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N O DEED RESTRICTION County regulations. : The undersigned <br /> undersigned that this <br /> assumes permit may be subject to "deed" restrictions" <br /> which may be deg EE o e tr r e s ons. The umes responsibility for compliance with any <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> contractors to undert they <br /> ake work, may be required to <br /> contractor is not lieaed o hey ed b law, be licensed in accordance with state and local regulations. If the <br /> under state law. If the owner or intended con trac orhare uncertain as oawhat licensing requirements may <br /> intended work, they are advised to contact the Pasco Coun y be cited for a misdemeanor violation g 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 be responsible. Division— Licensing Section at 727 -847_ <br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting <br /> County. p P y o en le. If you, as the owner sign P s the <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands Pasco <br /> that Transportation Impact Fees and Recourse Recovery Fees may to the <br /> use in existing buildings, or expansion of existing buildings, as specifi d Pasco County Ordinance number 89-07 and <br /> 90 -07, as amended. The undersigned also understands, that such fees, as may construction of new buildings, change of <br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid receiving a "certificate of occupancy" y be due, will be identified at the time of <br /> P power release, the fees must be paid Pr e <br /> power `er release. If the project does not involve a certificate of occupanc or <br /> fees are due, l must be s m s b to permit issuance. Furthermore, if Pasco County <br /> CONSTRUCTION es are due, they EN LAW permit issuance in accordance with applicable Pasco County ordinances. <br /> Impact <br /> certify that 1, the applicant, ha (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 mance <br /> certify that Guide" prepared by the Florida F with a copy of the "Florida Construction Lien aw Law—Homeowner's <br /> o wner's <br /> Protection <br /> the "owner", I ed b y that I Depart a co f Agriculture and Consumer A If the a l' <br /> deliver it to the "owner" prior to commencement. copy of the above described document and promise tnt is meone <br /> CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all <br /> will be done in compliance with all applicable laws regulating good faith to <br /> hereby one i to obtain a permit to do egulating construction, zoning and land development. Application is ' <br /> commenced work and installation as indicated. <br /> to I certify <br /> prior to issuance of a permit and that all work will be e l standards ndards no work or laws regulating <br /> has <br /> construction, County and City codes, zoning regulations, and land development o regulations g the all laws r I al <br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it i <br /> my responsibility to identify what actions I must take to be in compliance Such agencies but are not tlimitd to: <br /> so <br /> Department of Environmental Protection-Cypress <br /> Lands, Water/Wastewater Treatment. /Press Bayeads, Wetland Areas and Environmentally Sensitive <br /> Southwest Florida Water Management District - Wells, C <br /> - Watth Southwest <br /> Watercourses. Docks, ypress Bayheads, Wetland <br /> Army Corps of Engineers - Seawalls, Ar eas , Altering <br /> Department of Health & Rehabilitative Servace�Erni gamey ways. Health Unit - Wells, Wastewater Treatment <br /> Septic Tanks. <br /> - Federal US Environmental Protection Agency - Asbestos abatement. <br /> I understand that the following restrictions apply cs <br /> Use of fill is not allowed in Floo ne ye. use of unless e ell: <br /> - If the fill material is to be used in Flood xpressly permitted. <br /> d Zone "A ", it is understood that a drainage plan addressing a <br /> "compensating volume" will be submitted at time of permitting which is prepared b <br /> licensed by the State of Florida. If the fill material is to be used in F connection with a permitted building using stem wall <br /> Y a professional engineer <br /> construction, I certify that fill will be used only to fill the area within the stem wall. <br /> If s <br /> fill material is to be used in any i <br /> pro m a t If use of fill a is ed i n to adversely area, 1 cffe�a u s e of such fill will not adversely affect <br /> the art et io If s the building permit issud under the ace y d adjacent <br /> acre which are elevated building by fill, emit issued under the attached <br /> is properties, the owner may is es than oviolating 1) <br /> If 1 am the AGENT e which <br /> FOR THE OWNER, I promise in permit application, for lots less than one (1) <br /> this affidavit prior to FOR THE OWNER, construction. I promise <br /> I i understand that a required. <br /> good faith to inform the owner permit me p conditions d for e set i work, <br /> in <br /> , <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations y not s ctrica permit issued shall be construed to be a license to proceed with the work and not s autho authority violate, cancel al work, <br /> set aside any provisions of the technical codes, nor shall issuance of a specifically included in the application, A <br /> requiring <br /> set aside any provisions <br /> of in plans, construction or shall issuance <br /> of of a key, or <br /> unless the work authorized inf er b in such Permit prevent the it Building Official from thereafter <br /> the permit is suspended ri or abandoned permit commenced any codes. o. E very posit issued shall become l b y <br /> m m six menthe time permit issuance, or if work An extension <br /> by <br /> may be requested, in writing, from the Building forGa period after the time the work is commenced. An extension <br /> justifiable cause for the extension. If work ceases for Official for period not to ex <br /> ninety (90) consecutive days the job is decd abandoned. sate <br /> PAYING <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> WITH A J URILE FOR FO <br /> R <br /> RIMPROVEMENTS ATTORNEY EFORE RECORDING Y <br /> IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> FLORIDA URAT (F.S. 117.03) OUR NOTICE OF COMMENCEMENT. <br /> OWNER OR AGENT A .- <br /> Subscribed and s to (or - CONTRACTOR <br /> //` -/ Q b " n coeds before me this <br /> d end s i , I. Who is /are personal) kn. • e.t(� Subs ribed and - • <br /> Y to me or has/have produced or affirm or bet. e e this <br /> Who is/are Y n� _ -- - <br /> as identification. personally kn.. to me or has/have produced <br /> as identification. <br /> 4116.: Notary Public <br /> Commission No. <br /> Commission No. Notary Public <br /> Name .. No d, p . <br /> �i T omm of Florida Name of Notary typed p <br /> Bruce A Asbel = oQKed Notary <br /> Q My Commission 00989010 t' y ublic State of Florida <br /> Expires 06/22/2014 . Bruce A Asbel <br /> c. My Commission Dp983010 <br /> 't or n <br /> or n om Expires 06/22/2014 <br />