i
<br /> NOTICE OF DEED. RESTRICTIONS. The undersigned understands that this permit
<br /> responsibility t aya suject to "deed" re t ri c ti ns"
<br /> which may be more `restrictive than County regulations. The undersigned a any
<br /> applicable deed restrictions .
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,. they may be required to be licensed in accordance with state and local regulations. if the
<br /> ion
<br /> contractor Is not licensed as required by law, both the s to what licensing misdemeanor
<br /> may apply i foa t t h e
<br /> under state law.; If the owner or intended contractor are uncertain a
<br /> intended work, theyare.advised to contact the Pasco County Building Inspection Division — Licensing Section at 727-847 -
<br /> 8009, • Furthermore, if the .owner has hired a contractor or contractors, he is advised to have the contractor(s) sign owner sign as the
<br /> coions of the "contractor abe Block" this ll is not properly licensed is not entitled to privileges In Pasco
<br /> contractor, that may be an indication that he
<br /> n
<br /> County. ; ,
<br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND. RESOURCE RECOVERY FEES: The undersigned understands
<br /> ings, change of
<br /> that Transportation ng , oFexpand "Re existin buildings, as specified in County Ordinance n 89-07 07 and
<br /> use in existing buildings, or expansion o f 9
<br /> 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting, It is further understood that 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 asco Coutf e tc / o ncy o
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco Coi 1y ordinances.
<br /> 5
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If Const of Work is 2,500.00 or more, i
<br /> 00 Homeowner's
<br /> certify that I, the applicant,' have been provided `with a copy of the
<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'SIOWNER'S AFFIDAVIT: I certif� that all the information this application land accurate
<br /> a an that all work is
<br /> will be done in compliance with all applicable laws regulating construction, zoning
<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 to issuance of a permit and that and r il land development regulations in the uris
<br /> diction regu l la also
<br /> con County and City codes, zoning regulations,
<br /> certify that I understand that the regulationsust take to be in compliance. Such may include but not work,
<br /> limited {o, it is
<br /> my responsibility to identify what actions 1 m
<br /> - Department of Environmental Protection- Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment. I, Bayheads, Wetland Areas, Altering
<br /> Southwest 'Florida Water Management District - Wells, Cyp ress y
<br /> Watercourses.
<br /> Army Corps of Engineers- Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment,
<br /> Septic Tanks. Asbestos abatement.
<br /> US Environmental Protection Agency - ,
<br /> Federal Aviation' Authority- Runways. I
<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 be used in f permitting which is prepared ed drainage
<br /> professio profession adressing a
<br /> " engineer
<br /> "compensating volume " will be submitted at time of
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in
<br /> area connection
<br /> within the with htem wall..
<br /> permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill th
<br /> - If. fill material is to be used. in any area, I affect certify ad acent p�operties� T owner may d for vaffect
<br /> properties. If use of fill is found to adversely J
<br /> the 'conditions of the building permit issued under the attached required.
<br /> permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage p
<br /> a
<br /> the AGENT FOR.THE I promise in good f n itt ht to Inform t h ate permit may e c ditions set forth in
<br /> (his work,
<br /> this affidavit prior to commencing construction. I,understa
<br /> ells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> plumbing, . e d s ll L
<br /> serm alter, or
<br /> It Issued shall be construed to be a license to proceed sua a permiaprevent the T Official from thereaalid
<br /> e aside any provisions cof of the technical codes, nor shalt or
<br /> fter
<br /> requiring correction of errors in `plans ", construction or elodlavVtithin of any months of permit permit
<br /> ssua or work authorized by
<br /> 9
<br /> un the work authorized by such permit is commenced g0 days and will .demonstrate
<br /> the permit suspended or abandoned for a period of six (6a-months od not to.hexoeedtninetyr( is)commenced. An extens on
<br /> may J
<br /> may be requested, In :writing, �frpm the Building Official or p
<br /> justifiable cause for the extension. If work ceases for Winery ( 90 ) consecutive days, th ob Is considered abandoned.
<br /> MAY RESULT IN YOUR
<br /> TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT RESULT IN YOUR
<br /> PAYI T T t TO YOUR PROPERTY. IF YOU INTEND TO OBTA
<br /> PAYING TWICE FOR IMPROVE �
<br /> = EF e - E R CORD! 0 ; NO � E.• 1111101,,..
<br /> �':,�13i12`�` NT.
<br /> S 117.03
<br /> FLORIDA JURAT (F: • ' J CON TRACTO'
<br /> �� Subscribed and sworn to (or affir �L ,d' �`1
<br /> OWNER OR AGENT -�. S p ,�r3.
<br /> Subscribed and sworn to or a �'g 31 ,y �' Zo ra by
<br /> oN �� 2� personally known to me or has ave produced
<br /> ZvvU 4o9—by a ave produced ( Wh ° as lde prod tion.
<br /> who J -- aersonaily knowh as Identification.
<br /> Notary Public
<br /> r j • Notary Public
<br /> _ 7T5�DZ
<br /> _ . i7 2� Commission No.
<br /> Commission No. ,, _ • : - • • .. • >' � Name of Notary type p or stamp. ; ,As *. Commission DD 774023 •
<br /> typed, ri • , ,. P '.mmission DD 77 �; Expires June 6, 2012
<br /> Name of Notary HP p „ L�= '�R,.`, Banded I1NroYFN"IMWOn9��'�67019
<br /> °` 0 Expires June 6, 20
<br /> Pb °�a iwaa fi N Troyf+�n�Mw +e» •,
<br />
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