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NOT �EOFDEEDREST0C�ONS: The undersigned unde��ndo�athis o�m�may beoutjm�to "daed �a�oUom�
<br /> which may am' b more restrictive'than County regulations, The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o contractor or
<br /> contractors to undertake vvorh. they rnayba required tobe licensed in accordance with at�eand local regulations. If the
<br /> contractor i�' not licensed as.required by law, both the owner and contractor be cited for o misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain an 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. Furthernnore, if the owner has hired a contractor or ooDtracto[S, he is advised to have thb contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign on the
<br /> contractor, that may be an indication that he |o notproper|y]|cenoed and is not entitled to permitting privileges in Pasco
<br /> County. /
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned undamtonds
<br /> thatTnanapo�aton |nnpaot Fees and Recourse Recovery Fees nnayapply to the conabuobonnfnexwbuUdings. change of
<br /> use in existing buildings, or expansion of existing bui|dingn, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07. as amended. The undersigned also understands, that such feea, as may be due` will be identified at the time of
<br /> permitting. It is further understood that Transportation \rnpoot Feea'and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power re|aoaa. If the project does not involve n certificate of occupancy or
<br /> final power.release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County VVaterlSav/er Impact
<br /> fees are due,they must be paid prior io permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida
<br /> ' � nm Statutes, \fma|ua�unofvvorkis$2'600.00or rnons. |
<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 Deportment of Agriculture and
<br /> iConsumer Affairs. If the applicant is someone
<br /> other than the"owner", \ certify that\ have obtained e copy of the above described document and pronl|na in good faith to
<br /> deliver itto the"ovvner" prior tocommencement.
<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 |amm regulating construot\un, 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 |evva regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction, | also
<br /> certify that | understand that the regulations of other Qo*verMment 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 /> - Department ofEnvironmental Protection-Cypress Bayheada, Wetland Areas and Environmentally Sensitive
<br /> Lands'VVeten0&/aatevvaterTreatmant.
<br /> - Southwest Florida Water K8anegannont Oistrict-WaUe, Cypress Bayhemdm, Wetland Areas, Altering
<br /> Watercourses. '
<br /> - Army Corps ofEOgineons'Gemvvo||e, Docks' Navigable Waterways.
<br /> - Department of Health & Rehabilitative 8ervioea/Envinonrnenb2l Health Unit-Wells, VVeetevvaba[ Treatment,
<br /> Septic Tanks.
<br /> - U8 Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Author\ty'RUnvvaye.
<br /> | understand that the following restrictions apply to the use offill: '
<br /> - Use of fill \e not allowed |n Flood Zone"V'un|eas expressly permitted.
<br /> ' If the fill material in to be used in Flood Zone 'YY', it is understood that a drainage plan addressing g
<br /> "oonnpanaabng 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 [Datnha| is to be used in Flood Zone "/Y' in nnDDacUon with e permitted building using stem vvaU
<br /> construction, | 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, \ certify that use of such fill will' not adversely effaot acUooeDt
<br /> properties. If use of fill in found to adversely affect adjacent properties, the oVvOe[ 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| am 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 cnOnmoOn[ng construction. | understand that o separate permit may be required for a|acthnm| work
<br /> p|uCnbing, signo, vve||a, poo\s, air oond|tioninQ, goo, or other installations not specifically included in the application. A
<br /> permit issued aho|| be construed to be a license to proceed,vvith the work and not as authority to violate, uanoe|, o|ter, or
<br /> eetoo|deanyprovisioDaofthetachnioa|todee. nn[ahoUienuanoeofaparnli[ prevmDttheBui|dingOffio(a\frornthe[esfter
<br /> requiring o correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> un|000 the work authorized by such permit is commenced within-six months of permit \saUence, 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 requesded, in writing, from the Building Official for a period not to exceed ninety /90\ doys�and will demonstrate
<br /> justifiable cause for the extension. |f work ceases for ninety/QO\consecutive days, the job'o considered abandoned.
<br /> _ -WARN �E�WARNING YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESU_� INYOi R
<br /> PAYING 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 COMMENCEMENT.
<br /> ~_,^.`=`"",".^ CONTRACTOR
<br /> Subscribed andi sworn to(or affiWed)b fore me this Subscribed and sworn to(or affirmed)before me this
<br /> Who islare personally k6own to me or has/have produced Who is/are personally kno\kn to me or has/have produced
<br /> as Identification. as identification,
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
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