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1�brtl��O�D��I�}2ESiR1CZLElfi�IS: ttie urideisigried.riride�stands tFxat.ttii�peciriitmay be scitiject to"deed"restEict[oris"
<br /> which may b�more-restrictiv�than Gounty regulatiort� The-unde¢sig�ed asseimes responsibiliEy fok complianee-with any
<br /> appfica6le deed restrictions.
<br /> t1NLICENSfD CONTRACTORS /i1� �Ohf7Fti�tCTQFt RESPONSIBtLIT1ES: 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 or 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(s) sign
<br /> portions of the"contractor Block"of this application for which 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 /> Trft1�T1SPORTATiONi1MP�l�TiU3TL'ITiES�iMPX�C7`Afl7U�RESOUI�CE;REC�01/ERY�ES: �e undersigned:�nderstands
<br /> ihat 7ransporiatior��lmpact Fees and�Recourse#�ecovery�ees may apply ta 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 be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />� fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applica�t, have been provided with a copy of the "Florida Construction Lien Law—Homeow�er's
<br /> Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other tbace the"owu�.er',!.�ertify.that•I,ha�e obtai�ed:a copy of.the above desccbed>docussie�L ac�d.p�o�ise i�s good,faith to
<br /> deliver it to the"owner"prior tb commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT• 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 pertormed 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 limited to:
<br /> - Depardmeni•of:Envuoramentai.Protection-Cy,press Bayheads, Wedand Areas and:Environmentally SensiYive
<br />, Lands,.WaterlWastevvater Treatment_.
<br /> - 5ot�"hhwest 'F7orida Water 'Managemen4 ?Dastrict-Wells, Cy,press Bayheads, Wetland Areas, Aiiering
<br /> 'VVaYercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<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 /> - tf the fill irta�eriaL is to be used iii �lood,Zocre "An, it is tiiidecstoocl.ffia6 s drsiirage platr addressirig a
<br /> "compensating volume"will�be submitted at time of permitting which is prepared by a professionak engineer
<br /> licensed.by the Sfafe of Florida_
<br />' - If the fill materiaf is to be used in �iood Zone "A"in connection with a perm8{ed 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 AGENT FOR THE OWNER, 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 eleclrical work,
<br /> plurtibing, signs, welis, pools, air coniiifioning, gas, or other installatiorts not specificatiy inctuiied�in the appiication. A
<br /> permit issued sHall be conskrued Sotie a license Yo�roceed witli 1lie work and not as auYfiority to violate,cancel,alter,or
<br /> set aside.any prouisions of`tii�Yechnicai�odes,nor shatl issuance of a perrrili prevent the`Buiiding Officiat 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 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 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 /> WARNING TO OWNER: Y FAILURE TO RECORD A NOTICE OF COMMENC NT MAY RESULT IN YOUR
<br /> PAYtNG TWICE FOR lMPRO MENTS TO YOUR PROPERT�'. lF�COU INTEND 70 O AlN FINANCING,CONSULT
<br /> WITH YOUR LE OR AN ORNEY BEFORERECORDWG YQU CEOFC flflENT.
<br /> FLORIDA.IURAT(F. .1 t7. 3)
<br /> OWNE���ENT CO� ,
<br /> Subs i wom o( e b e me t�� / d s�p, d sworn to r r ed)lSgforetme t��r,
<br /> ou by ��V`
<br /> Who s/are ersonally kno n o m or haslhav roduced Who Is/are personally know o me r has/have uced
<br /> as identification. entification.
<br /> Notary Public Notary Public
<br /> Commission N Commission No.
<br /> �� ONES
<br /> �+..'�'�' ..ota 1S$10 t��F238487 Name of NotaryYyped,PTin ed, ad ��R� ¢�
<br /> ;.�� h9Y COMM _�''� '.-
<br /> EXP��ES�une 02,2019 �'� �'_ MY COMMISSION i�FF236487
<br /> ���yNoayseniCe'�O� .�?'q .� EXPIRES June 02,2019
<br /> '-o�� f�C7)349-0'S3 �Iaridalloa ervece.wrr
<br />
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