M
<br /> mancE OF®EED RESTRICTIONS: The undersigned undeerstands'lhgit.this:per[nit-may.be..subject to_"deed".restrictionar_
<br /> which maybe more•restrlctive-thar>County'regiulation.s 'The-undbr�ign®d`hssumbs responsibility'for compiI nce"04th any
<br /> applicable deed restrictions.
<br /> UHLOCEMBED--CONTRACTOR AND.CONYMCTOR-RESPONSPOILM-ES- -lf the owner has-`hired .a contractor or
<br /> contractors to undertake work, they may be,requlredto be:llcensed In accordance.with staW.and local.regulations. =1f the =
<br /> contractor Is not-licensedas reoWred-by to*, both-the owner grid:controitor-moy-bo--clted-for a,misfoemeanor violation
<br /> under state law. If the owner or intended=contractor are-uncertain as-to what licensing.requirements:may!-apply-lbr the
<br /> Intended work,-they are advised to contact the Pasco County Sullding''inspectlon DIV116lon-Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has, hired'a contractor oT contractors, he is advised to have the contractor(s), sign
<br /> portions of the "contractor®lock" of.this.appiication for,which they will be_.responsible..1f.you,.as..the owner"sign•as the
<br /> contractor, thatinay bean Indication that-lie is not"properly-licensed and'is'not entitlad'to permtting privileges In Pasco
<br /> County.
<br /> TRANSPORTATION 11111PACTPUT1 *8VA.MAND AIESOMCE RECOVERY i€EES. The-undersigned understands .
<br /> that Transportation impact Fees:and.recourse Recovery-Fees may-mpply:to.the construction of now-buildings,change of-
<br /> use in existing buildings, or_exponsiort oft exis#ireg',buildings, as specified.in Pasco County Ordinance number 839417 and
<br /> 90-07, as amended.:..The undersigned also-understands; that=such fees;as:may.oe_dtue;,.,wII1::be.Identified at the tirne`-af
<br /> permitting. It is further understood that Transportation Impact F®es and Resource Recovery:Fees.must be paid prior to
<br /> receiving a-�certl#icate of occupancy`°.or final:power.release: #-the projeof:does-riot-Involvee.a,.certificate of occupancy oP
<br /> final power release,-the-fe.es must be paid-prior.-to permit issuance. Furtthermore;V Pasc©:Cuunty'Water/Sewer Impact
<br /> fees are due,they.must be paid PAM to.permit:isstianci'=ln.accordance with"applicabte.Pasco•-County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 7I3, Flor#da Statutes,as amended): If valuation of work Is$2,500.00 or more,t
<br /> certify that 1, the. applicant, have.been provided with: a copy of the-°Florida-Construction-Lien la*:Homeowner'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#hat_ -hav®,okttained;as capy;of:the:aboverlescrlbed xtocitrrient°and.promisein,g®od faith to
<br /> deliver It to thw7ownee-prior to,commencement:'
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: 1.cedify.:th-at.all the,informetion:ln this application Is accurate.and that all work
<br /> will be done in compliance with all.appllcable lairs regulating construction, zoning and:land development. Application Is
<br /> hereby made to obtain s.permit-to do=work.,and Installation as Indlcafed::-- l'certify that no work-or. Installation has-
<br /> commenced prior to Issuance of'a permit brad that-ell 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. 1:also
<br /> certify that I understand that the regulations of other government agencies may-gpply-to the Intended work, and that it is
<br /> fry responsibility to Identify-what.actions i must-take:to beln:-compliance. Such agencies include but-are.not limited to:
<br /> - ®epaitment of Environmental Protodtiisvl=Cypr ss.`Sayheade 'ts bfland Areas and.Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida dater Management-:DisMot Wells, Cypress..Bayheads;- Welland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Cocks,Navigable Waterways.
<br /> - Department of Health-:S Rehabilitative Services/Environmental Health Uhlt dells,-_Wastewater,Treatment,
<br /> Septic Tanks'.
<br /> - US Environmental Protection Agency Asbestos abatement..
<br /> Federal Avia llomAuthority;Runways.
<br /> I understand that the fbil6wing.'restfl ti0ns ripply to the use of fill:-
<br /> - Use of fill Is not aliowedin iFlood'Zone Ir 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 t#me of permitting which Is prepared by a professional engineer
<br /> licensed bythe.State-of Florida.
<br /> If the fill material.is.-to be used In Flood Zone °A" Ink connection-with:s'-permitted building using stem wall
<br /> construction, I certify ghat fill:vlrill:be fused only-to the,area within1he-stern'wali.
<br /> If fill material is to be used-In:.any area-•l.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-vlolating
<br /> the conditions-,of the:building-permit Issued.under the'a'dached..oermit application, for_.lots less-than.-one (1)
<br /> acre which are elevated-by fill;art engineered drainage plan Is required:.
<br /> 4f i Am the AGENT FOR"PIkIE OCiklRIEI ;; F ifamise fn goad faith to inform-tha caner of4he permitting conditions set forth in
<br /> this affidavit`prior to commencing construct(on: 1 understand that weeparate-permit may be required for electrical work, .
<br /> plumbing,,signs, wells,.pools;. air.conditloning,-.gas: or other: Installsiticns not.specpically Included-In.the-application. .A
<br /> permit Issued shall be construed to be•w 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 Suildirig Official from thereafter
<br /> requiring a correction of errors in.plans:,construction or violations of-any codes.- Every permit Issued shall'become invalid
<br /> finless the work authorized-by such perrnit--Is-commenced.within slx months of-permit issuance, or If work authorized by
<br /> the permit Is suspended.orobandoned,fpr-A:perlod of4lx-46)-months after the time therwork>is commenced. An extension
<br /> may be requested, In writing,,from tile.®uilding,Official for a peri®da•rs6t to exceed'-ninety-(9D) days and--wIII demonstrate
<br /> justifiable cause for.-the extension. If work ceases:for ninety.(90)consecutive daysrth ejob:ls considered abandoned.
<br /> WARNON8 TO OWNER: YOIJR_.FA0L dRE T0,R6Q9RQ lA.NODICE.OF�CGIfIMENCEMEVT-1AX-RESULT-I -YOUR
<br /> PAYING pW�ILE.FOR:OMPRppOVEMEnlTS�b.Y-81U�yR I��+ >s�s�E��RTY.--6P.Y0,U,fl4''ifi9l!'yV�z—Tpp0���r TAI*FI ANCING;
<br /> F i_t3f3ID&JURAT•(F' :t i?3).
<br /> OWNER OR AG � CONTRACTOR
<br /> Subscribed and swam to(or affirmed)before me this Subscribed andai n to{at'aftlmted}before rtie'#ltt�
<br /> Who Islam personally known tome arhas/irave produced. Who.islare p..smonallylmown•to me or hasJhaver-pmduced
<br /> As Identification. Identification.
<br /> Notary Public Notary Public
<br /> Commission Na: Commission-No.
<br /> Name of Notary typed,printed or stamped Name of notary typed,printed or stamped
<br />
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