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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be. subject
<br /> j for compliance t wit any
<br /> which may be, more restrictive than County regulations. The undersigned assumes
<br /> applicable deed restrictions; .
<br /> UNLI CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: B LIITIE accordance with the owte ner has and local d. a c ctorth or
<br /> c ontractors to undertake work, they may be required to be licensed
<br /> contractor is not licensed as required by law, both the owner and contractor may be. cited for a misdemeanor l violation he
<br /> under state ;LaW If the owner or intended contractor County uncertain Dlvisionr ensingtSection at727 -847-
<br /> intended work,they,are advised to contact the Pasco
<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 that application not for li and i not entitled to permitting privileges g in Pasco
<br /> contractor, that may ay b be an Indication .that he e properly I licensed
<br /> County.
<br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERc FEES: of new de s ign ed u of
<br /> that Transportation Impact 'Fees and Recourse • Recovery Fees may apply to the
<br /> d
<br /> use In existing buildings, or expansion of existing buildings, dhat such Pasco County
<br /> be due �be identif identified at the-�me
<br /> 90 -07, as amended. The undersigned also understands,
<br /> permitting. It is further understood that Resource e a certlficate occupancy or
<br /> receiving a "certificate of occupancy" or final power release. If the project
<br /> er Impact
<br /> ater
<br /> WlSew/Sew
<br /> final power release', the fees must be paid prior to permit issuance. Furthermore, if Pasco County dinances
<br /> fees are due, they must be paid prior to permit Issuance In accordance with applicable Pasco Coujaty
<br /> 500.00 or more, t
<br /> CONSTRUCTION LIEN LA
<br /> certify ha ve b een p w ith t o t copy of he amended): Cons1 uction Lien Law — Homeowner's
<br /> Protection Guide" : I, the'p prepared .by is someone
<br /> oth er t han th o prepared: t fy the, 1 F lo ri da Department
<br /> ave ve obtained a copy of i the t above described document and promise in t good faith to
<br /> other than the "owner ", I certify that i have
<br /> deliver it to the "owner" prior to commencement.
<br /> C
<br /> ONTRACTOR 9 'SIOWNER'S AFFIDAVIT: I certify that all the Information uction i this application land de a to that all work is
<br /> will be done in compliance with all applicable laws. regulating construction,
<br /> has
<br /> hereby made to obtain a permit to do vvo[k and will be perfoemed! to rtify et of all iaws
<br /> commenced prior to issuance of a permit and th at all
<br /> lso
<br /> construction, County and City codes, zoning regulations, development may apply to intended thatat i s
<br /> certify that I understand that the regulations of government agencies
<br /> d to:
<br /> my responsibility to identi what actions i must take to
<br /> -Cbe r ss Bayheads SW tland Areas Enviro mentally Sensitive
<br /> Department of Envi ronmental Protectib yp
<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 /> Asbestos abatement.
<br /> US Environmental Protection Agency
<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. rofessfonal engineer
<br /> - If the `fill material is to be used in Flood Zone "A", it i w understoo
<br /> h i prep drby aina
<br /> age plan addressing a
<br /> "compensating volume" will be submitted at time permitting
<br /> licensed by the State of Florida. the fi
<br /> If • ll material is to be used In Flood Zone "A" in connection , in the with htem wall.'
<br /> permitted building using stem wall
<br /> c
<br /> _
<br /> • construction, I certify that fill will be used only to fill the area w
<br /> If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> attics. If use of fill is found to adversely affect adja {tached p ermit , application, toa may less cited thanVOoneti(�g)
<br /> prop ermit issued under the a P
<br /> the conditions of the building p
<br /> acre which are elevated by fill, an engineered drainage plan is required. ere required for electrical work
<br /> FOR;T HE,OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this 1 a affidavit AGENT trlcal n. ,
<br /> this affidavit prior to commencing pools, conditioning, g as or o he installations r not specifically ncludQedviolate, in ap • alter, A
<br /> plumbing,. ed shall wails, ons air o e a g
<br /> s nor shall issuance of a permit prevent the Bulidin Official
<br /> shall become invalid
<br /> permit issued .shall be construed to be a lic to proceed with the work and not as authority Iss or
<br /> P revisions of the technical codes, ermlt
<br /> set aside any p
<br /> u nl e ss t a corrects t h of ed b y inch n permit construction or violations of any
<br /> d within six months of p e th c issuance, o r if work g Ap horized b
<br /> unless the work authorized by such P 90 days and wilt demonstrate
<br /> may permit e ,ls est pen , i n w iii g, f rom the Build ngiOfficial-fo a period not tohexceeS th c ob Is considered abandoned.
<br /> may requested, ble cause for the .writing, from
<br /> justifiable exkensfon. If work ceases for ninety (90) consecutive day ,
<br /> ND s OBTAIN FINA CONSULT
<br /> F AILURE TO RECORD A NOTICE OF COMM E EMENT MAY R ESULT IN YOUR
<br /> WARNING TO OWNER: YOUR S T O YOUR PROPERTY. IF YOU INTE /yam OBTAIN
<br /> li NT.
<br /> FLORIpA JURAT (F:S. 117.0 FINANCING, IN
<br /> PAYING TWICE FOR IMPR � i.�� : EFORE RECO - DI G . OU i .k0 / -�
<br /> T. OU E � ' �,,
<br /> 3) O- l ro6 E�-
<br /> �I ® � CONTRACT e. before me this o c
<br /> i Su b scr ibed and s to—'="' oaN efovE«
<br /> OW19ER.OR AGENT T,. �•..�- me this p��r+IE ra ?wA by
<br /> Subscribed and sworn t (or - T� =,-,' 6
<br /> ,� oN 4y Nth re pers onally to me or haslhave known produced
<br /> .
<br /> _ b y as identification
<br /> Who dare Personally known to m as Identification. roduced
<br /> / , Notary Public
<br /> Notary Public
<br /> Commission No. ?� 0 Z3
<br /> Commission No.
<br /> Name of Notary typed, Printed or stamp= , *. .:,,1.-- Commission 00774023
<br /> Ex June 6, 2012 41
<br /> typed, ri :.�� ��!- P' • +mmission ; +, gy p ! , e,,,T,oy 2012 7010
<br /> Name of Notary typ P , 4 -� • 2 012
<br /> r an Expires June 6, a ao,9 .
<br /> b` pfin+Troypminstem .
<br /> cf r� Banda
<br />
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