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<br />'. .., ,,'~;;'fRANI I~N IMPAGT/UTILlTIES;IMPACT AND RESOURCE RECOVERY FEES:, The undersigned Understands
<br />, "th+t 'frs.:., "n impact Fees and Recourse Recovery Fees may apply to the construction of new blllidings, change of
<br />Use lri~xl Ings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br />9Q.-07ias . The undersigned also understands, that such fees, as may be due, will be Identifled at tHe time of
<br />p~tmltting,., further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />re~elvingail;'iifl6ate of occupancy" or final power release. If the project does not involve a certificate. of occupancy or
<br />fln~1 power iele~se, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fees are dUei,t~~y must 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 .owher", 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 permlttln~ conditions s~t forth In
<br />this affidavit prior to commencing construction. I understand that a separate perm~t may ?e reqUlr~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 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 violations of any codes. Every permit Issued. shall become, Invalid
<br />unless the work authorized by such permit Is commenced within six months o.f permit Issu~nce, 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.
<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 />WIT YOUR LENDER OR AN ATTO EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 17.03
<br />
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<br />FIl,EED RESTRICTIONS: The undersigned understands that this permit may be subjedtol<deed~J~stfictions~
<br />'lTt()re restrictive than County regulations. The undersigned assumes responsibiiity foit::ompli~';:~u '~y
<br />strlctions. -... . ,<.> , '
<br />'(jNTRACTORS AND CONTRACTOR RESPONSIBILITIES: If" theOYinefhas.hired.' fc
<br />(J~iiake work, they may be required to be licensed in accordancewit~ st~tij a~dIOc~LrE30'
<br />:licensed as required bylaw, both the owner and contractor maybElcit~aJofa6ii[
<br />"the owner or Intended contractor are uncertain as to wh~t li~iisin~t~~Uir~ri1enf~ .,.. ......
<br />:-'i are advised to contact the Pasco County Building Ihspectiqn Diyision,-."UCE!h~i~g$ t, ....;,~4ti:., . [
<br />-rEi, if the owner has hired a contractor or contractors, he Isadvlseq Jo have tlit:! ..;"r(;)~I~I1";
<br />'rtractor Block" of this application for which they will be responsible.. If you;8sthe bWh~f!;lgn ~stHe' r
<br />"ay be an hldlcation that he Is riot properly licensed and is not entitled to permitting pfivii@ges 'In. ~ascd
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<br />CONTRACTOR
<br />Subscribed and swom to (or affirmed) before me this
<br />by
<br />Who Is/are personally known to me or haslhave produced
<br />as Identification.
<br />
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Name of Notary typed. printed or stamped
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