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<br />..... N~.tlg~,~F~~.~ED'RESTRICTIONS: The undersigned understands that this permit mayb~ subjedto"d~~q,jf~stri9tionsjj,
<br />'n< . ',' t,U?re restrictive than County regulations. The undersigned assumes responsibility for60mlill~nCej~ltp~tiY.
<br />'ca,re~trictions. '.' . '.' '... ........ .i'iii:' .
<br />"~ "P:t;j~TRACTORS AND CONTRACTOR RESPONSIBILITIES: Ifthe.o'1ne...hasri.f~da#ontr~plar6f'.,.'\
<br />~.ertake work, they may be required to be licensed in accordance wlth.sWtb~ndl~9~Lf~~91~til)ii~,.lft~e ""1
<br />'..licensed as required bylaw, both the owner and contractor m~Ybei?a~d..fo,~ami.sd~h1~,~~8rVI~laHqHf
<br />.,......10he owner or intended contractor are uncertain as to whatliq~nsin~t~~Hir~T~~t~m~Y:~~fJlY,f~rtM"! <
<br />~c.~x are advised to contact the Pasco County Building Inspection Divisiort' Li6~tiSiil9?~qUofi~tt~t:'84t;. '."
<br />'i"...pre, if the owner has hired a contractor or contractors, he isadvised,Hj ha~e th~?B~tr~~{8fts)slgli'
<br />tti2~s.~f,,{79~ntractor Block" of this application for which they will be responsible. . If you,as.thebwli~fsig~~S. the
<br />~h~~;~I~~~2r be anJndlesUon thaI he Is nol properly licensed and Is nol endUed to j>e'initling pflVll~g..lh pas""
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<br />,..,....'~~f;i,""."' '....i9N IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:, The undersigned Uhderstands
<br />"!t~~tTi'~ijs'nJmpact Ffi!es and Recourse Recovery Fees may apply to the coilstruction of new biJiiciings, change of
<br />:i,:;,4~ij ipE!~is Uildings, or,expansion of existing buildings, as specified in Pasco County Ordinance number. 89~07 and
<br />.'8Q:-07, as'/ .i~i:L The undersigned also understands, that such fees, as may be due, Will be identified at the time of
<br />i>~tinittirlg.lt;l~t~i1her understood that Transportatioil Impact Fees and Resource Recovery Fees must be paid prior to
<br />re?eiVinga~.p~~iflcate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br />fiilfll. powerrel~~se,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fe~s are due,J~~Xll1ust 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 "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 ~nstallations not specifically in?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 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 BUilding OffiCial from thereafter
<br />requiring a correction of errors in plans, construction or violations of any codes, Every permit issued shail 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 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 BEFOR RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F,S, 1X.O,~). f\ AA .'-'
<br />OWNER OR AGENT .:d{)W~ CONTRACTOR
<br />Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me thi
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<br />Who Is/are personally known to me or haslhave produced Who Is/are personally known to me or haslhave produced
<br />as Identification, as Identification.
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<br />Notary Public
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<br />Notary Public
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<br />Name of Notary typed, printed or stamped
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<br />Name of Notary typed, printed or stamped
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