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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "d~ed" re~trictions"
<br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />applicabledee~ 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 />understate 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 h~shlred 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 w\1l 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/UTII,..ITIES 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 .certiflcate 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 paldprlor 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 />con~tructlon, 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 responslb\1lty 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 Sen~itive
<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 fn 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 ~rea, 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 than one (1)
<br />acre which are elevated by fill, an engineered drainage plan is required.
<br />If lam 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 permit may be required for electrical work,
<br />plumbing; signs, wells, pools, air conditioning, gas, or other installations not specifically included In the application. 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 codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors In plans, construction or violations of any codes. Every permit issued shall become invalid
<br />unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br />the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />may be requested, In writing, from the Building OffIcial for a period not 10 exceed nlnely (90) days and wtll demonstrale
<br />Justmable cause for the exlenslon. If work ceases for nlnely (90) consecullve days, the Job Is considered abandoned.
<br />
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAVING lWlCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F,S. 117.03)
<br />
<br />OWNER OR AGENT~ 1'Y\b-e-t
<br />Su!,scrlbed and sWQI'l) to.(or affirmed) b e
<br />.~, ~'Z-o( by r\ \ n--" U '
<br />Who Islare personally known to me or haslhave produced
<br />3; u",,-SrL as IdenOflcaOon;
<br />
<br />
<br />CONTRACTOR
<br />Subscribed a,nd sworv ~ (or a.ffirmed) be r I
<br />5-1..2 -0 1 by K. I ~ '
<br />Who Islare personally known to me or haslhave produced
<br />l i u..,. ~ as Identification,
<br />
<br />
<br />'SIL.
<br />
<br />
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<br />
<br />Comm slon N ....:.' . .' ' . .----2183-'3
<br />"_/{""'(,"" '.',2010
<br />I,Rrll\'\\\'" Bonded -ihru tray fain IrlWfCtllce 800-385-7019
<br />
<br />Notary Public
<br />~
<br />
<br />Name of Notary typed. printed or stamped
<br />
<br />, Name of Notary typed, printed or stamped
<br />
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