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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be niore'restrictive than County regulations. The undersigned assumes responsibility for complianbe with 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 /> contractor is not licensed as required by law, both the bwrier and contractor may be cited for a misdemeanor violation
<br /> under state ,law.: If the owner or Intended contractor are uncertain as to what licensing requirements may apply for the
<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
<br /> portions of. the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County. �.
<br /> TRANSPORTATIO IMPACT/UTILITIES IMPACT AND. RESO RECOVERY FE The undersigned understands
<br /> that Transportation Impact 'Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and
<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 pald prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not f Pasco involve County fl occupancy ncy or
<br /> final power release; the fees must be paid prior to permit issuance. Furthermore, W dinances /Sew
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco Couiaty
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): if valuation of Work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's
<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 1 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 /> l work
<br /> CONTRACTOR'S/OWNER'S in compliance AFFIDAVIT: econstruction, this
<br /> and la development• Appli a Is
<br /> will be done In compliance with all applicab le laws regulating
<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 o and will be development regulations in the to meet standards jurisdiction 9 1 a also
<br /> constr County and City codes, zoning
<br /> certify that I understand that the regulations ust take to be in compliance. Such agencies o include but
<br /> are not limited to: it is
<br /> my responsibility to identify what actions
<br /> - Department of Environmental Protectibn- Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment. 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.
<br /> US Environmental Protection Agency - Asbestos abatement.
<br /> Federal Aviation Authority- Runways.
<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 /> f the `fill material u s lobe used in Flood
<br /> ed at of permitting which is prepared drainage plan a
<br /> " engineer
<br /> "compensating volume" will be submitted
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection ith tem W mitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area with in the
<br /> - If fill material Is to be used. In any area, ell certify t adjacent properties� owner may cit d for v affect
<br /> properties. If use of fill is found to adversely affect
<br /> the'conditions of the building permit issued under the attached eg p permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan
<br /> ons set forth in
<br /> If I am the AGENT FOR :THE , OWNER, I promise in goo that pahat permit may be requi for work
<br /> this affidavit prior to commencing construction. I ,understand
<br /> plumbing, , signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A alter, or
<br /> permit issue ,shall be construed to be. a license to proceed s wii h th e a pk n n as u t h o ildi Official from thereaftfa
<br /> e aside any provisions of a of the Ors in plans', codes, nor shalt
<br /> requiring uiring a correction of errrors in plans; constru o ct n o mence l d l within six a months of per Every permit
<br /> ssua or work authorized authorized by .
<br /> a per
<br /> un the Work pe dud authorized by such permit is c ' 90 90 days and d. An extension
<br /> may permit Is suspended or abandoned for a period of six (6) a- period not to the is commenced. An extension
<br /> m be requested, In writing, from the Building Officlal� or a p
<br /> justifiable cause for the extension. if work ceases for ninety ( ) consecutive days, th�Job is considered abandone L
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN EMENT MAY RESULT IN YOUR
<br /> ,, I u EN E u NT.
<br /> IMPROVEMENTS TO YOUR PROPERTY.IF YOUINT T OBTAIN FINANCING; CONSULT
<br /> PAYING TWICD FOR s` ji1iL . - W RI OU;; LE � E, O . , �: = EFORE RECO - DING OUP N �j
<br /> FLORIQA JURAT (F:S. 117.03) '
<br /> /� CONTRACT°' `T"!:re me this o c re E/L-
<br /> Subscribed AGENT '�"'*r c_ ore me this pe.ry *SE'� Subscribed and by
<br /> TZM LauE�
<br /> Subscribed and sworn. to
<br /> 4 by a o/d ' ' ✓Fly .ef -re personally known to me or ha a s ide p %lion.
<br /> Who mare nersonall�l known to or has/have produced r
<br /> as Identlticatlon
<br /> Notary Public
<br /> N otary Pu ' "r
<br /> ` re 7Tf0 Z
<br /> ___ 77 x3 Commission No.
<br /> Commission No. _ _ ' ..
<br /> E
<br /> ' ' - . ' ' Name of Notary typed, printed or stamp= a h .: Commission DD 774023
<br /> Name of Notary typed, prl ..'''tr.' ' ''
<br /> E.: p "'.mmission DD 774023 �, a= Expires June 6, 2012
<br /> ?I . - =4, • d;` xpi es Troy Fein 2012 �'�6'7019.
<br /> ' "' f Expires June 6, 2 012
<br /> . '�a '�' WWI NO 285.7019.
<br /> �F " '• '
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