` .
<br /> NOTICE OFDEED : The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may ba more restrictive than County regulations. The undersigned assumes responsibility for/xompUanca with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hied n 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 |aw, both the owner and contractor may be cited fora 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 hocontact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Fudharmono, if the owner has hired a contractor or oontnuctoro, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. \f you, os the owner sign oethe
<br /> onnbodor, that may bean indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing bui|dinge, o,expansion of existing bui|dingo, as specified in Pasco County Ordinance number 89'07 and
<br /> 0U-O7. auamended. The undersigned also understands, that such fees, as may be due, will be identified ut the time of
<br /> permitting. It ia further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a ^narUfiva0a of occupancy" or final power na|eeoe. If the project does not involve a certificate of occupancy or
<br /> final power ne|aqsa, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVahur/Gewar 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, ammnmendmd): |f valuation of work io$2.50O.#Oor more, |
<br /> certify that |, the applicant, have been provided with m copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant iusomeone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver ithm the^cwvner'prior tocommencement.
<br /> CONTRACTOFK'SN@WNER`SAFF|DAV|T: | certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable |owa regulating construction,-zoning and land development. Application is
<br /> hereby made to obtain o permit to do work and installation as indicated. | certify that no work or installation has
<br /> commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codam, zoning regulations, and land development regulations in the jurisdiction. | also
<br /> certify that | understand that the regulations of other government agencies may apply to the intended wurk, and that it is
<br /> my responsibility to identify what actions| must take tobe in compliance. Such agencies include but are not limited to:
<br /> - Department ofEnvironmental Protection-Cypress Bayhueda, Wetland Areas and Environmentally Sensitive
<br /> Lands,VVaten[WastawabarTreatment.
<br /> - Southwest Florida Water WYanagerhant 0sthot-VVmUa, Cypress Beyheode, VVwUond Anaae, Altering
<br /> Watercourses.
<br /> - Army Corps ofEnginaars+Seowm||a` Docks, Navigable Waterways.
<br /> ' Department ofHealth Q Rehabilitative Services/Environmental Health Unit-VVeUs, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - UG Environmental Protection Agency-Asbestos abatement.
<br /> . - Federal Aviation Authorib+Runvvoyo.
<br /> | understand that the following raah p|yto the use of0|:
<br /> - Use ofOUia not aUowadin Flood Zone^V^unless expressly permitted.
<br /> - If the O|| mobario| is to be used in Flood Zone ^A", it is understood that a drainage | addressing o
<br /> "compensating volume" will be submitted at time of permitting which is pnapon*d by professional engineer
<br /> licensed by the State nfFlorida.
<br /> ' If the UU material is to be used in Flood 3bna ^N' in connection with o permitted 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, | certify that use of such O|| 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 byfiU. an engineered drainage plan iorequired.
<br /> |f| 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. | understand th�t a separate permit maybe required for electrical work,
<br /> plumbing, signo, wa||a, poo)a, air conditioning, gas, or other installations not mpec0co(h/ included in the application. A
<br /> permit issued ohoUboconotmedtobaa license to proceed vvidhthe work and not ou authority bo 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 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 ofparmit 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 roguested, in vvhUng, from the Building C]Oloia| fora period not to exceed ninety (QO) 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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO O)BTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OrCCIMMENCEMENT.
<br /> - ---- ,uxmoa-Ju^m'(F.S ,`/va)
<br /> OWNER OR AGENT
<br /> Subscribed and sworn to(or alfiir�ie�b)Wr me this Subscribed and sworn to(or affir 9d) fore me this
<br /> Who is/are personally known to MN&��� Who is/are personally known to me or has;have pfedue
<br /> as identification. —as identification.
<br /> Public otary Public
<br /> /AV
<br /> IlimmM.Holleran ElissoM.Holleran
<br />
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