<br />. .
<br />NOTICE OF DEED RESTRICTIONS: The undersign~d understands that this permit may be sublect to "deed;' restrlctloris"
<br />. which may be more restrictive than County regulations. The unde~signed assumes responsibility for 'compliance with any
<br />applicable deed r~s,trlctions. ' " '
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:' If the owner has hired, a contractor or
<br />c~ntr:actors to undertake work, they may be required to be licensed In accordance wltli state and local regulatlOl1s. If the
<br />contractor is not licensed as required by law, both the owner and con~ractor may be cited fQr a misdemeanor Violation
<br />under state, law, If the f?wner or intended contractor a~e uncertaiil as, to what lI~enslilg reqUlrement~ may apply .f~r 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 havEdh~ contractor(s) sign '
<br />, portions of the .cofltractor Block" of this QPpllcatlon for which they Will be responsible, If you, as the owner sign as the, , .
<br />contractor, that:rriay be an Indication that he Is not properly licensed and Is not enlltled to permitting priVileges In Pasco
<br />County., ' '"" ' . : ' " ' " ,
<br />TRANSPORTATION II'v'IPACT/UTILlTIES IMPACT AND RESOUROE REOOVERY FEES: The undersigned understands
<br />that Transportation Impact ~ees and Recourse Recovery Fees may apply to the construction ()f neW buildings, chahge of
<br />'use In,exlsting buildings', or expansion of existing buildings, as specified in Pasco County Ordinance hllinber 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 tif
<br />permitting, "It Is further l!nderstood, that Transpo~atlon 'Impact Fees and Resource Recovery Fees must be paid prior to
<br />. receiving a .certificate of occupan~y" or final power release. If the project does hot Involve a certlfica~e of occlip~hcY 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 w,ith applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter,713, Florida Statutes, as amended): 'Ifvaluatlon of work.!s $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 Agrlclllture and Consumer Affairs, If the applicant is someone
<br />other than the .owner", I certify that I,have obtained a copy of the above descrlb~d 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 ali Work
<br />"",ill be don~ In complianqe 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' Qf a permit and that all work will be p~rformed to meet standards of all laws regulating
<br />construction, County' and City codes, zonil1g 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 hot limited to:
<br />_ Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive .
<br />Lands, Water/Wastewater Treatment. ,,',
<br />Southwest Florida Water Management District-Wells, Cypress 13ayheads, Wetlahd Areas, Altering,
<br />Watercourses.' ,,'
<br />Army Corp's of Engineers-Seawalls, Docks..Navigable Waterways. ,,',' ,
<br />Departm'ent of He~lth & Rehabilitative 'SerVices/Environmental H~altt1 Unlt-Wellsl 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.flllls.not allowed In'Flood Zone .V" unless expressly permitted.' ,
<br />'If the fill !11aterial Is to be ,used in Flood Zone aN, it Is understood that a drainag,e plan addr.essing 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 materlal,ls to be used in Flood Zone aN In connection With a permitted building using stem wall
<br />l;;onstructlon, I certify that fill will be used. only to 'fill the ar~a within the stem wall. '
<br />, If fill, materhill Is to be used In' any area, I certify that use of such flll 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 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 affIdavn prior to eommimclng.conslructJon. I. undersland that a separate permit mey be requited lor eleclrlcel Work,
<br />. .' plumbing, signs,. wells, pools, air conditioning, gas,' or other InstaHallonS 'not speclflcally Ineluded In the eppllcallon. A
<br />. pannlt Issued shell be construed 10 be a lleOns.e 10 proceed with the wort< and nol es authority 10 vlelate. cancel. allar, .or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />. . requ~lng a QOlT8clion of errors In pians. t:Qnslruciton or vloletlons of any codes. Every permit Issued shallbecoine Invalid
<br />. unless the Work authorized by such permn I. commenced within six months of pennn Issuance, or n wort< authortzed by
<br />. the perri1n Is suspended or abandoned for a period of.slx (6) menths - the lime the wort< III comine-d. . An exlenslon
<br />. may be requested. In wtIUng, .from the Building OI6e1el for a period noIlo exce"d hlnely (90) days. end ""m demonstrale
<br />jus\1flable cause for tho extension. If work caesesfor nlnely (90) consoculive days, the job Is considered ebandoned. .
<br />
<br />. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF t;OMMENCEiII~NT MAy RESULt IN YOllR
<br />. . '. . PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I.F YOU INTEND. TO O.BTAlN FINANCING, CONSlI.L T
<br />TOUR LE DER OR A ATTORNEY BEFORE ECORDING OUR, OT. OF CO
<br />r ~ /^ A.dd '~td-.
<br />"~~~~oW~1.~tS.~3) ~ )<..j~ CONTRACTOR ,'~ (/I#"IVV --: /~
<br />S.,....,.... .... '"""" Ii> am I!lb& ,.'m. ... S""';l',...n ,"",,"~A" --..~..,:l'1'. ...
<br />':2!..z. it:)t'JJ1; by J'V/a."1 L. ~ ..., -' WI by ~/e rtJ ,
<br />WhoJ.s1are personallY known to me or haslhave pr~uced ,Who I ' me or haslhav~ produced ,
<br />J/.L . .' as Identification. as Identlflcatlon.
<br />
<br />&~ ~~",
<br />
<br />. Co sslon NIDTARY PI rRll(\CITA~ OF FLORIDA
<br />. .. ~\" Suzanne Bahr
<br />'Name~fNot - ~~~1110
<br />. ""''''~'~' ExpJ,reS: NOY. 15 2010
<br />, , IJ>OlJf.D THRU ATl.A.VT!C BONDlt\G CO., INC,
<br />
<br />)f~~~P"~.
<br />
<br />Commls~PUBbIC n:tE OF FLORIDA
<br />\"""1 S B hr
<br />M uzanne a
<br />Name of ~_, ,: ~prliItiIdIc#mM04.410
<br />'",,,.... ExplIes: NOY. 15,2010
<br />i'.ONlJUJ lHRU ~"TIC BONDING CO., INC.
<br />
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