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NOTICE OF DEED RESTRICTIONS: The•urtdersigned understands that this permit may subject to "deed" restrictions"
<br /> which may, be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. •
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has 'hir'ed 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 ownd( and contract ©r may tie 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, they are 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 /> TRANSPORTATION. II PACT/ IMPACT AND RESOURC RECOVERY F The undersigned understands
<br /> that Transportation Impact Fees and Rebourse 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 paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<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 /> CONSTRUCTION LIEN ItAW,(Chapter 71 Florlda Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provider' 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 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'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do livork and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering
<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 TapISs.
<br /> - US Environmental Profection'Agency- Asbestos abatement.
<br /> Federal Aviation Authority- Runways.
<br /> I understand that tfie following restrictions apply to the used 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 "A ", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by, the State of Florida.
<br /> If the till material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> • • construction,• I certify, that fill will be used only to fill the area within the stem wall.
<br /> If fill material is to be used rn afiy area, I certify that use of such fill will • riot adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adja pr pttiet the Owner may los l ess than v ona ti ( )
<br /> the of the building permit issued under the attached application,
<br /> which are elevated by fill, an engineered draina6e'plan is regttked. .•
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commas, air c air c ondit onin , gas, or other installations r not specifically ncluded en the application. A
<br /> plumbing, signs, wells, pools,
<br /> set aside any p rov is io construed ns of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> set asde any provisions
<br /> unless t a correcti he work au thorized by of error s s u such permit is r commenced within six months of permit issuance, issued
<br /> if work authorized by
<br /> unless tty sch permit
<br /> permit is es in d or , from the Building Official ial forr a period months
<br /> d not to exceed the
<br /> ninety (90) days and will demonstrate
<br /> may nstrate
<br /> may be e requested, in extension. from is considered abandoned.
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, jo
<br /> IN YOUR
<br /> b
<br /> TO OWNER: YOUR FAILURE YOUR PROPERTY. IF YOU INT NCEMENT OBTA N NANC NG CONSULT
<br /> PAYING TWICE FOR IMPROVEMENTS TO R NOTICE IL COMMENCEMENT.
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y _ N16
<br /> FLORIDA JURAT (F.S. 117.03) • 0).07;092 0).07;092 CONTRACTOR � 4...-- \ ',"
<br /> OWNER OR AGENT l to /_ _i - + Subscribed and sworn�•N or me fie9ce ►ne h
<br /> S 3 scrtb�d nd s ore to • affirmed) : o me this b l €.>/n 1 ` h
<br /> s/ar kn = ' o Wh l personal to me or has /have produced
<br /> o is /are Qersonally known to me i has /have produced as identification.
<br /> as identification.
<br /> 1 rs, r
<br /> A % _ , •IA --/...4k Notary Public
<br /> A 0 , =mil _, . Q- Notary Public 7 —
<br /> C No. * b"! n
<br /> O 3 a 1
<br /> Commission No. 0 A r
<br /> C A • i /O. • • ...-.
<br /> 1 . - S � �-{-� � -d •ri e• or to , j � d
<br /> printed o .
<br /> Name of No + typed, p rL,.d or slam •ed ,,,,,,,,,, CAROL SMIDDY
<br /> ir =0 � — nu i ` 1 . %.. Notary Public - State of Florida
<br /> t�i rlY A: SOUDER
<br /> MY k3N 00 e07921 • , ,x+ ; • 3 M y Commission Expires Aug 13, 2011
<br /> ° ? 0if% ow x xP,RES. Januamy M,2010 =;'� ��. o�� Commission # DD 703271
<br /> �, OF F� Bonded Through National Notary Assn.
<br /> 1- 800,34401PF.'r a Notary Di+0ourt AYOo. CO. ,wa•��•
<br />
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