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<br />'.'fiiia~~lIc 'estrlctlons . . .......... .............c;;.,;';V
<br />ii 'Ai}: . " . '(jNTRACTORS AND CONTRACTOR RESPONSiBILITIES:,. If the o,^,ner has. hiff3~.a) .....,
<br />.~~ftake work, they may be required to be licensed In accordancewithstateai:1d.l~c~lr~g'
<br />JIcensed as required bylaw, both the owner and contractor mav.be cif13.C1t6fatrllsdt!t. ....
<br />ilthe owner or intended contractor are uncertain as to wh~t 1i9~nsingJE#iUlf~men(~ <,jij~,?i
<br />"x are advised to contact the Pasco County Building Inspect!tl/;. Diyi$io~Uc@ri~i9~".,,, < .>:~M~84j7/:' 'I'
<br />:te, if the oWner has hired a contractor or contractors, he isadvisedJb have the6~~l,r~&t$r(s)slgfr,'!
<br />Il~..~tractor Block" 'of this application for which they will be responsible., if you ,as the .bW~~r."si9. '6,' ~s tH,~
<br />rc6i1'fjy be an indication that he Is not properly licensed and is not entitled to permitting privii@gesin Pasco
<br />,..CdUfityi ' ' ,'.......
<br />.. "i;fRANI'()N IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:. The undersigned Understands
<br />th~t trA5i "tllmpact Fees and Recourse Recovery Fees may apply to the construction of new bUiidings, change of
<br />us~ili,ij~ls. ....... ings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br />90;.07ias~rtl,.., .~~. The undersigned als~ understands, that such fees, as may be due, will be Identi~ed at tlie time of
<br />pe,ttniUin9,';Jt,:i~:ftJrther understood that Transportation Impact Fees and Resource Recovery Fees mUst be paid prior to
<br />re?eiving a,.': ....,.,ate of occupancy" or final power,release. If the project does not involve a certificate of occupancy or
<br />finfll power r i .,se, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fe~s are dUei,lH,~Yi11ust 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 "An 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 permittin~ conditions s~t forth in
<br />this affidavit prior to commencing construction. I understand that a separate perm~t may ?e reqwr~d for elect~lca.1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations 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. vlolat~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building OffiCial from the~eaft~r
<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 time th~ work is commenced: An extension
<br />may be requested, in writing, from the Building Official for a period not to exceed mn~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.
<br />
<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 )
<br />
<br />
<br />OWNER OR AGENT
<br />Subscribed and sworn to (or affi ) be ore me this
<br />by
<br />Who Is/are personally known to me or haslhave produced
<br />as Identification.
<br />
<br />
<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 />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
<br />
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