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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 undertake work, they may be required to be licensed in accordance with slate 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 entitled to permitting privileges in Pasco
<br />County.
<br />TRANSPORTATION IMPACT/UTILITIES 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 "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 aiso
<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 notUmited 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 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 st~m ,^:alL .
<br />If fill material is to be used in any area, I certify that use of such fill Will not adversely. affect a?Jac~nt
<br />properties. If use of fill is found to adversely affect adjacent properti~s, the, ow~er 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 ~f the permlttln~ conditions s~t forth In
<br />this affidavit rior to commencing construction, I understand that a separate perm~t. may ?e reqUlr~d for elect~'ca.1 work,
<br />I b' ,P s ,wells pools air conditioning gas or other installations not speCifically Included In the application. A
<br />p ~:itl~;~u~~nShall be 'constr~ed to be a Iicen~e to proceed with the work a~d not as, authori~y ~o, viol~t~, cancel, alter, or
<br />p 'd. . 'ons of the technical codes nor shall issuance of a permit prevent the BUilding OffiCIal from thereafter
<br />set as! e any provlsl ' f d E 't 'ssued shall become invalid
<br />requiring a correction of errors in plans, construction or violations 0 any co es. vert ~erml I 'f. kth ' db
<br />I th k authorized by such permit is commenced within six months of permit Issuance, or I wor au orlze , y
<br />un ess ~ .wor s ended or abandoned for a period of six (6) months after the time the work is commenced., An extenSion
<br />the p~rmlt IS SUt Pd in writing from the Building Official for a period not to exceed ninety (90) days and Will demodstrate
<br />~=~fia~l~e:~:e ~o~ the exten'sion, If work ceases for ninety (90) consecutive days, the~ob is considered abandone .
<br />
<br />o RECORD A NOTICE OF COMMENCEMENT MAY RESULTIN YOUR
<br />WARNING TO OWNE~p~g~::~~~~~ ~OUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />~i~N;O~I~~:g:R OR AN A TIORNEY BEFORE RECORDING YOUR NOTICE OF COM N~EMENT,
<br />
<br />FLORIDAJU~AT~E .117,03 ; Z '7< ~
<br />?l-rJLJt Sml 'I < CONTRACTOR '
<br />OWNER OR AGEN hi Subscribed and swom to (or affirmedlbefor e thiS, /..:.
<br />Subscribed and sworn r affirmell) before me s J 2/10 -01 by ,L -co ..-J K. 4. u. ,,.
<br />/;).,rl~ 1 by ii?fn [7/">/1 f('{)I,v-<. Who.Jsl.are ersonallyknown to me or haslhave produced
<br />Who Is/are personal y known to me or has!have produced ,')Lt~s UCJl~ as identification.
<br />r L. /)IlW,,, It U,lU as identification.
<br />
<br />
<br />Comml
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<br />Nolary Public
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<br />'UwvI ~ 1&vL-
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<br />"'1- _1- -1.-' (j
<br />CommIssIon No. _ '" f
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<br />1')4 tv/) f/t ,..u [s,u.1
<br />Name of Notary typed, printed or s
<br />
<br />Notary Public
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<br />
<br />-------...-...
<br />
<br />DAWN M. NELSON
<br />. t>~ 0 ry ublic - Stale ofRDri*l of
<br />* . ~ My Commission Expires Sap 6. 2009
<br />~J,~ ~Q~l Commission # DD 468845
<br />"",.9r.rl~"'" Bonded By National Notary Assn.
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