<br />. NOTICE OF ,DEED RESTRICTIONS: The undersign~d understands that this 'permit may be SlabJe~ to "deed;' restrlctloris"
<br />. which may be more restrictIVe than County regulations. The unde~lgned' assumes tesponsiblllty for 'Compliance with r;lny
<br />. applicable deed r~s,trlctlons.. '. . '.'
<br />UNLICENSED CONTRACTORS AND C,ONTRACTOR RESPONSIBiLITIES:. If the owner has hired. a contractor or
<br />c~>nb:actors to undertake work, they may be re.qulred to be I~censed In accordance willi state and local regulations. If the
<br />contractor Is not licensed as required by law, both the owner and con~ctor may be cited fQr a mlsdemeanot Violation
<br />under state law. If the ~wner or intended contractor are uncertaih as to what IIcensll1g reqUirements may apply for the .
<br />Intended work, th~y are advlsed.to contact the PE!sco COunty Building Insp~cUon biv'slori-llc8nsl~g Sectloh at 721-847-
<br />8009. Furthermore, if the oWner has hired a contractor. or contractors, he Is advised to havEdhEi contraptor(s) sign
<br />. portions of the .contractor Block" of this l\Ippllcatlon for Which they will be responsible. If you, as the oWher sign as the. . .
<br />contractor, that:may be an Indication that he Is not properly licensed and Is hot entitled to permitting prMlege~ In Pasco
<br />County.. . . ..' . . .. . .
<br />TRANSPORTATION I~PACT/UTlLlTlES IMPACT AND RESO~ROE RECOVERVFEES: The undersigned understands
<br />that Transportation Impact ~ees ~nd Recourse Recovery Fees may apply to the construction of heW bl..Jildlngs, chahge of
<br />. use In, existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance humber 89-0.7 and
<br />-' '. 90-07, as amended. The' undersigned also understands; that such fees, as may be due; will be Identified at the tiine tif
<br />permlttlng..1t is further ~nderstood: that Transpo$tlonlmpact Fees and ResourCe Recovery Fees must ~e paid pi"ior to
<br />, receiving a .certlficate of occupan~y" or final power r~lease. If ~he project does hot Involve a cerllfica~e of occU'pahcy or
<br />final power. release, the fees must be paid prior to permit Issuance~ Furthermote; If Pasco CountY, Water/SeWer Impact
<br />. fees are due, they must be paid prior top8f!T1lt Issuance In accordance w,ith applicable Pasco County ordinances.
<br />. CQNSTRUCTION LIEN LAW (Chapter.713, Florida Statutes, 8S amended): 'lfvaluatlon of work. Is $2,500.00 or more, I
<br />. certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien taw-Homeowner's
<br />Protection Guide" prepare.dby the Florida Department of AgricUlture and ConsUiner Affairs. If the applicant Is someone
<br />other than.the .ownet", I certify th~t I. have obtained a copy of the above descrlb$d document and promise In good faitH to.
<br />. deliver it to the .owner" prior to coIT.Imencement. . , .
<br />CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the. Information In this applicatloh Is accurate and; that all Work
<br />will be don~ in compllanqe with all applicable laws regUlating construction, zonlrig and land development. "Application Is . .
<br />hereby made to obtain' a permit to'do wo.rk and Installation as Indicated. I certify that nD work or !nstallation has
<br />commenced prior to Issuance' of a permit and that all work will be pc;trformed to meet standards of aI/laws regulating
<br />construction, County. and CitY codes, zoning regulations, .and land development regUlations In the JUtlsdlctloh. I also
<br />. certify that I understand that th~' regulations of other government agencies may apply to the Intend~d lNork, and that It is
<br />my responsibility to identify what actions I mUst take to be in compliance. Such agencies hlclude but are hot limited to: .
<br />- Department of Environmental Ptotectlon-Cypress Bayheads, Wetland Areas and Environmentally Sensitive .
<br />Lands., Water/Wastewater Treatment. . .. .
<br />Southwest. Florida Water Management District-Wells, cypress Bayheads,' Wetland Areas, Altering.
