<br />NOTICE OF DEeD RESTRICTIONS: The undels/gned understands that this permit may be subject to "deed" reslrlctlons"
<br />which may be more restrictMt than County regulations. The undersigned assumes /'88ponsibj1ty for compliance with any
<br />applicabfe deed restrIcIions.
<br />UNLICENSED CONTRACTORS AND CONTRAcTOR RESPONsIsu.mes: " the owner has hinld a contractor or
<br />contractors to undertake work, they lTlllIy be required to be licensed In llOCOrdance with state and 1oc:aI18gU1a1ions, If the
<br />contractor is not Ilceneed aa required by law, both the owner and conlractor may be cited for a misdemeanor violation
<br />under atate law, " the owner or intended contractor are uncertain 88 10 what IIoenslng AlClUinlments may apply for the
<br />intended work, they are advised 10 conlaclthe Pasco County Building Inspection DivIsion--uoensing Section at 727-847-
<br />8009. Furthermont, if the owner has hlr8d a conlr8clor or COntraclors, he is advIaed to have !he conlractor(s) sign
<br />POr!ionll of the "contractor Block" of this application for which they WiI be AlllpOnSibIe. If you, 88 the owner sign as the
<br />contractor, that may be an indication that he Is not properly licensed and is not entitled to permitting privIeges in Pasco
<br />County.
<br />TRANSPORTATION IMPACTIUTlLlTESIMPACT AND RESOURCE RECOVERY FEU: The undenl/gned understands
<br />that Transportation Impact Fees and R8OOU/1NJ Recovery Fees may apply to the construction of new buldlngs, chlmge of
<br />use in existing buildings, or expansion of existing buildings, 88 speciIled In Pasco County Ordinance number 89-07 and
<br />90-07, as amended. The undersigned also understands, that such fees, as may be due, WIt be ldenlifiad at the time of
<br />pennltllng. It is further understood that TranllpOrtatjon Impact Fees and Resource Recovery Fees must be paid prior to
<br />receiving a "certilicate of ocaJpancy" or final JlOW8r release. If the project does not invotve a certificate of OCCUpency or
<br />final power 191ease, the fees ITII.I8t be paid prior to permit Issuanoe. Furthermore, If Pasco County Water/Sewer Impact
<br />fees are due, they must be peld prior to permit issuanoe In 8CCOrdanoe with applicable Pasco County ordinances.
<br />CON8TRUCr1ON LIEN LAW (Chapter 713, F10rtda 1ltatuIiM, .. amended): " valuation of work is $2,500.00 or more, I
<br />certlfy that I, the applicant, have been provided with a copy of the "Florida Constnlclion lien Law-Homeowner's
<br />Prol8ctlon Guide" prepared by the Florida Department of AgricuJture and Consumer AfI'airs. 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 />CONl'RAC1OR'MMNER'S AFFIDAvrr: I certify that all the information in IhIs appIlcafion is accurate and that all work
<br />WIt be done In compI/anoe with all applicable laws regulating constnJcllon, zoning and land development. Application is
<br />hereby made to obtain a permit to do work and inslallation as indicated. I certlfy thaI no work or instalatlon has
<br />commenced prior to Issuanoe of a permit and thaI all work wi! be P8rformed to meet standards of all laws regulating
<br />construction, County and City COdes, mning I8gUlalions, and land deIIe/opment regulations In the jurisdiction. I also
<br />certify that I understand that the regulations of other government agencies may apply 10 the intended wort, and that It is
<br />my r8SpOns/bj/jty to identify what actions I must take to be In~. Such agencies Include but are not Ilmited to:
<br />- Department of Environmental Protection-Cypress Bayheads, Wetland AI9aa and Environmentally Sensitive
<br />Lands, WaterlWastewater Treatment
<br />Southwest Florida Water Management District-Wells, c~s Bayheeds, Wetland Areas, Altering
<br />Watercourses.
<br />Amty Corps of EngJneers-seawalls, Docks, Navigable Waterways.
