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RESTRICTIONS: The undersigned understands that this permit may be subject to'dead"restrictions' <br /> NOTICE0y DVEDmore restrictive than County.regulations. The undersigned assumes responsibility.for compliance with any <br /> which maYded restrictions. <br /> opploble.' CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> UNLICEN to undertake work,they may be required to be licensed in accordance with state and local regulations. if the <br /> wr,traoidrs <br /> contra is not licensed as required by law,both the owner and contractor may be cited for a misdemeanor violation <br /> u ,state law. It the owner or intended contractor are uncertain as to what licensing requirements may apply for the <br /> infended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- <br /> so. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractors)sign <br /> portions of the•contractor Block'of this application for which they will be responsible. If you,as the owner sign as the I <br /> _contractor,that may be an indication that he is not properly licensed and Is not entitled to permitting privileges in Pasco <br /> County- 1 <br /> r <br /> SPOERY FEES: The undersigned understands <br /> ansportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change ofexisco County Ordinance number 89-07 and <br /> as amended. The undersigned also understands,that such tees as may be due,will be Identified at the time of <br /> ing. urce Recovery Fees must tue pall prior to <br /> rng 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$2.600.00 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 /> CONTRACTOR'SiOWNER'S AFFIDAVIT: I certify that all,the information in this application is accurate and that all work 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. I 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 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,Weiland Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> Southwest Florida Water Management District Wells, Cypress Bayheads, Welland 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, i) <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: I <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 W. it is understood that a drainage plan addressing a <br /> 'compensaUng volume'will be submitted at time of permitting which is prepared by a professional engineer <br /> licensed by the State of Florida. <br /> - ff 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 wiN be used only to till the area within the stem wall. <br /> - If fill material is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent I <br /> properties. if use of tin 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 /> we 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. 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 /> r permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or <br /> L set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter —r <br /> `f 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 y <br /> the permit is suspended or abandoned fora period of six(6)months after the time the work is commenced. An extension I <br /> may be requested,in writing,from the Building ofncial for a period not to exceed ninety(90)days and will demonstrate e <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 REPERTY O D. I YOUR R YOU INTE NOTICE OF COMMENCED TO OBTAIN. <br /> T..CONSULT <br /> WITH YOU DE .OR AN ATT NEY <br /> RIM JURAT(F.S.11T <br /> F .(13)) - <br /> /_��l ��n��� ��,ICr.�/r� CONTRACTOF,�� <br /> OWNER put OEHi a a Su and cwom (or arfirtn Ito To this <br /> m(or �n <br /> Subscribed and sworn ( f'� <br /> �, �ciZo by i cch F I U Fla. W tale naAy kit o me or hedheve produced <br /> ��— io mo or nay:. ='—"= as IdentlOcalbn. <br /> Who nIdpertYlfutlon. <br /> �� %1 '�f7��t t NotaryPubflc ,/� f Y Notary Public <br /> Commission No, <br /> Name <br /> 1501 <br /> I <br /> Nameof tncw�Re"�t e IN tar e co twine <br /> �trootst�o t! , <br /> 4 €`v Ex.imNowbn QU-dov <br /> .. �Fap„a,y12� 'kf�,h.•• eon::f�rn,„a„ya,cmu�a. <br /> e,J�01Mn Ills <br /> I <br /> Scanned with CamScanner <br />