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<br /> � i : ---- . . ,. . ��-.��:�..:
<br /> - - � I
<br /> NOTICE.OF DEED RESTRICTIONS: The;undersigned,understands.that..this permit.may be,swb'ect.to".de�d"..'�"`'.'�'`'' ���^2'`�'
<br /> which;may,.;be.more.r,estricti�e.:than{Gounty cegulations: The:undersigneci�;assumes>res ,onsibili..,=for:cam`�lia'n.'c Swith ann'�"� �
<br /> p � p ;..;�,,,�f�...�-�..,,:����
<br /> applicable deed 'cestrietions. � I y
<br /> 1..�..".. .�.� -r.�' _' ."�5 K:o-i
<br /> UNLICENSED:-CONTRACTORS AND` CONTRACTOR RESP.ONSIBIGTIES:- "If=fhe�-own�er��has° liined'u a��contractorf oc���
<br /> contractors to undertake work; they,may:be�required to be�_licensed in accordance with:state�and�loeal:;r,egulations:`��IfY.the��`";
<br /> contractor is not.licensed:as required by�law, both the owner�and'contractor:rriay�6e��cifed for a misdemeanor violation- �:
<br /> under state law. If the owner or intended�,co�t[actor are uncertain as to what•licensin ce uirements.,rna���� � � .•.� : ,� ' ;�-_;Z_
<br /> ,.:1.
<br /> intended work, they.are advised to confact�tiie`Pasco County Buifding Inspectiori°Divisio;.:Licensing Section at727-`Sth�e � _
<br /> 8009. Furthermore, if the owner has"hired'Ta contractor�or contractors, he�is advised'to;.�have the:contractor s:�,s�n: �.�.
<br /> portions of the "contractor Block"„of this.application for which.they_will kie:responsible:-:-If:you,as�theti.oViine�`�si`n�'as��tlie�''=�`:
<br /> � )_ 9.:,k�-.,.
<br /> contractoc, that may 6e an indication fhat fie�is not prope�ly�licensed:"anii-is not en`titled�to errriittin �� �" 9 " '
<br /> County. � , p , g privileges_in;Pas`co;,-5;�i;;
<br /> TRANSPORTATION IMPACT/UTILITIES�IMPACTAND RESOURCE RECOVERY'FEES:`The�undersi,ned understands --.:-,
<br /> that Transportation Impact Fees and Recourse Recove Fe:es:�ma .,a I �to the construction of,.new,bu9dings, change:of�5;;:i�
<br /> ry Y PPY_..,_. <_-:.,��:. .-
<br /> use in existing buildin.gs, .or:expansion:.of�:existing�buildings, as specified in Pasco Counfy�Ordinance number 89=U7:and�:';:
<br /> 90-07, as amended. The undersigned also.understands, that,such.:fees,.as'ma y,be,du e, wi l l,"be�i denti f ied af�the=�tirne>�of.�"'�';
<br /> permi tting. �I t is further understood that Transportation�impact:Fees-��and Resourcer�Reeovery.Fees must be paid pcior.to�� , '
<br /> receiving a "certificate.of occupancy" or final,:power release. If.the project does not inv.qlve:a certificate of aecu anc::;or��=t;'�;�1
<br /> final power release, the,.fees�must�be:.paid prior to perrrii� issuance.,y;FurtFier.more,.if Pasco Count Waten/Sewe;�Im ast.:r��'
<br /> fees are due, they musf be.paid prior:to permit issuance in'accordance with�applicatile�P'asco:County ordinances. P� y� }
<br /> CONSTRUCTION-LIEN�'LAW(Chapter 713;Fiorida Statutes,as amended): If valuation of work is$2,500.00..or_moce;Tl;�::�.�
<br /> certify that I, the applicant, have .been-.provided with a -co of, the '"Florida Construction.�Lien-..Law=Homeowner's
<br /> PY.;,: .. . ,,,°°,. ,,
<br /> Protection Guide" prepared by ttie Florida Department of Agriculture and Consumer�Affairs. If the applicant�is.someone�=: �
<br /> other than the"owne�',`I-certi that.l�have obtained a copy of the above describeci`clocument�and romise�in, oo,d;:faitli;,to
<br /> fY- .,,.i...,f,�_..;:i:.,
<br /> deliver:it.to the."owner°�prior�to-coinrnencem�ent:' � � � � - �p� �� � -: .. g �
<br /> CONTRACTOR'S%OWNER'S AFFIDAVIT:r=-I�.;certify_that-all the infor;mation in.this application is accurate and'that all`wo�k
<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 pe�mit and-that all work will be pertormed to.meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development-regulations`in�the jurisdiction: �I:�also �f
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is 4
<br /> my responsibility to identify wFiat actions I must take to be in compliance. Such.agencies include,but are not.limited.,to: , ��
<br /> r Department of Environmental.'Pr�otection-Cypress Baylieads, Wetland Areas and Environmentally.Sensitive
<br /> Lands,WateNWastewater Treatment..
