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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed. restrictions.
<br />which may bt3 morer~strictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />applicabled~~~res.lrlCtions;
<br />UNLlCENSI:':D'''C,nm ....... 'ORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contractors to l:il'l~~rt~~'. k, they may be required to be licensed in accordance with state and local reglJllatlons. If the
<br />contractor is not lic~nsedas; required by law, both the owner and contractor may be cited for' a misdemeanor violation
<br />under state law. If th$9wner or intended contractor are uncertain as to what licensing. requirements may apply for the
<br />intended work,thfily are advised to contact the Pasco County Building Inspection Divlsio~Licenslng Section at 727-847-
<br />8009. Furthermore, if th$ 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 bean indication that he Is not properly licensed and Is not entitled to permitting privileges in Pasco
<br />County.
<br />TRANSPORTATIONJMPACT/UTILlTIES IMPACT AND RESOURCi: RECOVERY FEES: The undersigned understands
<br />that Transportation Impact F~es 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.T'tua.und.ersjgned also understands, that such fees, as may be due, will be identified at the time of
<br />permitting. It is furtheru(\.~~rstood.1hat 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 mu,sLbe 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 w.91:k is $2,500.00 or more, I
<br />certify that I, the apj:llicant, 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/OWN.J8'AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br />will be done in compliance with aH 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 tois.suanc~ of a permi,l,;:lnd 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 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 responsibility 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 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 Un1t-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" I 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 area, 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 applicatiQn, 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 permitting conditions set forth in
<br />this affidavit prior to commencing construction. I understand that a separate permit may be'requlred 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 />setasid,e 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. f;yery 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 workls commenced. An extension
<br />may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, thejob is considered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />
<br />
<br />OWNER OR AGENT
<br />Subscribed and sworn to (or a
<br />~O-r# ,2001 by ::TDN
<br />Who Is/are personally known to me 0
<br />asl
<br />
<br />CONTRACTOR
<br />Subscribed and sworn this 0 C.;T4iJefl-
<br />~, rll, UD'1 by $'. '-
<br />Who Islare personally known t'o me .or hasihave produced
<br />- as Identification.
<br />
<br />?~~
<br />
<br />Commission No. b. t:> ~ 2 " SD 7
<br />
<br />Notary Public
<br />
<br />~~
<br />
<br />Commission No. '/)l>.:12" ~a 7
<br />
<br />Notary PUblic
<br />
<br />Name of N
<br />~~.("Jt!t~ Elissa M. Holleran
<br />~ ~i Commission # 00326507
<br />. -~"""~ Expires June 6,2008
<br />'IillI' 8andId ,...,........... .......70It
<br />
<br />Name of Notary .. MA
<br />..~V'~~!~~ Elissa~. Holleran
<br />eW~~i CommiSSion # 00326507
<br />~~A~ Expires June 6, 2008
<br />'~;ffi~'-"" T..,'..IJIIIIJIIIMI M .......7."
<br />
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