o commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application A
<br /> permit issued shail be construed to be a license to proceed with the work and nat as autharity to violate, cancel, alter, or
<br /> set aside �ny provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fram thereafter
<br /> :equiring a correction of errors in plans, canstruc#ion or viafations of any codes. Every permit issued shall become invalid
<br /> unless the vuork authorized by such permi# is cammenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended ar abandaned for a period of six(6} months after the time the work is commenced An extension
<br /> may be requested, m writing, from�the Building (Jffic�a( for a period no# to exceed ninety (90} days and wil( demonstrate
<br /> justifi�ble cause far the extension. If work ceases for ninety f90) cranser,u#ive c+ay�, the joh;� ccr�;dered �bar�oned.
<br /> WAI�,NING TO 01iVNEFt: YOUR FAILURE TO RECQRD A NOTICE OF COfVIIVIENCEMENT MAY R�SULT IN YOUR
<br />! PAYt�l�T°�'�C��C�9�Q4��Dti1��!�1►V?'S�'�11C}U!�PROPERTY. tF Yt?U I1ti1TENQ TO OBTAIN FINAl�IC[t16G, GON5UL7
<br /> W(TI"I YC�E.FP'Z I_E��E�.'�p A 1!1�TTfLC�MC'1�'R��v�:� R=�vi:�oFv:t'vai9":i��1�9d.� 6�'..�� i .�
<br /> 'Us4�Iliiii.,14�:�1Vl��v'1,
<br /> FLORIC�A JUF2A"f(F.S, 117.03) �
<br /> OWNER OR AGENT t— CONTRACTOR
<br /> �i .�..� .�,.�
<br /> � Subscribed and sw �to{ r ffirmed) efore me this Subscribed and swo 'ra-�,.t�io(�r�med)before me this
<br /> a � b 11�)«1rr bv 1.�_a�2�1 ��^j(Q
<br /> W re personally known to r has/have produced �is/ re��k _nauu.r�.iq�me or has/have produced
<br /> as identiffca#ion. as identification.
<br /> � ' --j��a�'f����
<br /> ��a'4 4Y�� ary Publlc �_
<br /> ��ry�b�e o.���� � ,.� � Nafary f'ubiic
<br /> Commission No. , . � commission No. NQt�N,�M,_.S�.p��E�?
<br /> � C,nm.No. EE$28129 My Commisssion Expires August 19,2016
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or st � 0.
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