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OTICE. OF OEEO.REStRlCTlONS; . The underalgned und....tand. that thl8 permit may be .ubjeot to ~deed" ....triotions" 'hich may be more rea1J1oUve than County regulatlonl, ",e underel;ned ae.um.. reeponalbltty for compliance WIth any pplicable deed restrIctionS. NLICENSED CONTRACTORS AND CONTRACTOR RESPONSI8IUTIES: If the owner 11M hired . oontractor or :>ntractors to undertake work. they mey be rwqund to be IloenHd '" IIOQOI'CIanoe with ... ancIlooall"tlQUlIItIoM. If the :>ntractor is not I~oeswed .. requlrecl by law. both the owner .nd oontractor may be olted for . mleCIemeanor violation nder state law. If the aNn<< or Intended oontraotor.... uncertain.. to what lleen"ng requnrn.nw may apply for the Itended work, they... advleecl to contact the paeoo County eulldln; IrwpeotIon Olvt.lon--L.lOenUl8"'" at 727-847- 009. Furthermore, If the owner has hired a contraGtor or OOtttraatcn. he 18 advleecl to have the """bactor(s) sign ortions of the .coutraotor EIIoOk" of this applloaUon for whlah U'teY will be ,...pon81b1e. If you, .. .. owner eI8n .. tho ontractor, that may be an Indication that he I. not properly lloeOMd and 18 not entitled to permltttng prMlege8 In Pasco ,ounty. RANSPORTATlON IMPACTJUTlLITIES IMPACT AND. ._OURO. RIIOOVERY pra..: The "nCIerIIIIMCI "naretande lat Transportation ImpaGl F..' and Reoou,.e Reoov<<Y pr... may apply to the oonetNOtton Of MW ~, ohange of se in existing bulldlnga, or exparwlon of exllting bulldlnga,'.' .peolfted'In P8800 County Ordlnal'lOe iNmber 88-07 and 0-07, as amended. The underatgned ..0 uncleratandl, that .uch feu, a. may be duo, wIQ be IcIentIftecI at the tlm'e of ermitting. It Is further unc:teratood that Transportation Impact F... and Relauroe Recovery ,... muat be pakI prior to ~ceiving a "certificate of oocupanoy" or final power ......... If the proJect doeI not Involve a ~ of oooupancy or nal power release, u.t.ea muat be paid prior to pennlt lHUanoe. Furthennore, If PHoo 'COUntv WaW/8f1WfIr Impact ~es are due. they muet be paid prtor to pennlt tAuaf108 In IIOOOrdanOe with applloable paaoo County ordinances. :ONSTRUCTlON UeN LAW (chapter 713, florida 8tatUtM, .. amended): If valuation of WOf1( .. $2,f500.00 or more, I ertify that I, the 'appllcant. have been provided with . oopy of the .Florlda Conetruotlon LIen~. Homeowner's )rotection Guide" prepared by the Florida Department of AgI10Ulture and Consumer Affalra. If the appIloant 18 someone Ither than the "owner", I oerttfy that I have obtained a copy of the above described document and prom... In good faith to leliver it to the "owner" prior to commencement. . ;ONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Information In this applloatlon.. aoourate and that all work viii be done In compllanoe with all applicable lawa regulating conatruatlon. zoning and land d.velopment. Application Is lereby made to obtain a pennlt to do work and Installation al Indicated. I oertIfy that no WOf1( or lnatallatlon has :ommenced prior to IsSuance of a permit and that all WOf1( will be performed to meet standards of all laws regulating ;onstruction, County and City codes. zoning regulat\0n8, and land development regulatIonS In the Jurisdiction. I also :ertify that I understand that the regulationl of other government agenclea may apply to the 1n1ended WOf1(, and that it is ny responsibility.to identify what actions I must take to be In compl\anOe. Such a;en0\e8lndUde but.. not limited to: _ Department of Environmental Protectkm-Cypre88 Bayheadl. Wetiand Areas and Environmentally Sensitive Lands. Water/Wastf1N8ter Treatment. Southwelt AorIda Water Management DIstriot-Well., Cypr88S Bayheadl. Wetland Areas, Altering Watercourses. Army Corp8 of Engineers-SeawaIl8. OocI<8, Navigable WaWrways. Department of Health & Rehabilitative ServloHlEnvlronmental Health Unlt-We"I, WaateWater Treatment, Septic Tanks. US Environmental protection Agency-Asbestos abatement. _ Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: _ Use of fIIlla not allowed In Flood Zone "'V u.... expre..ly permitted. If the fill material Is to be u.ed In Flood Zone · A., It II understood that a c:IraIna;e plan addressing a "compensatlng'volume" will be .ubmltted at time of pennlttlng which Is prepared by a profe8llonal engineer licensed by the State of Florida. If the fill material is to be used In Flood Zone .t:-: In connection with a permitted building using stem wall construction ,certify that fill will be used only to flI the area within the stem wall. If fill ~ Is to be used In any area. I certify that use of such fill will not adversely affect adjacent properties. If use of fill Is found to 8dverseIY affect adjacent properties. the owner may be cIt8d for violating the condltlons of the building permit l88Ued under the attached pennlt application. for lots less than one (1) acre which are elevated by fill. an engJneered drainage plan Is required. If I am the AGENT FOR 1ME OWNER. I promlleln goad - fD _1he owner of 1he permIIllnlI- set forth in this affidavtt prior fD ~ COIl8truaUon. I ~ that a _Ie pemdI may be raqu\nld for ~ work, plumbing. signs. ....... pools. air condnJonlnll, gas, or...................... not ~ ....-In 1he sppIk:atiOn. A permit isSued shall be cOnslruecI fD be a 1_ fD pnaad wI\Il1he wor\< and not eo aulhlJo1llr fD _. _. alter. or set aside any provtolllnS of 1he \OChI1IC8I- nor shSII- of a pemdI pIeVent 1he -.u OIIIdsIfrom thefeafler requiring a corracUon of _In plans. cons1NCIIon or 1liaIalIoM of 81'1'/ codao. EverY ponnIl........ - -. Invalid unlesS the wort< au\hClIlZIId by such penn" Is c:onunonoed wIIhIn six IIlOlIIhs of permII _. or · - auIh<>n2ed by the ermit is suspendad or ~ for a portod of six (6) mon\h8 _1he time 1he wor\< Is CIIIMlIIO*I. An extension ma: be requested. iii WIlIInlIo from 1he BulIdInll 0ftIaIsI for a portod not fD..,.,.,..J nInolY (80) daVS and wi! demonstrate justifiable cause for 1he -...on. "wor\<'- for nInolJ (80) ...-,.tIve daVS. 1he Job Is ConsidoIed ..-. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOllCE OF COIllllENCEIIEN'T MAY RESULT IN YOUR PAYING TWICE FOR ~ TOVOUR I'RC)I'B\'Y. .. YOU INTEND TO 0Bt . ONSUL T W~ U . FLORIDA JURAT (F.S ----- ./ ......_0 ) " IcnOWn tD 1M or ..1dlIII...... l )~~~~~ commlallOn No NotarY Public ry PubIIo Name of Notary typed. jirInWd or:eiMnped ...... fA NotIIY CAROLE M. BRADLEY CI._1;.4~r 8, 2009 . Bonded Thru Notary Pu\lIic UndelWrilers