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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be .ubject to ~deed" restrictions'
<br />which may be more restrictive than County regulation.. The undersigned a.sum.. respoo.lbllty for oomptlanoe with any
<br />applicable deed restrictions.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSISIUTIeS: If the owner ... hired a oomractor or
<br />contractors. to und....ke work, they may be requJrec:l to be 11oenaed. In aoaordanoe with .tate and looaI regulations. If the
<br />contractor IS not licensed as required by law. both the owner and oontractor may be oltecl for a ~r violation
<br />under state law. If the owner or Intended oontnlotot are unoertaln .. to what lloon.lng requlret'nent1t may apply for the
<br />intended work, they are advised to oontact the Pasco County Building Io.pectlon Dlvlalon-Uoenelr18 8eoUon at 121-a47-
<br />8009. Furthermore, If the owner has hired a oontraotor or oontraotorI, he Is advlMd to have the oontraotoli') sign
<br />portions of the "oontnaotor BlooI<. of thl. .pplloatlon for which th.y will be ....ponelble. If you, .. the owner .!gn .. the
<br />contractor, that may ~ an Indication that h. Is not properly IlcenHd and Is not .ntltled to permitting prtvIlege8 In Pasco
<br />County.
<br />TRANSPORTATION IMPACT/UTILITIES IMPACT ANO RB80URCI RECOVERY'.": Th. Ynderwlsilned Ynd....uands
<br />that Transportation Impaat F... and Reoou.... Recovery ,... may apply to the oonltruotlon or MW bUlcRnge ohange of
<br />use in existing bulldlnge. or expanelon of .xlstlng buUdlnga,al lpeotfted'ln Paloo County OrdlnanOe m.ambef 8e-Q1 and
<br />90-07. as amended. Th. und....lgn.d a110 und....tand., that luoh f..., .. may be due, wll be IdentIfted at the time of
<br />permitting. It Is furth.r und.rstood that Tranlportatlon Impaot F... and Resaur08 Recovery F... mUlt be paid prior to
<br />receiving a "certificate of occupancy" or final power......... If the projeot does not Involve a oertIftoate of oooupancy or
<br />final power release, the.. mult be paid prior to permit I..uance. Furth.rmore, If Puoo .County WatM/SfIwer Impact
<br />fees are due, they muat be paid prior to permit l81Uance In acoordanee with applicable P8IOO County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter 713, Florida 8tMutM, _ am.nded): If valuation ofWOf1( Ie $2,500.00 or more, I
<br />certify that I, theapplloant, have been provld.d with a copy of the .Florlda Con.truotlon LIen Law-Homeowner's
<br />Protection Gulden prepared by the Florida Department of AgrIculture and Consumer Affairs. If U. _Ioant Is someone
<br />other than the "owner", I certify that I have obtaln.d a oopy of the above desorlbed docum.nt and prom," 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 thla applloation I' 8QOUraW and that all work
<br />will be done In compliance with all applloabl. laws regulating oon.truotton, zoning and land development. Applloatlon Is
<br />hereby made to obtain a permit to do work and inltallatlon a, Indicated. I certify that no work or Installation has
<br />commenced prior to Issuance of a permit and that all WOf1( will be performed to meet standardl of all laws regulating
<br />construction, County and City codes. zoning regulation., and land development regulations In the Jurl8dlotlon. 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 agenoies IndUde but are not limited to:
<br />Department of Environmental Proteotlon-Cypreea Bayheads. Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment.
<br />Southweat Florida Water Management Dlatrict-Wells, Cypress Bayheads, Wetland Areas, Altering
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br />Department of Health & Rehabilitative ServloellEnvlronm.ntal Health Unit-Weill, Waetewater Tr.atment,
<br />Septic Tanks.
<br />US Environmental protection Agency-Albeatos abatement.
<br />Federal Aviation Authority-Runways.
<br />I understand that the following restrictions apply to the use of flll:
<br />Use of flllls not allowed In Flood Zone IAV" unleas exprellly permitted.
<br />If the fill material Is to be used In Flood Zone IAA., 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 "AU In connection with a permitted buDding using stem wall
<br />construction, I certify that fill wUI 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 lsiued under the attached permit application, for lots lell 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 Infonn the owner of the permitting conditions set forth in
<br />th is affidavit prior to commencing construction. I undel"ltand that a separate permit may be required for electrical work,
<br />plumbing, signs, wells. pools. air conditioning, gas, or other Installations not spectflcally Included In the application. A
<br />permit issued shall be construed to be a license to prooeed with the work and not as authority to violate, cancel. alter, or
<br />set aside any provisions of the technical codes, nor ,hall Issuance of a permit prevent the Building 0fftciaI from the~eaft~r
<br />requiring a correction of errors In plans, construction or violations of any codes. Every 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 &Ix (6) months after the time the work Is commenced. An extension
<br />may be requested, In writing. from the Building 0ffI0iaI for a period not to exceed ninety (90) days and will demonstrate
<br />justifiable cause for the extension. lfwork'ceases for ninety (90) consecutive days, the job Ia coneidered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOnCE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPRQVEMENTS TO YOUR P OPERTY. IF YOU INTEND TO OB"t FINANCING, CONSULT
<br />
<br />WITH 0
<br />FLORIDA JURAT (F.S.
<br />
<br />
<br />ubIlo
<br />
<br />Notary Public
<br />
<br />Name of Notary
<br />
<br />rl _ -. .
<br />~.~b~()
<br />
<br />,
<br />
<br />...., CAROLE M. BRAOLE't
<br />.~ MY r
<br />, ~i1i EXPIRES: October 8, 2(
<br />":l;'" 'lI~'l' Bonded Thru IlolaIy PIdc Undt
<br />
<br />..-~., ....,.,._...,.;;'"~-~.,
<br />
<br />NIme of
<br />
<br />
<br />~ CAROLE M. BRADLEY
<br />Il. -,.~ MY COMMISSION # DO 466545
<br />iXPlfllS: ClcIobtr at 2009
<br />, IIIiI1IlIId fllN NIlII1I'\11l1o UndIrMlfII'8
<br />
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