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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 b) 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 mlsdemeanot violation
<br />under state law. If the owner or Intended contractor are uncertain as to what licensing tequlrements may apply for the
<br />Intended work. they are advised to contact the Pasco County Building Inspection Dlvlslon-Llcenslng 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 -contractor Block- of this application for which they will be responsible. If YOLl, 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 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 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 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 wotk 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 GuldeB 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 pbtalned a copy of the above desctlbed document and promise In good faith to
<br />deliver It to the Bowner" 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 ineet 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 thClt 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 SenslUve
<br />Lands. WaterlWastewater Treatment:
<br />Southwest Florida Water Management District-Wells. Cypress Bayheads. Wetland Areas, Altering
<br />Watercourses.
<br />Army Corps of Englneers-5ea\'ialls, Docks, Navigable Waterways.
<br />Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment;
<br />Septic Tanks.
<br />US Envlrorimental 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 Flocd Zone.V" unless expressly permitted.
<br />If the fill material Is to be used In Flood Zone .AB, It Is understood that a draln&ge plan addressing a
<br />.compensatlng volumeB 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 -AB 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 />!f 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 thah one (1)
<br />acte which are elevated by flll, 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 separatf:) permit may be requ:. ed fot electrical work,
<br />plumbing, signs, wells, pools, all' condltiof!ing, gas; or other Installations hot specifically Include.J In the appllcatlort A
<br />permit Issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel. alter, or
<br />set aside any provisions of the technical cudes, nor shall Issuance of a permit prevent the Bulldlnr OffIcial from thereafter
<br />requiring a correction of errors In plans. COilstruction or violations of any codes. Every permit Issuld shall become Invalid
<br />unless the work authorized by such permi. is commenced within six months of permit Issuance; r:r if work authorized by
<br />the permit is suspended or abandoned for a period of six (6) months after the time the work Is cOil menced. An extension
<br />may be requested. In writing, from the Building OffIcial for a period not to exceed ninety (90) daY3 and will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job Is considered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE8UL t IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />Y BEFOru: ~~RQIHG ygU8iN~ ~ COM~CEIIE/IT.
<br />
<br />
<br />OWNER OR AGENT "';:'~ONTRACTOR.~'/'
<br />Su _ and, sworn ~) melhls '!Ie . ,';',..'.....~" and,a~)~methIS
<br />. t by, ,', ',"". '~~,~~ !
<br />, 03l11onally known to me hailhave produced~~ ' .: i', .: or haslhave produced
<br />, as IdanUllcallon. '-', ' .',. ": aaldenUllcaUon.
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<br />~ . -----:- '. . No"'y .- ~. ,-. , , Hotary Publ~
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<br />(' Comm sion No. ,./t
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<br />NameofNotary~~~ OFFLOND!' NameofNo~~~mD~~ I:
<br />
<br />~'" ".I,c",,,,,,,,,,,,:,T,3"j:~'?"ofnl, #DD3Dn4ige3102' 5 ~ Jason Daniel " >,
<br />~ "" ' , CJ:nmission # D9493025
<br />'t L:\pirc~: 'SOV 21. 2009 Expires: NO\!, 21, 2009
<br />~ Ihru~tic Bo~ ~lltt':.. ~ ThruAtlantic Bond:in& ~
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