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<br /> l�(3Tt�E OF �t��D FiE��'RI�Ttd�iS: The vndersigned understands that this permit may be subject to "deed" restrictians"•
<br /> which may be more restrictive than County regulatio�s. The undersigned assumes responsibility for campliance with any
<br /> ' applicable deed restrictions.
<br /> IDNLICEiVSECD COhI"TF{ACTORS AND GON7RACTQR RESPONSlBlLITlES: !f the awner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. kf the
<br /> contractar is nat (icensed as required by iaw, both the awner and contractor may be cited for a misdemeanor viofation
<br /> under state Eaw. 1# the owner or intended contractor are uncertain as to what Iicensing requirements may apply for the
<br /> intended work, they are advised to cantact the Pasco Cot�nty Building Inspec#ion Divisian—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the awner has hired a contractor or cantractars, he is advised to have the contractor{s} sign
<br /> portions of the "contractor Biock" of this application far which fhey wil! be responsible. !f you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is nat entitled to permitting privileges in Pasco
<br /> Caunty.
<br /> TRAlVSPORTA.TtO�f III�PACT/t3Tt�ITIES IMPACT AND RESOURCE RECOVERY�EES: The undersigned understands
<br /> that Transporkation Irr�pact Fees and Recourse Recovery Fees may apply ta the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, wi!! be identified at the time of
<br /> permitting. It is further understood that Transpartation Impact Fees and Resource Recovery Fees must lae paid prior ta
<br /> receiving a "certificate af occupancy" or finai power release. If the�project does not involve a certificate af occupancy or
<br /> final power release, the fees must be paid priar to permit issuance. Furthermore, if �asco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances,
<br /> CONSTRUCT90N LIE�9 LAW {Ch�pter 713, Florida Statutes, as amended): If valuation of v+�ork is $2,50Q.00 ar more, !
<br /> certify that l, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Nomeowner'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 af the above described document and promise in good faith to
<br /> deliver it to the"awne�' prior to cammencement.
<br /> CON7RAC7CIR'SlOWNER'S AFFlQAVIT: 1 certify that all the information in this application Is accurate and that ail work
<br /> will be done in compliance with all applicable laws regulating construction, zaning and land development. Appfication is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no wark or installation has
<br /> commenced prior to issuance ofi a permit and that a(I work wi(1 be performed to meet standards of alI laws cegulating�
<br /> constructian, County and City cades, zoning regulations, and iand development regu(ations in the jurisdiction. i also
<br /> certify that i understand that the regulations af other government agencies may apply tfl the intended work, and that it is
<br /> my responsibility to identify what actions ! must take ta be in compliance. Such agencies include but are not!'smited to:
<br /> - Department af Environmenta! Protection-Cypress Bayheads, Wetland Areas and Environmentally SensitiVe
<br /> Lands,Water/Wastewater Treatment. '
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses: .
<br /> � - Army Corps af Engineers-Seawails, Docks, Navigabfe Waferways. '
<br /> � - Department of Nealth & Rehabilitative Services/Environmenta! Nealth Unit-We!!s, Wastewater 7reatment,
<br /> Septic Tanks, .
<br /> � � - US-Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> . 1 understand that the following restrictions apply to the use af fili:
<br /> �� - _ Use of fil! is not a!lowed 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 professiona! engineer
<br /> 'I licensed by the State af Florida.
<br /> - � If the fi11 material is to be used in Flood Zone "A" in connection with a permitted bui(ding using stem wall
<br /> construction, ! certi#y that filf wi1S be used only ta filS the area withi�the stem wal(.
<br /> � - 4f fiil materia{ is to be used in any area, l certify that use of such fill will not adversely affect adjacent
<br /> � properkies. !f use af fill is faund to adversely affect adjacent properties, the awner may be citsd for violating
<br /> �i ' the conditions of the building permit issued under the attached permit application, for lats less than one (1)
<br /> 'i acre which are e(evated by fill, an engineered drainage plan is required.
<br /> ' (f 1 am the A,GEN'� F�3R Tt�� OW�ER, 1 pramise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit priar to commencing construction. I understand that a separate permit may be.required for electrica( work,
<br /> plumbing, signs, we!!s, pools, air conditioning, gas, or ather 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, ar
<br /> set aside any provisions of the technical cades, nor shall issuance �af a permit prevent the Building Official frQm thereafter
<br /> , requiring a carrectian of errors in pians, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized:by such permit is commenced within six manths af permit issuance, or if wark authorized by
<br /> the permit is suspended or aba�daned fbr a period.of six (6) manths after the time the wark is commenced. An extension
<br /> may be requested, in writing, from the Building Officia! for a period nat to exceed ninety (90) days and will demanstrate
<br /> • justifiable cause for the extension, If work ceases for ninety (90) consecutive days,the job is considered abandoned.
<br /> 1NARNING �'� OWN�R; V'OUR FAILURE TO RECORD A NtJTiCE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> O�AYIi�lG TiNICE FC}R IMPRQVEMENTS TQ YOUR FROPERTY. iF YOU INTEND TCt CiBTA1N FINANCING, Ct3NSULT
<br /> W17N YOUR L�NDER 4R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEt�6T.
<br /> FLORIDA JURAT(F.S. 117.03) , � _ __ ._
<br /> OWNEFt OR AGEN7_____�"�+� � CQNTRAGTOR
<br /> �.—...—�_
<br /> 8 b crib�d and sw n to(or a�'rmed)before me this Subscribed and sworn to(or affirmed}before me this
<br /> 11���1J��. ny ��c�.-��.�•�'��«.z:�s���,t..� by
<br /> �WHo is/are personaliy known to me or has/have�produced Who isiare perso�ally known to me or hasJhave produced
<br /> as identification. as identification. �
<br /> `'""�� '�• �� ��� Notary Rublic Notary Publfc
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