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<br /> WFii•[3s-: Ct��%� �:i rGfft�iliv�,ilSC:C �,Y�L}l r`�iF F3j�g7L'c�:�iF; :�S•N�• ..,Q\•�- :'�+c. o...., -
<br /> i1Lf'c.'i�f iiac"•t52 tG C��:t�iitS �:s �L-;f(3'ti`( C� ii� V�i.",fiC �Ii.: i��S="';f.e�`'E'�'�' c:S !'t�C�;i:�:ci:;. � C�+°iii� ��:�x'; i�`v'' d�;C;ii; t:f 8f1S[�ujl��iUf� tic2S
<br /> ,-on�r�er�ce� prior to issuancn at a permiz 3f�c� that �I� ,rr,tii'�( VA�iE �'v DciYO�YTi2t� fp rr��e� si�i��uarias o� �i4 ia�n+s f�'Cfiui;aiYii:l
<br /> NCI�"f ICE�'F°D�ED�RtES�'T�I�i(31�1�=�T�f��l►11�Ae�l�lietl�d��dr�sctrs�t��rf�qhr���a�y���i������c���.,���a��restr•ictions"
<br /> which may tre more restrictive than�County regulations.�� The und�rgighed-assumes�re�ponsibility for compliance with any
<br /> appiicable deed �estrictions. �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIB�LITIES: If the owner has hired a 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 1aw, both the owner and contractor may be cited for a misdemeanor violation
<br /> under slate law. If 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 at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND FtESOURCE RECOVERY FEES: The undersigned understan s
<br /> that Transportation Impact Fees and Recourse Recavery Fees may apply to the construction of new buildings, 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, 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(Chapler 713, F.lo�ida Statute�, �s amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have b�en �provided with.�'c�opy rof 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 /> ott�er than the"owner", I certify that I have obtamed a coQy'of the above described documenf and promise in good�faith to
<br /> deliver it to the owner prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the�in�'ormation in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating constr.uction, zoning and land development. Application is
<br /> hereby made Eo obtain a permit to do work a�d installation as indicated. I certify that no work or insta�lation has
<br /> commenced prior to issuance of a permit �nd that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoni�g regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regufations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what action� l mys�t take to be in complianc�� ,Such agencies,i�cludetbut,are not limited to:
<br /> - Department of �nvironmenta� �rotection-Cypress Bayheads, Wet�n�i �P►�eas.a�d;�ny..ironr�ental�y..Sensitive
<br /> Lands, Water/Wastewate�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 8 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 expressty 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 /> If fill material is to be used in any area, I ce�tify 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 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 fo�th in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, 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 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 of permit 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 requested, in writing, from the Building Official for a period not to exceed ninety (90) 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 OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN EMENT.
<br /> FLORIDA JURAT(F.S.__���� ' ---
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(o rmed)b re m thi
<br /> Subscribed and swor (or a�rm d) efore, this � �_� � bY ,
<br /> by � �
<br /> Who is/are personally known to me o has/I ave produced Who islare personally kno t m aSed�u t on.
<br /> as iden aUon.
<br /> Notary Public
<br /> Notary Public 5
<br /> Commi ion ��'. �� �aGJL
<br /> Commissian Na. fPS m r ,?.C14
<br /> ?aded 71wu troy Feln Yiwru�oo ti0d3r�.i o la
<br /> Name of Notary typed,printed or stamped Name of Notary typed,p
<br />
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