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<br />N~JIQ~',~F!REED RESTRICTIONS: The undersigned understands that this permit may b~ subjectt()liq~ed:~~~tfi9fjong:;
<br />:,.,t,.,.. t~...',\\l1,~.'..~~.,,:..';iQ1. (),...r, e.,.r.es.trictlve than County regUlatio. ns. The undersigned assumes respo., ',riSibility for, t..,qp,.,jJha:,n,p.. ~........,W',.'.).,~.t.,:'..a.".~r,.'Y........,...,........
<br />IJI,hc~B!e~ ,. tEl~,tnctlons. . - . . . .' .<i'
<br />'GNI.ONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If. the ()W[lef.hashjfe~rabontfablQf:Of., "
<br />'~eHake work, they may be required to be licensed in accordance With~l~f~~QdI6C~lte{jYI~n~fi~!.;ltw~
<br />;lIqensed as required by . law , both the owner and contractor m~y.be.Rit~~Jqt .ahji~d~Ill~~n~r}M'ql.aHi5B ' .
<br />(. if the owner or intended contractor are uncertain,.as to wh~f.liC?~hsin~r.~qliit~ti'I~~I~.Jfi~y,~~p!.Y~f9r.m~' ....; ...
<br />'are advised to contact the Pasco County Building IhsPectiqi1Diyision-!~Ub~.i1Si~gS.,n ~tt~77~4jf I
<br />_..f,X'TF~,.. .,....' if the oWner has hired a cohtractor or contra.ctors, h.eisa,dvlsed,tohav.,.,e, .tlie....',., . ..".lrac....lo.'..',..r...(s).....sifil,...A,... ,':'
<br />partighs,6f- (jntractor Block" of this application for which they will be responsibl~.. if'you,asHl.ebwt;i~rsigry ~sth~
<br />~'I~J~,,,.,,,);t be an,lndlcation Iha\ he Is nol properly licensed and is hol entitied 10 permitting pfi~i1i!!j~lhp~sCd
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<br />'.~S~ORl" t.i~N IMPACT/UTILlTIES, IMPACT AND RESOURCE RECOVERY FEES: The undersigned. understands
<br />h~tJt~.',. Ic),~i1mpact5res and Rec9urse Recovery Fees may apply to the construction of newblllidings, change Of
<br />..y~~jp~~i~...,. :\.:~ilaings, or.~xpansion of existing buildings, ,as specified in Pasco County Ordinance number 89-07 and
<br />;~d~07ias~m.~i'1(j~~; The uhdersigned also understands, that such fees, as may be due, Will be ideliti~led at the time of
<br />p~rtniHin9,.It.I~w~her understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />receiving aild::l~ifj8ate of occupancy" or final power. release. If the project does not involve a certificate of occupancy or
<br />final power reie~se, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fecils are dueitheymust 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, tile. 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 />Landsi 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 perm~t may ?e requir~d for elect~lca.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~II~ln9 OffiCIal from the~eaft~r
<br />requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermlt Issued. shall become. invalid
<br />unless the work authorized by such permit is commenced Within SIX months of permit Issuance, or If work authorrzed . 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 nln~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 OWNE . YOUR FAILURE TO RECORD..A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE OR ROVEMENTS TO YO :oPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR DE RAN ATTORNE ORE RECORDING YOUR NOTICE OF COM ENCEMENT.
<br />FLORIDA JURA .S. 1 3)
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<br />Notary Public
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<br />,.."H"" I' L M'11
<br />Commission No. _-' .V, r. J"\ l!lrSn - I f'r
<br />;'.. ,...,.';, . "!~n" DD60~1GI)-1
<br />. '.: ...., .. ''1e(vbei 29 2010
<br />Name of Notary typed, prl IW.st@~~"l ,., ,"_Ine. ~701S
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<br />Notary Public
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<br />Commission No.
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