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<br />\1'l~.!9.~." "~.~~D RESlRICTIONS: The undersigned understands that thts permit may ~sl!~jedJ? .~~."!'~!t!\s\\Ii;\ion.~"
<br />!'t.r~l~:;t:t:~"e than County regulatkms. The unders~ned assumes resPQn~lbllity fortam}li~:;:mi~.!1X
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<br />.. , ':__':' '$~Q.c;q.t:l~TRACTORS AND CONTRACTOR RESPONSIBILITIES:. Ifthe.o\\1ner..has.Nfe.a.ayontf~btQf of
<br />'-':,~ ..~ "~~rtake work, they may be required to be licensed in accordance.Wlthst~,~,~~~J()?~Lf~~41~ti?iiSLJtthEi
<br />'licensed as required by law, both the owner and contractor m~Yb.e9it~~fdt:~Iij.I~d~tri~~B~tVlpiatl~~
<br />:,:I.fthe owner or Intended contractor are uncertain as to whatIi9t)iisin~,it~~u.ir~T~rl~:TaYa~(JIY,f~ftRe;
<br />'e.yare advised to contact the Pasco County Building Inspectlol'l [)ivi~i()n";UCe~~i6g..~.~a.ti61i~II?7;'81t-
<br />9~~' if the owner has hired a contractor or contractors, he IsadvisedJbh~ye~hep6~tt~cldHs).Sigti
<br />. (jntractor Block" of this application for which they will be responsible.. Ifyou,asthet>wn~rsigry aslhe
<br />e6Jr~9tg"~'1 be an indication that he is not properly licensed and is hot entitled to pefi'l1iUingptllJiieges ih Pasco
<br />'hly".:.,'> .... ,..
<br />..~tI~~~ .. 'iJ.!"Il IMPAllTIUTILmESilMPACT AND RESDURCE RECOVERY FEES; Th~ uhder~lgn~d uhderslahds
<br />)tM~,-t~i1.. '. . "Impact ~res and Rec?urse Recovery Fees may apply to the cohstruction of new bUiidings, change of
<br />;j9~~m:~~i~ti ..... ...... )Igings, o~expansion of existing buildings, as specified in Pasco County Ordinance~u.mber89~07 and
<br />!~9:-0has~me9.pe9' The undersigned al~o understands, that such fees, as may be due, will be identiped at the time of
<br />. p;~r~iWr1g.!;I~"t~ity~her understood that Transportation Impact Fees a~d Resource ~ecovery Fee~ must be paid prior to
<br />re~elvlng a~peftlficate of occupancy" or final power release. If the project does not Involve a certIficate of occupancy or
<br />fin~1 powerreie~~~, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fees are due, they must be paid prior to permit Issuance in accordance with applicable Pasco County ordinances.
<br />CONSTRUCTiON 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 beeited 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 proceed with the work and not as authority to. violate, 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 the work is commenced: An extension
<br />may be requested, in writing, from the Building Officia~ for a period not t~ exceed nin~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.
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<br />FLORIDA JURAT (ES. 117. ) All ^ II AA.# ~
<br />CONTRACTOR dV Lt:/r~
<br />Subscribed and sworn (or affirm ,d) be e me h
<br />2-13-0'7 by ~ Ail
<br />Who Is/are personally kno to me or haslha e produced
<br />as identification.
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<br />
<br />Notary Public
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<br />
<br />E BOGES
<br />;'" ..~j Expires December 12, 2010
<br />~~iif::':"\~"'''' Bu,~ T'Il1U [IVY 1Icd111:mtultlfIW ~/Ull:f
<br />
<br />Notary Public
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<br />Name of Notary typed, printed or stamped
<br />
<br />Name of Notary typed, printed or stamped
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<br />J5~O- gl b --It; /--0'7 ~-O
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