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<br />05-+9-2008 11:58 <br /> <br />NOnCE OF DEED RESTRIC110N8: The undersigned understands lhatlhi8 permit mey be subject 10 "deed" l'8StJidJons" <br />which may be more reslrlcllve than County regulallons. 'The undersigned 8eeume8 responsibility for compli8nC8 with any <br />applicable deed 11IS1rictions. <br />UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES; If the owner h85 hired a eontraclot or <br />contractors 10 under1ake watt, !hey may be required 10 be licensed in accordance with state and local regulations. If Il1e <br />contraClOr Is not liOens8d 8$ required by law. both the owner and contractor may be cited for a misdemeanor violation <br />under atele law. If the owner or intended conllador are uncertain as 10 whatlicenclng MqulNlm8f1ts may apply for the <br />intended work. they are advised 10 conIaCllhe Pasco County Bulldlng In6peCtion Divieion--LicenSing Secllon at T27~7- <br />8009. Furthermore. If the own.,. has hired a conlreClor or contlllctonl, he is acM8ed to have the contrector(s) Sign <br />pOltlons of !he "conlradO/' Blodt" of this application for which they wi. be responsible. If you. 88 the owner sign 86 the <br />contractor. that may be an Indlcallon thai he i6 not property lic::ensed and is not entitled to permitting privileges in Pa&ClO <br />County . <br />TRANSPORTATION IMPACTAJTIUT1E8 IMPACT AND RESOURCE RECOVERY FEES; The under.Mgned undemancls <br />that Transportallon Impact Fees and Recourtl8 Recovery Fees may apply to the cons1rucllon of new buildings. change 01 <br />use In elllsUng buiclings, or expansion of existing buldlngs. as specified In Pasco County Ordinance number 89-07 and <br />90-07.85 amended. The undenIigned also understands, that such IeGG. 8S may be due, will be idenlified atlhe lime 01 <br />pem1ittlng. It is fur1her unders100d that Transpor1etion Impact Fee5 and Resourat Recovery Fees must be paid prior to <br />receiving a "C8l'tlncate 01 OCCUI)en~" or final power release. If the project does nollnvolve a certltlcale of occupancy or <br />nnal power release. the fees must be paid prior to pennIlIaUanc8. Ful'lhermore. if Peeco County WeterlSewer Impact <br />fees ere due, they must be paid prior to pennlt __nee in ~nce with applic8ble Pasco County ordinances. <br />CONSTRUCTION LEN LAW (Chapter 713, flOridll St8tules. .. _ndecl): If valuation of work is $2.500.00 or more, I <br />certify that I. the applicant. have been proviClecl witn a copy of the "Aorida Construction lien Law-Homeowner's <br />Protection Guide" prepanld by Ihe Florida Department of AgricuJture and Con5umet AIfal/'S. If the applicant Is someone <br />other than the "~. I C8f1ify 11'18tl haV8 obtained a copy of the above desatbed document and promise In good faith to <br />deliver It 10 the "owner" prior to commencement. <br />CONTRACTOWSIOWNER'S AFFlDAYn': I c:MlfY that sllthe information in !his application is 8OCUf8te and ttlet all woriI <br />will be done in compliance with all appIlcabIe Iew& regulBling construction. zoning and land deveIopmenl Application is <br />hereby made to oblaIn a .-mil to do wort and instaIaIlon as Indlcaled. I certify thet no WOtk or installation has <br />~ prior to issuance of 8 permit and that an watt wiI be perfoImed to meet standards of all laws regulating <br />conetr\lc:lion, County and Cfty codes, zoning regullltiona. and land d8Y8lopment regulallons In the jurtsdlctlon. I also <br />C8l1lfy that I understand that the regulalion$ of other government agencfes may apply to Ihe Intended work. and that It Is <br />my te5pOnSibiI"lIy 10 idenllfy what actions I must lake to be in compliance. Such agendes Include