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NOTICE
<br /> OF DEED RESTRICTIONS: The undersigned understands that this permit may be. subject
<br /> lb fo compliance restrictions"
<br /> which with any
<br /> which may be more restrictive than County regulations. The undersigned assumes p
<br /> applicable deed restrictions
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPO d LIITI dance w e owte has
<br /> hired
<br /> egulc contractor n th or
<br /> conractors to undertake work, they may be required to be license
<br /> tractor contractor is not licensed as required by law, both are uncertain as to what licensing requirem n sderneanor may apply
<br /> under state law. If the owner or intended contractor
<br /> ion
<br /> intended work, they,are advised to contact they contractor County or Building he Inspect is advised to Division--LicensIn
<br /> have he contractor(s) 727-84 sign
<br /> 8009. Furthermore,` - if the owner has hired
<br /> portions of the "contractor Block" of this application is n properly not erly licensed is
<br /> responsile. If not enttled to privilegesgn P
<br /> contractor, that may be an indication that he P P
<br /> County.
<br /> TRANSPORTATION IMPACT /UTILITIES IMP AND. RESOURCE RECOVERY RY E
<br /> r E u S : T of new undersigned un of
<br /> that Transportation impact 'Fees and Recourse. Recovery Fees may apply inance
<br /> use in existing buildings, or expansion of existing buildings, dhat such secified be dueY ab identified at the-�me and
<br /> of
<br /> 90 -07, as amended. The undersigned also understands,
<br /> permitting. It is further understood that Transportatioacif the p esource not a ertiflcate occupbe paid
<br /> o
<br /> receiving a "certificate of occupancy or final power release.
<br /> if Pasco County Water /Sewer Impac
<br /> final power release; the fees must be paid prior to permit issuance. Furthermore, . t
<br /> fees are due, they must be paid prior to p 13 i Flor Florida Statutes as amended) F If valuation on of vVor s ordinances.
<br /> 00 or more, i
<br /> of that I, the applicant, LAW (Chapter
<br /> been 713, of the "Florida Construction Lien Law — Homeowner's
<br /> CONSTRUCTION LIEN
<br /> certify ant, have .been provided with a copy
<br /> Is someone
<br /> Protection Guide" prepared by the Florida Department of Agriculture i tfue above described document and promPse in faith th to
<br /> other than the "owner ", I certify that I have obtained a copy
<br /> deliver it to the "owner" prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information i this
<br /> ing an la
<br /> on is accurate ad that all work
<br /> developments Application is
<br /> will be done in compliance with all applicable laws regulating construction, zoning
<br /> has
<br /> hereby made to obtain a permit to do work and installation
<br /> will be meet of all laws
<br /> commenced prior to issuance of a permit and that all
<br /> construction, County and City codes, zoning regulations, and may apply to the intended tha { {
<br /> certify that I understand that the regulations of other government agencies
<br /> my responsibility E
<br /> d to:
<br /> ty to identify what actions
<br /> men f must take n-C a B SWetla Areas Environmentaily Sensitive
<br /> - Department of Environmental Protectib yp ess Bayheads
<br /> Lands, WaterlWastewater 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. 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: ermined.
<br /> Use of fill Is not allowed in. Flood Zone "V" unless expressly permitted.
<br /> a
<br /> - If the fill material as to be used in Flood Zone of "p which is prepared agprofessionalrengineer
<br /> "compensating volume" will. be submitted at time permitting
<br /> licensed by the State of Florida.
<br /> - fifth
<br /> the fill material is to be used in Flood Zone "A" in connection t w mitted building using stem wall
<br /> construction, l certify that fill will be used only to fill the area within
<br /> f . fill material is to be used In any area, I certify that use of such fill will not adversely affect adjacent
<br /> - If use of fill is found to adversely affect adjacent ched per owner
<br /> permit application, for l , lots less violating
<br /> properties. ermit issued under the
<br /> the 'conditions of the building p
<br /> acre which are elevated by fill, an engineered drainage plan is required. required for electrical work,
<br /> E OW NER, I promise in good faith to inform the owner' of the permitting conditions set forth in
<br /> this i affil affidavit
<br /> prior FOR electrical w A
<br /> this affidavit signs, to 'ls, p l air conditioning, ass or other Installations not specifically
<br /> r nc udo,violate, in
<br /> ance � ti or
<br /> si ns, yyei ons air o be aiolicense conditioning, g
<br /> plumbing, 9
<br /> permit issued shall io o f t t con cal codes, nor proceed
<br /> hall ssu a nce of e work a pe mi event th ed shall become iea ter
<br /> set aside any : provisions of the tech
<br /> requiring a correction o errors b y in n construction
<br /> ermit is commenced within si any
<br /> months of permit issuance,
<br /> c , o r if work authorized
<br /> by An
<br /> unless m e work authorized or abandoned p 90 da s e n e demonstrate
<br /> may be permit suspended in writing, ti g , fromnee BuildingiOOfficial - for Period not to.hexcee Is considered`a will d co o n s
<br /> may be requested, . .writing, from the 90 consecutive days, th j
<br /> Justifiable cause for .the extension. If work ceases for ninety*( 90) E� EM - T MAY RESULT IN YOUR
<br /> CING, IN Y UD
<br /> WARNING TWICE OWNER: YOUR FAI TS TO YOUR PROPERTY.TIF YOU INTEND TO y - NT.
<br /> N N . PAYING TVtII FOR IMP a l V '� Y BEFORE RECO • DING OUR NO I s1 /�
<br /> WITH YOUR LEA � • ._,�;D' O �
<br /> FLORIDA JURAT (F:S 117 . ' "., �_
<br /> � ' CONTRALTO' - .. ti
<br /> ,�� �� Mo v eyQE
<br /> Subscri and swum to (or a _ J' Es
<br /> OWNER OR AGENT 7r r,. -,.,a ...• e this Novt r in b � i
<br /> Subscribed and swam too 6 y
<br /> 6'rII Avg by a o I-4 1. tu04-5' VH�c re personally known to me or ha as identification.
<br /> Who sonally known sr has/have produced
<br /> . 1 as Identification.
<br /> �; Notary Public
<br /> �� N otary
<br /> Public �
<br /> �Q ____ d x Comm sslon No.
<br /> Comma ion No.
<br /> " mission DD 774023
<br /> Name of Notary typed, printed or stamp. L ,. ..). Coco -
<br /> ExpiresJune /9
<br /> Name of Notary typed, prl *t''' u;_P '+mnliss DD 7740 ,,,,,,
<br /> ,, ' ires June 6 2012 s °'
<br /> '54 ill E fire troy fpm P o m o ', .
<br /> P
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