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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compiiance w,ith any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contrac or 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 owner and contractor may be cited for a misdemyan�op yiolation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I for the
<br /> intendec� 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECoV�ERY��FEES�' n of new udi gsn�Change of
<br /> that Transportation Impact Fees and Recourse Recovery Fees may app y
<br /> use in existing buildings, or expan ned al o suph fe l as P may be dueyw�'�I abe denfif ed at the �me
<br /> 90-07, as amended. The unders g
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior o
<br /> receiving a"certificate o fees must b paidaprporNtorpermit ssua more�if Pasco County
<br /> final power release, the
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County or inances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a of he a F o Construction L en L aw� er's
<br /> certify that I, the applicant, have been provided with a copy
<br /> Protection Guide" prepared by that I bta n a copy of I the t above d scr bed docum and prompsean fa th to
<br /> other than the "owner", I cert y
<br /> deliver it to the "owner" prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIc ble laws regu a ucti n, zoning ap land developm ntn Applica � is
<br /> will be done in compliance with all app
<br /> hereby made to obtain a permit to d�W and that�all will be perfoemed to of all Iaws ng
<br /> commenced prior to issuance of a per
<br /> construction, County and City codes, ations ofrot�helagovernment ageaces may pplyto the ntend d and that it
<br /> certify that I understand that the regul
<br /> my responsibility to identify what act �ental Protection�Cypress Bayheads, A eas and Environment ly Sensitive
<br /> - Department of Environ
<br /> Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
<br /> _ Sout hwes t F lo r i d a Water Management District-Wells, Cyp 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 /> Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
<br /> _ If the fill material is to be used pmitted at time ofpermitti wh c p epared agprofession�alreng neer
<br /> "compensating volume" will be su
<br /> licensed by the State of Florida.
<br /> _ lf the fill material is to be used�e ��ed only to filAthe a ea w'th n thetstem w mitted building using stem wa
<br /> construction, I certify that fill wdl
<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 advere� under the per appli on�, foa lots lessdthanvoneti( j
<br /> the conditions of the building permit issu
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in 9 erstan that a�separat permit may be requ ed for c I�work�,
<br /> this affidavit prior to commencing construction. I un
<br /> licatio
<br /> si ns, wells, pools, air conditioning, gas, or other installations not specifically included in the app
<br /> plumbing, 9
<br /> ermit issued shall be construed to be a license to Pr all issua a pe mit�prevent the ding Off ceal from thereafter
<br /> p rovisions of the technical codes, nor sh ermit issued shall become invalid
<br /> set aside any p
<br /> requiring a correction of errors in plans, construction or violations of any codes. very p
<br /> the work authorized by such permit is commenced W � h onths after the t m the commenced An ext nsa e
<br /> unless y da s and will demonstr
<br /> the permit is suspended or abandoned for a period of six (6
<br /> may be requested, in writing, from th , e ork oe es (90) on ecutive days, the job is�cons dered abandoned.
<br /> justifiable cause for the extension. If nr
<br /> WARNIN
<br /> G TO OWNER: YOUR FAILURE TO RECORD A TM T�F YOU INTOENDETO OBTAIN F NANCINGTCONSULT
<br /> PAYING TW�CE FOR IMPROVEMENTS TO YOUR PROPE
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT (F.S. 117.03) � , (� ��.L ; �G/L�U1�l
<br /> ,� r� � n � ' �'il ( o�� CONTRACTOR
<br /> OWNER OR AGEN efor r�e this ��T`" Subsc 'bed an sworn` os,o� ��� ed�.��efor��� his
<br /> y S�u�b , s , c�r ed an swor � or af#'�me )�� �--_—
<br /> 6L(1L by �Ssw
<br /> ��"" "� Y me or haslhave produced Who is/are pe� nown to me or ha as at on.
<br /> Who is/are perso as identification.
<br /> Notary Public
<br /> y �� Notary Public
<br /> Commission No.
<br /> ommi NOTARY Pt;BLIC-STATE OF FLORIDA ''
<br /> �a�oE >tL.�v.v n� ��g
<br /> i �p�f�]�itR�.�R�1mP�OZ`ZZ'AOh: :sa.ti X�
<br /> N � p �} eotss�ttiuto'J;�
<br /> e of Notary typed, print� �ssion # EE044504 5uzannc� $ahr �OS4bo'�� �, iu � znr "••. ,•'
<br /> ,� Expir :�. vOV. 22, 2014 ��' : Con�r,ussiot? # �;E044504 �S
<br /> BO\'DED THRC' A'T:..1�TI�: iln�'CL\G CO., '.,"�'r�` Expires. :�:OV. 22, 2014 VQRIO'L�t 3�� �{.L` t5-:;rl�1d ��tV1.OK
<br /> BOA'DED 7HR C ATL.4�"i IC n�Sl- i� G CO.,1NC.
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