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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br />which may be more restrictive than County regulations, The undersigned assumes responsibi/ity for compliance with any
<br />applicable deed restrictions.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contractors to undertake work. they may be required to be licensed in accordance with state and local regulations. If the
<br />contractor is not licensed as required by law. both the owner and conlractor may be cited for a misdemeanor violation
<br />under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br />intended work, they are advised to contact the Pasco County Building Inspection Division-lioensing Section at 727-847-
<br />8009, Furthem1ore. if the owner has hired a contractor or contractors. he is advised to have the contractor(s) sign
<br />portions of the "contractor Block" of this application for which they wiU be responsible. If you, as the owner sign as the
<br />contractor, that may be an incflC8lion that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br />County.
<br />TRANSPORTATION IMPACTIUTIUTES "'ACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Tn1I"""",1wtiuiI1mpad Fees and Recourse Recovery Fees may apply to the cons1ruction of new buikflllgs. Change of
<br />use in existing buildings, or expansioo of existing buildings. as specified in Pasco County Ordinance number 89-07 and
<br />90-07, as amended. The undersigned also understands. that such fees, as may be due. wiD be identified at the time of
<br />pennitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />receiving a "certificate of occupancy" or final power release. If the project does not involve a C8ftilItaIe of occupancy or
<br />final power release. the fees must be paid prior to permit issuance, Furthennore, if Pasco County W8IerISewel Impact
<br />fees are due. they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br />CONSTRUCTION UEN LAW (CIIItpIIr 713, fIortdII ......... _ .....Ided): If valuation of work is $2.500.00 or more. I
<br />certify that I, 1he appIica1t, have been provided wilh a CX)JIY of 1he "Florida Construction lien Law Ilomeowner's
<br />ProIection Guide" pI8p8AId by the FIonda Department of AgricuIIure and Consumer Affairs. If the applicant is someone
<br />other than the "owner", I 08l1lfy that I have obtained a CX)JIY of the above described document and promise in good faith to
<br />deliver it to the "owner" prior to conll'll8llcemenl
<br />CONTRACTQR'SIOWNER'S AFFIDAVIT: I certify that all the information in this appk;alion is ec:ante and that all work
<br />wRl be done in compliance with all applicable laws nlgUl8Iing constJuction, zoning and land del.Blopmenl AppIic;atioI. is
<br />hereby made to obtain a permit to do work and installation as indicated. I certify that no work or instaIaIion has
<br />commenced prior t) iIleuMc:e of a permit and that all wort wiI be performed t) meet standaIds of al laws regulating
<br />consbuclion, County and City codes, zoning r&gulaIions, and Ia1d developmehl reguIalions in the jurisdiction. I also
<br />certify that I ..,derstalld that the reguIaIions at other government agencies may apply 110 the inIIllnded wort, and that it is
<br />my responsibiIlty to identify what actions I must take 110 be in oompIIance. Such agencies include but are not limited to:
<br />Department of EnvironmenIaI ProJection..Cyp Bayheads, WeIand Areas and Environmentally Sensitive
<br />lands. WaterIWastewatel TI1l8tmenl
<br />Southwest F\orida WIlIer Management District-Wells, Cypnlss Bayheeds, VI#atIand Areas, Altering
<br />WatercounIes,
<br />Army Corps of~, Docks, Navigable waterways.
<br />0epar1ment of Health & Rehabilitative SenriceslEnvironmental Health Unit-\l\lells, WasIewater Treatment.
<br />Septic Tanks.
<br />US Environmental Protection Agency-Asbestos abatement.
<br />Federal Aviation Authority-Runways.
<br />I understand that the following restrictioIlS appJy to the use of fill:
<br />Use of fiU is not alowed in Flood Zone 'V' unJess expressly penniIlIld.
<br />If the fill material is to be used in Flood Zone "A". it is undersIood that a drainage plan addressing a
<br />"compeIlSating volume" wiI be submitted at time of permitting which is prepared by a professional engineer
<br />licensed by the Stale of Florida.
<br />If the fill material is to be used in Flood Zone "A" in connection with a pemitled building using stem wall
<br />construction, I certify that fill will be used only to fill the ... within the stem wall.
<br />If fill material is to be used in any .... I certify that use of such 1iII will not adversely aIfBct adjacent
<br />properties. If use of fiN is found to adversely affect adjacent proper1ie&, the owner IJlIIY be citIId for violating
<br />the conditions of the building permit issued under the attached permit 1IppIicaIIon. for Iol8 IeIa than one (1)
<br />acre which are elevated by fill, an engineered drainage plan is required.
<br />If I am the AGENT FOR THE OWIIIER, I promilIe i1 good failh t) inform the owner atlhe peolllillil", oondiIions set forth in
<br />this alId8lIit prior t) ..o.}~._lCing canstruction. I ..,dlll1ltalld 1hat a ......, permit may be requAd for eIeclricaI work,
<br />plumbing. signa, wells, pools. .. ~liin", gas, or other illsllTlro,1S not specilicaIIy incbied i1 the appJitation. A
<br />panni( issued IhaJI be construed to be a IicenIe t) proceed with the work and not as authority to violate. cancel. alter, or
<br />set aside any provisions of the lechnicaI codes, nor llh8II U&lce ate permit prIMIIll the BuIlding 0III::iII tam 11I61 -
<br />requiring a correction of errors in pJans, consbuclion or vioI8IIana of any coda Ewry permit issued .... ..... invalid
<br />unless the WOI1t authorized by such permit is conwnenced wlthin six ~ at permit ....... or if work 8UIhoriz8d by
<br />the pennit is suspended or abandoned for a period of six (6) IYIllI1th& after the time the work is commeoc.ed. An ll!ldteIlSion
<br />may be 11IqU8St!ed, in writing, tam the 8uiIding 0lIiciaJ for a period not to ..... ninety (110) d8p and wit demonslrale
<br />justifiable cause for the extension. If wort 088ll8S for ninety (90) consecutive days. the job is coneidered abandoned.
<br />
<br />OWNER OR AGENT
<br />Subscribed and sworn to (or aIIirmed) before me this
<br />by
<br />'Mlo isfare personally known to me or h8II/hImI proclJced
<br />as identiIicaIion,
<br />
<br />WARNING TO OWNER: YOUR FAlWRE TO RECORD A NOTICE OF COIIIIENCEMENT MAY RESULT IN YOUR
<br />PAYING 'TWICE FOR IMPROYEIIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COIIIIENCEIENT.
<br />FLORIDAJURAT(F,S 117,03) ~""lI2IV.":" C.:J_"'7/t~c.rl/V'" /r~,..J(:' .
<br />
<br />CONTRACTOR~ - ~ ~
<br />S~~~'t, and by (orv~ berore ~ ~ IJ '.If' r DI9 Y 0 t: /7'lI9y
<br />Who isIlre peI'lIOIllIIIy known to me or h8II/hImI proclJced
<br />
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<br />-- ~~.~-
<br />C ~,;; . jilrG
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<br />Commission No,
<br />
<br />Name of Nolaty typed, prinIecI or -..ped
<br />
<br />Name of Notary typed, printed
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