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<br /> NOTICE t3f DEED RE$TR{CTI�NS: he undersigned understands that thls permit may be subject'to"deed°restrictions° '
<br /> whicb rnay be more res.tfictive than Co nty cegulattans. The'undersEgned assumes.responstbilltp for compllance wifii any
<br /> applicable deed restrlctlons. ' �
<br /> UNLICENSEQ CONTRACTORS AN CONTRACTOR RESPONSiBiLiTiES: (f the owner has hired a cantractor ar
<br /> contracfors to undertak�work, they m.y be requlred ta be Ilcensed in accardarice with sfate and local reguiafians. If the
<br /> confracfar (s nof licensed as required by law, bo#h the awner and contracEor may be clted for,a misdemeanor violat(an
<br /> under state law. If th"e�owner nr inten ed confractor are uncertain as ta wha# licensing reqt�irements may apply for khe
<br /> ; intended work, they are advised to cori act the Pasca Caunfy Buiiding inspectian Divisian—Licensing Section at 727-847-
<br /> � 8009: Furthermore, if the owner ha hired a contractar ar contractors, he is advised to have the cantractor(s) sign
<br /> j porkions of the "contractor Block° of th s application for which they vt+ili be responslble. If yau, as the owrter slgn as the
<br /> i contractar, that may be an indlcation t at he Is nat properiy licensed and is not enti�fed to permitting privileges fn Pasco
<br /> i County. ' .
<br /> TRANSPORTATiON IMPACTlUTiLiTi S IMPACT AND RESOURCE RECOVERY FEES: The undersigned undetstands
<br /> that Transportatian Impacf Fees and ecourse Recovery Fees may appiy to the constructian of new buildEngs, change of
<br /> use in existing bulldings, or expanslo. af existing bulldings, as specifiied in Pasoo County Clydinance numbar 89=07'and
<br /> 90-07, as amended. The undersigne also understands, that such fessf as may be due, wil! b,e ideniified af the time of
<br /> permitting. It is further understood th t Transportation impact Fees and Resource Recovery Fees must be pald prEor#o
<br /> recelving a "ce�kificate of.occupancy° r final power reiease. If the projact does naf invalve a ce�tificate of accupancy or
<br /> finai pawer releasa, the-fees must be paid prior to permlt.issuance. Furthermore, if Pasco Counfy Water/Sewer Impact
<br /> fees are due,.they must be pafd priar t permlt issuance fn accordance�wlth app!lcable Pasco County ordEnances:
<br /> CONSTRUCTION L1EN I.AW(Chapt r 713, Florida Statutes, as amendedj: if va(ctation of work!s$2,500A0 ar more, 1
<br /> certify that I, the appllcant, have b n provided with a copy of the "Fiorida Consfruction l.ie.n Law=Homeowner's
<br /> Protection Guide" prepared by the FE Ida De�partment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other fhan fhe°owner", t ce�tify that i ve abtained a copy af the above described document and pramise in gaad faikh to
<br /> deliver it to the"owner"prior to comm ncement. ,
<br /> GQNTRACTOR'S/OWNER'S AFFID IT: I certlfy that al) the infarmation In fhis applicatian is accurate and that ail work
<br /> wili�be done in comp!lance wi#h a4! ap licable laws regulating constructlon, zoning and land develapment. Application is
<br /> hereby made #o obtain a permit to o wark and instaliation as indlcated. 1 certify that no work or instaNa#ian has
<br /> commenced prlor to issuance of a p rmit and that a1i work wiN be performed to mest standards of aii iaws regu#ating
<br /> cons#ruckfon, County and City cades, zoning regulations, and land development regulations in fhe Jur(sd(cfton. i a(so
<br /> ce�tify#hat I understand that the regui tions of ottier government agencies may apply to the interided work, and�tfiat it is
<br /> my respansibHi#y fo idenfify what actio s 1 must take to be in campiiance. Such agencies inciude but are not limited ta:
<br /> - Departmen# of Enviromm �tal Protection-Cypress Bayheads, Vllefland Areas and Environmenfalty Sensitive
<br /> Lands,Wate�lWastewatec Trea#ment.
<br /> - Southwes� Ffarida Wa# r Management Distclo#-We!!s, Cypress Bayheads, Ylfetland Areas, Altering
<br /> Watercourses.
