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<br />:i?~, "'1.9~.~Fr~~ED RESTRICTIONS: The undersigned understands that this permit may b~ slJbjectto"d~edtt~s.tri~ti9nslii
<br />.",D;;w.icH.ijjaY'~~W?re restrictive than County regulations. The undersigned assumes responsibility forb(jIN3Ii~nbe~Wm~~y :.,'.'
<br />. "l'e.strictions. .., .' ... .'. <:"';:'i':
<br />;;Q~TRACTORS AND qONTRACTOR RESPONSIBILITIES: Ifthe(j~!1ef: :has. hjfM,a9(;h.tf~gl(jf(oi,),"i"j;!i'jj
<br />qeftake work, they may be required to be licensed in accordance.Witbst~.te~iJ9J~calf~gWi'tH6n~i.t.lf\~~::;:t'
<br />OJicensed as requIred by. law, both the owner and contractor maybe9it~afqf.~hii#d~rn~~~~rz~lql~HoB. ,;
<br />),j{ the owner or intended contractor are uncertain as to what 1igeiisih9t~~wt~rn~~l~'rn~~'appIY.if~~ilij~,\i .
<br />J}'.: are advised to contact the Pasco County Building InspectionDiVisio~UC~nsiBg?~9tiohaL!2t.84i" /1
<br />" if the owner has hired a cohtractor or contractors, he is.advise~ ;,tb ,h~ve' the'~6htfabtlJr(s)slg~"(
<br />',Bntractor Block" of this application for which they will be responsible.. Ifyou;asthe()wi)ersi~Q ~.s tilEr
<br />;.;ay be an indication that. he is not properly licensed and is not entitled to permitting privileges iii PascO ,'I
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<br />..rtA~sp()R.,... '"ION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned uhderstands
<br />;):th~ttr~Qs,,'<ii: -n Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br />,~~~irli.e~i~'< ,)ldings, orexpansion of existing buildings, as specified in Pasco County Ordinance number89-07 and
<br />,iPOr07,~s~ffi,..~~. The undersigned al!!lo understands, tha.t such fees, as may be due, will be identified at the time of
<br />~eth1iUihg.iltls,fufther understood that 1;ransportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />, re?elving s"t:,ate of occupancy" or ~nal power release. If the project does not involve a certificate of occupancy or
<br />fin~1 power rei.. .e,the fees must be paId prior to permit issuance. Furthermore, If Pasco County Water/Sewer Impact
<br />fe~s are due,t~!=lymust 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 ~nstallatlons 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 authorl~y !o VIO'~t~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dmg OffiCial from the~eaft~r
<br />requiring a correction of errors in plans, construction or violat~o~s o! any codes. Everr permit Issued. shall become. invalid
<br />unless the work authorized by such permit is commenced wlthm 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 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)
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<br />CONTRACTOR
<br />Subscribed and sworn to (or affirmed) before me this
<br />by
<br />Who Is/are personally known to me or has/have produced
<br />as Identification.
<br />
<br />OWNER OR AGENT
<br />Subscribed and sworn to (or affi""ed) before me this
<br />by
<br />Who Islare personally known to me or has/have produced
<br />as Identification.
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Commission No.
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />Name of Notary typed, printed or stamped
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