|
yV-(�(, as amenaea. �n UIIUCI`JIIJ.IICU T11�U UIIUCIJtallu0� uiaa �uvt� ivv.+� ..... ......) �+.. �^��� •••^ �- --
<br /> pe�mitting. It is further u�derstood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of ccupancy" or final power release. If the project does not involve a ce�tifieate of occupancy or
<br /> finai power refease, the es must be paid prior to permit issuance. Fucthermore, if Pasco County'Water/Sewer Impact
<br /> fees are due, they must , paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN W(Chapter 713, Florida Statutes, as amended): if valuation of work is!$2,500.00 or more, I
<br /> certi f y that I, the applic nt, have been provided with a copy of the "Florida Construction Lien'Law—Homeawner's
<br /> Protection Guide" prepar d by the Florida Depa�tment of Agriculture an d Consumer A ffairs. i f t h e a p p l i c a n t i s s o m e o n e
<br /> other than the"owner", I ertify that ( have obtained a copy of the above described document and promise in good fait�to
<br /> deliver it to the"owner" p ior to commencement.
<br /> C�NTRACTOR'S/OWN R'S AFFIDAVIT: I certify that ail the information in this appiication is accurate and that all work
<br /> will be done in complian with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain permit to do work and installation as indicated. I certify that no wor:k or instaNation has
<br /> commenced prior to iss ance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> constructio�, County an City codes, zoning regulations, and land development regulations in the jurisdiction. I a�so
<br /> ce►tify that I understand at the regulations of other government agencies may apply to the Intended work, and that it is
<br /> my responsibility to ident�y what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department f Environmental Protection-Cypress Bayheads, Wetland Areas and Envir�nmentafly Sensitive
<br /> Lands, Wate/Wastewater Treatment.
<br /> - Southwest lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourse .
<br /> - Army Corps f Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department �f Heaith & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Envi�on ental Protection Agency-Asbestos abatement.
<br /> - Federal Avia�ion Authority-Runways.
<br /> I understand that the foll wing restrictions apply to the use of fill:
<br /> Use of fill is ot allowed in Flood Zone"V"unless expressly permitted.
<br /> If the fill m terial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensati g volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by t.e State of Florida.
<br /> - If the fill ma�erial is to be used in Flood Zone "A" in connection with a permitted buil�ing using stem wall
<br /> construction f( certify that fill will be used only to fiil the area within the stem wall. �
<br /> If fill materi�l is to be used in any area, t certify that use of such fill will not adv�rsely affect adjacent
<br /> properties. � use of fill is found to adversely affect adjacent properties, the owner may� be cited for violating
<br /> the conditiorts of the building permit issued under the attached permit application, for �Ots less than one (1)
<br /> acre which e elevated by fill, an engineered drainage plan is required. onditions set fo�th in
<br /> If I am the AGENT FOR HE OWNER, i prorrrise in good faith to inform the owner of the permitting;c
<br /> this affidavit prior to co mencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, ools,^air conditioning, gas, or other installations not spec�cally induded in the application. A
<br /> permit issued shall be c nstrued to be a license to proceed with the work and not as authority to viotate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buildirig Q�cial from thereafter
<br /> requiring a correction of rrors in plans, construction or violations of any codes. Every permit issueci shafl become invalid
<br /> unless the work authori d by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended r abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in w iting, from the Building Official for a period not to exceed nit�ety (90) days'and will demonstrate
<br /> justifrabfe cause for the�xtension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> WARI�FNG TO OWt�ERf YQUR FAIk.URE TO RECORD A NOTICE OF COMMfNCfMENT Ml� RES�ILT IN YOI�R
<br /> PAYING TWICE FOR I PROVEMENTS TO YOUR PROPERTY. IF YO�! INTEND TO OSTAIN F( ANCING, CONSULT
<br /> W E R A � RN Y BEFORE EEORD! G Y U N TI�E F T
<br /> FLORIDA JURAT{F.S.117.0 ^ � `
<br /> OWNER OR AGENT �1�4� CONTRACTOR
<br /> Subscribed and sworn to(or a rmed�b�1 e me this Subscribed and swom to(or aff rme e ore me this ;
<br /> by bY
<br /> Who is duced Who is/are pe o ' !y o t e s ��
<br /> a�e o�� a�on. �
<br /> ;4� Michelt o� ;4� Michele Swanso^
<br /> � My Comni sion EE082389 � 1Ay Comrinission EE082�69 ,
<br /> �a Expiros o 2nOts a� E"p18i°u��s Notary Public ,
<br /> qry Public
<br /> ( t
<br /> Commission No. ` Commission No.
<br /> • \�e S 5 0 �� C1��,1� SW R t�S� h,
<br /> ed, rinted or stamped Name of Notary typed,Printed or stamped
<br /> Name of Notary typ P
<br /> � GX�S�� �(�����J�1S��
<br />
|