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NO'�ICE OF DE�D RESTRICTIORIS: The undersigned understands that this permit may be subject to°deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibtlity for compliance with a�y
<br /> applicable deed restrictions.
<br /> UNLICENISED CONY12�►CTO�� �►PJD COPITRAC7'Oft RESPONSI�ILIYIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner vr intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- �
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(.$) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign a� 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 /> TIR�IFVSPOitYAl'ION III�i�AC�lUYILIYIES INfiP�►C7 APID R��OURCE Rf�COVERY��ES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees 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, that 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 certificate of occupancy or ,
<br /> final power release, the fees must�e paiii-p�ior Co permit-issaance. =Far�herrriore;-if-?asco County Water/Sewer-Impac,t -- -
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> GOINSTRUCTION LIEFI LAW(ChapteP'P13, �lorid�Statutes, a�s amend�d): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided vvith a copy of the °Florida Construction Lien Law—Homeowrner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> COP17RbCTOR'SIOVYNER'S AFFI�AVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and. installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not fimited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterNVastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Nealth Unit-Wells, Ifllastewater T'reatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:�
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<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" will be submitted at time of permitting which-is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone °A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent 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 one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AG�N7 F012 YHf� OIAIN�IR, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included 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 issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the pe�mit 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 a 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 /> 1A1�►ftF111VG TO OIAIfVEtt: YOUR FAILIJ�E TO R�CORD �► Fl0'�ICE OF COYWBflE1dCEflflEFV7' fWAY R�SUL7' IiV YOUR
<br /> PEIYING TViIICE FOR IfMPROVEAflENYS YO YOUR �ROPEFtYY. IF YOU INY@ND TO OBTAIN�IFIP►NCINC, COWSl1L7
<br /> WIITH YOUiZ-LEIVDElt-OR HN A�YOi�IVfEY��[�0��-�ECO��lBdG YOL!!2 B�OTIC�OF-COflA�fdEWCEiifdERlT:-
<br /> FLORIDA JURAT(F.S. 17�03)
<br /> OWWER OF2 AGEN I�J_ CONTRACTO
<br /> S scribed and swor to(or affi ed)b ore thls Subs rtb d an swom to( affirmed� efore e this
<br /> fU by � ��l�by�,�1 !�� ��C�O�_t l�
<br /> o i /are personally known to me or has/have produced Who Is/a e personally known td me or has/have produced
<br /> as IdenUficadon. " as idenUfication.
<br /> Notary Public Notary Public
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<br /> Commisslon No. ��)�n��� Commission Na � ��o�5
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<br /> :••"�'ri�r�i;"�+., ' ,.��o��'Y'`�Gn+� CRYSTAL GF40VE S
<br /> Name of Not r�fy ' print��r��j g�pN#FFOas05s Name of Notary typed, 'irted s►a�np�d COMMISSION#FFOaso58 ,
<br /> `;'��� '���� °' EXPIRES Au ust 15,2017 �
<br /> "s1j'�........'p�:' 'OrF OF FL,�,¢`�� 9
<br /> ,,FOFF,o,,. EXPIRES August 15,2017 •,,
<br /> (407)398-0153 Flor(dallotaryServlce.com (40�398-0153 FlorldeNotaryServlce.com
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