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<br />Mar 02 07 1.O:27a
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<br />Kursch
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<br />8139268401
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<br />p.3
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<br />NonCE OF DEED RESTRlcnONS: The tndersigned understands that this pennil may be subject to "deed" reslrictions"
<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 RESPONSIBJLmES: If the owner has hi'ed a contractor or
<br />conlractors to undertake WOrk, lhey may be required to be licensed in acc:ordance wllh state and local regulations. If the
<br />contractor is not licensed as required by law, both 1he owner and conIractor may be cited for a misdemeanor violation
<br />under slate law. If the cw.ner or intended contractor are uncertain as to whallicenslng requirements may apply for the
<br />intended woflt, they are adviSed 10 COI"Ilact Ifle Pasoo County Building Inspecllon DiviSOl-Ucensing Section at 727-847-
<br />8009. Furthermore. if the owner has hired a contractor or contractors, he is adllised to have the c:on1ractor(s) sign
<br />PDF1lons of the "contractor BI~ of this application for whicl'l1hey Will be responsible. If you, as the owner sign as the
<br />contractor, that may be an indication that he is nol properly licensed and is not entIIed 10 permitting privileges in Pasco
<br />County.
<br />TRANSPORTATION tMPACTIU11L1TIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportatlon Il!1)8ct Fees and Recowse Recovery Fees may apply to I1e construction of new buildings. change of
<br />use in l!J(isting 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 al lhe time of
<br />pennitting. /I is further underslOOd Ihat Transportation Impact Fees Wld ResCU'ce Recovery Fees must be paid prior 10
<br />receiving a "certificate of occupancy'" or final power release. If the project does not inllOlve a c:ertificate of occ:up.,cy or
<br />tinal power release, the fees must be paitl prior to permit issuance. Futhermore, if Pasco Co~1y WaIerJSewer Impact
<br />fees are due, they must be paid prior to permit issuance in accordance wWIh applicable Pasco Co~ty olllinanDeS.
<br />CONSTRUCllON LIEN LAW (Clulp.... 713, Florida S1IItut8s. as amend8dJ: lfvakJatlon ofwor1t is $2,500.00 or more, I
<br />certify that I. the applicant, have been provided with a copy of the "Florida Construction Lien La-Homeowner's
<br />Protection GUde" prepared by lhe Florida Depar1ment of AgricultLl'e and Consumer Affairs. If the applicant is someone
<br />olller Itwllhe "owner", I certifY that IIlave obtained a copy oflhe above descnbed documenl and promise in good faith to
<br />deliver it to the "owner" prior to c:ommencernent.
<br />CONTRACTOR'SIOWNER'S AFFIDAVIT: 'certify thai alllhe information in this application is aCQll'8I1e and that aI work
<br />will be done in compliance .. all applicable laws regulating consIrucIlon, zoning and land de1elopment. Application is
<br />hereby made to obtain a permit 10 do WOf1c and installation as indicated. I ~ thai no wortc or ins1allallon has
<br />commenced prior to issuance of a pennit and that all work win be performed to meet standards of all laws regulallng
<br />construction, County and City codes, zoning regulations, and land development regulalions in 1he jurisdiction. I also
<br />certify that I understand that the regulations of other government agencies may apply to the inlended work, and thai it is
<br />my responsibilty 10 ldenllfy what acdons I must take 10 be in compliance. Such agencies include but are not Imted to:
<br />Department of Environmenlal Pro1ectlon-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water1Wastewater Treatment.
<br />Southwest Florida Water Management District-Wells, Cypress Biryheads, WeIand Areas, Alering
<br />WaIercoUIHS.
<br />A/my Corps of Engineer5-Seawals. Docks. Nalligable Waterways.
<br />Department of Health " Rehabililati1le ServiceslEnWonmental Health Unit-Wells, Wastewater Treatment,
<br />Septic Tanks.
<br />US Environmental Protection Agency-Asbeslos abaternenl
<br />Federal Aviation AuIhoIiIy-Runways.
<br />Understand that the foIowing restrictions apply 10 the use of 111:
<br />Use of fills not allowed in Flood Zone ""II" unless eXPl"8Ssty pennjIIed.
<br />If the fill material Is to be used in FlOOd Zone "A", it is Understood thai a drainage plan addlessing a
<br />"compensating volume" wlR be submitted at time of permitting which is prepared by a professional engineer
<br />licensed by ft1e State of Aoriela.
<br />If the fill material is to be used in Flood Zone "A- In connection with a permlted building using stem wa.
<br />construction, I certify 111811111 will be used only to fillll1e area within the Item waH.
<br />If IiJr mateltal is to be used in any .-ea, I certify thai use of sUCh fill will nol adversely afleet adjacent
<br />properties. If use of III is tound to adversely affed adjacent praperlies, the owner may be clIIed for wiolaling
<br />the conditions of the building permll issued WIder the altac:hed permit applicalion. for lots less than one (1)
<br />aeN which are elevated bv fill, an ergineered drainage plan is required.
<br />f I am lhe AGENT FOR THE OWNER, I promise in good faith to infonn the owner of the permitting conditions set forth In
<br />aflidallil prior to commencing construction. I uncIersland that a separale permit may be I8qUIred for electrfcal wort.,
<br />lumbing, signs, ..tis, pools, air COIlditioning, gas, or other instalations not specificaly included in lhe application. A
<br />. issued shal be construed to be a license 10 proceed with the wor1c and not as authortty to WoIate. cancel, arter, or
<br />t aside any provisions of the technical Codes, nor shaI ilSUllnce of a permit prevent the Building 0IIiciaI from thereafter
<br />uirtng 8 correction of enors in plans, construction or violations of any CDdes. EveI)' permit issued shall become invalid
<br />8S$ the woflt authorized by such permit is commenced within six monIhs of pennit issuance, or if work authorized by
<br />permjI is suspended or abandoned for a period of six (6) months alter the Ime the work is c:ommencecI. An extenslon
<br />Y be requested. in writing, fi'om the Building 0fIic:iaI for a period not to exceed ninllly (90) days and will demonstrate
<br />.liable cause for the extension. If woflt ceases for ninety (90) consecutive days, the job is considered abandoned.
<br />
<br />MNING 10 OWNER: YOUR FAILURE TO RECORD A NanCE OF COIIIIIENCEMENT MAY RESULT IN YOUR
<br />.\YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND 10 OBTAIN F~NCJNG. CONSULT
<br />ITH YOUR LENDER OR AN ATTORNEY BEFORE CORDlN YOUR NanCE OF C M lieN .
<br />F ORIDP. JURAT (F .S. 117.03'
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<br />ROR AGENT
<br />trIIed ..d _ lD (or alIil1lled) lIefon! me IIlis
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<br />. or-.....v LAUREN KURSCft
<br />~ ,...." PuMc . ..... fIl FIDrI4II
<br />. .) lip C..- 'UI1., E... fib" JO'It
<br />C_~Jlll' DO 13832.
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