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tions"
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands t t ais permit may
<br /> oe fo comp) d e any
<br /> which may be more restrictive than County regulations. The undersigned
<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 /> on
<br /> contractor is not licensed as required by law, both the owner and contractor may cited for a misdemeanor lviolation for
<br /> under state law. If the owner or Intended contractor o County Building Inspection Division—Licensing r tS ction at 727-847 -
<br /> intended work, they; are advised to contact th e Pasco
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> n as the
<br /> portions of the "contractor Block" this application s not properly I censed is not entitled to le. y permitting prvileges Pasco
<br /> contractor, that may ay b be an indication that P `
<br /> County.
<br /> TRANSPORTATION IMPACTlUTILITReSIMPACT e Recovery F Fees may may app E COV i ER c YnEESt i o of new eng of
<br /> that Transportation Impact Fees an d
<br /> use in existing amended. in The undersigned dersi ned existing that such fees, in
<br /> es, Pasco County
<br /> be due, Ordinance number
<br /> identified at the. 89-07 and of
<br /> 90 -07, as amended. The undersig
<br /> permitting. It is further understood that final Transportation power release. If the project does a certificate occupancy o�
<br /> receiving a certificate of occupancy P
<br /> final power release; the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> 5
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as o f t "Flo ) ridf valuation on rk is 2,50 00.00 or more, I
<br /> Homeowner's
<br /> certify that I, the applicant, have been provided with a copy
<br /> other than the owner", n I c by tha 1 have obtained Department Agriculture
<br /> copy of the described document and promise in faith to
<br /> other than the "owner ", ( certify that
<br /> it to the "owner" prior to commencement.
<br /> that all work
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all construction, this app
<br /> an land de Application cation is
<br /> will be done in compliance with all applicable laws regulating
<br /> ion has
<br /> hereby made to obtain a permit to do � installation
<br /> ork will be to e m l eet t standards of all laws regulating ing
<br /> commenced prior to issuance of a perm I and that
<br /> construction, County and City codes, zoning regulations, l agencies es may apply ntended that is
<br /> cer that I understand that the regulations of other government
<br /> my responsibili to identify E nvt o nviron me n I ta I P otect bn- Cypress Bayheads SWetland Areas include but are not
<br /> Environmentally t
<br /> - Sensitive
<br /> Department of En
<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 /> P ermitted.
<br /> Use of fill Is not allowed in Flood Zone unless ex ress) Y p
<br /> If the fill material Is " be used bmitted at time of permitting which o is prepared r by a engineer
<br /> - "compensating volume will be submitted
<br /> by the State of Florida.
<br /> If the fill material is to be used in Flood Zone "lA"he a connection ectlo the withtem yr mitted building using stem wall
<br /> construction, I certify that fill will be used only to f
<br /> if ,fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> - properties. If use of fill is found to adversely l attached per , application for lots les than
<br /> the conditions of the building permit issued u nder the
<br /> acre which are elevated by fill, an engineered drainage plan is required,
<br /> T FOR THE , I promise In good faith to inform a remit may permitting required conditions
<br /> ed forelectr electrical work
<br /> this I a I d a AGENT trical w A
<br /> this affidavit prior to commencing condttucting, l as s or other installations not specifically included in the application.
<br /> plumbing, e d shall wells, pools, air to be a g
<br /> issued shall be co #o be a license to proceed a the work
<br /> a permit prevent the d ing Official from thereaalid
<br /> permit aside I permit Building shall become invalid
<br /> set aside any provisions errors in plans, construction or violations of any codes. Every p the technical codes, nor shat issuance
<br /> requiring a correction of er
<br /> unless the work autho
<br /> rized by such permit is commenced within six months of permit issuance
<br /> is commenced. u thorized b
<br /> m a y p is es te d , I d or B
<br /> abandoned for a period of six (6) months after ve days, ninety
<br /> job i considered abandoned.
<br /> ill co
<br /> In writing, from the Building Official for a period not exceed ninety (90) days and will demonstrate
<br /> ma requested, I
<br /> Justifiable cause for the extension. If work ceases for ninety (90) consecutive
<br /> MAY RESULT IN YOUR
<br /> WARNING TO OWNER: YOUR FAILURE TO R PROPERTY. OP IC U I • 1*, ;l C' CAM IN PROVE E TS TO YOUR PRTY.. IF YOU -I ND ND 70 0 = AI FINANCING, CONSU T
<br /> PAYING TWICE F IM „I ;li , ;__Y BEFORE RECD DING YOU WIT YOUR LE O FLORIDA JURAT (F.S. 117.03) ' CONTRALTO' '!'�_ `
<br /> OWNER OR AGENT Subscribed and sworn to (or a rni ' 4i0E «' s � v 40S ?
<br /> Subscribed and sworn t � 4htJ L
<br /> p2�N by produced Wh•1� -re personally known to me or has/have Identification.
<br /> Who ear ersP onally known totem , r has /have p
<br /> as Identification.
<br /> 000" ./V
<br /> T _ Notary Public
<br /> Notary Public
<br /> / Commi �o. . . . Z3
<br /> DD 77jf OZ3
<br /> Commission No. - '
<br /> Name of Notary typed, printed or stamp= _ ,., . Commission DD 774023
<br /> Name of Notary typed, pri ci '' :mmission DD 774; '� Q; � I arn N
<br /> 108 9311100
<br /> . ,;far. s o
<br /> es June 6, 2 12•00.369
<br /> 0
<br /> , `'' Expires June 6, 2012 Vi a,,,, ,. T Fin
<br /> ,, ;; ; �` 0undatlltlN TroyNonIMYroomr .1 385-1019
<br />
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