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<br />NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that this 'permit may be subJect to -deed- restribH~ris" >
<br />, which may be more restrictive than County regulations. The undersigned' assumes responsibility for 'compliance with any
<br />applicable deed restrictions.' , ' ' , , ' .
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:', If the oWTier has hired, a colitractor or
<br />cl;mtractors. to und.ertake work, they rriay be re,qulred to be licensed In accordance wltli state and local regulations. If the
<br />contractor IS not licensed as required by law, both the owner and contractor may be cited for a inlsdemeanor violation
<br />under state, law. If the ,?wner or Intended contractor a~e uncertain as to Wh~t "<<?enslng reqUir~inenb~ may apply .f~r the '
<br />Intended work, th~y are advised ,to contact the P~sco County Building Insp~cbon DlvlsI0ri-L1censlJ:19 Section at 727-847-
<br />800~. Furthermore, If the oWner has hired a contractor or contractors, he Is advised to have the contrattor(s) sign '
<br />, portions of the .contractor Bloc~" of this EJPpllcatlon for which they, Will be te~ponslbIEi. If you, as the owner sign ~s the, , '
<br />contractor, that may be an Indication that he Is not properly IIcerised and Is hot entitled to permitting privilege!;! In Pasco
<br />County., ,,' , . ' ' , '
<br />TRANSPO~TATION I,,",PACT/UTILlTIES IMPACT AND RESO~ROE 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 hllinber 89-07 and
<br />.", 90-07, as amended. The underslgne~ also understands; that such fees, as may,be due; will be Identified at the time of
<br />permitting. "It Is further l:Inderstood, that Transportation Impact Fees and Resource Recovery Fees must be paid pi'lof to
<br />, receiving a .certificate of occupancy" or final power r",lease. If the project does hot Involve a certificate of occllp~hcY or
<br />filial power, release, the fees must be paid prior to permit Issuance. Furthermore; if 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 />, CONSTRUCTION LIEN LAW (Chapter,713, Florida statutes, as amended): 'lfValuatlon 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 Consuiner Affairs. If the applicant is someone
<br />. other than. the .owner", I certify th~t 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 />CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the Information In this application Is accurate and:ihat all Work
<br />will be donE! in compllanqe with all applicable laws regulatlflg construction, zonltig 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, zonlllg regulatlons,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. Sl:Ich agenples h'lclude but are hot limited to: .
<br />Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive '
<br />Lands, Water/Wastewater Treatmemt. ' , .'.,. '
<br />Southwest 'Florida Water Management District-Wells, Cypress Bayheads,' Wetlahd 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 of,filllsnot allowed In' Flood Zone aV" unless expressly permitted.' , '..'
<br />'If the fill material Is to be .used In Flood Zone aA~, 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 "An In connection With a permitted building using stem wall
<br />, construction, I certify that fill will be used only to fill the arE~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 v,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 ~onditlonsset fo~h in
<br />this affidavit prior to commlimcing.construction. I. understand that a separate permit may be required for electrical wor~,
<br />. . . plumbing, signs,. wells, pools, air condlllonlng, gaS,. or other Installallonsnot specifically Included In tha application. A
<br />, permit Issued shall be construed to be a Iicens,e, to proc,eed with the work and not as authority to violate, can,cel, alterj or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official from ,t~erea~~r
<br />reQuiring a """"cllon of errors In p1ens, cqnstrucIJon or vloletlons. of any codes. EvelY pennlllssu~d shall become Invahd
<br />unless the work authorized by such permit Is commenced within six months of permit Issuance, or if work authotlzed by
<br />the pemilt Is suspended or abandimed for a peI10d of.illx (6) mon.ths after the tJmelhe WOrk Is commehced:. An exlenslon
<br />may ba requesteil, in wrlllng,.from the Building omclal lor a penod not I~ exceed nlnalY (go.) days,ahd wllI.detnonstrale
<br />Justifiable cause for th. extension, If werk ceasasfor ninety (gO) consecubve deys, the job Is considered abandoned. .
<br />
<br />WARNING TO OWNER' YOUR FAiLURE TO RECORD A NOnCE OF COMMENCEMENT MAy REsuLt IN YOUR
<br />. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y!>U INTEND. TO OBTAIN FlNANCtNG, collslJ.L T
<br />WITH YOUR LENDER OR AN TIO NEY BEFORE RECORDING YOUR, 0 IC OF COM ENCEMEN
<br />, FLORIDA JURAT (F .S. 11 ?,-03)
<br />OWNER OR AGENt .'
<br />Subscribed and swom to (or affinn!ild) before me this,
<br />, " bY" ,
<br />, Who Islare personally known tb me or haslhave produced
<br />as Id9IJUflcaUon.
<br />
<br />
<br />
<br />Notary Public
<br />
<br />i'~ J'~<.,- NolarY Public
<br />
<br />CommIssion No. tJd.3:r(N' 7 "
<br />C. J../I-',,t.e ~. .>K~E""'/ .
<br />,'''''Il' CI. L blame of Notary typed, printed or stamped
<br />..:-Wi).' .V!!, 81re. ~keen
<br />Pl ,...:~ Commission # 00350079
<br />~1... : ,- S.pires August 25, 2008
<br />~P!." laM" T'-Y ~otn .lnlUronce,lnc 100-_7019
<br />
<br />CommissIon No.'
<br />
<br />Name of Notary typed, printed or stamped
<br />
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