but are nolllmll8d 10: <br />Depertment of EnvIronmental Protection-Cypress Bayheads. Wetland Areas and Envltonmentally S8I'lslU\t8 <br />Lands. Wal8rJWasteweter Treetmenl <br />South_t Florida W.,- Management DIstrtct.Walls. CypteSG Bayl1eada, WeIIanCI Ar888, AIIering <br />WaIl!wcou/'S8$.iAnny Corps of Engineenl-Seawalls. Docks, Navigable Welefweys, <br />Department of Heallh & Rehabilitative ServiceslEnYironmental Heallh Unit-Wells, Waslewaler Treatment, <br />Septic Tanks. <br />US Erwlronmenral PrOleetiCln Agency-Asbestos abatement <br />Federal Avl8lion Authority-Runways. <br />I undersland lhath IoIlowing ra1rictions apply 10 Ihe U$tI 01 fill: <br />U$e of fill is not allowed in Flood Zone V unle$e elCpressly permitted. <br />If the fill material is to be used in Flood Zone "A'. it is understood ltIat a drainage plan addressing a <br />"compensating volume" wi. be submitted at time of permlnlng which is prepetecl by . profesei0n81 engineer <br />licensed by the SlaI8 of FIoI'icl8. <br />If the fill material is to be used in Flood Zone 'A" in connection with a permitted building using stem wall <br />COI1$ltuction. I ceftify Ilat fill will be useG only to fil1he area within the stem wan. <br />If fiI matefial is to be used in any area, I certify 1hat use of $UCh iii win no! adYer.IeIy alf8ct adjacent <br />propenI8s. II use 01 fill is found to adversely affect 8Cljecen1 properties. the owner may be ciled for YioIating <br />the condIUons of.. building permit: Issued under Ihe aIl8ched permit appIiClltion. for lots less than one (1) <br />aCfe which ere elevated by till. an engineered drainage plan is required. <br />If I am the AGENT FOR THE OWNER, I pmmiee in good faith 10 inIomIthe ~r tl the pennilting concIilione eel fol'lh in <br />this affidavit prior to commendng construction. I understand that a separate permit may be required for electrical wort(. <br />plumbing, signs, wells. pools, air eondiioning. gas. or other In&taIIallons not specifically included in the application. A <br />permit issued shall be consltued to be 8 lcense to proceed ..Ih ltIe work and not as authority to violate, cancel, sher, or <br />set aside any provISions 011 I'le technical oode6, nor shall issuance of a pennlt preVMt the Building 0IfIcie1 from thereafter <br />f8qulrtng a correctiOn of emn in plans, ootl$ltudion or violations of any cocles. Every pennit isSued shall become invalid <br />unless !he watt authorized by such permit is commencad within silt months of permit issuance. or If woriI authortzed by <br />the permit ia 8U8pended or abandoned tor 8 period of six (6) monlhs after the time the wurtc Is commenced. An extension <br />mey be requested. In writing, from the BuildIng 0ftIcial lor a period not to 8XC88d ninety (90) days and will ClemOl1SIrate <br />justifiable cause for Iha ..."sion. If work ceases for ninety (90) consecutive days, the job is considered abandoned. <br /> <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIlIMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br />FLORIDA JURAT ~F.s. 111.03) <br /> <br />OWNER OR AGENT <br />S_ 8tlCI-n IE> C...--.,) b8b8 in.1Ill8 <br />. ....__Dy___.... ._ <br />WIlo r.Hn: pcrsoneIIy Imown 110 me or __ p...chad <br />... icMnlllceaon. <br /> <br />COIfTRACTOR <br />Sub5c:ribed IlIlcl _ to ia; ......cd) """'"' _ tholi <br />. . .---by --_._. . <br />Who i:ri.... ....-.ally lcnown 110 me or h88IIwmo p1odU<aKl <br />as~. <br /> <br />. ___NCll8ry PuIIIir: <br /> <br />.. .._____--, PulllIc <br /> <br />COIm"ission No, <br /> <br />c-.m-. No. <br /> <br />N~;;' of NaQry~: 1II1nl8CI ()( -i*l---' <br /> <br />H._ afNc.,y lyp8CI.llIWiiiHior-.po..l <br /> <br />PAGE12 <br />