�
<br /> NOTICE OF DEEDB��T�|�TC��� ' "
<br /> ' bea�tJeotto'deed",restrictions",
<br /> »vh�hrhaybe more reo�k��ethan C»u �d�rs\gnad understands that this permit n�@y '- --- for oevvKba»V
<br /> appUnabkadaednaathc�ona. ,��dona Theundgre\gnodaaoumuearasponumu/"v ~~'''''—.
<br /> UNLICENSED C[�NTRACT0RS �\NQK�0 � r
<br /> m r as hired acon�uotoro
<br /> contrao�netoundehake work, they may benoqu/. l�E���NSl��lLDlES: if the
<br /> owner nd \u�dn»gu\�dona. �the
<br /> con�antoris not licensed eo required by |aw bo �m din �000rduncevv�hststean violation
<br /> ' " "�e \icanse b� cited for a misdemeanor
<br /> under state |uw. If the owner or irtended contractor ainer and contractor may may apply for the
<br /> intended work, they are advised to contact the Pasco C - what licensing requirements
<br /> Oun,-)Ttain as to
<br /> ` ensing Section at 727-847-
<br /> 8009. ru/u/e' nme, if the owner has /meu u uv/u/autu/ u/ �mQ o`sp=^""' Division— or(s) s/S`
<br /> portions of the "contractor Block" of i is�app|ima�on for which thstose \a advised to have the contract
<br /> �
<br /> e owner as the |
<br /> oon�aotor, that may be an indication he not properly |ioenoa6 be responsible.
<br /> \f You'ao zo in Pasco /
<br /> C»Unb/' ' that 'e ' '�ionot.ent�edtopeirn��ngprivileges,
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE Fitt, FEES: The undersigned unden�ands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply tollpy
<br /> n of new buildings,
<br /> use in existing buildings, or expansion of existing buildings, as specifiedinPauoc-
<br /> Ordinance Durnbe/ u:-u' and .
<br /> 90-07, as amended. The undersigned also understands, that such fees;,,as may b'b,,.,le will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees andR
<br /> receivin~ ncy or
<br /> final power release, the fees occupancy"te of must be paidr final prior release. If the project d0'es not permit issuance. if `u c"~^--'- impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicab% 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 /> c""'x that '. the ~pr'~~'^ have been provided with - --,` - the "Florida ------~~ ' L" . L"~ ''---- `
<br /> Protection Guide" prepared by the Florida Department ofAgriduhona-and Consumer Affaia If the applicant |osomeone
<br /> the"owner", | dU� that | h obtained of b described dpnurnenl In-goodfa�hbo
<br /> other than � mwne . certify aven ne acopy e �above esor ��dpnor��a
<br /> deUver|tto the"oxxnm/' prior hmcunnnnenoennenL \1
<br /> CONTRAC7[OR`SIOWNER|'S AFFIDAVIT: | certify that all the information in this application is ao;urate and that all work
<br /> will be done in compliance with all applicable laws regulating oonetruobon, zoning and. land develoPment. Application Is
<br /> hereby made to obtain a permit to dw work and installation as indicated. \ certify that no work,hr-Is�8n� abo has
<br /> commenced prior to issuance of a permit and that all Work will be performed to meet standards cf,al\`|awa regulating
<br /> construction, County and City. nndas' zoning regulations, and )and development regulations,|nthe ju;hadiotion. | also
<br /> certify that | understand that the regulations of other government agencies may apply to the intend nd i�ork, and that it is
<br /> responsibility Such agencies include but are not 8m�adto:
<br /> Department of.0yreapon .
<br /> ' ---' ----�''^ Environmental Proteot|op-Cypress Bayheads,.VVntiand Areas and Environmentally Sensitive
<br /> [a.da.VVa1er�VaotevvatorTreatn�ent.
<br /> ' Southwest-- Florida Water Management Disthct-VVe|hs, Cvornoo Bmvheoda, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks. Navigable Waterways. `
<br /> - Department of Health & Rehabilitative. Se
<br /> Septic Health Unit-Wells, Wastewater Troetment.'
<br /> BeptioTanka. `
<br /> - US-Environmental Protection Ayenoy-Aoba8toaabatement.
<br /> - Federal Aviation Authorhy-Runwoya.
<br /> \ understand that the following restrictions apply to the use offill:
<br /> - Use of fill is`not allowed in Flood Zone"V" unless expressly pennitted`
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a '
<br /> "connpnhsobng volume" vvUibasubnn\ttedetbrnonfpermittingVvh\uhioprepargdbvapnfeaa|unedeng\naer `
<br /> licensed bv the State OfFlorida.
<br /> - If the fill rnoteha| is to be used in Flood ZoOe "N' in connection with o 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, \ 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 |aaa than one U\
<br /> acre which are elevated by fill, an engineered drainage plan \orequired. _
<br /> \f \ ann 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. | understand that a separate permit may be.required for electrical work,
<br /> plumbing, oign�. wells, pools, air conditioning, gas,,or other installations not specifically included in the application. A .
<br /> permit issued
<br /> �shall be construed tobea license to proceed vvhh,the work and not am authority to violate, cancel, alter, ur
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correct!nnof errors-in plans, oonsbuoUonnr violations of any codes. Every pemn�issued ahaUbeuonne \nwzUd
<br /> unless the work authorized by such permit is commenced within six months of permit |osuanne.�nr if work authorized by
<br /> the permit ig.suspended or abandoned for aperiod,oƒsix (G) months after the time the Work iocommenced. An extension
<br /> may be requested, in vvriting, from the Building Official for a period not to exceed ninety (SU) days and will demonstrate
<br /> ` justifiable cause for the extension. If work ceases for ninety (90) consecutive days,the job is considered abandoned.
<br /> `
<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 FINANCJNG, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEYBEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.'
<br /> FLORIDA^un°/ (,n .., °) .
<br /> OWNER OR AGENT
<br /> .
<br /> �
<br /> ""=^ be"and Subscribed and sworn o(or affirmed)before"=this
<br /> by
<br /> Who islare personally known to me or has/have,produced vv6n�mse personally known to me or has/have produced
<br /> ��-
<br /> Identification.~ de�.~==" '
<br /> '
<br /> Notary Public
<br /> '
<br /> `
<br /> . '
<br /> Notaryr"""^
<br /> `
<br /> �Com(llssion No Commission No.
<br /> �
<br /> '
<br /> .
<br /> Name of Notary typed,printed or stamped Name of""a'x typed,printed or=='pe" / '
<br /> `
<br /> YW `
<br /> Michelle Moyes
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