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<br /> NOTICE OF �EEO RESTRICT�ONS: Tha undersigned undarsta ds tF�at this permit may be subject to°deed°rastrictions^
<br /> whicF� may be mora restrictive tt�an County regulations_ T1ie und rsigned assumas responsibility For compliance witii any
<br /> applicable deed restrictions.
<br /> UNLICENSEU CONTRACTORS ANO CONTRACTOR RESP NSIBILITIES: If tF�e owner I�as Fiired a contractor or
<br /> contractors to undertalce worlc, thay may be required to ba Iicens d in accordanca with state and local regulatio�s_ If the
<br /> contractor is not licensed as required by law, both tF�e owner a d contractor may be cited for a misdemeanor violation
<br /> under stata law_ If the ownar or intended contractor are uncert in as to wF�at licensing requirements may apply Tor tFie �
<br /> intended worK, they ara advised to contact tF�e Pasco County Bui ding Inspection Oivision—Licensing Section at 727-847-
<br /> 8009. Furtharmore, if the owner F�as t�ired a contractor or co tractors, F�e is advised to F�ave the contractor(s)Sign
<br /> portions of the "contractor Blocic" of tF�is application for whicF� tF� y will ba rasponsibla_ If you, as tF�e owner sign as tF�e
<br /> contractor, that may be an indication tF�at i�e is not properly lice sed and is not entitled to parmitting privilages in Pasco
<br /> County_
<br /> TRANSPORTATION IMPACT/UTILIT�ES IMPACT ANU RESOU CE RECOVERY FEES: The undersigned understands
<br /> tF�at Transportation Impact Fees and Recourse Recovery Fees ay apply to tF�a construction of new buildings, change of
<br /> use in axisting buildings, or axpansio� of axisting buildings, as peciFed in Pasco County Ordinanca number 89-07 and
<br /> 90-07, as amanded_ The aindersigned also understands, that s ch Tees, as may be due, will be identified at the time of
<br /> permitting_ It is furtF�er understood tF�at Transportation Impact F es and Rasource Recovery Fees must be paid prior to
<br /> receiving a �cartiflcate of occupancy° or final powar ralease_ If t e project does not involve a cert�cate of occupancy or
<br /> Tinal powar release, the faas must bB paid prior to permit issua ce_ FurtF�ermore, if Pasco County Water/Sewer Impact
<br /> fees are dua, tt�ey must be paid prior to permit issuance in accor ance witFi applicable Pasco County ordinances_ "
<br /> CONSTRUCTION LIEN LAW(Chapter 773, Florida Statutas, a amendad)= if valuation of worlc is $2,500.00 or mo�e, I _
<br /> certify that 1, tFie applicant, have been provided witFi a copy of tF�e "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide° prepared by tha Florida �epartment of Agricu ure and Consumer ATfairs_ If tF�e applicant is someone
<br /> otF�er tFian tt�e'owner^, 1 certify that i F�ave obtained a copy oT tF� above described document and promise in good faitF� to
<br /> deliver it to tF�e°owner^prio�to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIUAVIT: 1 certify tt�at all tF�e i ormation in tF�is application is accurate and tF�at all worlc
<br /> will be done in compliance witt� all applicable laws regulating co struction, zoning and land devetopment_ Application is
<br /> hereby made to obtain a permit to do worlc and installation s indicated_ 1 certify tF�at no work or installation has
<br /> commenced prior to issuance of a permit and tF�at all worlc wil be performed lo meet standards oT all laws regulating
<br /> construction, County and City codes, zoning ragulations, and 1 nd devalopmant regulations in the jurisdiction_ 1 also
<br /> certify that 1 understand tF�at tFie regulations of other governmen agencies may apply to the intendad work, and tFiat it is
<br /> my responsibility to identify what actions I must taKe to be In com Itance_ SucF� agancias include but are not limited to:
<br /> - �epartment of Enviro�mental Protection-Cypress B yF�eads, Wetland Areas and Environmentally Sensitive
<br /> Lands. Water/Wastewater Treatment_
<br /> - Soutliwest Florida Watar Management �istrict- ells, Cypress BayF�eads, Wetland Areas, Altering
<br /> Watercou rses_
<br /> - Army Corps of Engineers-Seawalls, �ocics, Navigabl Waterways_
<br /> - �epartment of Health 8. ReF�abilitative Services/E vironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanfcs.
<br /> - US Environmental Protaction Agency-Asbestos abat ment_
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand tF�at tF�e Following restrictions apply to tF�e use oT fill:
<br /> - Use of fll is not allowed in Flood Zone"V^unless ex rBSSIy permitted_
<br /> - If tF�e fitl material is to be used in Flood Zone ° , it is undarstood that a drainage plan addressing a
<br /> °compensating volume^ will be submitted at time of ^ermitting wt�ict� is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to ba used in Flood Zona "A^ n connection witF� a permitted building using stem wall
<br /> construction, 1 certify that fill will be used only to FII tli area within the stem wall.
<br /> - If fill material is to be used in any area, 1 certify tF�at use of sucF� fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversaly affect djacent properties, ttie owner may be cited for violating
<br /> tF�e conditions of tFie building permit issued under t e attached permit application, for lots less tl�an one (1)
<br /> acre wF�icFi arB elevated by fill, an angineered draina a plan is raquired_
<br /> IT 1 am tF�e AGENT FOR THE OWNER, 1 promise in good faitF� t inform tF�B owner of tha permitting conditions set forth in
<br /> tFiis a�davit prior to commencing construction_ 1 undarstand th t a separate permit may be required for elactrical worK,
<br /> plumbing, signs, weils, pools, air conditioning, gas, or other in tallations not specifically included in tFie application_ A
<br /> permit issued st�all be construed to be a license to proceed with tF�e worK and not as autF�oriiy to violate, cancel, alter, or
<br /> set aside any provisions of the tecFinical codes, nor shall issuan e of a permit prevent tF�e Building O�cial from tFiereafter
<br /> requiring a correction of arrors in plans, construction or violation of any codas_ Every permit issued sFiall become invalid
<br /> unless tFie work autFiorizad by sucFi permit is commenced witF�I six montFis of permit issuance, or if woric authorized by
<br /> tFie permit is suspended or abandoned for a period oT six(6) mo tF�s aftar tF�e time the woric is commenced_ An extBnsion
<br /> may be requested, in writing, from the Building O�cial for a pe od not to exceed ninaty (90) days and will demonstrate
<br /> justifiable cause for the extension_ If worK ceases for ninety(90) onsecutive days, tFie job is considered abandoned_
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORU A N TICE OF COMMENCEMENT MAY RESULT �N YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER IF YOU INTEN�TO OBTAIN F�NANCING, CONSULT
<br /> WITH UR L OER OR AN TTORNEY BEF E E OR�I G YOUR NO � F CO ENC MENT_
<br /> FLORI�A JUf2AT(F_S. '1'1 _
<br /> OWNER OR AGENT CONT CTOR
<br /> Saibscribed and swom to(o Hi a )be(ora ma this Subscrib and swom o affirmed)bafor'e ma[hfs
<br /> by bY
<br /> WFio is/ara personally Icnown�o ma or F�as/F+ave produceA W1�o is/ar parsonally Icnowri to me or hasRiave produced
<br /> as IdenUficatlon. as identlFCatSOn_
<br /> Notary Public Notary Public
<br /> Commission No. Commiss n No.
<br /> Name o1 Notary typad.printad or s2amp� Name of otary typad,printad or stamped
<br />
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