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<br />NOTICE OF ,DEED RESTRICTIONS: The und8rsign~d understands that this 'permlt may be subJe~t to .deed;' ~esttlctlorisD
<br />. which may be more restrictIVe than County regulations. The unde~lgned' assumes tesponslblllty for 'Compllahce with l;lny
<br />appllca!>le deed r~strlctlons. '. .' ., '. .'
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:, If the owner has hired, a contractor or
<br />cc;>ntr:actors to und,ertake work, they may be required to be licensed In aCcOrdance willi state and local regulations. If the
<br />contrac.or Is not licensed as required by law, both the owner and con~ractor may be cited fQr a misdemeanor violation
<br />un~er state law. If the ~wner or intended contractor a~e uncertalhas to what licensing reqUl~ment~ may apply .f~t the '
<br />Intended work, they are advised ,to contact the Pasco County Building Ins~tlon blv'sI0ri-L.lcensl~9 Sectloh at 727-847-
<br />8009., Furthermore, if the owner has hired a Contractor, or contractors, he Is advised to heivi!Hhe contraptor(s) sigh
<br />, ' portions of the .cof!tractor BlockD of this QPpllcatlon for Which they will be tesponslble. If you, as the oWner sign as the. .
<br />contractor, that.may be an Indleatlon that he Is not properly licensed and Is not eniltled ,to pennlWhg j:JiiVllege$ In Pasco
<br />County. . . ,_' . . ' ..
<br />TRANSPORTATION I""PACT/UTlLlTlES IMPACT AND RESOUROE RECOVERY FEES: The undersigned Understahds
<br />that Transportation Impact ~Eies ~nd Recourse Recovery Fees may apply to the construction of heW bUildings, chahge of
<br />. use In, existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hLlinber 89-07 and
<br />.' " 90-07, as amended. The. undersigned also understands; that such fees, as may be duej will be Identtfled at the time of
<br />permitting. 'It Is further l;Inderstciod: that Transpo$tlonlmpact Fees and Resouree Recovery Fees tnust ~e paid prior to
<br />. receiving a .certlficate of occupan~yD or final power r~lease. If ~he project does hot Involve a cenmca~a of occU'p~hcy or
<br />final power. release, the fees must be paid prior to penn It Issuance. Furthermore; If Pasco COl,JntY, Water/Sewer Impact
<br />. fees are due, they must be paid prior to ,pel111lt issuance In accordance w,ith applicable Pasco County ordlhances,
<br />, cqNSTRUCTION LIEN LAW (Chapter.713, Florida Statu.es, as amended): .lfvaluatlon ofWork.ls $2,500.00 or more, I
<br />. certify that I, the applicant, have been prOVided with a copy of the 8Florlda Construction Lien taw-Homeowner's
<br />Protection GuideD prepared 'by the Florida Department of AgricUlture and Consumer Affairs. If the applicant Is sotneone
<br />other than, the .owner", I certify thl1lt I, have obtained a copy of the above described document and promise In good faitH to.
<br />, deliver it to the .0wnerD prior to cOIT.Jmencement. . , .
<br />CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the.informatlon In this application Is accurate and:that all Work
<br />will be don~ in compllanqe with all applicable laws reglJlatlng construction, zonlhg and land development. -Application Is ' .
<br />hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that ho work or Installation has
<br />commenced prior to Issuance' Qf a permit and that all Work will be p~rformed to meet standards of all iaws regulating
<br />construction, County' and City codes, zoning regulations, .and land development regulation!!) In the jurisdiction. I also
<br />,certify that I understand that th~' regulations of other government agencies may apply to the Intend~d work, and that It is .
<br />my responsibility .to identify what actions I mUst take to be In compliance. Such agencies hlclude but are hot limited to: '
<br />- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive '
<br />Lands, Water/Wastewater Treatment. , ., .
<br />Southwest. Florida Water Management District-Wells, cypress Bayheads,' Wetlahd Areas, Altering.
<br />Watercourses,' , '. . , . .
<br />Army Corps of Englneers-Seawalls, Docks..Navlgable Waterways. ' .' ,
<br />Department of He~lth Be RehabllltatlveSe..vlces/Envlronmental H$altf1 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,fillls,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 addr.essing a
<br />. .compensatlng volumeD 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 -AD In connection wlth a permitted bUilding using stem wall
<br />. construction, I cEilrtlfy that fill will be used only to 'fill 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 hot adversely affect adjacent
<br />properties. if use of fill ,Is found to adversely affect adjacent properties, the owner tnay be f?lted for Violating
<br />the conditions of the bUilding penn It issued under the attached permit appllcatlcm, 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 of the permlttln~ ~ondltlonsset fo~h In
<br />. this affidavit prior to commEmclng.construc~lon, I, ~nderstand !hat a sep~rate permit may be reqUired for electrical wor~,
<br />,. plumbing, signs, wells, pools, air conditioning, gas,' or other installations 'not speCifically Included 10 the application. A
<br />permit Issued shall be construed to be a license, to proceed with the work and not as authority to violate, c,an,c.el, alter, or
<br />set aside any provisions of the technlcaloodes, ~or shalllss~ance of a permit prevent the Building Official fivm. t~erea~~r
<br />requiring a qerrection of errors In plans,constructlon or vlolatlons,of any code~, Every penn It lssu~d shaUb~com~ Invalid
<br />unless the work aulhorlzed 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 of six (6) months, after the time t~~ ~~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 WIII..~etn(:mstrate
<br />justifiable cause for th!3 extension. If work ceases,for ninetY (90) cons.ecu,tlve days, the job Is conslde~ed abandoned. .
<br />
<br />, WARNING TO OWNER: YOUR FAiLURE TO RECORD A NOTICE OF COMMENCENII;N~ MAy ~E~ULt IN ~OUR'
<br />'PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YPU INTENt) TO O.BTA~N F~~ANCINGj CO~SULT
<br />IT YOUR LN' B FORE CORD IN OU 0 C
<br />FLORIDAJURAT(F.S.117.0~) II I '
<br />. . OWNER OR AGENt N" f{{ 4(,i. vt/(),f t't...IIt-- .d-
<br />E'"" and """"' ,"" b malhl.. I
<br />rt~y
<br />Is/are personal y known to me or has/have produced
<br />.v-/_. ~
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<br />
<br />, . . " . olary Public
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<br />"Commis on No: NoTARY """"<~, j~TE OF FLORIDA
<br />. . .' ~\ Sllz;mne Bahr' ,
<br />Name of Notary ~ trt~lf# DD601110 .
<br />, ~', ," 'xCll-ec' NO" 15' ')010
<br />'. . ~;H\\' L'r' 1 J., 1 \'. J ~
<br />" BU.,DLD 111KL:ArI.;ilC BO;';Ul\G CO"I:\C
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