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' From: , 09/22/2011 09:10 #520 P.002/002
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<br /> NOTICH oF DEED RESTF2ICTIONS: The underelgned understands that thls.pefmlt may,be.subJeot to"daed"testrlctlons"
<br /> whlch mey be more restrictive lhan Counly regufatlons.. The underalgned assumes resPonslbllilyfdr eomplfance wRh eny
<br /> appllcable deed restrlc(Ions. � "�... � . ; , • ,-, _ `
<br /> UNLICENSED CONTFtACTORS AND CONTRACTOR.RESPON$IBILITIES: If the owner has hired a contractor or
<br /> contractors lo undariaka work,they may be required to 6e licensed in eccordance virith s(ale and local regulallons. If lhe
<br /> contractor is not Ilcensed as requlred by law, tioth lhe owner and contrecloi may he ciled for a misdemeanor vlolatlon
<br /> I under state lew. If the owner or intended_can(ractor aie unpsrtaln as ko what Ilce�si�g_requirements mey apply for the
<br /> � Intended work,they ere advised to conlaot the Pesco Courity Building Inspectlon bivlslon-=-Licensirig 5ectlon at 727-847-
<br /> 8009. Furthermore, if the owner.has hired a:contrac.lar.or.:contrecto�s, he Is.advlsed,to.hav.e the contraclor(s) sign
<br /> portlons of the "contrector Block"of this applicatlon:foi whlch`.they will be.responsible. �If,ypu;�as ihe owner slgn as the
<br /> contractor, that may be an Indicatlon lhat he I's not properly Ilcensed.�n,d Is nbt entllled to permlit(ng prfvlleges In Pasoo
<br />� � County. ; ,. :: �- .
<br />, TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE90URCE RECOVERY FEE$"7he undersigned underslands
<br /> thet Transpo�taUon Impecl Fees and Recourse F2ecovary Fees mey apply lo,the conetruclion of_new buildings,change of
<br /> use In existing bulldinga, or expanslon of existing bufldinga,as speaifled In:Rasco Counly Ordlnance numberB9-07 and
<br /> 90-07,as amended. The undersfgned elso underatends,Ihat auch fees,;'as ri�ay be due,Vvlll be Identlfled at the time of
<br /> permltting. It Is further understood lhal Trensportallon Impect Fees end Fteaource Recovery Fees must be pald prior to
<br /> recelving a'certiflcate of.occupanc�J'or flnel power release. If the proJect does not involye a certl0cata of occupancy o�
<br /> flnal power release,the fees must be pald prlor io permlt issuance, Furlharmore, ff Pasco County 1Nater/Sewer impact
<br /> fees ere due,they muat be paid prlor to permlt issuance In a�cordanoe wlth eppllcable.Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florlda 9Eatutes,as amended): If veluatlon of work Is$2,500.00 or more, I
<br /> certify ihat I, the epplicant, have been provided with a copy o( the 'Flortda Construcllon Llen Lew—Homeowner's
<br /> Prote�lion Gulde"prepared by the Florlda Depedment of Agrtcullure.and Consumer Affai�s. If the.aPPlfoent Is someone
<br /> other than the'owner", I certlfy Ihat I have obtalnad a copy of the ebove described document and promise In good felth to
<br /> deitver it to the"owner'prior to commencement.
<br /> CONTRACTOR'SlOWNER'3 AFFIDAVIT: I cerUfy lhat all itie Informallon In this.applicalfon is accurate and lhet ell work
<br /> wlll'be done In complfance wilh all applicable laws ragulalfng conslnicllon,zoning and land.development. Appllcation Is_
<br />, hereby made to oblein a .permit lo do work and,•Installatlomas indloat�d., I certfiy.that`no;work or fnslallallon hes
<br /> commenced prlor lo issuance of a permlt and'that'al6.vuork'wllf be{iet(or"tiied to meet stpnderd`s�of ell lews regulaUng
<br /> �onstrucdon, County and Clty oodes,,zoning regulationsl,end:fand development.regulaHons In the)urlsdlction. I alSo '
<br /> certffy that I Understend lhet the regulatlons°;of'otfier,goVerrirrient ag�ncle9.inay epply;to.lh,@ In(end'ed work,and that fl is
<br /> my responsibility lo Identffy what ecUons l must'feke tq'be:In;oompliance. ;5ucfi'a�encies:include but�are not limlled to:
<br /> - Department of Enviroiime�lal'PYo(eollon�Cypress�_Bayheads, SNetland Arees ahd�,Environmentally Sensitive
<br /> Lends,WaterNVestewafe�Treatme�L � �; � ' , 'j�''�' �
<br /> - Southwes! Florlda �Weter'Mariagement.;Dislrict-Wells, 'Cypress'':Bayheads;.`, WeUand Areas, Altering
<br /> Walercourses. „� Y 4� < : :.�:.; .. ; . , ,,, �`
<br /> - Army Corps of Engineers-Seawalls,Docks,.Nav(gable Waterways: ;� ' ,'� �'�` '�
<br /> - ' Department of Health & Rehabllltati`ve Servlces/Environmental HeallF��,UriIE'Welis, Wastewater Treatrnent,
<br /> Sepl(aTanks. - ;, ._
<br /> � - US Environmenlal Protecllon Agency-Asbestos abatement;`'';"', ' ' '
<br /> Federel Avietion Aulhority-Ruriways. • � . � ' ' ��
<br /> I understand that lhe following restrlcUons apply to lhe use of flll:• � �'�"`�"� � ' " ' ' ,
<br /> - Use af flll fs not allowed in Flood Zona"V'unieas expressly"p�ertrillted: � •" '
<br /> - If the illi malerial Is to be used In Flood Zone'°A", tt'7s�undetstodd�tFiat`a drairiage plan addressing a
<br /> ' 'compensating volume"wlil be submllted at Ume of permltiing Wh(oh(s`prepered by e profeesional engineer
<br /> Ilcensed by the Stete of Florida. ' � ' .
