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<br />NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that this 'permit may be subJect to "deedil restrictions"
<br />, which may be more restrictive than County regulations. The undersigned assumes tesponslbllity for 'compliahce with any
<br />applicable deed r~strlctlons. ' '. ' , ','
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:' If the owner has hired, a contractor or
<br />cl;mtractors to und.ertake work, they may be required to be licensed In aCcordance wlttl state and local regulations. If the
<br />contractor Is not licensed as required by law, both the owner and con~ractor may be cited fQr a misdemeanor Violation
<br />under state law. If the ~wner or Intended contractor are uncertain as to what lIf?enslng requirements may apply for the'
<br />IntEmded work, th~y are advised ,to contact the P~sco County Building Insp~ctlon Divlslori-lIcensl~g Section at ri.1-84"'-
<br />800~., Furthermore, If the owner has hired a cont~actor or contractors, he Is advised to havEdhe contraptor(s) sign
<br />, portions of the .contractor Block" of this QPpllcatlon for which they Will be responsible. If you, as the oWner sign as the, ,
<br />contractor, that:rriay be an Indication that he Is not properly licensed and Is not entitled .to permitting prlvllegel;lln Pasco ,
<br />County. , ,', . . ", "
<br />TRANSPO~TATION I",PACT/UTILlTIES IMPACT AND RESOUROE REOOVERY FEES: The underslgnedUhderstahds'
<br />that Transportation Impact F:ees ~nd Recourse Recovery Fees may apply to the construction of heW buildings, chahge of
<br />'use In, existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance humber 89-07 and
<br />'. 90-07, as amended. The undersigned also understands; that such fees, as may be due; will be Identified al the Ume bf
<br />permitting. 'It is further ~nderstood th'at Transpo~atlon Impact Fees and Resource Recovery Fees must be paid pi"ior to
<br />. receiving a .certlficate of occupancy" or final power rt:tlease. If the project does hot Involve a certificate of occupancy or
<br />filial power, release, the fees must be paid prior to permit Issuance., FurtherrilOte; if Pasco CountY. Water/Sewer Impact
<br />, fees are due, they Iilust be paid prior to permit Issuance In accordance with applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter,713. Florida statu~es. as amended): 'If valuation of work, Is $2,500.00 or more, I
<br />certify that I, the applicant, have been, provided wIth a copy of the "Florida Construction Lien Law-Homeowner's
<br />Protection Guide" prepared by the Florida Department of AgricUlture and Consumer Affairs. If the applicant Is someone
<br />,other than,the "ownet", I certify thl1lt I, have obtained a copy of the above described document and promise In good faith to,
<br />. deliver It to the .owner" prior to cOl1lmencement. . . .
<br />CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the Information In this application Is accurate and:that all Work
<br />will be donl':t In compllanqe with all applicable laws regulating construction, zonltig and land developinen!. -Application Is . .
<br />hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that ho work or Installation has
<br />commenced prior to Issuance. of a permit and that all work will be p~rformed to meet standards of all laws regulating
<br />Construction, County. and City codes, zonh1g regulations, and land development regulations In the jutlsdlctloh. I also
<br />,certify that I understand that th~ regulations of other government agencies may apply to the Intended work, and that It Is .
<br />my responsibility to identify what actions I must take to be In compliance. Such agencies Include but are not limited to: .
<br />_ Department of Environmental Ptotection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive .
<br />Lands, Water/Wastewater Treatment. . .. .
<br />Southwest . Florida Water Management Distrlct-Weils, Cypress. i3ayheads,' Wetlahd Areas, Alterhig.
<br />Watercourses. . , ., " ' . ...
<br />Army Corps of Englneer~-Seawalls, Docks" Navigable Waterways.. . ... .' . '
<br />Departm'ent of He~lth & Rehabilitative SerVices/Environmental H~alth Unit-Wells; Wastewater Treatment,
<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.Y" unless expressly permitted.' . ' . '..
<br />'If the fill material Is to be .used in Flood Zone "N, It Is understood that a drainage plan addressing a
<br />. "compensating volume" will be. submitted at time of permitting which is prepared by a professional engineer
<br />licensed by the State of Florida. . ' .. . .
<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 ar~a within the stem wall. .
<br />. If fill. material Is to be used In' any area, I certify that use of such fill will not adversely affect adjacent
<br />properties. if use of fill is found to a~versely affect adjacent properties, ,the owner may be cited for ".Iolatlng
<br />the conditions of the building permit Issued under the attached permit application, for lots less 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 fo~h In
<br />this affidavit prior to commenclng.constructlon. I. understand that a sep~rate permit may be requited for electrical wor~,
<br />, . . plumbing, signs, wells, pools, air conditioning, gas,' or other installations not specifically Included In the application. A
<br />. permit Issued shall be construed t<;>> be a IIcens.e. to proceed with the work and not as authority to violate, c.ancel, alter. or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official frQm .t~ereat:ter
<br />. . requiring a qorrectlon of errors In plans, construction or vlolatlons.of any code.s. Every permit lssu~d shall become Invalid
<br />. unless the work aulhorlzed by such permit Is commenced within six months of permit Issuance, or If.work authorized by
<br />the permit Is suspended or ab.andtmed for a period of-six (6) months after the tlm.e t~~ ~~rk Is commenced. 'An .extenslon
<br />may be requested; In writing, from the Building Official for. a period not to exce,ed ninety (90,) days.. and wllI.~emonstrate
<br />justlfiatlle cause for the extension. If work ceases for ninety (90) consecu~lve 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. I.F YPU INTENQ TO O.BTA!N F~NANCING; OO~SUL T
<br />WITH OU LENDER OR AN ITO NEY BEFORE RECORDING YOU 0 OF C ENC ME T;
<br />, FLORIDA JURAT (F .s. 11,!-03) .
<br />OWNER OR AGENt -~,-
<br />Subscribed and sWorn (or affirmed
<br />Ie) JJjJIY~(., by rE. .
<br />. Who Is/are personally known to me or has va produced
<br />.r 1... 7) j. , as IdeoUflcaUon.
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<br />,.. ...:_~~ V~i,{/~PUbIlC
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<br />Commission No. '
<br />
<br />Commission No.
<br />
<br />~~otary typ~tA1~I?Jn~mped
<br />~i ~"A.."! ':~ ~Y COMMISSION # '00268763 .EXPIRES
<br />,\~W . February 22, 2008 .
<br />, . ,if, ,~~.~",.. ,GOIWED THRIJ TroY FAIN INSURANCE, INC
<br />
<br />",Ytw!! of Notary lvDed. I)rinled Qr stamped
<br />"i\"'r~ !dbbiEi ~wetlOnd . .
<br />{j'.."J;i.~ :~ MY COMMISSION # 1;>0268763 EXPIRES
<br />....~.~g . February 22, 2008
<br />, ',' " BONDE~ T'"l~U TROY FAIN INSURANC~ INC
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