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<br />, "\:D,EED RESTRICTIONS: The undersigned understands that this permit may besubjed toUd~e~;'if~~{fi~ii(jh~iii..
<br />'()re restrictive than County regulations. The undersigned assumes respdnsibility fOfCOmpU~m~~~,~li~atr i .
<br />:estrlctions. ., " ",', ,"'~""r. .
<br />'(;jNTRACTORS AND CONTRACTOR RESPONSIBILITIES:" Ittheo~ner.hashife.~l"CQrn "
<br />ijijftake work, they may be required to be licensed In accordancE! with stateafj~J~~~I~~~r " '.co
<br />;llcensed as required bylaw, both the owner and contractor maybe~it~.afof'ahilsa~.:""
<br />, . the owner or intended contractor are uncertain as to whl:d. Iig~ij~ii1g,..te~~it~met1t~/';.. , . " ";
<br />. are advised to contact the Pasco County Building InspectiqnDivisiO"7-Lic@n~iQg""J,...".~~4j:';i i
<br />, if the owner has hired a contractor or contractors, he Isadvlsed.,.tO hiitve ~,Ii@~6?tf~ct(jr(stslg~ <':
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<br />"11['Ji~~, ::'~~ ~:~~nt~a\~~II~:~ ::P:~~':~::~~: i~'::~id ~):';:U~~ep;l~~~~~1l~'"
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<br />)ijCrfRAN$ iON IMPACT/UTILITIES. IMPAcT AND RESOURCE RECOVERY FEES: The undersigned Uhderstands
<br />. 'th~ttr Impact Fees and RecOurse Recovery Fees may apply to the construction of new buiidings, change of
<br />US~IIi~~.". ',' ,_ ings, or expansion of existing buildings, as specified in Pasco County Ordinance number ~9-07 and
<br />9O:..()7,.aSi~',..,~, The undersigned also understands, that such fees, as may be due, will be identified at tHe time of
<br />perrniItifig.'U;'iffurther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />rebeiVinga.,jj~~ifipate of occupancy" or fjnal power release. If the project does not involve a certificate, of occupancy or
<br />fin~1 power tel~~se, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fe~s are due,J~~yrnust 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 $2,500.00 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'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br />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, Wetland Areas and Environmentally Sensitive
<br />Lands; Water/Wastewater 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 & 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 expressly 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 certify 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 forth in
<br />this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t. may ~e requir~d for elect~ica.1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically 1n?luded. In the application. A
<br />permit Issued shall be construed to be a license to proceed with the work a~d not as authon~y !o, vlolat~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~J1.dlng OffiCial from the~eaft~r
<br />requiring a correction of errors in plans, construction or violations of any codes. Eve'!' ~ermlt Issued. shall become. Invalid
<br />unless the work authorized by such permit is commenced within six months o.f permit Issu~nce, or If work authorized. by
<br />the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
<br />may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty \90) days and Will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS considered abandoned.
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<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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. _
<br />FLORIDA JURAT (F.S. 117.03) ,'/ ./ W e
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<br />OWNER OR AGENT CONTRACTOR ? ~ 0-
<br />Subscr1bed and swom to (or affirmed) before me this S bscr."bed and swom to (or affirmed) before me this , f\
<br />\ D by 9tl..fl ~,'-:(n.\"-t \ uOD~
<br />Who Islare per:~naIlY known to me or haslhave produced Is/are persQ(1ally known {o me or has/have produced
<br />as Identification. L- (" , u.~ h . as Identification.
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<br />Notary Public
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<br />Notary Public
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<br />Commission No.
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<br />Commission No.
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<br />.~..~
<br />.'~ . i....~.. Karen L. Miller
<br />::! .~ ..
<br />Name of Notary typed. p ..: ..... !.es October 29 2010
<br />, ,Sf,[I\ Bonded Troy F.in . Insurance, Inc ~7019
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<br />Name of Notary typed, printed or stamped
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