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TRANSPORTATION IMPACTIUTiLITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned uncferstands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, chan�e of
<br /> use in existing buildings, 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 fees, 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 a"certificate of occupancy" or final power release. if the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer 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, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that t, the applicant, have been provided with a copy of the "Florida Construction Lien Law—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 that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the "owner" prior to commencement.
<br /> CONTRACTOR'S10WNER'S AFFIDAVIT: I 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 construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. 1 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. I also
<br /> certify that I unde�stand that the regulations of other government 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 of Environmental 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 of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> Use of fill is not allowed 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 professional engineer
<br /> licensed by the State of Florida.
<br /> If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> I# fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of �II 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 by fill, an engineered drainage plan is required.
<br /> If I 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. �as�o installatons sp cifi ally bncl ded he appl ati n�
<br /> plumbing, signs, wells, pools, air conditioning, g
<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 a correction of errors in ph � ermit S s r commenced l within si a months of perm t P s a uor�if wo authorized by
<br /> unless the work authorized by suc p
<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 requested, in writing, from the Building Official for a period not to exceed ninety (90) ays and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is onsidered abandoned.
<br /> WARNING TO OWNER: UR FAILS TO YOUR PROP R NOTIC YO �INTE M O gTA1N NGTCON ULT
<br /> PAYING TWICE FOR I OVEMENT
<br /> WITH YOUR LENDE AN ATTORNEY BEFORE RE DING YO N IC MENCEMENT.
<br /> FLORIDA JURAT ( S. 1 - ) ,,.- ' �
<br /> OWNER OR A CONTRACTOR ��
<br /> �� �� �u�b crib and s �r . me _ -
<br /> Subs bed ' ��
<br /> l Who Islare pe a�ly kno t� e as/h' e P
<br /> Wh is/a e o m or has ave p uced , as flcation.
<br /> s identlficado .
<br /> � %
<br /> ; , l
<br /> , Notary Public
<br /> � lic •
<br /> Commission No.
<br /> Co iss No.
<br /> � "'� Name of Notary , ��SWETLAND
<br /> Name of Nota _ , i � � �3,q� :; ;�: Commission DD 734406
<br /> :� �� Expires February 22, 2012 ;?� �xpires February 22, 2012
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