<br /> - If Ih�flll materlal Is to be used in Fldod.:Zone'"A" in connectlon wfth,a'permlHed byllding using elem wall
<br /> � construction,I ce�tify that fill wili be useiJ,o�tly l'o flll the a��a 4uilfiln the'slem'wall,� � � '
<br /> - If tlll meterial Is to be used in eny,,erea, L certify lhaf use bf sucFi iill;wfll triot,edverse�y aftecL edJacent
<br /> propertfes, If use of ftll is found{o.edversely effept ed)acen(,propertles,ltie ow�er may be olted for violaling
<br /> lhe conditions of the building perm(t Iss'ued`unde�the aNached permit spplicalion,''fo�lots less lhan one(1) -
<br /> acre which ere eleveted by flll,an engineered dralnage plan Is required.
<br /> If I am lhe AGENT FOR 7HE OWNER,.I promise,ln'good:fefth to infortn,tfie owner of the"permlHing condftlons sat forlh in
<br /> this efTidavlt privr lo commen�ing consUuctlqn.,:l unde�staritl ihat e sQparale perinll inay be recjulred ibf electrlcal work,
<br /> plumbing, signs, welis, pools, alr condltloning,�gas, o�other Installalf4ns.:nol speciticallylncluded in lhe applicatlon. A
<br /> permll Issued shall be construed to be e Ilcerise to,pioceed with.the work�a�d riot as.authority lo violate,oencel, elter,or
<br /> set aside any provlslons of the te�hnicai co,des;rior shall issu$nce o(a;pe�mlt,preyent tFie;Building'Offtclal from lhereafter
<br /> requiring a correcUon of errors_fn;plens,�onslr,iiotion o�'vl,olalions,of.'any.00des.;Eve.ry.perriilfissued shell become invalld
<br /> unless the work authorized by such_permit,ls co�inmenced=wltFiln.slx rimonlhs of permlt Isauepoe,�or ff work euthorized by
<br /> the permtt Is suspe�ded or abendoned,fo�a Reiiod�of six-(e);inonlhs ailer the,,iime ttie:wqrk`Is;commanced. An extension
<br /> may be requested, in wriling,from ihe 8ullding,Ofijcfal.�fqr:a perlod:not;to,:exceed ninely(SO).daye end wlll demonstrate
<br /> Justifiabie cause for the exlension. If work ceases fo�nine[y(90)consecuHJe.deys,th�Job._,consi ered abandoned.
<br /> WARNING 70 OWNER: Y FAILURE 70�RECOR�?.-A;NQTIC�;OF`�COMM .•CEIVI T M RESULT IN YOUR
<br /> PAYING 7VVICE FOR! OV ENT9 70 YOUR PROPEFtTY. IFYOU INTEN TO'� AIN F ANCING,CONSULT
<br /> T Y UR LEND pR E FO C D G OT E OF GE EN
<br /> FLDRIDA JURAT(F:S.11 . 3) :
<br /> OYVNER OR AGENT , CONTRACTOK' `", ` . , �- -
<br /> 3ubsalbed and swom la(o d)befare me Ih(s Subscrlhed andibswom to;( r aft'um )before.me Ihis'
<br /> bY . . �- . � . . .
<br /> Who Is/ere personelly knovm to or hasll�ava produced W�w Islere personalty known to me o ha eve produced
<br /> , as Identlficellon. ' :' ' as Menqilcalion:
<br /> • Nola'ry Publio, , . . . . ,. Notery Publlc
<br /> . Cammisslon No. � -Commisslon No. - ,
<br /> Nama of Notary lypad,pAntad or stamped Name of Nolary ryped;prinled ar stamped
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