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<br />'~F-;~~EDRESTRICTIONS: The undersigned understands that this permit may b~ sUlJjedto'id~~d;.r8sificti6ns"
<br />" .ore restrictive than County regulations. The undersigned assumes respdh~ibiUty fOLcoiTIpli~nc~'Yi.t~ .ahY
<br />.estrlctions. . ..' '. ....... .............. .......,
<br />:~~TRACTORS AND CONTRACTOR RESPONSI-BILlTIES:. IfJhe?~n~l'has~ir~9.tt?ohtf~pbjf6f
<br />D9.ertake work, they may be required to be licensed in accordancewitnstate.~iid@;,~lt~~~i.~tI9,l1Sii:lftKe
<br />'j!qensed as required bylaw, both the owner and contractor may,beicit~dfqt~misd~.rJ1~.~hbr\li9Iati(j~
<br />?'vifthe owner or intended contractor are uncertain as to whf:lt.1i9~nsih~t~~uit~i11~f1I~.m~~>~~p.!,Yf~~ the
<br />,;',. ,', ..~~are advised to contaqt the Pasco County Building 'nspectiqnDi"isiOl"t"LlCerSipgi:?~9ti..(jf)~t!?7::'B4 t~ '.' i
<br />I.FHrl\:1 .'r~, if the oWner has hired a contractor or contractors, he is'advisedJohayeJ~eCO~ltador{s)sitJti
<br />'ot.t.i9ns~'.J.....IP~lltractor Block" of this application for which they will be responSible. lfyou,astheb~h~tsitj~ f:ls,lhe
<br />~~~ktll~W.~Y be an IndlcaUon tha\ he Is not properly licensed and is hot enUUed 10 pe'lTlKtingpriVili!ges ih PascO
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<br />'f'J~~-'~-'lfi{,)N IMPACT/UTILlTIESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />,.h~~Tt~~" 'i(),~Jmpact F'~es and Reci)urseRecovery Fees may apply to the construction of neWbUiitlingsi changeo!
<br />y~~m~~is..j.lil~ings, or,~xpa",sion ofexistirlg buildings, as specified in Pasco County Ordinance nUmber89-07 and
<br />'~9c-()7iaslil.m.~~~~tl~ The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br />p~thiitting,ltl~:(IJHher understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />re?eiVing aN::e~ifjcate of occupancy" or final power release. If the project does not involve a certificate. of occupancy or
<br />fin~1 power rel~~se,. the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fe~s are due,m~Xlllust be paid prior to p$rmit issuance in accordance with applicable Pasco County ordinances.
<br />CONSTRUCTI()N LIEN LAW (Chapter 7.13, 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 that a separate permit may be required for electrical work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br />permit issued shall be construed to be a license to proce~d with the work a~d not as authori~y ~o viol~t~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the BUilding OffiCial from thereafter
<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 Offlcia! for a period not t~ exceed mn~ty \90) da~s and Will demonstrate
<br />justifiable cause for the extension. If work ceases for mnety (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 A ORNEY BEFORE RECORDING YOUR NOTICE OF C MMENCEMENT.
<br />FLORIDA JURAT (E 117.Q3)
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<br />~ .;:\ ~ -Il.--'-'-- Notary Public
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<br />Commission No. ~,~~, Karen L UillAr
<br />{~ \~ commissiOn # 006Q9664
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<br />Name of Notary ty
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<br />.-r.:::-.,~ 0t~i.Q.~
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<br />Notary Public
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<br />Name of Notary typed. print
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<br />Commission No.
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