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NOTICE OF DE�D RESTRI�TIOIV�: The undersigned understands that this permit may be subject to"deed" restriakions"
<br /> which may be more rest�ictive than County regulations. Th�undersigned assumes.responsibility for campliance with any
<br /> applicable deed restrictions. .� � -�- � � ' � � �
<br /> UNLlCENSE� Ct�NTRl0.C'�C��tS �1ND �t?NT�C7�1R ��SPOhla1�lL.IT'lES: !f the awner has hired a cantractor or
<br /> contractors fo unciertake work, #hey may be reqt�ired ta be licensed in accordance with state and:tocal regulations. If the
<br /> contractor is not licensed as required by law, both the owner'and cor�tractor may- !�e cited for a misdemeanor violation
<br /> under state law. If the ovuner or intended cont�actar are uncertaih as�.to what licensiog requirements may appty far the
<br /> intended work, they are advised to contact the Pasco County �uilding Inspection Division—Licensing Section at 72?-847-
<br /> 80{}9. Furtherrnore, if the awner has hired a contractor or contractors, he is advised, to have the cantractor(s) sign
<br /> � portians of the "contrac#or Block" of this application for which they wili be responsible. tf�you, as the owner sign as fhe
<br /> cont�acfor, that may be an indication that he is not praperly licensed and is nat entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATIfJN IMPAC77UTILITIES IMPAC7 ANCI RE�OIJRCE RE�OVI�i�Y fF�ES: The undersigned understands
<br /> that Transportation tmpact Fees a�d Recourse Recovery Fees may apply#o the construction of newr buildings, change.of
<br /> use in existing buildings, or expansian of existing buildings, as�specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. T'he undersigned also understands; that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further uncierstood that Transpor#ation Impact Fees and Reso,urce Recovery Fees must be paid prior to
<br /> receiving a "ce�tiflcate of occupancy" or final pawer release. If the project does not ir�volve a certificate of occupancy or
<br /> finai power �elease, the fees must be paid pcior ta permif issuance. Furthermore, if Pasca County 1(VaterlSewer Impac#
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION l.1EhI L.p►1fV{Chapter'T13, iFloricla stats�tes� as a�rn�rtd�rJ): !f valuation of wark is$2,500.00 or more, 1
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construcfion Lien Law—Homeouvner's
<br /> �rotectian Guide" prepared by ths Florida Department of Agriculture and�.Consumer Affairs. !f the applicant is someone
<br /> ather than the°owner", 1 certify that 1 have obtained a capy of the above described dacument and promise in goad faith ta
<br /> deliver it to the"owner"prior to commencement.
<br /> CflNT'F2�CTOF2'SlOt�VNEFt'S AF�ID,�IVIT: 1 cert4fy that all the informa#iort in this applica#�an is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating cons#ruction, zaning and land development. Application is
<br /> hereby made to obtain a permik ta do work and instalfation as indicated. ! ce�tify that n� woric or instaltation has
<br /> commenced prior to issuanee of a permit and that all work vviil be performeci to meet skandards of a(I iaws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 alsa
<br /> certify that 1 undersfand that the regulations of other governrnent ageneies may apply to the intended rrvork, and that it is
<br /> my responsibility to iden#ify what actions I must take to be in compliance. Such agencies include but are not limited ta:
<br /> - Depaetmenf�of Environrnental Protec#ion-Gypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterNVastewater Treatment.
<br /> - 5ou#hwest Florida Water �/lanagement District-INefls, Cypress Bayheads, �Wetland Areas, Altering
<br /> Watercourses. -
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable 1Naterways.
<br /> - DeparEment of Nealttt & Rehabilitafive ServiceslEnvironmental Health Unit-WelEs, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - t1S Environmental Protection Agency-P►sbestos abatement. ,
<br /> - Federal Aviation Authoriky-Runways.
<br /> ! understand that the follawing restrictions apply to the use o#filL•�
<br /> - Use of fiil is not allowed in Fload Zone"V"unless expressly permifted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" v�riil be submitted at fims of permitting vuhich is prepared by a professianal engineer
<br /> licensed by#he State of Florida.
<br /> - If the fiil material is to be used i� FEood Zone "A" in connecEion with a permitted building using stem uvalf
<br /> construction, I certify that fill will be used only to fill the area wi#hin the stem wall.
<br /> - !f fill material is to be used in any area, ! certify that use of such fill will not adversely affect adjacent
<br /> propetties. If use of�li is found to adversely affect adjacen# properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than ane (1)
<br /> acre which are elevated by fill, an ertg(neered drainage pEan is�equired.
<br /> If I am the A►GENT FOR TFi� OV11N�R, I promise in gaod faith to inform the owner of#he permitting conditions set farth in
<br /> this affidavit prior to commencing construetion. 1 understand that a separate permit may be required for electrica! work,
<br /> pfumbing, signs, welis, pools, air conditianing, gas, or other instailafions not specificaily included in #he application. A
<br /> perm9t issued shall be construed to be a license to proceed with the work and not a tho ty to.violate, cancel, alter, or
<br /> set aside any provisions af th technica# cades, nor shall issuance of a permit pre nt tFte uilding Official from fhereafter
<br /> requiring a correction of or in,plans, canstruction ar violations af any codes very rmit issued shall become invalid
<br /> un(ess the �nrork aut �zed y such permit is comriienced v�rithin six months f perml �ssuance,'or_if_wark aufhorized by
<br /> #he permit is susp ded o abandoned fo�a pe�iod of six(6) months after# time t work is cammenced. Nn extension
<br /> may be requss d, in wr' mg, from the Building C7fftcial far a period nat�to exceed inety (9Q) days and will demonstrate
<br /> justifiabie ca e far the xfension. If work ceases for ninefy(90�consecut day tfie job is considered abandoned.
<br /> IA►ARNIN TO QW R; YC3UR �AlLUR� T{� i��CC}RD TtCE O M N���ft��iT NIAY R��UE.T 1N YOUF2
<br /> PAYI�IG I E F IIVIPROVEfUI�fVTS T'O YC1l1fZ P RYY. I�YOl! N TI� OB7AlIV FINAIVCING� CONS�llLY
<br /> 1NtTFi Y U EN ER{�Ft I�N�IT7't)�N�Y��� f��CQ�t�tNG YO N CdF�t?MNIENCEIi�ENT.
<br /> FLORID JU AT(F. . 117.03) '
<br /> O1fUNE Q A CO CTO
<br /> Subscri and om to(or ffirmed ore me this scribed an swom t r affirmed)befare me this
<br /> Y
<br /> Who isl pe ty` no e or haslhaue produced Who fslare nally k own to e or haslh e p�aduced
<br /> as Identlfic�tlon. as i entifica6on.
<br /> '`��A ''' EL . AC N
<br /> �" ' otary Public ='� m ' n 07 Notary Public
<br /> .�__ , �= p�res une 9.2018
<br /> :.= Commission#FF 137073 � �„0.5�� a�a n,�T��w m�..�.eoo�ssao�e
<br /> Commis � - Commission N
<br /> :%�'
<br /> f�.���,°..`�� Bnnded Tlw iroy Faln lnsunnce 80LL385•7019
<br /> Name af Notary typed,printed or stamped Name of Nokary typed,printed or stamped
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