<br />Department of HeeIth & Rehabilitative ServioesJEnvtronmental Health Unit-Wells, Wastewater Trealment.
<br />Septic Tanks.
<br />US Environmental Protection Agency-Asbestos abetement.
<br />Federal AvtaUon Aulhorlty-Runways.
<br />I understand that the fuIIowIng restricllons apply to the use of fill:
<br />Use of fill is not allowed In Flood Zone '"V" unless 8Xpl'&ss1y pennitted.
<br />If the fill ITlllItertal is to be used in Flood Zone 'A", ills understood that a drainage plan addressing a
<br />"compensating volume" will be submitted at time of permitting which is prepared by a pmfeasional engineer
<br />licensed by the State ofFIorlda,
<br />If the fiR material Is to be used in Flood Zone "A" in connection with a permitted building using stem waR
<br />construction, I certify that fill will be used only to fill the area within the stem waif.
<br />If 111 material is to be used in any al8ll, I certify that use of such 111 will not adversely a1f8ct adjacent
<br />properties, If use of fill is bond to adversely affect adjacent properties, the owner may be cited for vtoIating
<br />the conditions of the buldlng permit issued under the attached permit application, for lots less than one (1)
<br />sent 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 pennitllng conditions set fotth In
<br />this 8f11davtt prior to comrnencIng construction. I understand that a sepsrate permit may be required for eIecIrk:aI work,
<br />plumbing, signs, Wells, pools, air conditioning, gas, or other lnstalations not Specifically Included In the app/IcatIon. A
<br />pennit issued shaD be construed 1.0 be a Iioense to proceed with the wort and not as authority to violate, cancel, alter, or
<br />set aside any provisions of the technical COdes, nor shall Issuance of a permit prevent the Building 0fIk:iaI from thereafter
<br />requiring a COITecIlon of errora In plans, conatruction or violations of any codee. Every permit Issued shaD become invalid
<br />unless the wort authorized by SUCh permit Is commencect wtlhln six months of pennjt Issuance, or If wort authorized by
<br />the permit Is suspended or abendoned for a period of six (6) months after the time the work Is cotnrnenced. An extension
<br />may be l8QUested, In wrttlng, from the BuIlding Oft'icial for 8 period not to exceed ninety (90) days and will demonstrate
<br />justiftable cause for the extension. If WOrk ceases for ninety (90) consecutive days, the job is considered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAD.URE TO RECORD A NOTICE OF COIIMENcaIeHr MAY RESULT IN YOUR
<br />PAYING TWICE FOR 1MPR00000000s TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANcING, CONSULT
<br />WITH YOUR LENDb OR AN AnORNEY BS:ORe RECClRnIuC YOUR ~ OF CC--lENC--"'t.
<br />FlORlDA.AJRt\T (F.s. 117.03)
<br />OWNER OR AGeNT CONTRAcTOR
<br />s~ and lIIII!llIIlp (or ~ ~ methla ~ and ~ 10 (or 8IIl"""!l} boforJI me thla
<br />.:J..lr -0(; by v-h.... c.(,"'iuJ.~ .8-",1 ~, by ;r-cI,., c. C(>(.-tdc.
<br />Who 1sI... ~y known 10 me or "-"- produced Who iIhI.. ~ known to me or h8IiIllMl PIOduced
<br />>r"e""", as ldentllIcaJoj,. kr'lo.,ow as IdentiIiattion.
<br />
<br />?a.r-~K& No!ayPubllc
<br />Commlaion No.
<br />
<br />i~~ P) NoIaIy Public
<br />Comm.., No.
<br />
<br />Name of NoIaIy typed, printed or atelllplld
<br />
<br />~Q~Y ."\. PatriCia Kirby
<br />=:. ~~ .; My Commission 00373271
<br />~?- .., ~<>
<br />00,,0 Expires November 18.2008
<br />
<br />Nllme of Notary typed printed Of alamped
<br />~ ~ ~ Palr,cla Klroy
<br />! ~ . My Commission 00373271
<br />~?- !../ I:: "Pi! e~ November 18 2008
<br />
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