TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersig�d u�erstands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildinqs, change 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, wiil be identified at the time of
<br /> permitting. It is fu�ther 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 invoive 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 Coun ty or dinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, 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 /> �� �
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that ali work
<br /> will be done in compliance with all appiicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. i certify that no work or installation has
<br /> commenced prior to issuance of a permit and that ali 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 /> ce�tify that I understand 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 Services/Environmental 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 cannection 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 /> If 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 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 by�II, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWN�ER�tructionls I'understand thatna�s parat permit may be�r qu ed for'electr c I�work,
<br /> t h i s a ff i d a v i t p r i o r t o c o m m e n c i n g
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other ins ta l la tions n o t s p e c i f i c a l l y i n c l u d e d i n t h e a p p l i c a t ion.
<br /> permit issue d s ha l l be co n s t r u e d t o beal codesenor shall i sualncehof a pe mitprevent thehBu ding I O ff icea l f r o m t h e rt eafter
<br /> set aside any provisions of the techrnc ,
<br /> �equiring a correction of errors in plans, �'{srGOtmmenced'within si amonths of perm t p s a'nce,uor�if wolrk authori ed by
<br /> unless the work authorized by such per
<br /> the permit is suspended or abandoned for idp�erioOd�c al foga per od not to excl edtn netyr(90) days and will demonstrate
<br /> may be requested, in writing, from the Bw g
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the�job is considered abandone .
<br /> WARNING TO OWNER: YOUR FAILURE TO UR PROP RTl(.TIF YOU INTEND TO BTAtN F NANC NG C'ONSULT
<br /> PAYING TWICE FOR IMPROVEMENTS TO YO
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. 117.03) ' �
<br /> CONTRACTOR
<br /> OWNER OR AGENT 7 Subscribed and swe o(or rmed)before me this
<br /> Subscribed and s to o m►qd before me this � by
<br /> b �U Who Is%are personally known to me or haslhave produced
<br /> Who is p rsonally known to me or ha ave produced ����k� as identification.
<br /> as Identlflcallon.
<br /> Notary Public
<br /> Notary Public
<br /> Commisslon No.
<br /> Commission No.
<br /> Name of Notary tyPed,p�inted or stamped
<br /> Name of Notary typed,Printed or stamped
<br />
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