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<br /> NO'TI�E OF DE�D RE�TRICTIONS: The undersigned understands that this permit may be subject to"deed" restric#ions"'
<br /> whictt may be more restrictive than County regulations. The undersigned assumes respons�bitity for campliance with any
<br /> applicable deed restrictions. .
<br /> UNC.lCENSE� CClN�RAC�O�t� AND GONT�C7'OR I���PON51�lL!'TIES: 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 iocal reguiations. If the
<br /> contractor is not licensed as required by law, both the owne� and contractor may be cited for a misdemeanor violation
<br /> under state law. If fhe owrner or intended cantractor are uncertain as to what licensing requirements may appty for the
<br /> intended wark, they are advised to contact the Pasco County �uilding Inspection Division--Licensing Section at 727-847-
<br /> 80Q9. Furkherrnore, if the owner has hired a cantractor or cantractors, he is advised to have the contractar(s) sign
<br /> portions of the "contractor Block" of this application for which they wilt be responsible. If you, as the awner sign as the
<br /> contracto�, that may be an indication that he is not praperly licensed and is nat entitled to permitting privileges in Pasco
<br /> Counfy.
<br /> TRA,NSPORTATION IIUI�I�CI"IUTILI'�'IES IM�iPACY�1fVD RfESOl1RC� R�COV�RY F�E�: The undersigned understands
<br /> that T�-anspar#ation Impact Fees and Ftecourse Recovery Fees may apply to the construction af new buildings, change of
<br /> � use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-0? and
<br /> ' 90-47, as amended. The undersigned also undarstands, that such fees, as may be due, wil! be identified at the time of
<br /> permitting. It is furfher uncierstood #hat Transportation Impact Fees and Resource Recovery Fees must be paid prior ta
<br /> receiving a "certi�cate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final pourer release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco County WaterlSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> GONSTRUCTl0�1 LIEN l..�►Vll(Chap�t�r 7'13, �la�ida�tatute�, as arn�nelee!): !f valuation of wark is$2,500.OQ or rnore, !
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agricul#ure and Consumer Affairs. If the applicant is someone
<br /> other fhan fhe°owner", 1 certify that I have obfained a copy af the above described document and promise in good faith to
<br /> deliver it to khe"owner"prior to commencement.
<br /> �ONTR�CTO�'SlOVIIN�R'� ��fIDAV1T: 1 certify that all the infarmation in this applicatian is accurate and that al!wark
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land d"evelopment. Application is
<br /> hereby made to obtain a permit to do work and instalfation as indscated. I certify that no work_ or insta!lation has
<br /> commenced prior to issuanee of a permit and that al( work wiil be performed to meef standards of ail laws regulating
<br /> construction, County and City codes, zoning regulatians, and land development regulatians in the jurisdiction. I al"so
<br /> certify that l undersfand that the reguiations af other government agencies may apply to the intended vuorlc, and that it is
<br /> my responsibility#o identify wrhat actions I must take ta be in compliance. Such agencies inalude but are not limited to:
<br /> - Department of Env�ronmentat Protection-Cypress Bayheads, W�tland A�eas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Rreas, Altering
<br /> Watercourses. -
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Nealth & Rehabilitative ServiceslEnvironmen#al Nealth Unit-WelEs, Wastev�rater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement. -
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following res#rictions apply to the use of fi!!:�
<br /> - Use of fiil is not allawed in Flood Zone"V"unless expressly permifted.
<br /> - If the fill material is ta be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating voiume" v�rill be submitted at time of permifting which is prepared by a professionat engineer
<br /> licensed by the State of Florida.
<br /> - 1f the fill materiaf is to be used in Flood Zone "A" in cannection with a permitted buifding using stem waf!
<br /> construction, f cerEify that fili wilf be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, ! certify that use of such fil! will not adversely affect adjacent
<br /> propetties. If use of�11 is found to adversely affect adjacen# properfies, the owner may be cited foc viotating
<br /> the conditions of the building permi# issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated,by fill, an engineered drainage pEart is required.
<br /> If I am the�4GENT IFOFt THfE 01111fVI�R, I promise in gaod faith to inform the owner of#he permitting conditions set forth in
<br /> this affidavit prior to commencing construetian. 1 understand that a separake.petmit may be required for electrical vuork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not speci�caily included in the application. A
<br /> permit issued shall be canstrued to be a license to proceed with khe work and not as authority to violate, cancel, alter, or
<br /> set aside any pravisions of the technical cacfes, nor shalE issuance of a permEt prevent the Building Official from fhere�ff�r
<br /> requiring a correotion of errors in plans, construction ar violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six tnanths af permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. Nn extension
<br /> may be requested, in writing, from the Building O�cial for a period not to exceed ninety (9Q) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90}consecutive days, the job is considered abancioned.-
<br /> 1�tARtdING 'FO OWN�R: YOU� FAILCIRE �'�,t ��Cf�R�A �Q'f1�E C!� COM[VtENGE�I�NT' IVIAY RESUE.T IN Y�EJ�2
<br /> P'AYItJG 'TV111Cf� FOIt YIVIPIaOVEI1fIEfNYS T'O YOfUR PI1�OP��tT1(. i�1(OU II�IYEND TO OB7AIiV FIN�►�MiCItVG, COW�U�.7'
<br /> WITH YQUR I.EN�ER+DR�►[1�TT�DRN�Y��FOR��t�CtJ14�tNC Ft NQTI qF CQ �NCIE�f1ENT.
<br /> FLOR1pA JURAT(F.S. 117.03) - -
<br /> 01�fNEFt O�2 AGENT CQN7l�CTOF�
<br /> Subscrlbed and swom to(or affirmedj before me this Subscribed and s n to{or affirmed)before me this
<br /> by b
<br /> Who islare personally known to me or haslhave prodtsced lNho Islare perso I!y knawn ta me or hasJhave produced
<br /> as Identffication. as identifica6on.
<br /> Notary Public Notary Public
<br /> Commisslon No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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