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<br />NOTICE OF .DEED RESTRICTIONS: The underslgn~d understands that this 'permit may be subject to "deed- restrictions"
<br />, which may be more restrictIVe than County regulations. The undersigned' assumes responsibility foroompliahce with any
<br />applicable deed r~strlctlons. ' " ',,'
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:' If the owner has hired, a colitractor or
<br />cc;mtl:actol:s to undertake wOl:k. they may be required to be licensed in accordance wltli state and local regulatlohs. If the
<br />contrac~or is not IIc,ensed as required by law, both the owner and contractor may be cited for a inlsdemeanor violation
<br />un~er state, law. If the ~wner or Intended contractor a~e uncertain as to what "<?enslil9 reqUlrement~ may apply .t~r the,
<br />Intended work, th~y are advised ,to contact the Pasco County Building Inspection Dlvlsloli-Ucensl~g section at 727-84.7-
<br />8009. Furthermore, If the oWner has hired a contractor or contractors, he Is advised to havEdhe contractor(s) sign '
<br />, portions of the .contractor Block" of this EJPpllcatlon for which they Will be responsible. If you, as the owher sign as the, , '
<br />contractor, thatrriay be an Indication that he Is not properly licensed and is hot entitled to permitting privilege!;! In Pasco
<br />County, ' "
<br />TRANSPORTATION IIIJIPACT/UTILlTIES IMPACT AND RESOUROE REOOVERY FEES: The undersigned 'Uhdel:stahds
<br />, that Transportation Impact J:ees ~nd Recourse Recovery Fees may apply to the construction of new bUildings. change of
<br />use in, existing buildings; or expansion of existing buildings, as specified in Pasco County Ordinance hLlinber 89-07 and
<br />.' " 90-07, as amended. The underslgne~ also understands; that such fees, as may, be due; will be Identified a\ the tline tif
<br />permitting.'1l Is further ~nderstciod, that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />, receiving a .certiflcate of occupancy" or final power r~lease. If the project does hot Involve a ceitiflcah~ of. occllpE\hcy or
<br />final power, release, the fees must be paid prior to permit Issuance. Furthermote; it Pasco County, Water/SeWer Impact
<br />, fees are due, they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinances.
<br />CQNSTRUCTION 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 thlilt I, have obtained a copy of the above descrlb~d document and promise In good faith to,
<br />, deliver it to the .owner" prior to commencement. ' . :
<br />CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the Information In this application Is accurate and.that all Work
<br />will be done In compliance with all applicable laws regulating construction, zonlhg 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 permit and that all Work will be p~rformed to meet standards of all laws regulating
<br />construction, County' and CItY codes, zoning regulations, and land development regulations In the jurlsdlctloh. I also
<br />, . certify that I understand that th~' regulations of other government agencies may apply to the Intend~d work, and that it is , '
<br />my responsibility to Identify what actions I must take to be In compliance. S~ch agencies h'1c1ude but are hot limited to: '
<br />Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive '
<br />Lands, Water/Wastewater Treatment. ' ',' ,
<br />Southwest 'Florida Water Management District-Wells, Cypress' eayheads,' Wetlahd Areas, Altering,
<br />Watercourses. ' ".,',
<br />Army Corps of Engineers-Seawalls, Docks..Navlgable Waterways. ' " ,
<br />Department of He~lth & Rehabilitative SerVices/Environmental H~alth Unit-Wells; Wastewater Treatment,
<br />,'Septic Tanks. :' , ", , , (\ .\, , ' '
<br />US Environmental Protection Agency-Asbestos ab'aterhent. '
<br />Federal Aviation Authority-Runways.
<br />I understand that the folloWing restrictions apply to the, use of fill: "
<br />Use of.fllllsnot allowed In Flood Zone.V" unless expressly permitted.' , " , ' ,
<br />'If the fill material Is to be ,used In Flood Zone aN, It is understood that a drainage p'lan 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 .N 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 adversely affect adjacent properties, ,the owner may be cited fo~ Violating
<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 ~onditlonsset fo~h in
<br />this affidavit prior to commenclng,constructlon. I, understand that a separate permit may be required for electrical wor~,
<br />. . . plumbing, signs, wells, pools, air condltlorilng, gas,' or other installatlonsnQt specifically Included In the application. A
<br />, permit issued shall be construed t~ be a license, to proceed with the work and not as authorlo/ to violate, c.ancel, alter, or
<br />set aside any provisions of the technical codes, nor shalllss~ance of a permit prevent the BUilding Official from t~e~ea~~r
<br />reciulrlng a qorrBelion of Brrois In p1Bns, ""nstruct1on or vlolBbons. of any codes. EVBry perm~ I.ssued shall become. ,"valid
<br />unless the work authorized by such permit Is commenced within six months of permit Issuance, or if work authorized by
<br />the permit Is suspended or ab,andoned for a period ofSlx (6) months after the time t~~ w~rk Is commenced. 'An extension
<br />.may bB requestBd, in writing, from thB Building OffIc1BI for . B perltxl not to Bxceed nlnBty (90.) days, and wmdBtnonstrBte
<br />JusliflablB cause lor lhB extBnslon. if wolk cea....for ninety (90.) conseoullVB days, thB Job Is considered Bbandoned. . .
<br />
<br />WARNING TO. aWNER' yauR FAiLURE TO. REC()RD A NanCE OF CaMMENCEMENT MAy !l.ESULt IN YOUR.
<br />, PAYING lWlCE FaR IMPRaVEMENTS TO. yaUR PRaPERTY. IF YOU INTEND. TOa,BTAlN FINANCING, caNSUl T
<br />WIT Y UR LEND OR AN ATTO NEY BEFORERECORDI G YOU "NOT E OF CO ENCEME
<br />, FLORIDA JURAT (F.S. 11,!-03)
<br />OWNER OR AGEN'" "
<br />sybsca;lbed and s to (or affirmed be!oreme this,
<br />.5 _)~"-o(.. by ,
<br />~e, pe~Q.all) known b me or has
<br />, " ,L-I \..-, " as Identification.
<br />
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<br />Commission No.
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<br />~lfiA~:r~. MEUSSA A. CUMMINGS'
<br />~*( ~J;.., :*~ MY COMMISSION # DD 212993 '
<br />.~i~~~'; EXPIRES; May 15, 2007 ,
<br />',Rr"t~\'\ Bonded T~ru Notary Public Underwriters
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