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<br />. NOTICE OF .DEED RESTRICTIONS: The undersign~d understands that this 'perlnit maybe subJect to -deed- restrictions"
<br />.' which may be more restrictive than County regulations. The undersigned assumes tesponslblllty forcompllance\vlth any
<br />. applicable deed r~strlctions.. . . . . . . . '. .
<br />UNLICENSED CONTRACTORS .AND CONTRACTOR RESPONSIBiLITIES:' If the owner has hired. a contractor or
<br />cl;mtl:actors to undertake work, they rriay be required to be licensed In aCcOrdance willi state and local regulations. If the
<br />contractor Is not licensed as required by law, both the owner and con~ractor may be cited for a misdemeanor violation
<br />un~er state. law. If the ,?wner or intended contractor are uncertain as. to what lI~ensli1g reqUlrement~ may apply .f~r the .
<br />Intended work, they are advised .to contact the Pa,sco County Building Insp~ctlon Divlslori-llcensl~9 section at 727-84'1-
<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 tesponslble. If you, as the owner sign as the. . .
<br />contractor, that;niay be an indication that he Is not properly licensed and is hot enlltled to permitting privllege~ In Pasco .
<br />County. . .'. . . ... .
<br />TRANSPO~TATION I....PACT/UTILlTIES IMPACT AND RESOURCE REOOVERY FEES: The underslgnedUilderstahds
<br />. that Transpoitatlon Impact Faes ~nd Recourse Recovery Fees may apply to the construction of neW buildings, chahge of
<br />use in. existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hllmber 89-07 and
<br />,". 90-07, as amended. The undersigned also understands; that such fees, as may be due; will be Identified al the thne tif
<br />permitting. It Is further understood. that Transportation Impact Fees and Resource Recovery Fees must be paid pdor to
<br />. receiving a .certificate of occupancy" or final power rl:llease. If the project does hot involve a certificate of occllp~ncY or
<br />filial power. release, the fees must be paid prior to permit Issuance. Furthermore; if Pasco COl,Jnty Water/Sewer Impact
<br />. fees are due, they must be paid prior to permit Issuance in accordance with applicable 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 />. 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 .owner", I certify th~t I. have obtained a copy of the above descrlbl:ld 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 complianGe with all applicable laws regulating construction, zonltig and land develop"inent. 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 Issuarice' of a permit and that all work will be performed to meet standards of all laws regulating
<br />construction, County' and City codes, zonhlg regulations, and land development regulations In the Jurisdiction. 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 agenpies Include but are hot limited to: .
<br />Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Envl~onmentally Sensitive .
<br />Lands, Water/Wastewater Treatment. . . .
<br />Southwest. Florida Water Management District-Wells, cypress Bayheads,' Wetland Areas, Altering.
<br />Watercourses. . .' '.
<br />Army Corps of Engineers-Seawalls, Docks..Navigable Waterways. . ..' .' . .
<br />Department of He~lth & Rehabilitative SerVices/Environmental Health 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 offill Is not allowed in-Flood Zone .V" unless expressly permitted.' . .... .
<br />'If the fill material is to be .used In Flood Zone "N, it Is understood that a dralnag.e 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 />. colistruction, 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, 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 for 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 'promlse in good faith to Inform the' owner of the permitting ~onditJons .set fo~h in
<br />this affidavit prior to commencing. construction. I. understand that a separate permit may be required for electrical wor~,
<br />. . _ plumbing, signs, wells, pools, air conditioning, gas,' or other installations 'not specffically Included In the application. A
<br />permit Issued shall be construed to be a IIcans.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, ~or shall Issuance of a permit prevent the Building Official !rom .t~e~ea~~r
<br />requiring a Gorrection of errors In plans, construction or vlolat!ons.o! any codel3. Every permit lssu~d. shall.become invalid
<br />unless the work aulhorlzed by such permit Is commenced Within SIX months o.f permit Issua~ce, or If.work authotized by
<br />the permit is suspended or abandoned for a period ofSlx (6) mon.ths after the time t~~ ~~rk Is commenced. An .extension
<br />may be requested; In writing, from the Building Official fora period not to ex~ed ninety (90) days.and WIII.dem<:>nstrate
<br />justifiaple cause for thl:l extension. if work ceases for ninety (90) consecu.live days, the Job is considered abandoned. .
<br />
<br />WARNING TO OWNER: YOUR FAiLURE TO REt~RD A NOTICE OF COMMENCENII:;NT MAy ~E~ULt INl~O.UR
<br />. PAYING TWICE FOR IMPROVEMENTS TO UR PROPERTY. IF YPU INTENP TO O.BTA~N F~NANCING; OO....SULT
<br />WITH OUR LENDER O' AlTO EY ORE RECORDING YOU . 0 ICE OF COM ENCE ENT.
<br />
<br />. ~~~~;~~~~tS._~~~~~3) ~v.) " ~/__~. CONTRACTOR '. .--_.'
<br />dl fo I Subscribed and swom to (or affIrmed) before me this
<br />Subscribed and s\xom toJ.or affirme e be re m. .e s . . .
<br />f' :21(- 1)~, by ~ nl:1J ~ ~. p-/ :5J1rJ , . Who Is/are pers:XallY known to me or has/have produced.
<br />. Who Islare personally known to me or ha~e produ~ . . as IdenUflcatlon.
<br />F'L. "JJ, /.;... . .' as IdenUflcatton. --
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<br />-~. ....- ...'~"Uuary'1Z.'ZO'08 .
<br />-"~~;;,;;;o~l BONDED THRU TROY fAIN INSURANCE.INC .
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<br />NolarY Public
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<br />Commission No.
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<br />Name of Notary typed, printed or stamped
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