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<br /> NOTICE OF DEED .RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be More reetrictive than County' regulations. The Undersigned assumes responsibility for compliance with any
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<br /> apptabeI 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. It the
<br /> contractor is not licensed as required by law, both the owner 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, 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 t� have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the vivner 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> ,
<br /> that Transportation lenpact '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 dile, will be Identified at the. time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resourbe Recovery Fees must be pald 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 CoOty ordinances.
<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 Conitruction Lien Law—Homeowner's
<br /> Protection Guide" prepared .by the Florida Department of Agriculture and Consumer Affars. If the applicant is someone
<br /> other than the "oWner", I certify itiat 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 Work 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 goyernment 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 agenales include but are not limited to:
<br /> - Department of Environmental Protectibn-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 /> SePticTanks.
<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 /> - 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 fill material is to be used in Flood Zone uA" 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 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 affect adjacent properties, the owner may be cited for violating
<br /> the 'conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I ern AGENT FOR THE,OVVNER, I promise In good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I ;understand that a separate permit may be required for electrical Work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other Installations not specifically included in the application. A
<br /> permit Issued shall be construed to be a license to proceed with the work and not as authority to. violate, canceL alter, or
<br /> _ ebt aside any provisions of the technical codes, nor shalt Issuanceof a permit Pre■tent the Building Official from thereafter
<br /> .. „ .. ., .
<br /> requiring a correction of errors in'plans, construction or violations of any codes. Eve permit Issued shall become invalid
<br /> unless the work authorized by such permit Is commenced within six months of permit issuance, or if work authorized by
<br /> the Permit is suspended or abandoned for a period of six (6) months after the time the work is comrnenced. An extension
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<br /> may be requested, In writing, from the Building Officral e period not to exceed *eV (90) da,ys and will .demonstrate
<br /> justifiable cause fbr the extension. If work ceases for ninety(90) consecutive days, theob Is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY . RESULT . IN YOUR
<br /> PAYING TWICE FOR IMPR's VEMENTS TO YOUR PROPERTY. IF YOU IN TEND 4 e 9 . : TA1N Fl . NCING, CONSULT
<br /> VV TH YOUR LEI. ! • 0 ',I, IltAlat_.• • EY BEFORE • ECORDING YOU • NO _- CO 6. E EMENT.
<br /> de A mer-
<br /> FLORIDA JURAT (F:S. 117.0 MVO
<br /> to (or ed) before me this
<br /> CONTRACTO
<br /> OWNER OR AGENT A 410IP#
<br /> Surirn I gove,,f,s-Efi; -
<br /> SitscrIbed and sworn to '' s'...!•r' ;-. :. ore me this bscbed and swo
<br /> ivovf,44, to 7 2 . 1 by 0 4iiv 4/00
<br /> Wh fo" eltrersboYnall • known to m or has/have produced Wh. PerscilanY k____L-----1°wn to me or hasThave produced
<br /> ___.------------Z`:-?----as Identification.
<br /> . . _ as identification.
<br /> 7 ,
<br /> 7
<br /> / . N—otery—Public Notary Public
<br /> Commission o. 1- °2---------------- . Commiss on
<br /> Expi
<br /> Name of NOM typed, pri , .,:r‘T.i:J 70% ,, 77403 - ,; -- Name of Notary typed, printed or stamp SI: ,,, •.:"... Com Mission DD 774023
<br /> M issi.i. DD 2 : i.
<br /> res June 6, 2012
<br /> , 4. fc
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<br /> - Expires June 6, 2012 ''' . . ''''' Bonded 'Mu Troy Fain Maximo 1100485.7019
<br /> 411.
<br /> ..... pr f`e aaviatilimi troy 910 Meow 1104385.7019
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