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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 und.ertake 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 "contractor Block~ 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 entlUed to permitting privileges In Pasco
<br />County.
<br />TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Imp~cf 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 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 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 material 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 adJac?nt
<br />. properties. If use of fill Is found to adversely affect adjacent propertl~s, the.ow!1er 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 OWNE~, I promise in good faith to inform the owner ~f the permitting conditions set forth In
<br />this affidavit prior to commencing construction. I understand that a separate permit may be. required for elect~I~1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically In?luded in the application. A
<br />ermlt issued shall be construed to be a license to proceed with the work and not as authOrity to vlolat~, cancel, alter, or
<br />p t Id rovisions of the technical codes, nor shall issuance of a permit prevent the Building OffiCIal from the~e.after
<br />~: ~~in e :~~::ectlon of errors in plans, construction or violations of any codes. Every permit issued. shall become. invalid
<br />un~ess ~e work authorized by such permit is commenced within six months of permit Issuance, or if wordk aAuthorltzed IbY
<br />.' I d f . (6) ths after the time the work is commence. n ex ens on
<br />~::~~;~~~:~::d~~~e~rft~n~~~~o~~~: f~~I~rne~ ~ffi~I:II~or a ~~~od not to exceed nin~ty (90) dar~ an3 ~i11 ~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 />. ~:~:~~~EO~':tEI:;P:g~::~~~ ~~~:~~~~E~~TI;~g~ ~~:N~~g~~:rN~~:~~~~T d~N~~~;
<br />
<br />WITH YOUR LENDER OR AN. ATTORNEY BEFORE RECORDING YOU TIC F CO . E NT.
<br />FLORIDAJURAT(F.S.117 3 ".' Ao^ "JVl '"
<br />. CONTRACTOR ~L{/I~
<br />OWNER OR AGENT Subscribed and sworn to (or amnned) be\'QtQ me
<br />~brcribt 1d swo~ to (or amnned) re ~ th ~ . to I by -r.eC-.Q..\'"'lOo.. f<::: - .uvuLI""'I
<br />. 2Jo D by . Wh ~r'!'personally known to me or haslhave produced
<br />Who is/are personall known to me or has(have produced ~.D'" U .. l-l e . as Identification.
<br />CI 'Dc. L-\c. . as Identification. -
<br />
<br />
<br />~____ .~~ Notary Public
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<br />~. a~ ~ ~""i \L..-,
<br />
<br />Notary Public
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<br />Commission No.
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<br />: Expire~ October 29,2010
<br />BondId Troy FIin .,....anca. Inc. llOIl-38&-7019
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<br />Commission No.
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<br />Name of Notary typed. printed or
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