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<br /> edunderoLandsthe�thk� uern�t be subject ' reathx��na�
<br /> 0�Q��� Q� �EE� BESTR\�R0NG� Theunde��n . may au�ec �oeo
<br /> which may b� mo�e restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> ' applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: \f the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and |Voa| regulations. |fthe
<br /> contractor is not-licensed as required by |aw, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. K 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 atT27-84T-
<br /> 8009. Furthermore, if the owner has hired a contractor or contruotore, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. |fyou. aa the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled tu permh1ing privileges-in Peann
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transportation.|mpa:ct Foes and Recourse Recovery Foes may apply tothe construction of new buildings, change of
<br /> use in existing bu8dinga, 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 feeo, 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 e "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power re|eaae, the fees must be paid prior to permit issuance. Furthermore, if Paoco�[}ounty Water/Sewer Impact
<br /> fees are due,they rnua1 be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW UChmpter7i3, Florida Statutes, aaarnandad): If valuation mfvVorkis $2'5OO.00 or more, |
<br /> certify that |, the applicant, have been provided with o copy of the "Florida Construction, Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department ofAgricu|tuna.und Consumer Affairs. If the applicant is someone
<br /> otherthanthe "ovvner". | Pertifvthot | haveobtninedaoopyoftheabovadescribeddooumentandpromiseingoodfaithtn
<br /> deliver\tho the^ownar" prior hocommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: \ 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 conatructipn, zoning and, land development. Application is
<br /> hereby made to obtain a permit to do.work and installation as indicated. \ 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. ) also
<br /> certify that | understand that the regulations ofctha'r government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions | must take to be in connp|ianoe. Such agencies include but are not limited to:
<br /> - Department ofEnvironmental P rote ction-Cypress Buyheado. VVet|and Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida VVa1ar Management Diotrict4NeUn, Cypress 8ayhoado, Wetland Anaaa, Altering
<br /> Watercourses. .
<br /> - Army Corps ofEngineere-6eawaUs. Docks, Navigable Waterways. `
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit4No||a, Wastewater Treatment,.
<br /> Septic Tanks.
<br /> - US-Environmental Protection Agenov'Asbe8toaabatement.
<br /> ' Federal Aviation /\uthority'Runvvaya. .
<br /> | understand that the following restrictions apply to the use offill:
<br /> - Use of fill is not allowed in Flood Zone"\y' unless expressly permitted.
<br /> ' If the fill nnatehe| is to be used in ,F|ood Zone "/(', it is understood that e 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 vvith a permitted building using stem wall
<br /> construction, | cedifv that fill vv Ill be used only to fill the area vv|thinthe stem wall.
<br /> ' If fill material is to be used in any area, \ certify that use of such fUl'wiU 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 vvhichare elevated by�|(. an engineered drainage plan \Srequired.
<br /> /f | a0 the AGENT FOR THE OWNER, | promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing conotruction` understand unda ��nd that a separate permit may be.required for electrical wnrk,
<br /> p|umbing, signs, wa||s' pno|a, 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 aconaot|'unofenona-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 iaauanoa, or if work authorized by
<br /> thepermitissuapendadorabandunedforaperiod.ofs|x /G\ monthsafterthetimotheminrkieuommenued. An extension
<br /> may be requested, in vvriting, from the Building Official for a period not to exceed ninety (AU) days'and will demonstrate
<br /> ` justifiable cause for the extension. |f work ceases for ninety (9O) consecutive days, the job ie considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAY(0O TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEME,NT.
<br /> . ~~..D..""". '" . .' "=/ `
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and s n to(or affirmea re—fore me this Subscribed and sworn to(or affirmed)before me this
<br /> by
<br /> '~—~`personally known=^'"= ' a�'"°"p""""e" Who:*uv personally known onmeo,has/have produced
<br /> identification. as identification. '
<br /> 9u�� �
<br /> -Notary Public `
<br /> ' Commission No. Commission No.
<br /> ^
<br /> Name of Nf
<br /> ' typed, . stamped Name_ — _Notary typed,printed— stamped
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