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<br />N~TIGE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" festrlcti6f\s~
<br />W iell '!lay be more restrictive than County regulations. The undersigned assumes responsibility for comjJliance WlfH anY
<br />p Iicable a~e(j restrictions. .,
<br />L.lfr' .' :ONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has Med a contrador of if
<br />oenake work, they may be required to be licensed in accordance witli state and local fegUlaH8ft!;, 'It Hl€; t
<br />'licensed as required by law, both the owner and contractor may be citea for a hiisdenieandr,VldleUioH
<br />I If the owner or intended contractor are uncertain as to what Ih?enshig requifE!mehts. maY ~pply f6f; {H@(/ i..
<br />) tH~Y are advised to contact the Pasco County Building Inspectlo~ DiVisi0"7Lib~~Sipg.~~Qt'9Hatt~.7:.Mi~r I
<br />'.'v\F.' .t~, if the owner has hired a contractor or contractors, he isadvised.toh~~eH1eJ~.6rltaqlafts)slgl1i',.
<br />~grti9rs~frtractorBlock"of this application for which they will be responsibl~. Ifyou,asthei.~Wtier.s.i9? ~s.. the'
<br />.(jpr1tr~9t~.fi'ay be an indication that he is not properly licensed and is not entitled to permitting priViieges Iii.. Pasco'
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<br />..~~~~~X~tl(jN IMPACT/UTILlTIESiMPACT AND RESOURCE RECOVERY FEES: . The unde~~igried understands
<br />.; '.. JTra?~ptt~~tic).ilJmpact fres and Recpurse Recovery Fees may apply to the construction of new b~iidings,chan.geof
<br />'C 'ilJ~~ i'l~xi~ti~~,~Vildings, or: expansion of existing buildings,. as specified in Pasco County Ordinance l1.umber89~07 ahd
<br />"'~Q:-07ias~m.~~~~(L The undersigned also understands, that such fees, as may be due, will be identified at tHe time of
<br />p~rl11ihihg.iltl~J~Hher understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />reteiving ajlce~iflpate of occupancy" or final power release. If the project does not involve a certificate. of occupancy or
<br />fjn~1 power rele~~e,. the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />. fees are dlie,th~Y.Jllust 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; WaterlWastewater 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, 1 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 ~nstallations not specifically in~luded. in the application. A
<br />permit issued shall be construed to be a license to proceed With the work a~d not as authorl~y !o vlol~t~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
<br />requiring a correction of errors in plans, construction or violat~o~s o~ any codes. Eve'!' 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 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) da~s 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 TWIC F I PROVEMENTS TO YOUR PROPERTY. IF yOU INTEND TO OBTAIN INANCING, CONSULT
<br />WITH YOUR N N ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO NCEMENT.
<br />FLORIDA JURA .5. 1 3)
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<br />Notary Public
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<br />Notary Public
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<br />Name of Notary typed, '
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