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NOT9CE OF Q�ED RESTRlC"FIQNS: The•undersigned und rstands that this permit inay be subject to"deed" restrictions"
<br /> which may be more restrictive than County regufatians. Th undersigned assumes responsibilify for compliance with any
<br /> applicable deed restrictions.
<br /> UhtLiCENSED C{3�t�TRt�CTt�t�u Ai�D GOt�T�ACTOR. !� SPO[�S{SIC.i'TlES: if the ovuner has hired a cantractor or
<br /> contractors to undertaks worlc, ttiey may be required to be icensed in accordance with state and loca! regulations. !f the
<br /> contsactar i� not licensed as required by law, both the ow er and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intend�d contractor are uncertain as to whaf licensing requirements may appiy for the
<br /> intend�d work; they are advised to contact the Aasco Coun y Building lnspecfion Division—Licensing Sec#ion at 727-847-
<br /> 8Q09 Furthermore, if fihe ownes has hired a contractar ar Gontractors, he is advised to have the con#ractor{s} sign
<br /> partions af#he "contractor Blocic" af this appfication for w!�ch they wil! be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properl licensed and is not entitled to permitting privi►eges.in Pasco
<br /> � County.
<br /> TRANSf�ORTATiC1N iMi�ACTlUTIL1T{ES IMPl�CT AtV� F� SCDURCE RECC}VERY FE��: The undersigned uncterstands
<br /> that Transportation Impact Fees and F2ecourse Recovery ees may apply to the construction of naw buildings, change of
<br /> use in existing buildings, or expansion of existing bu'slding , as specified in Pasco County Ordinance number 89-Q7 and
<br /> 90-Q7, as amended The undersigned also understands, hat such fees, as may be due, will be identified at fhe time of
<br /> • permifting It is furfher understood�that Transportation Im act Fees and Resource Recavery Fees must be paid prior ta
<br /> receiving_a "certificate af oecupancy" or final power relea . lf the praject daes nat invoive a certificate af occupancy or
<br /> final pawer release, the fees must be paid prior to permit issuance. Furthermare, 'sf Pasco County WaterlSewer lmpact
<br /> fees are due,#hey must be paid prior to permit issuance in accordance with applicable Pasca Caunty ordinances.
<br /> COf�STRUCTIUf� LIEN L,41N (�hapter T13, F9orida Stat tes, as amended): if valuation of work is $2,500.00 or more, 1
<br /> certify that I, the app(ican#, have been provided with copy of the "Flo�ida Constructian L'sen Law—Homeawner's
<br /> Protection Guide" prepared by the Florida Departrnent af gricuiture and Consumer Affairs. !f the appficant is someone -
<br /> other#han the"owner", I certify that { have abtained a cop af the abave described document and promise in gaod faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> COMTR,aCTOR'SIOWiVER'S R�FFIDAVIT: 1 certify that a I the informafion in fhis appiication is accurate anci that all worl<
<br /> wiil be done in compliance with ali appiicabie laws regul fiing constructian, zoning and iand deveiopment. Applicatian is
<br /> hereby made to obtain a perm'st ta do wark and insta!atian as indicated. ! cert'sfy that no work or installation has
<br /> � commenced prior fo issuance of a pesmit and that a41 ark will be performed ta meet standards_of all laws regulating
<br /> construction, County and City codes, zoning regulation , and land development regulatians in the jurisdicfion. 1 also
<br /> certify that I understand that the regulations of other gov rnment agencies may apply to the intended wor}c, and that it is
<br /> my responsibility to idenfify what actions 1 must take to b in compiiance. Such agenc"ses inciude but are not limited to•
<br /> - Department of Environmental Pratection-Cy ress 8ayheads, Wetland Areas and Environ��nentally Sensitive
<br /> Lands,WaterMlastewater Treatment.
<br /> - Sauthwest Florida Water Management istrict-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,�Docks, avigable Waterways.