<br /> - Southwest Florida Water Management District-Wells, Cypress .Bayheads, Wetland Areas, Altering r
<br /> Watercourses. 'i
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable VI/aterways. ,�
<br /> - Department of Health 8� Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater 7'ceatment,
<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 pre pare d by a pro fessional engineer
<br /> license d by the State of Florida I
<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 fiIF inaterial is to :be used in any area, I certify that use of such�fill will not adversely afifect adjacent
<br /> properties. If use of fill is found to adversely affect-adjacent properties, the owner may be cited for violating �
<br /> the eonditions of-the building perrnit.issued under the attached-permit application, forlots less than one (1) '
<br /> acre which.are elevated by fill, an engineered drainage plan is requi�ed.
<br /> If I am the AGENT FOR THE,OWNER,�I promi'se in good faith to inform the owner of,the permitting conditions set forth in z
<br /> this affidavit prior to commencing consfruction i I understand that a separate permit may be required for electrical.work,
<br /> plumbing, signs, wells, pools, air conditioning,'i gas, or other installations not specifically included in the application: A -
<br /> permit issued shalY�be construed•to�be a license.to.proceed with the work and not as authori.ty.to violate, caFlcel, alter, or
<br /> set aside any provisions of the technical codes,!nor shall issuance of a permit prevent the Building Official from theceafter �
<br /> requiring a correction of errors in plans,=:constru'ction or violations�of any codes. Every permit issued shall tiecome invalid
<br /> unless the work authorized by such permit is c�'ommenced 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 i�`commenced. An extension
<br /> may be requested, in writing, from the Buildingi Official for a period not to exceed,ninety(90) days and will demonstrate 4
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned: "
<br /> I �
<br /> WARNING TO OWNER: YOUR FAILURE TO� RECORD A,NOTICE OF �
<br /> PAYING TWICE FOR IMPROVEMENTS;TO YO.UR.,PROPERTY. IF YOU:�INT ND TO OBTAIN F MANC NG CON ULT
<br /> WITH YOUR t'ENDER OR AN ATTORNEY BEFORE�RECORDING YOUR NOTICE OF=COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. 117.03). _ '
<br />� , • - — -- --,�
<br /> 01Nfd�EFt OR-AGENT — � � CONTRACTOR
<br /> Subscribed and swom to(or affirtned)before me thls Subscribed and swo r affirmed)before me this ,
<br /> by � —//—�
<br /> Who Is/are personally known to me or has/have produced � ` Who is/are p rsonal k�iwn to me or has/have produced
<br /> as idendfication. I
<br /> as identification.
<br /> I
<br /> Notary Public � �.j�
<br /> Commission No.
<br /> i Notary Publlc
<br /> Commis ion
<br /> Ii �4�Y.P••, JACQ
<br /> ,o. .;�.,
<br /> Name of Notary typed,printed or stamped � _ �:= Commission#FF 150422
<br /> Name of Mota ' , eg�r� g� er ,
<br /> � �'%;oF F�°Q'� Bonded Thm Troy Fein Insursnoa 800•3857079
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