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<br /> NOTICE
<br /> OF DEED: RESTRICTIONS: The undersigned understands that this permit may subject
<br /> compliance with any
<br /> " restrictions"
<br /> which may responsibility e m restrictive than _County regulations. The undersigned assumes p onsi
<br /> applicable ;deed restrictions
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br /> c If t the
<br /> o and loca has hired a contrsctor or
<br /> r
<br /> contractors to undertake Work, . they may be required to be license n
<br /> contractor is not licensed as required by law, both the oWner and `contractor : may be cited for a misdemeanor
<br /> for th
<br /> under state law. If the owner or intended contractor licensing
<br /> DivisionrBLicensingtSection at7 7-847 -
<br /> intended work, they,are� advised to contact the Pasco County Building
<br /> 8009. Furthermore, if the 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
<br /> a which they is not enbtied to permitting
<br /> n P asco
<br /> contractor, that may be an indication that he is properly Y
<br /> County.
<br /> TRANSPORTATIO IMPACTIUTILITIES IMPACT AND RESOURCE RECOVER F r n The
<br /> new de s ign ed un of
<br /> that Transportation �mpacf`Fe and Recourse Recovery Fees may apply to the
<br /> use in existing buildings, or expansion of existing buildingat such fees,. , specified in Pasco be di le, County will be Ordinance number 89 -07 and
<br /> 90 -07, as amended. The undersigned also understands,
<br /> identified at the time of
<br /> permitting. It is further understood that Transportai the p ojecRdoes a ce tificate occupbe paid
<br /> o
<br /> receiving. a certificate of occupancy" or final power
<br /> final power release; the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact ordinances. '
<br /> fees are due, they must be paid prior to permit issuance in
<br /> da Statute as amended): P If valuation of of Work i s $2,500 00 or more, I
<br /> CONSTRUCTION LIEN LAW (Chapter 713, provided 'with
<br /> , t of the "Florida Construction Lien Law — Homeowner's
<br /> certify that I, the applicant, have been provid' a copy
<br /> other than th an thei oWprep re ner ", I certify that y the 1 Florida ha Department ained a copy of Agriculture described document and promise in faith to
<br /> other the owetify I a
<br /> deliver it the "owner" prior to commencement.
<br /> ONTRACTOR'SIOWNER'S AFFIDAVIT: I certif�
<br /> k
<br /> C 9 that all the information in
<br /> zoning a p l tiod is
<br /> a ccura ntn Appli wor
<br /> is
<br /> wi be done in compliance with all applicable laws regulating construction,
<br /> has
<br /> hereby made to obtain a permit to do work installation
<br /> will be toem of all laws rig
<br /> commenced prior to Issuance of a permit and at
<br /> construction, County and City codes, zoning regulations, and land development regulations l the in the
<br /> ed and thatat i
<br /> certify that I understand that the regulations of other government agencies may apply to
<br /> my responsibility to identify what
<br /> ro o nmen i m tal P cot ta ec i b n yp in
<br /> ess Bayheads Such
<br /> Wetland include but are not
<br /> Environmentally Sensitive
<br /> - Sensitive
<br /> Department of Einmenrotti
<br /> Lands, Water/Wastewater Treatment.. Ba heads, Wetland Areas, Altering
<br /> - Southwest 'Florida Water Management District- Wells, Cyp ress Bay
<br /> heads,
<br /> Army Corps of Engineers - Seawalls, Docks, Navigable Waterways.
<br /> Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment,
<br /> Septic T Asbestos abatement.
<br /> US Environmental Protection Agency -
<br /> - Federal Aviation Authority- Runways. 1
<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 oApermitting which �s prepared by addressing a
<br /> "compe volume" will be submitted
<br /> licensed by the State of Florida.
<br /> _ be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> If the fill material is to
<br /> construction, I certify that fill will be used only to fill the area within the stem wal ma be cited for violating
<br /> - If fill material is to be � used In any area, I certify that use of such f 11 will
<br /> owner t adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect a) P location, for lots less than one ( )
<br /> the conditions of the building permit issued under the attached permit app
<br /> acre which are elevated by fill, an engineered drainage plan is required. required for electrical work
<br /> R I. In good faith to inform the owner of the permitting e conditions set forth in
<br /> this I am a AGENT 0o THE Cing c , R
<br /> conditioning, gas, or other installations not specifically included in application. ter, A
<br /> this affidavit prior to commencing constructlon. (,understand that a separate permit may
<br /> Numbing issued signs shall be construed to e a license to proceed with the s,
<br /> emit issu air or
<br /> cal codes, nor shall issuance'of a permit prevent the Building iss d shall from
<br /> become invalid
<br /> P r eil be st n wgrk and not as a Y
<br /> s aside an
<br /> correction * o f of the tech
<br /> req uiring nle t a correctf th o errory su ch permit Is commenced within within six months of permit Every permit
<br /> commenced. , or if work
<br /> Aph orized b
<br /> unless the work authorized by such p period of six (6) months after the time the (9 days and will demonstrate
<br /> may permit eq suspended
<br /> ste , i n w or. abandoned for l
<br /> from the Building Offici'aF`for a-period not to. exceed ninety ( Y.
<br /> may be requested, in :writing, � . 90 consecutive days, th Job Is considered abandoned.
<br /> Justifiable cause for the extension. If work ceases for ninety ) COMMENCEMENT Y RESULT IN YOUR
<br /> YOUR FAILURE TO RECORD A NOTICE OF COMM /! NCING, CONSULT
<br /> WARNING
<br /> AYI Ni T TO OWNER: TO YOUR PROPERTY. IF YOU INTEND TO OBT�
<br /> - r . " ; Z T _ , = EFORE RECORDING 0 0 I E0
<br /> �'�ri jo tIZA.t ENT.
<br /> PAYING TWICE FOR IMPROVEM
<br /> W T. • .,a
<br /> FLORIDA JURAT (F.S. 117.03) � I� CONTRALTO' �r+'"�Fa�[u��j •
<br /> OWNER OR AGENT � Subscribed and swum to (or a oNw y.�,,,�. ►�'�
<br /> Subscribed and swam to °4/14 -----1
<br /> lr y � is I B S y° yip y4 by
<br /> ZO'r!� by o o !have produced
<br /> Wh re p ersonally k nown to me or cast iden�Bcation.
<br /> Who dare personall known i s i d enti fication.
<br /> Ae 1 Notary Publi Notary Public
<br /> c
<br /> i Com No.
<br /> '
<br /> . b' 7 75T Z
<br /> DD 77 O Z 3
<br /> Commission No. ""
<br /> - ed, rinted or stamp = _ ,,, Commission DD 774023
<br /> Name of Not lyp P y 3_, Expires June 6, 2012
<br /> '� ` : P'; ion DD 7740 4 +.f .....
<br /> �a Baps eS June
<br /> Fun I , 201 B0304019 Name of Notary typed, Prl t ; O t * p SS
<br /> J une 6 , 2012
<br /> s� � . � • a ExplreS , 5-7019 RI 'V gendeennetrcesometwes
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