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<br /> �1L7?f}CE{bF�EED RESTRICTIONS: The undersigned und rstands that this permit may be subject to°deed"restrictions"
<br /> auhich map be more restrictive than County regulations. Th�undersigned assumes responsibility for compliance with any
<br /> d�pplicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR R�PONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be li nsed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owr�er and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are ur�certain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco Coun Building Inspection Division—Licensing Section at 727-847-
<br /> 8009 Furthermore, if the owner has hired a contractor r contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application for whi h they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery F es may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings,�as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands,tl�at such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release� If the project does not involve a cer[ificate of occupancy or
<br /> final power release, the fees must be paid prior to permit i suance. Furthermore, if Pasco County WatedSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in a rdance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 773,Florida Statut ,as arraendet�): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been {srovitlec3 kvith a py ofi the °Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Floric�a Departmer�t oi ricasf,ure and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certify that I have�btaia�ed a copy f ths above descxx{bed document and promise in good faith to
<br /> deliver it to the"owner'prior to commenr.em�#.
<br /> CONTRACTOR'S/OWNER'S AFFIDAq/1T. 9 c�iTy tha#e�J sraTuimaRion in d'rais apQlicaSon is accurate and that all work �
<br />, will be done in compliance with all ap�tic�l�fla+v�rt� co�s��n,zo�r�ing and land development. Application is
<br /> hereby made to obtain a permit to dss +,nr�rlg� iv?+a'aila cn �s a►di,cate�. ] certify that no work or installation has
<br /> commenced prior to issuance of a perrr�til�nc6 t�ha�all wo�wll be pecfo�rned 4o meet standards of all laws regulating
<br /> construction, County and City codes, zoning s,��'atiorns, d land devefopment regulations in the jurisdiction. I also
<br /> certify that I understand that the regul•a,�'ans o�mFlhher gowem�ent agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actior�s C musY�{te to he in Fompliance. Such agencies include but are not limited to:
<br /> - Department of Environme�tah Protectiron-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Lr$etmemt.
<br /> - Southwest Florida Watar Allana�,emenC Dis rict-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers,�¢a��lls„�acks,,Navi abl�°lVaterways.
<br /> - Department of Health & 3�eh�3iliY�ive �cvic�s/EnviiE�ronr�e�ta9 �tea9ih Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectprr,o��raxyy-�s ba��t.
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<br /> - Federal Aviation Authoriry-f��a�s_
<br /> I understand that the following restrictioirs�ppi��3o ti3�usa o Y€�:
<br /> - Use of fill is not allowed in��vd�ome°1�"�.r27e ex,orESS3y�rrs�itted.
<br /> - If the fill material is to be us� �rsa F9wQC� Z+.� e ';4ID, 9t is UndersYood ihat a drainage plan addressing a
<br /> "compensating volume"wi43 be subrr�i�Yed at ti ofi}.ermif�ing which is prepared by a professional engineer
<br /> licensed by the State of Flosa�ia_
<br /> - If the fill material is to be � m �ood Zor�e"A an cor�nection wiYh a perrnitted building using stem wall
<br /> construction,I certify that fili wi1�be u�d araly 4o ii 3h�area within the stem wall.
<br /> - If fill material is to be used in arry area, 1 rtify that use of such fiil will not adversely affect adjacent
<br /> properties. If use of fill is faund to adverssly a ct adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued ur� er the attached permit application,for lots less than one (1)
<br /> acre which are elevated by fiil,an engineered d inage plan is required. �
<br /> If I am the AGENT FOR THE OWNER, I promise in good th to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understa d that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or oth r installations not speafically inGuded in the application. 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 provisions of the technical codes,nor shall is uance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or viol tions of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced ithin six months of 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. An extension
<br /> may be requested, in writing�,from the Building Official for period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> • ` WARNING TO OWNER: YOUR FAILURE TO RECORD iA NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> , ` Pi4YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> . WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
<br /> 'FLORIDAJURAT(F.S.117.0 ) /J
<br /> '.OWNERORAGENT �• �� CO�NTRACTOR �/ W ' ���'G�i4
<br /> ..Subscribed and swom r affirmed before e this Sut�scribed and sworn t (or affirmed before me this
<br /> . by ■ � by Jµ4SON W. �EIIMANN
<br /> Who is/are�sofLall�•����•�^��me or haslhave produced � Wh' is/are personal�lY known to me or has/have produced
<br /> as identification. PERSONALLY KNOWN as identification.
<br /> i , r 1 � _
<br /> 6tary Public �r g �i� Notary Public
<br /> �OtpRY�,ss C��i h�sTs�i�n�No.�"��R ��_l�• J 1�' Commission No. L RY
<br /> rvUl'ARY PUBLIC ` ��nlS71E K MAJOR
<br /> �: ,f � • c, idiJ�/�RY PUBLIC
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<br /> � \�+�h '�i`�!��� i ted or stamped V Na' e of Notary typed,printed or sta ed o , F FLORIDA
<br /> .:.P.;°' Comm#EE143314 � " ��� �
<br /> �'" �1�"•�� €x�ires 111�/2015 ` Comm#EE143314
<br /> "E`'. S�aEE j9�Q ��:pires 11/�/2015
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