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<br /> . . , .
<br /> . . .
<br /> NOTICE [xF DEED RESTRICTIONS: /eundem|gnedunderstandathetthispeDnitmaybeo4bientto"deed" restdctionnC
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for -- np|banca with ~' xapplicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTBACTOR FESPCNG)BlUT/ES. If owner has hired a c ontnsctpr or
<br /> contractors to,undertake work, they may be required to be licensed in accordance with state and-local regulations. If-the
<br /> contractor is not-licensed as required by |aw, both the owner and nontruotor maybe cited for a misdemeanor violation
<br /> under state law. If the owner or intendad-uontnactorare uncertain as to what licensing requirements may apply for the
<br /> intended vvork, they are advised bo contact the Pasop County Building Inspection Diviaion--Licansing Section at727-847-
<br /> ' 8009. Furthermore, if the owner has hired a contrautor or oontractora, he is advised to have the contractor(s) siOn
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as th�
<br /> contractor, that may be an indication that haia not properly licensed and is not entitled tu permitting privileges,in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buUdingo, or expansion of existing bUi|dings, as specified in Pasco County Ordinance number 88'07 and
<br /> 00'07. as amended. The undersigned also undorstandG, that such fees. as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation |rnpanL Fees and Resource Recovery Fees, must be paid prior to
<br /> nsoa|vinQ a ''oerU�caba of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power re|a�se, the fees must be paid prior to permit issuance. Furthermore, if Paaco-CountyVVater/Sevver Impact
<br /> fees are due,they must bepaid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, amornended): |f valuation ofvVorhis $2.50O.00urmore, !
<br /> certify that i, the appDcant, have been provided with o copy of the "Florida Construction, Lien Laxv--Hnnoeoxvoar'a
<br /> Protection Guide" prepared by the Florida Department ofAgriuu|ture.end Consumer Affairs. If the applicant is someone`
<br /> utherihanthe"ovvner'. | pedjfyMhaL | haveobta\nod000pyoftheabovodesnribaddooumentandpronn|saingoodfaithto
<br /> deliver ithz the"owner' prior tocommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is uoouro1e and that all work
<br /> will be done in compliance with all applicable laws regulating conatructinn, zoning and. land development. Application is `
<br /> hereby mode to obtain a permit to do work and |nota||a1|nn as indicated. | certify that no work or installation .has
<br /> nunnnnonued prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> conotnuction. County and City codes; zoning regulations, and land development regulations. \n the jurisdiction. ( also
<br /> certify that ! understand that the regulations ofothe� government agencies may apply to the intended work' and that � is
<br /> [' |bilUvtoident what Such my responsibility identify .
<br /> - Department ofEnvironmental P rote ntion-Cypress Beyheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> ' Southwest Florida Water Management Dietdct4No||e, Cypress Bayhesds, Wetland Areas, Altering
<br /> Watercourses. .
<br /> - Army Corps ofEng\neera-8eawaUe. Dooko. Navigable Waterways. '
<br /> - Department of Health & Rehabilitative. Sen/ioeo/Environnnonta| Health Unit-VVeUs, Wastewater Treatment,."
<br /> Septic Tanks. _
<br /> - US-Environmental Protection AAancy-Aabe8tnoabatement.
<br /> ' Federal Aviation Authnrhy-Runways. .
<br /> \ understand that the following restrictions apply to the use offill:
<br /> - Use of fill ia not allowed in Flood Zone "V" unless expressly pernniUad`
<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 o pr0fasb|wna\ engineer
<br /> licensed by the State OfFlorida. .
<br /> - if the fillmaterial is to be used in Flood Zone "N' in connectionwith a permittedbU|[ding using stem vvaU
<br /> construction, \ certify that fill w' III 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 \aam 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 anmomn prior to commencing oonotruot\on� understand may un�e �anU that a separate permit be.required for electrical work,
<br /> p|umbing, eigns, wells, poo\e, air conditioning, gas,,or other installations not specifically included in the application. /\
<br /> permit issued shall be construed to be a.license to proceed with-the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance ofa permit prevent the Building Official from th�raa�er
<br /> requiring aoonectionofenore |n plans, construction nrvin|adonsof any codes. Ev�ry permit issued shaUbeoomeinvalid
<br /> unless the work authorized by such permit is commenced within six months of permit |nsuanOa, or if work authorized by
<br /> the permit is suspended or abandoned for a period,,of six (6) months after the time the Work is commenced. An extension
<br /> may be roquaated, in writing, from the Building Official for a period not to exceed ninety (QO) days* and will demonstrate
<br /> � justifiable cause for the extension, If work ceases for ninety (90) consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKD§8E0CB0E0T MAY RESULT IN
<br /> YOUR..
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN Fl0ANCJING, COmS0LT
<br /> WITH YOURLENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA `F_ 117.03)
<br /> `
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and (u affirmed) � Subscribed and sworn to(or affirmed) before me this
<br /> by
<br /> � Who is/are personally known to me or has/have
<br /> Identification.-as identification. as ~ '
<br /> �
<br /> - ` Notary Public
<br /> Commission Gomr�uv�n No.
<br /> ` «
<br /> '
<br /> Name of
<br /> A09
<br /> Notary - � . --_ ofNotary- typed,printed or stamped- �
<br /> ' ~
<br /> Michelle �p�m�
<br /> expi on GG oor�� ^
<br /> -~=`=~^° ~ ' ^
<br />
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