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<br /> NO'TIGE O� DE�D R��'1'RIC`TIOfVS: The undersigned understands that this permit may be subject to"deed"rs<�trictions"
<br /> v�rhich may be mo�e restrictive than County regulations. The undersigned assur'nes responsibility for compliance wiQh any
<br /> I applicable deed restrictions.
<br /> U1dLICENS�� CCINTR�►�TOI�S AND CCyP1��C'Ft"1R ��SiPON�1�lLI'TIES: If the awner has hired a contractor or
<br /> j contractors to undertake work, they may be required to be licensed in accordance with state and locai regulations. If the
<br /> j contrackor is not licensed as required by lavv, both the owner and contractor may be cited for a misdemeanor violation
<br /> i uncier state law. tf the arivner or intended contractoe are uncerfain as to vuhat licensing requirements may apply for the
<br /> � intended work, they are advised to contac#the Rasco County 6uilding Inspectivn Division—Licensing Section at 727-847-
<br /> , 8009. Furtherrnare, if the owner has hired a confractor or contractors, he is advised to have the cantraetar(s) sign
<br /> portions of #he "contractor Black" of this applica#ion for which they wili be responsible. tf you, as the awner sign as fhe
<br /> contractor, thak may be an indication that he is not properly licensed and is not entitled to permitting privileges in I'asco
<br /> �
<br /> Coun#y. �
<br /> TRAN�PORTATION IIVIP'ACTIUTILIT'IES IIIA�A�7�ND R��Ol1RCE RECOV�RY F�ES: The undersigned understands
<br /> that Transportation Impac# Fees and Recourse Recovery Fees may apply to the construction af new buiidings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-OT and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, wi!! be identified a# the time of
<br /> permitting. It is further understood that Transportafion impact Fees and Resource Recovery Fees musf be paid prior fa !
<br /> receiving a °certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or ';
<br /> final pawer refease, the fees must be paid prior ta permit issuance. Fu�thermore, if Pasca County WaterlSev�rer Impact �
<br /> fees are due, they must be paid privr to permit issuance in accordance with applicable F'asco County ordinances.
<br /> �OIr1STRUCTtON �IIEN L#�►Y{d(Ch�pter 7''13, �It�rid�5t��at��,as acnended): If va4uatian of work is$2,540.00 ar mare, !
<br /> certify that I, the applicant, have been provided wrikh a copy of the "Florida Canstruction Lien Law—Hameowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other#han #he"owner", t certify#hat 1 have obtained a copy of#he above described document and promise in good faith to i
<br /> deliver it to the"owner" prior to commencement. '
<br /> CONTR�►CTOF2'SlOiill�iER'�A�E1D�lVIT: 1 cert4fy that a41 the information in fhis application is accurate ancf that all work �
<br /> will�be done in campliance with all applicable laws regulating constructian, zoning and land development. Application is �,
<br /> hereby made to obtain a permit to do wark and installation as indica#ed. t certify that no wark or installation has
<br /> commenced prior to 'issuance of a permit and that all work wili be performed to meet standards of alI taws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulakions in the jurisdiction. I also
<br /> certify thaf t understand that the regulatians of other gavernment agencies may apply to ttte intended work, and that it is
<br /> my responsibility#o idenkify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department af Enviranmental Pro#ecfion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterMlastewater Treatment.
<br /> - Sauthwest Ffarida Water �lfanagement District-1nlells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - A�my Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
<br /> - Depar#ment af H�alfh & Rehabilitative ServiceslEnvironmental Flealth Unit-We11s, Wastewater Treatment,
<br /> � Septic Tanks.
<br /> - US Enviranrrtentai Protec#ion Agency-Ashestos abatement.
<br /> - Federal Aviation Authori#y-Runways.
<br /> ! understand that the following restrictions agply ta the use of fiA:�
<br /> - Use of fiil is not allowed in Fiond 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 voEume" wri{1 be submitted at tirne of permifting uvhich is pcepared by a prafess'sonal engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zane "A" in connectlon vtrith a permitted buitding using stem vtrall
<br /> construction, I cerfify thak fili will be used only to fill the area within the stem wall.
<br /> - If fiN material is #o be used in any area, I certify that use of such fill vuill not adversely affect adjacent
<br /> properties. If use af fiA is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditians of the building permit issued under the attached permit applicakion, for lots less than ane (1)
<br /> acre which are elevated by fi11, an engineered drainage plart is required.
<br /> If I am the AGEIVT FOR TFiIE OIIVfVER, I promise in good faith to inform the owner of khe permitting conditions set farth in
<br /> this affidavit prior to commencing constructian. 1 understand that a separate permit may be required for etectrica! work,
<br /> plumbing, signs, wells, pools, air conditianing,. gas, or other installafions not specifically inciuded in the applicafian. A
<br /> permi! issued shal! be construed to be a license to proceed with the virork and not as authority ta violate, cancel, al#er, or
<br /> set aside any provisions af the technical codes, nor shall issuance af a permif prevent the BuEtdirig Official fram thereafter
<br /> requiring a correction of errors in plans, construction or violations af any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six manths af�aermit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a periad of six(6) months after the time the w►ork is commenced. Nn extension
<br /> may be �equested, in writing, from the Building Officia) for a period not ta exceed ninety (901 days and vuil! demonstrate
<br /> justifiabie cause for the extension. If wrork ceases for ninefy(90}cansecutive days, the job is considered abandoned.
<br /> i�IARNING TO QWI�i�R: _YC1U� (FAI_LURE_TG?_RECfi.tRD,�,_�90T10E_C►� C�?NINIENCEiVi��lT M�IY R�SUL'T tN YgUi2_
<br /> PAYING TWICE FOR INIPROVEf1�EiVYS TO YOUFt PV20P��1Y. I�YOII IIVYEND 1"C� BYAIIV �IN�►IVCING� COfV5ULT
<br /> tiVITN YOt�R LENt�EFt�f? � ClR�+1�Y�iE�+�R�i�E�Gt�t�INC Y�t�R NCITICE G ��tEElVCE NT'.
<br /> , FLORiDA JURAT(F.S. 1 . ) �
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<br /> 01fltH�(R Oft AGEN7 GClEdTRACTO}�
<br /> Subscribed and sworn to(or affirmed)be ore e this Subscffbed and swom o{pr af$rmed)b ore this
<br /> by by
<br /> Who islare personally known to me or haslhave praduced Wha fslare pe�sanally knawn to me or hasJhave produced
<br /> as identlfication. as iden8fica6on.
<br /> �� .,,�.•�.�...
<br /> � ���, Notary Public ��' Notary Public
<br /> ��� '�'' Commissian#fF 137073 �
<br /> Co s�n ..';�€,x����p�a Commission �' �t, � �`'�'t' ��'��73
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