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<br />~m!I~~'~f'~I!ED'RESTRICTIONS: The undersigned understands that this permit may be. slJbjedto,"9~ed'iit~strI9~i?h5~
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<br />~~I''"' &'jl~;':~I~~~we then County regulatkms. The undersigned essumes respci",~lbnrty fo'j~i>!I!~~<~~~;;r2\
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<br />ftl'< "".Ii~?P()~TRACTORS AND CONTRACTOR RESPONSIBILITIES:, Ifthe,?"XnE!~has.,hlre.9a9(jntt~clof or "f
<br />~~~~~.~~. .,,' n~~[lake work. they may be required to be licensed In acc<li<Jen'7,yit~'h\l!!~i<j~I}~~I~.lJilHg"\1.ijll)~/
<br />"" ,. ''''ct~.liqensed as required by.law, both the owner and contractor m~ybeRite~tqt<~Misa~llis,a,h?'f,Vi(:jlatib~
<br />t~ Ylfthe owner or intended contractor are uncertain as to wh~t, Iiq~nsin~r.~qYit~h1~~t~rn~Yia~plY,f(jfth~ I
<br />'~y are advised to contact the Pasco County Building Inspectioi1.I>iViSiori"Lic~nSit19~~8HQ~:N?tt"84t- ,I
<br />",',;,n,'"','"',s."..,'"',,,,'o,",",,,f',',,',,,. ~~.~. n the owner has hired a conlracto' or conl,aclors. he Is.advlsetiJo H~" \11".ji<l~tt.~SUlf!~ ).~igh
<br />.."" ' ",' ""ntractor Block" of this application for which they will be resp,onsible. if you'"a,.'s .theowti~,t,Sign' a,S ,the
<br />tractQri:', ,,"ay be an indication that he is riot properly licensed and is not entitled to pefmittihg priVileges ih Pasco
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<br />ijA~$~(r"" "I~N IMPACT/UTILlTIES;IMPACT AND RESOURCE RECOVERY FEES: " The under~igned, Understands
<br />th,~.t,.rah, .,,'tlJmpact F=e.es and Recourse Recovery Fees may apply to the construction of new blJiidings, change of
<br />y~~i'll~xis.>~iI9ings, or expansion of existing buildings, as specified in Pasco County Ordinance ,nurnber89-07 and
<br />;:~o,-07,asam~.?q,e~; The undersigned also understands, that such fees, as may be due, will be identiW~d at tile time of
<br />p~riniHing.ilt.,lsf~Hher understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />re{:9iVing a~~~,ftifipate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br />fin~1 powerrel~~se,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fe~s are due,J~~xmust be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br />CONSTRUCTI()N 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 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 />permit issued shall be construed to be a license to proceed with the work and not as authority to, violate, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />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
<br />the permit is suspended or abandoned for a period of six (6) months after the thne the work is commenced: An extension
<br />may be requested, in writing, from the Building Offici a! for a period not t~ exceed nin~ty (,90) da~s and Will demonstrate
<br />justifiable cause for the extension. If work ceases for mnety (90) consecutive days, the Job IS conSIdered abandoned.
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<br />otary Public
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<br />Notary Public
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