<br /> - Departrnent of Health & Rehabilitative Se ices/Env'sronmenta( Health Unit-We!!s, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - lJS Environmental Protection Agency-Asbes os abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> ' � understand that the faliowing restrictians apply to fhe u e of fi1}:
<br /> - Use of fill is not aSlowed Rn Fload Zone"V"u less expressly permitted.
<br /> - If the filf snateria! is to be used in Flood Zane "A", it is understood thafi a drainage plan addressing a
<br /> "compensating valume" wiil be submitted a time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - lf the tili maferial is to be used in F400d one "A" in connection with a psrm'stted buildirsg us'sng stem wa!!
<br /> construction, 1 certify that fi14 wi!! be used on y to fil!the area with'sn the stem wall.
<br /> - !f fi!! t»ateria! is to be used in any area, I certify that use of such fill will nat adversely affect adjacent
<br /> properties. If use of fill is found to advers ly affect adjacent praperkies, the awner may be cited for viaiating
<br /> the condifions of the building permi# issue urider the attached permit applica#'son, for fots less tha�7 one {1)
<br /> acre which are elevated by#iil, an engineer d drainage plan is required.
<br /> if 1 am the AGENi" FUR'T�4E C!ilVi�EF?, 1 promise in go d faith to infarm the owner of the permitting conditions set forth in
<br /> this affidavit prior to cammencing construction. I und rstand tY�at a separate permit may be required for eiectrical wark,
<br /> plumbing, s+gns, wells, pools, air conditioning, gas, a ather insta�lations not specifically included in the appiication. A
<br /> permit issued shall be cans#rued to be a license to pr ceed with the work and not as authori#y to violate, cancei, alter, or
<br /> se# aside any provisians of the technical codes, nar sh !{ issuance of a permit prsvent the Suilding Official fram thereafter
<br /> requiring a correc#ion of errars in plans,_constsuction a violations af any codes Every permit issued shall become invalid
<br /> unless the wor4c authorized by such permit is comme ced within six months of permit issuance, ar if wark authorized by
<br /> the permit is suspended or abandaned for a p�riod of ix(6) inanths after the time the work is commenced. An extension
<br /> may be requested, in writing, from fhe Building Clffici 1 for a period not to exceed ninety (90} days and wili demonstrate
<br /> � justifiabie cause for the extension if work ceases for inety{94}consecutsve days,the job is considered abandaned.
<br /> WAF2N1fifG TO 011VI�EF€: YOUR FA�ILUR� TO REG0�2D A NOTICE OF GO(VIMEMC�M�1�1" i111IaY E�ESULT I�d Yt7UF2
<br /> PlaYING TW10E�FOR IMPROV�MCf��S TO YOUR F�OPERTY. 1F YUU 1�1T�t�D TO QBTAIN F1i�At�C1NG, GOF�SULT
<br /> 1aUITFI YOIJR LEt�DER QFZ P,N/kTTC7Ri�EY BE�C3R F�EGORd1NG YC}UR i�Ol'[CE QF COtVttV9E�lCEl1flEP�'�.
<br /> FLdR1DA JL3RAT(F S 1'17 63} � i/ ��� , �
<br /> COi3TRACTOFt ���4��j� t i �����Gtl�l!a'/""! , (�
<br /> pWNER OR AGEfdT —��
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and swbm,#o{or affirmed)before e this
<br /> by by
<br /> Who is/are personatiy tcnown to me or haslhave produced Who isia�e persona known to�me or haslhave produced
<br /> as identification. as identificafion.
<br /> Notary Pubiic .a�«;, Nolary PubliC
<br /> , CommissionNo. Cammissi� +� �*' CorttmisSion#FF137473
<br /> �: i es�une
<br /> wy`'�,'����`, Bonded7luvTroyFeininautance80�385•7619' .
<br /> Name of Notary typed,printed or stamped Name of fary ype ,prin e o
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