<br />Watercourses. . . .
<br />Army Corp's of Englneers-5eawalls, Docksl.Navigable Waterways..' .
<br />Department of He~lth & Rehabilitative 'se,;,lces/Envlronmental H~altl1 Unit-Wells I 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 A~, It Is Understood that a drainage plan addr.esslng a
<br />.compensating volume" will be. submitted at time of permitting which Is prepared by i:i profeSSional engineer
<br />.lIcensed by the State of Florida. . ' '. . . ·
<br />If the fill. material Is to be used In Flood Zone aN In connection wlth a permitted building using stem wall
<br />construction, I certify that fill will be used. tmly to 'fllI the ar~a 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 adjacent
<br />properties. if use of fill .Is found to a~versely affect adjacent properties, ,the owner may be ~Ited for v,lolatlng
<br />. the conditions of the building permit Issued under the attached permit appllcatlQn, 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 Dt the pel11ilttlng ~onditlonsset fo~h In
<br />this affidavit prior to commenclng.construc~lon. I, understand that a sep~rate permit may be requited for electrical wor~,
<br />. ' . plumbing, signs, wells, pools, air conditioning, gas,' or other installations 'not specifically Included In the application. A
<br />permit Issued shall be construed tl? be a IIcens.e. to proceed with the work and not as authority to violate, ~ancel, alterj or
<br />set aside any provisions of the technical codes, ~or shall issuance of a permit prevent the Building Official from ,t~e~eaf.l~r
<br />. . requiring a Qorrection of errors In plans,CQnstruct!on or vlolations.of any code~. Every permit 'ssu~d sha".b~com~ Invahd
<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 ab.andoned for a period ohlx (6) months after the time ~~ ~~rk is com~ehced. . An extension
<br />'may be requested," in Writing, .from the Bu~ldlng Official for. a period not to exc~ed ninety (90) days, and will, ~einl:Jnstrate
<br />. justifiable cause for thf! extension. if work ceases.for ninety (90) consec~lve days, the Job Is considered abandoned.
<br />
<br />. .
<br />
<br />. WARNING TO OWNER: YOUR FAiLURE TO REC~RD A NOTICE OF COMMENCEM~NT MAy ~E~Ult IN ~OUR
<br />. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ~F YOU INTENt) TO O.BTA~N F~NANCING; CONSULT
<br />IT UR L N O' A A EY BEF RRECORDIN OU .NO COCO C M T.
<br />. FLORIDA JURAT (F.S.1 ..03) . _./'....u. CONTRACTOR~ . .
<br />OWNER OR AGENt . dI-.<5 T":">- .' ("'" Is ~
<br />Sm~nd . r Bfflrm~) b . I . . S bser! ed :;m"J Bmtm b. lD~
<br />
<br />. ~ are perso IIy Iwown, tb me or as ave produced . Islare personally ~ to mA nr h~~:rf~':o~' "
<br />. . .. . .,' as IdenUflcaUon.
<br />
<br />. . -.
<br />
<br />
<br />~~j)4Jt/;1J
<br />
<br />Nolary Public
<br />
<br />~u~ JJ0t4/f
<br />
<br />NolarY Public
<br />
<br />Comml~s~n No. .
<br />. .J ~cie /J/J..JI/-/v; . .
<br />Na'R~flli?P'mlr~~~M\WMf.ed
<br />"~"""""-:. Stade. Hartwig. .
<br />[..w. ~Co.mlnission #DD6S2189
<br />"',~.fExpires:. OCT,16,2.o09
<br />BONDED THRU ATl:Al'fI1C BONDING CO., INc',
<br />
<br />commlssl'r No. ... . . .
<br />:.sy ~t /e J/tL,.J 4/ ~
<br />Neme of Notary typed. printed or sta ad
<br />NOTARY PUEPC . STATE OF FLORIDA
<br />.:.',. ~,~2cie Hartwig
<br />[. ~Commission #DD8S2189
<br />-:.""."....... Expires: OCT. 16,2009
<br />BONDED TImCi A,lJ\NTIC BONDING CO., INC.
<br />
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