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<br />CONDITIONS OF PERMIT AFFIDAVIT ., <br /> <br />A. NOTICE OF DFED RESTRICTIONS <br /> <br />The undersigned understand that this permit may be sub/ect 10 .deed resllictlons. which may be more restrlctlv. "8ft County tegUIa"'. 111. <br />undersigned ~umes responslblHty for compllano8 with any applicable deed reslrictions. <br /> <br />, ,). <br /> <br />B 1JNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBIUTIES <br /> <br />" the owner has hired a contractor or cOntractors to undertake work. they may be required to be licensed In aoeordance with ata. 8nd local regula- <br />bons. " the contractor Is not liOlInsod as required by law. both th8 owner and contractor may be cited for a mlademelll'1OF violation under atate law. If <br />the owner or Inlonded contractor are unoertaln lIS to whal lI09nslng requirements may apply lor the Intended wortl, Ih8V Ir. 8dYlud 10 contact the <br />Pasco County Building Division - LJoenslng Section at (8f3) 847-8000. <br /> <br />Furthermore, lithe owner has hired a contractor or contractors, he Is advised to hAVe the conlrllctor(s) sign portiona of the "Conlnlctor Block. of fhIt <br />application lor whlct1they will be responsible. "you. AS the owner sign lIS the contractor. you Ale indicating thaI you, rather Ih8n the oontrecfDr,...e <br />rm;ponslblo lor the work. "the contractor wlsh9tl you to sIgn as contractor, that may be an indication that he II nol propwly bnaed IInd II nol enllled <br />to permitting privileges In Pasco County. . . <br /> <br />C. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES <br /> <br />The Undersigned undorsland thaI Transportation Impact Fees and Resource Recovery Fees may apply 10 the conaln.lctlon of new bulfdlnOt, change of <br />use In existing buildings, or 8xpanslon 01 oxlsting buildings, as specified I" I='asco County Ordinance numbers 80~7 end~, III 8Inended. The <br />undersigned also undersland thaI suct1loos as may be due will be identified alth8 lime 0' permitting. It Is further understood thlt TrMlportallon Impact <br />Foos and Resource Recovery Foos m 1St be paid prIOr 10 recelvll1g a .certlflciIte 01 occupaney. or IIn81 power ,....... "the PfOIect dOH not Involve . <br />certifical8 of oocupancy or final power release, the 'ees must be pafd prior to permit Issuance, <br /> <br />Furthsrmore, If Pasco County Waler/Sewer Impact lees are due, they must be pald prIOr to permit Issuance. In accordMce with epplc8bte Pasco <br />County Ordinances. <br /> <br />D. CONSTRUCTION LIEN LAW (Chaplor 713, Florida Statutes, as amended) <br /> <br />" valuation of work Is $2500.00 or more, I certily that I, the IIppllCl!lnt, have been provided with a copy of "Florldll Construcllol\ LIen Lew - Homeowner's <br />Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the appllCl!lnt I. IOmeone other than the .owner,. I certify thet I <br />have obtained a copy of the IIbove desaibed document and proml..1n good faith 10 deliver It to the "own.,. prior 10 commencement. <br /> <br />E. CONTRACTOR'SJOWNER'S AFFADAVIT <br /> <br />I cortify that all the Inlormation In this application is aocurate and that all work will be done In compliance with all appIlClIbIe laws regUlallng construe> <br />tion, zoning, and land development. <br /> <br />Application is hereby made 10 obtain a pormlt to do work and Installation as Indicated. I certlly Ihal no work or Installation h.. comniended prior to <br />issuance 01 a permit and fhat all work will be performed 10 meet standards of all laws regUlating conslnJction, County code', zoning regulallOns, Ind <br />land development regulations In thelurisdiction. I also certify that I understand that the regula lions 01 other government 198nC:I.. may apply to the <br />Inl8ndad work, and thaI It is my responsibility 10 identify what actions I must take 10 be In compliance. Such agencl8llnc1ude but.. ftOllmIttd "': <br /> <br />,,, <br /> <br />o Deoartment 0' Environmental Reoulation - Cypress Bayheads, Wetland Areas and Environmentally SenslllVe lands, W.l8rtW.""'...r Trealment <br /> <br />o Southwest Florida Water Manaoement Dislnct - Wells, Cypress Bayheads, Weiland Areas, Altering Watercourses <br /> <br />o Armv Corns 01 Enoin_rs. S03walls, Docks, Navigable Waterways <br /> <br />o Deoartment 01 Health & Rehabilitative Services Environmental Health Unit- Wells, Wastewlller Treatment, Sepllc Tanks <br /> <br />o US Environmental ProtectiO:l Aoency - Asbestos abatement <br /> <br />I undersland that the following restrictions apply to the use of fill: <br />o Use of fill is not allowed in Flood Zone 'V" unless expressly permitted. <br />o 11 lill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume. will ~ tubmitted at time of <br />permitting which is prepared by a professional engineer licensed by the State 01 Florida. . , <br />o If IiII material is to be used in Flood Zone "A" in oonneclion with a permitted building using stem wall construcllon,l certify thaI fill wi. be used only <br />to fill the area within the stem wall <br /> <br />o "'iII material is to be used in ~"y area I certify that use of such lill will not adversely affect adjacent properties. " use of lill Is found to adversely affect <br />adjacent properties, the owner may be cited lor violating the conditiOn! 01 the building pennit i!lSued under the attached pennlt application, 'or lots less <br />than one (1) acre which are elevated by fill an engineered drainage plan is required, <br /> <br />" I am the AGENT FOR THE OWNER, I promise in good faith to infonn the owner 01 the permitting conditions sel lorth in this alfldavit prior to commencing <br />con slruction. <br /> <br />I understand that a separate permit may be required lor electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not <br />specilically included in the application. <br />^ permil issued shall be conslJued to be a lioonse to proceed with the work and not as authority to vlolal8, cancel, .'ter, or ..t Mlde any provision of <br />tile lBct1nical codes, nor shall issuance 01 a permil prevent the Building Offtciallrom thereafter requiring. .correcllon 01 errora In plant, conatruetlon, or <br />violalions 01 any code. Every permit issued shall become invalid unless the w~k authorized by suct1 permh Is commenced within alx mon"" 01 permit <br />issuance, or II work authorized by the permllls suspended or abandoned for a period 0' she months aher the lime the work Is commenced. On. or <br />more eJCtensions 01 time, lor periods not 10 exceed 90 days eact1, may be aflow9d for the permit. The eltlenslon aha. be requested In writing to "e <br />Building Offlclal. An approved inspecbon must be logged during each six.month period, or the project will be conSidered IIbandontd, <br /> <br />WARtJING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING <br />TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR, <br />LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. . <br /> <br />SIGNA TURE <br /> <br />SIGNA TURE <br /> <br />CONTRACTOR <br /> <br />OWNER OR AGENT <br /> <br />DATE <br /> <br />DATE <br /> <br />NOTARY AS TO <br />OWNER OR AGENT <br /> <br />NOTARY AS TO <br />CONTRACTOR <br /> <br />MY COMMISSION <br />EXPIRES <br /> <br />MY COMMISSION <br />EXPIRES <br />