<br /> - _ Army Corps of Engineers- eawallst Docks, Navigable Waterways. ;
<br /> • Department of Health & Rehabilltative ServEceslEnvlronmenta! Nealth Unit-We!!s, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protec on Agency-Asbestos abafement. :
<br /> - Federal Aviation Authority Runways.
<br /> i understand that the following restrictf ns apply ta the use of flll.�
<br /> - ' Use of fill is not ai(awed in Fiood Zone uV"unless expressiy permiEted.
<br /> - tf #he flll mater(ai is fo e used in Fiood Zone °A", if is undersfood tfiat a drainage pian addressing a
<br /> Naampensating valume" ill be submitted at time of•permiffing wh(ch is prepared by a professional engineer
<br /> ficensed by the State af F rida.
<br /> - If the fili material is to b used in Fiood Zone uA" in cannection with a permitted buflding using stem waif
<br /> cons#ruction, (cert(fy thaf ill wlll be used only to�II the area within the stem wa(I.
<br /> - {f fi!! materlal !s to be u ed In any area, ! certify that use of such flll w!!I not adversely affect adJacent
<br /> praperties. if use of fiii i #ound to adversely affect�adJacant propertles, the owner may be cEted Far violating:
<br /> fhe conditians of the bui( ing permit issued under the attached permit app(ication,, far lats iess than one (1.)
<br /> acre whlch are elevated b �l(t an englneered drainage plan 1s requtred.
<br /> If! am the AGENT i�C?R THE QWNE , ! promise in good falth ta inform,the ownec of the petmitting conditions sst:forth (n
<br /> this affidavit prior to cammencing co structfan. t understand that a separate permlt may be requErerl for electrical wark,
<br /> plumbtn�, signs, we((s; pools, air co.difianing, gas, or other in'staiiatians naf s.peciffcalfy, included in the appiicativn. A.
<br /> permit issued shall be construed to b a license to proceed wttfi the work and not as authocity fa,vlolate, cancei, ait�r,�or
<br /> set aside any pravtsions of the techni al codes, nar shall issuance of a p$rmit prevent the Buildlrig Oiflcial#rom thereafter
<br /> requir(ng a cor�ection of errors in pian , construction or violafions of any codes. Every permit issued•shaN become invalid
<br /> uniess the work authorized by such ermlt Is commenced wifh(n six monfhs of permif issuance, or if work aufhorized by
<br /> the permlt!s suspended-or abandone for a perEod of slx{6) months affer the time the wark!s commenced. An extenslan
<br /> may be requested, in writing, frbm th Buiiding Officiai for a period nat fo exeeed nlnety (90) iiays and.will demonstrate
<br /> Justifiable cause for the exfens(on. If ork ceases for ninefy(90)consecutive days, th�Jo6 is considered abandoned.
<br /> WARNlNG TQ OWNER: YflUR FA LURE YO RECORD A NClTICE (?F COMMENCEMENT MAY RESUL.T IN YQUR
<br /> PAYF�G TWiCE FC1R�iViF?ROV�ME �'S TCb YO�t� �R�PERTY. .9e Y1�U !N'i��1D'��CIBTAIN EtNANC9NG, GCENSULT
<br /> ' WITH YOUR LE DER dR AN ATTO NEY EFORE RECORDi G Y U OT C +D CO MENCEMENT.
<br /> FLQRIDA JURAT(F.S.117.0�} �
<br /> I n�
<br /> OWNER OR AGENT CONTRACTO �" GX�'
<br /> Subscribed and swom to{or afflrmed)before e ihls Subscribed and s om#o(or affirmedj•bef re me fhis
<br /> by y �
<br /> Who fs/are personally knovm'to me or has/hav' produaed Who Is/are-personatly known to me or has/ttave;produced
<br /> as Identlflcatt n. as ideriBBcatlon.
<br />� �
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<br /> ,,,,�� ,,, ,! El. . A
<br /> Nofary Publlc � q '' Nofary Public
<br /> Comm(ssto o, ='s �� �P�res June 29,2018
<br /> Gommission No. ,. .,,
<br /> ' �swance 800.3A5•7019
<br /> uu s•�
<br /> Name oi Notary typed,pdnted or stamped Name of otary•typed,printed'or stamped
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