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<br />.N:JIGE.,QFlDt=EDRESTRICTIONS: The undersigned understands that this permit may be subject to jjdeed"J~sifli:::tiohsii '.
<br />." i~fr'~~,',more restrictive than County regulations. The undersigned assumes responsibility forC()n,pli~nC~i~l.t~~hY
<br />....... ..... ..~~~fe~trlctions. ,- " " .... ',. . " >i:.i1'
<br />'1~~N~~~;P(jNTRACTORS AND CONTRACTOR RESPONSIBILITIES: If t~e .0~perhasNfed~ 9ohtfa?!.pffW'
<br />..Jt~~~(ir~"';;;'~ei'take work, they may be required to be licensed in accordancewlthst~tei.a6ct.lo.p~I.t~QYlaWjiis;:)lf{A~'"
<br />~tr~~.. "!i<?E3nsed as required by..law, both the owner an? contractor m.~~~~;e<Rit~~f(:)t~.!n!$5j~nt~~;B,8ti~I(:j!~H()~
<br />J~l~ '~~r~ :~I:~~rt~n~~~~:J: ~."~:~~: ~:~t~~~ddih~S,~~p:'i~~I'b'~~:w~~~@l~~~;r:~~t~~r
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<br />~6p.~,~.; 'W'e, if the owner has hired a contractor or contractors, he isadvisedJ.bh~veUie(j6rtrac{or(stsI9ti '
<br />p-~tltractor Block" of this application for which they will be responsible.. ifyou,asthe~wn~fsi9.~ as the
<br />9..J., <ay be an. indication that he is hot properly licensed and is not entitled to perhiitting ptiviiegesln Pasco
<br />CoUnty,' ','
<br />'Ns~(r'1'r' TiC)N IMPAGT/UTILlTIESclMPACT AND RESOURCE RECOVERY FEES:. The undersigned Uhderst. ends
<br />.:th~~:rta~s ',n Impact Fees and Recourse Recovery Fees may apply to the construction of new bulidings, change of
<br />'\.Js~JIl~xis' UilClings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br />~O:~Oti.~S~"",.~~. The uhdersigned also understands, that such fees, as may be due, will be identified at the time of
<br />, P~trnihing.I~J~Jufther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />re?eiving. a~~~tlitlcate of occupancy" or final power. release. If the project does not involve a certificate. of occupancy or
<br />finl3lpower rel~~se, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fe~s are due;J~~y,.must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br />CONSTRUCTI(jN 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 s.eparate perm~t. may ?e requir~d for elect:ica.1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n~luded. In the application. A
<br />permit issued shall be construed to be a license to proce~d With the work a~d not as authon~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~mg 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 Issu~nce, or If work authonzed . 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.
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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.
<br />FLORIDA JURAT (F,S. 117.0 )
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<br />OWNER OR AGENT
<br />Subscrib nd sworn to (or rm efore me this
<br />-2; by
<br />o Is/are personallY known ta.me or has/haye produced
<br />, as Identlflcatton.
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<br />
<br />ONTRACTOR
<br />Subscribe!:! jlnd sworn to (or affirmed) before me this
<br />1i;19-D5 by
<br />o Isl.at9 p",r'l'QP'OlIly..known to me or haslhaye produced
<br />as Identification.
<br />
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<br />
<br />Notary Public
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<br />~..AA
<br />j'~' .. . '\ AC LINE SOGES
<br />Comml"lo" . --'& ~ CIl~saa
<br />',,':f.....li<;".l Expires December 12 2010
<br />',P,r.I~\\" Bonded Th", Troy Fain lruulJ'JlIlNlo &00 9851'
<br />011:1
<br />Name of Notary typed, printed or stamped
<br />
<br />Notary Public
<br />
<br />E SOGES
<br />'. . .issi[')" DO 621833
<br />Name df.f'Jot.1y~~~;'R~~t~~~';~9
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<br />Js~o.- glb-0( -01~-D
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