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06/03/2011 09:05 3525674454 MILBAR PAGE 07/07
<br /> NOTIC� OF b�ED R�STRICTIONS: The undersigned unrJerstands that this permft may be subject to "deed" r�strictlons"
<br /> which may b@ mare resfictive than County reyulations. The undersigned assumes responsibllity for compliance with any
<br /> applicaDle deed restricdons,
<br /> UNLIC�NSED CONTRACI'ORS AND CON71i/,CTpR RESPQNSIBILI7YE8; If the owner has hired a cantractor or
<br /> contractors b undert�ke work, they may be required to be �iCenged, i�t �Cpro��e yy�th g�te and loaal regulations. �f the
<br /> contractar Is not Ilcensed as required by law, both the owner and contractor may be clted br a misdcmeanor violatlon
<br /> under state law, If the ourrner or fntended aontractar are uncertein as to what licensing requirernents may app�y �r the
<br /> intended work, they are advised to contact the Pasco County Building Inspectlon 17iviston—.I�iaensing Secdon at 727-847-
<br /> 8009. Furthetmore, if the owner has hlrod � contraCtor pr cantrectors, he Is advised to have the conqrecto��s) sign
<br /> portions of the 'contractor Btock" of this application for which they will be responsibpe. If you, as the owner sfgn as the
<br /> contraetor, that may be an indlcation tha! he is not properly licensed and is not enHtlsd ta permMting privileges in Pasco
<br /> County,
<br /> TRANSRORTATION lMpACTlUTILI11E3 IMPACT qN0 R�SOURCE RECON�RY FEE3: The uhdersigned understands
<br /> that Transportation Impact Fees and Recourae Recovery Fees may apply to the constructlon ef new buNdings, change of
<br /> use in existing butldings, or expansion of exiabng buildinas, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended, The undersigned also understands, that such f�ea, as may be due, will be identlfi9d at the time of
<br /> permitting, It is further understood that Transporte�on impact Fees and Resourx Recovery Fees must be paid pnor to
<br /> receiving a"certificate of occupency" or final power release, If the projact does not invoNe a certiflcet� of occupancy or
<br /> final power release, the tees must be paid priar to permit issuance. Furthemlore, if Pasco Couniy WateNSewer Impact
<br /> fees are due, they must be paid prior to permtt issuance In acoordance with applic:able Pasco County ordlnances,
<br /> CONSTRUCTION L.IEN LAW (Chapter 715, Florida $tatutes, a� amende�); If valuetion of work is S2,SOQ,00 or more, I
<br /> certify that I, the appllcant, have been provided with e copy of the "Flprida Constn�ction I.ien Lauv—Womeowner's
<br /> Prokection Gulde" prepared by the Florida Department of Agr�ul4,re and Consumer Affeirs. If the appiicant is someone
<br /> other than the "owne�', I certify that I have obtained a copy of the above descMbed document and promise in good Faith to
<br /> deliver it to the "awner" prior to commencement.
<br /> CONTRqC7'OR'SIONMER�S AFFIdAV17: I certify that all the infbrmation in this applicatlon is accurate and that all work
<br /> wili be done in Compliance with all epplicable laws regulafing constniotion, aoning and land development. Application is
<br /> hereby made to obtain a peRTiit to do work and insfall8tion as indiCeted. I Certiiy thet n0 woI'k or installation �has
<br /> commenced pHar to issuance of a permit and that ail work will be per�ormed to m�et stendards of all laws regulating
<br /> construction, County and Cky codes, zoning regulations, and land devebpment regulations In the jurisdiction. I also
<br /> certify that I understand that the regutations of other govemment agencies may apply to the iMended work, and that it is
<br /> my responsibility ta identffy what actiqns I must take to be in compliance. Such agencies indude but are not limited to:
<br /> ~ Departmeni of Ernironmental Protecdon-Cypress eayheads, Wetland Areas and �nvirortmentally Sensitive
<br /> Lands, Water/Wastewater Treatment
<br /> - Southwest Florida Water Management Oistrict-Wells, Cypress eayheads, Weuand Areas, Altenng
<br /> Watercourses.
<br /> - Army'Corps of EngineBrs-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US �nvironmental Protection Agency-Asbestos abatementt
<br /> Federat Aviation Authoriry-Runways.
<br /> I understand that the following restrickions apply to the use of fill:
<br /> - Use of filt is not allowed in Flood 7one "V" unless expr�ssly permltted.
<br /> - If the HII material is to be used in Flood Zone "A', ft is unde►sbppd that 8 drainage plan addressing a
<br /> "compensatlng volume" wi11 be submitted at time of piertnitting which ia prepared by a�prafessionai engineer
<br /> licensed by the�State of Florida,
<br /> - If the fill material is to be used in Flood 2one "A" in�connectlon with a permitted buildtng using stem wall
<br /> constructian, I ceRify that flil wlll be used only to BII the �rea within the stem wall.
<br /> - !f fill matorial is to be used in any area, I certify tllat use of such fill wi11 not adversaly aff�ect adjacent
<br /> properties, If use of fill is found to adversely aitect adjacent prcµ�rkies, the owner may be cited for violaang
<br /> the condition3 of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engintered dralnage plan is requlred.
<br /> If I am the AG�NT FOR TH� OWNER, 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 r+equir+ed for electrical wark,
<br /> plumbing, signs, wells, pools, air conditioning, gas, qr other installations not specifically included in the application, A
<br /> permit issued shall be construed to be a lioense to proceed with the work and not as authority to violaite, cancel, alter, or
<br /> set asfde arry provlslons of the technical codes, nor shall iasuance of a permit prevent the Building Gfficial from thereafter
<br /> requiring a correction of errors in ptans, constructlon or violations of any codes. Every permit issued shal! bec:ome invalid
<br /> unless thE* work authorized by auch permit is commenced withln six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a perbd of six (8) montti's aRer the time the wprk is commenced, An extension
<br /> may be �equested, in writing, from the Buildfng 4fticlal for a period not to exceed ninety (9p) days and will demonstrate
<br /> jusHfiabte cause for the extensio�. !f work c+eases f�or ninety (90) consecutive deys, the joa is ccn,�9dered abandpneq.
<br /> WARNING TO OWNER: XOUR FAILURE TO R�CORD A N07'fCE OF COMMENCEAA�NT AA,pY RESUL.T iN YOUR
<br /> PAYING 'I'WIC� FOR IMPROVEM�N'I'S 70 YOUR PROP�RTY. IF YOU INTENp TO 4BTAIN F`INANCIN�, CONSULT
<br /> WIT„ H,�/qUR I ENDER OIQ AM A7TQRl���Y BEF l,?t� RE�OSqQ:N3 Y3L;Ft OTiCE O� CplfipA�NC �eF T
<br /> FLORIUA JURAT (f .S, 117.03)
<br /> OWNER OR AGENT �(.� CUNTRACTi1R y�/`
<br /> subacnAed qnd ro(or mmied) re me mIS sw�s«mad and e to (or d) , mo thie '—'�""
<br /> �by 1
<br /> �h i are rsoAallg� o me or slhave produeetl Who sla no � o me or hes/haw produced
<br /> �.,.,___,...----, as enllficafion. ���
<br /> as idantMicetbn.
<br /> �� i�
<br /> � A �� Publlc
<br /> Commiasion No. �SSIOP( M �M�2e C m�asion Na. �� A• ��1�
<br /> � � JUL 2B x012 �
<br /> rure
<br /> wY���
<br /> Name ot Nofary 1 , Name oT Notery typed,
<br />
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