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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 responsibility 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 contractor 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-Licensing Section at 727-847-
<br />8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
<br />portions of the "contractorBlock~ of this application for which they will be responsible. If you, as the owner sign as the
<br />contractor, that may be an indication that he Is not properly licensed and Is not entitled to permitting privileges in Pasco
<br />County,
<br />TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact" Fees and 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 number 89-07 and
<br />90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br />permitting. It is further understood th~t 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 certificate of occupancy or
<br />final 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 paidpfior 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 that 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 that all work
<br />will be done In compliance with all applicable laws regulating construction, zoning 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 performed to meet standards of all laws regulating
<br />construction, County and City codes, zoning regulations, and land development regulations In the jurisdiction. I also
<br />certify that I understand that the 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />lands, WaterlWastewater 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 Health & 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 fill is not allowed in Flood Zone "V" unless expressly permitted.
<br />. If the fill materia," is' to be used In Flood Zone "A", 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 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 a~jac~nt
<br />. properties, If use of fill Is found to adversely affect adjacent propertl~s, the ow~er 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 promise in good faith to Inform the owner of the permitting conditions set forth In
<br />this affidavit prior to commencing construction. I understand that a separate per~it may be required for elect~lcal work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically In?luded In the application. A
<br />permit Issued shall be construed to be a license to proceed with the work and not as authOrity !o vlolat~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the BulI,dlng OffiCla11 ~om the~eaftl~~
<br />requiring a correction of errors in plans, construction or violations of any codes. Every ~ermit Issued Ifshal k ec~~ei In~a b
<br />unless the work authorized by such permit is commenced within six months of permit Issuance, or wOd a~ or tze , y
<br />,. us ended or abandoned for a period of six (6) months after the time the work Is commence: n ex enslon
<br />~::~::n:~~~:st:d, In writing, from the. Building Official for a period not to exceed ninety (90) dar: anj vr;1I ~emodstrate
<br />justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the job Is cons ere a an one .
<br />
<br />. ~:~=:;;J;~EO~':I:;P:g~::~~~~ ~~:~~~~~~~;~gJ '::N~~~~~:JNr.-:;':~~F d~N~~~;
<br />
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU OTIC F 0 NEE,
<br />FLORIDA JURAT (F.S. 11 03) " 1\ /J II 11M .A
<br />, CONTRACTOR ~~
<br />OWNER OR AGENT su~c~bed and swom to (or affirmed) before m s
<br />Su s 'bed and swom to (or affirmed) before me I I \ lot O~ by Ie (,0n1Z-o- :J
<br />(p by =' p rp I""Y2.. :J on e5 Who Is/are ersonally known to me or haslhave produced
<br />o is/are personally known to me or haslhave produced <==L. o~ L-.. c:: en ...e.. as IdenUflcation.
<br />~A... \)f" j,..l ~ as Identification. -
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<br />~d~O'
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<br />Commission No.
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<br />'I' "~'
<br />Name r1~ '~~~"s.Miffe.
<br />:<':,~ ' :,,: . on r15l5609664
<br />';.l,l,..,.~~ Expires October 29. 2010
<br />It.. IiondIlG Tilly F... .In""a"',lne 800-385-7019
<br />
<br />Notary Public
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<br />c-\'~ ~~ ~
<br />
<br />Notary Public
<br />
<br />~'~
<br />/;" " t." Karen L. Miller
<br />:~ ~~ .
<br />Name of Notary typed, printed 0 ~~Jf.' ..... . Expires October 29,2010
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<br />J S~O~ g/ b- VJ 1- fo1:r~O"""-~-""
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<br />Commission No.
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