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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DFFD RESTRICTIONS
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<br />The undersigned understand thatlhls permit may be subject to .deed restrictions. which may be more restrlc:llvelhan County regulallons. The.
<br />undersigned assumes responslblDty lor compliance with any applicable deed restrictions.
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<br />B. ~NLlCFNSED CONTRACTORS AND CONTRACTOR RESPONSIRIIITIES
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<br />lithe owner has hired a contractor or contractors to undertake work, Ihey may be required to be licensed In accordance wllh state and JoeaJ regula-
<br />tions. lithe conll'actor Is notllcensed as required by law. bolh Ihe owner and contractor may be cited for a misdemeanor violation Under stale law. II
<br />the owner or inl8nded contractor are uncertain as to whallloonslng requirements may apply for Ihe Intendod work, they are advised to contact Ihe
<br />Pasco County Building Division. Uc:enslng Section at (813) 847-8009.
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<br />Furthennore, II Ihe owner has hired a contractor or contrACtors, he Is advised to have !he contractor(s) sign portions ollhe "Contractor Block" 01 Ihls
<br />application for which Ihey will be responsible. II you, as the owner sign as Ihe contractor, you are Indicating Ihat you, rather than the contractor. are
<br />responsible for the work. IIlhe conlractor wishes you to sIgn as contractor, Ihat may be an Indication that he Is nol properly IIoenI8Cf and Is not entitled
<br />to pennltting privlleg~ In Pasco County. .
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<br />C, :TRANSPORTATION IMPACTIUTILlTIFS IMPACT AND RESOURCE RECOVERY FEES
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<br />The undersigned understand Ihat Transportation Impact Fees and Resource Recovery Fees may apply to Ihe COnltnJctIon 0' new buIldings, change 01
<br />use In existing buildings, or expansion 01 existing buildings, as speclfied III Pasco County Ordinance numbers 80-07 and oo.o.c, as amended. The
<br />undersigned also understand that such fees as may be due will be identified althe time of permitting. Ills further understood that Transportation Impact
<br />Fees and Resource Reccwery Fees m:Jsl be paid prior to rec:e/vlllg a .certiflCate 01 OCQJpancy. or final power release, lithe project does not Involve a
<br />certificate 01 occupancy or final power release, the fees must be paid prior to pennltlsSuance.
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<br />Furthermore, II Pasco County Waler/Sewer Impact lees are due, Ihey must be pald prior to permit IsSuance, In aCQ)rdance wllh applicable Pasco
<br />County Ordinances.
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<br />D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended)
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<br />II valuation 0' work is $2500.00 or more, I certify that I, the applicant, have been provided with a copy of "Florida Construction lien Law - Homeowner's
<br />Protection Guide" prepared by the Florida Department 01 Agricl.iI\ur8 and Consumer Affairs. If the applicant is someone other than the "owner," I certify that I
<br />have obtained a copy 0' the above desaibed document and promise In good faith to deliver it to the "owner. prior to commencement.
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<br />E. CONTRACTOR'SIOWNER'S AFFADA VIT
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<br />I cenify that all the Information In Ihis application is accurate and that all work will be done in compliance wilh all applicable laws regulating construc-
<br />tion, zoning, and land development.
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<br />Application is hereby made to obtaln a permllto do work and Installation as indicated. I cenify that no work or installation has commended prior to
<br />issuance 0' a permit and that aU work will be performed to meet standards 01 all laws regulating constnJction, County codes, zoning regulations, and
<br />land development regulations In Ihe Jurisdiction. I also certify Ihat I understand Ihat Ihe regulations 01 other government agencies may apply to the
<br />Intanded work, and Ihat It Is my responsibility to Identlfy what actions I must take to be In compliance. Such agencies Indude but are not limited to:
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<br />o Deoartment 01 Environmental Reoulalion - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Watermasrewater Treatment
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<br />o Southwest Florida Water Manaoement District. Wells, Cypress Bayheads, Wetland AIeas, Altering Watercourses
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<br />o Armv Com!; of EnoinAer!': - Seawalls, Docks, Navigable Waterways
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<br />o Deoartment or Health & Rehabilitative Services Environmental Health Unll - Wells, Wastewatar Treatment, Septic Tanks
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<br />o US Environmental Protectio~ Aaeney - Asbestos abatement
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<br />I understand Ihat the following restrictions apply to the use 0' fill:
<br />o Use of fill is not allowed in Flood Zone "V. unless expressly pennitted,
<br />o If fill material is to be used in Flood Zone .A", it is understood that a drainage plan adclressing a 'compensating volume. will be submitted at time of
<br />permitting which is prepared by a professional engineer Iicensad by the State 0' Florida.
<br />o If fill material is to be used in Flood Zone "A" in connection wilh a permitted building using stem wall construction, I certify that fill will be used only
<br />to filllhe area within the stem wall.
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<br />o If fill material is to be used in sun! area I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect
<br />adjacent properties, the owner may be cited for violating the conditions of the building penn it issued under the attached pennit application, for lots less
<br />than one (1) acre which are elevated by fill an engineered drainage plan is required.
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<br />If I am the AGENT FOR THE OWNER, I promise in good faith to infonn the owner of the pennitting conditions set forth in this affidavit prior to commencing
<br />construction.
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<br />I understand that a separate penn it may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not
<br />specifically included in the application.
<br />A permil issued shall be consll'ued to be a license to proceed wilh the work and nol as authority 10 violate, cancel, alter, or set aside any provision of
<br />Ihe l8d1nicaJ codes, nor shall issuance of a permit prevent the Building Official from thereatl8r requiring a correction 01 errors In plans, construction, or
<br />violations of any code. Every permil issued shall become invalid unless Ihe work aulhorized by such permills commenced wilhin six months of permit
<br />issuance, or if work aulhorized by the permit Is suspended or abandoned for a period of six monlhs after Ihe time the work is commenced. One or
<br />more extensions of time, for periods not io exceed 90 days each, may be allowed for Ihe permit The extension shall be requested In writing to Ihe
<br />Building Official. An approved inspection must be logged during each slx-monlh period, or the project will be considered abandoned.
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<br />WARNING 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 ATIORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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<br />SIGNATURE#~~~ SIGNATURE ~~_/~
<br />. OWNER A CONTRACTOR-'
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<br />DATE 5'/ tf / '12r
<br />
<br />NOTARY AS fa. I
<br />OWNER OR AGENT
<br />
<br />5/r/?~
<br />/' /
<br />NOTARY AS TO
<br />CONTRACTOR
<br />
<br />DATE
<br />
<br />MY COMMISSION
<br />EXPIRES
<br />
<br />MY COMMISSION
<br />EXPIRES
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<br />TS7,t) - 730- 7'b -/.:I-? - 0
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