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<br />OTICE OF DEED"REsTRICTlONS: The underalgned und....tand. that this permit may be aubjegt to ~dHd" restriotions"
<br />hich may be more reetr1ctlve than County regulatioOl, The un~lgned aNum.. reeponelbtl~ for oomplhmoe with any
<br />)plicable deed restrlotlons, .
<br />NLlCENSED CONTRACTORS AND CONTRACTOR RE8PON818IUT1E8: If the owner hili hncI a QOntraotor or
<br />mtractors to undertake work, they may be NqulnKl to be IloenHd In aooorcsanoe wIU1 .... WId ~ regulatlorw. If the
<br />)ntractor is not noenHd .. required by law, both the owner and oontraotor may be oIt8(,t for . mIIKIemeanor violation
<br />1der state law. If the owner or Intended oontraotor ... ul1OlN'taln .. to what lloenelng requlrernet'1W may apply for the
<br />tended work, they", advlMd to contact the Puoo County ESulldlng lnepeotlon glvielo~ 8eoUon at 727-a47-
<br />)09. Furthermore, If the owner has hired. oontraator or oontraotora, he Is aclvlHd to have the GQI1traGtOr(8) sign
<br />)rtions of the "oontrllOtar BIook" of thl. applloatlon for whloh they will be reaporwlble, 1f}#QU," the owner .l;n .. the
<br />mtractor, that may be an Indloatlon that he I. not prop.-ty lloeneed and Is not entitled to perrnIUIn; prIVIleges In Pasco
<br />ounty.
<br />RANSPORTATlON IMPACTIUTlLmES IMPACT AND RIIaOURCa RB~OVERY ..-: The "'~ "na....~nda
<br />at Transportation Impl!Ot ..... and ReooU.... ReooY8IY ..... may apply to the oonetr'UOtlCH1 of rft a;.,"Icllnge, ohange of
<br />se in existing bulldlnga, or exP8f18lon at exl8tlng bulldl.,'.. .peolftecHn paoo County Qrc:IInanOe number 88-07 and
<br />)-07, as amended. The "nderwlgnecl al.O "nder8tIIIlCI8, that .uoh feN, .. may be due, will be Id'uUfted at the tlm_ of
<br />:;rmitting. It Is further uncteretood that TranaportaUon Impaot F... and Re.OUrQ8 Recovery F... must be paid prior to
<br />~ceiving a "certificate of occupancy" or final power NI..... If the project doH not Involve a oertmoate of OOOI.lpancy or
<br />,al power release, the feea must be paid prior to permit lHuanoe. Furthermore, If P8800 ,County Watltlr/SfNler Impact
<br />~es are due, they muet be paid prior to permit lHuanoe In aooorctanoe with applloable PMCO County o.,;llnanoes.
<br />ONSTRUCTION UIIN LAW (Chapter 713, florida 8taUdM," amended): If valuation ofWOfi( Ie $2.500,00 or more, I
<br />:;rtify that I, the 'appllcant, have been provided with a oopy of the .Florlda CorwtNOtlon LIen Law-Homeowner's
<br />rotection Guide" prepared by the Florida Department of AgrloUlture and Coneumer AffaI.... If the appIloant Ie someone
<br />ther than the "own"", I certtfy that I have obtained a oopy of the above desoribed dowment and prom'" In good faith to
<br />eliver it to the "owner" prior to commencement.
<br />;ONTRACTOR'S/OWNER'8 AFFIDAVIT: I certify that all the Infonnation In thla application II 8QClUf1M and that all work
<br />rill be done In compllanoe with all appllcablel.ws regulating oon.truotlon, ~nlng and land development. Application is
<br />ereby made to obtain a permit to do work and IrwtallaUon as Indicated. I certify that no work or I........tlon has
<br />ommenced prior to Issuance of a permit and that all work will be performed to meet stendafda of alllawe regulating
<br />onstruction, County and City codes, zoning regulaUoOl, and land development regulations In the Jurisdiction. I also
<br />ertify that I understand that the regulations of other government agencies may apply to the Inwnded work, and that it is
<br />,y responsibility to Identify what actions I must take to be In compllanoe. Such agenciea Inolucle but are not limited to:
<br />Department of Environmental Proteotio,...cypren Bayheade, Wetland Areas and Envll'onmentally Sensitive
<br />Lands, Water/Wastewater Treatment.
<br />Southwest Florlda Water Management Dlstrlot..Wells, Cypress Bayheade, Wetl8nd Area8, Altering
<br />Watercourses.
<br />Army Corpe of EnQineera-Seawalla, Docl<8, Navigable Waterways.
<br />Department of Healti1 & Rehabilitative servloeelEnvlronmental Health Unit-Wells, Wastewater Treatment,
<br />Septic Tanks.
<br />US Environmental proteotlon Agency-AibHtos abatement.
<br />Federal Aviation Authority-Runways.
<br />understand that the following reatrlctlon. apply to the UN of flU:
<br />_ Use of fill 18 not allowed In Flood Zone "'V. unleaa exprenlY 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" wlll be submitted at time of permitting which Is prepared by a protel.lanal engineer
<br />licensed by the State of Florida. .
<br />If the fill material is to be used In Flood Zone *AM in connection with apermltted Widing using stem wall
<br />construction, I certify that fill will be ul8d only to 1111 the area within the stem wall,
<br />If fill matnl is to be used In any area, I certify that use of such fill will not adveraely 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 pennlt application, for Iota less than one (1)
<br />acre which .. elevated by fill, an engineered drainage plan is required.
<br />If I am the AGENT FOR neE OWNER, I prom.. In good faith to Infonn the owner of the permlWng conc:IitionS set forth in
<br />this affidavit prior to commencing construction, I undtntand that a .eparate permit may be required for etectri~1 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 Iloense to prooeed with the work and not as authority to violate, Cancel. alter, or
<br />set aside any provisIonS of the technical codeI, nor shalllAuance of a permit prevent the Building 0ftIcIal from the~eafter
<br />requiring a correction of errors In plans, conItructIon or vlolationa of any codes. Every permit iIaued shall become invalid
<br />unless the work authoriZed bylUCh permit 18 commenoed within six months of permit tuuanee, or If work authorized .by
<br />the permit Is suspended 01 abandOned for a period of six (6) months after the time the work Is commenoed. An extension
<br />may be requested, In writing, from the Building 0fft0iaI for a period not to exceed ninety (80) daya and will demonstrate
<br />justifiable cause for the extension, If wort('ceaaee for ninety (90) consecutive days, the job Is conIkIered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOnCE OF COIlllENCEllaIT MAY RESULT IN YOUR
<br />PAYING lWlCE FOR IMPROVEMENTS TO YOUR PROPERTY. . YOU INTEND TO OBTAIN PltlANCING, CONSUL T
<br />WITH YOUR LEHnER OR AN A"n'ORNEV BEFftRE ~ORDING YOUR NOTICE OF r..nlllll!N~NT.
<br />FLORIDA JURAT (F.S.117.03)
<br />
<br />. CONTRACTOR
<br />SUbICd*i Ind MOm to (or afIIrmId) bIIcn me"
<br />.by .
<br />Who ..... p;inbnIIY knOWn to me or""'" pIQduaed
<br />~. 1~
<br />
<br />OWNER OR AGENT
<br />Subscribed and sworn to (or 8fInned) b8Iore me thII
<br />by
<br />Who is/are personally knOWn to me or has/heV8 PfQducled
<br />
<br />~. ........
<br />
<br />Name of Notary typed,
<br />
<br />
<br />CommlAlon
<br />
<br />Commission No
<br />
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