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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 compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CON7RACTOR RESPONSIBlLITIES: If the owner has hired a contractor or
<br /> contractors to undeRake 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 misdem�an�or vi f�lat?
<br /> under state law If the owner or intended contractor are uncertain as to what licensing requirements ma a ply
<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 to have the contractor(s) sign
<br /> port�ons 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 /> 7RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE REC�O� nstEStion new b uld ngsnchange of
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply
<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 �ndersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy" or final power release If the project does not involve a certificate of occupancy or
<br /> flnai 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 County 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 Construction Lien Law—Homeowner's
<br /> Protect�on Guide" prepared by the Florida Department of A of the des�r bed docum and prompsean aeh to
<br /> other than the� "owner", I certify that I have obtained a copy
<br /> deliver it to the "owner" prior to commencement.
<br /> CON7RACTOR'SIOWNER'WIA aFIDAp �cable aw s regulating const uction I zoning aP aand developmentn Applicatio �is
<br /> w�il be done in complia P
<br /> hereby made to obtain a Pe of ermit andahat wil�l be perfoemedltoemleettstandards of ail I laws ll e t gulatng
<br /> commenced prior to issu P
<br /> construction, County and Ciry codes, zoning regulations, and land development reg�0a��e ntend d a thatatss
<br /> certify that I understand that the regulations of other government agencies may app y
<br /> my responsibility to � ent Environ P otec on�Cyp ess Ba A eas and Envi o ment Sensitive
<br /> _ Departm
<br /> Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
<br /> - Southwest Florida Water Management District-Welis, Cyp Y
<br /> Watercourses
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> _ Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement,
<br /> Federal Aviation Authority-Run p�Ysto the use of fill:
<br /> I understand that the following restrictions a ply
<br /> Use of fill is not allowed in Flood Zone "V" unless expressly permitted. lan addressing a
<br /> If the fill materiai is to be used in Flood Zone "AP it is u�nderstood that a drainage ofessional engineer
<br /> "compensating volume" will be submitted at time of ermittin which is prepared by a p
<br /> licensed by the State of Florida.
<br /> If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wal
<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 fi �the 'l owner may ci ed v�olat ng
<br /> properties If use of fill is found to adversely affect adjacent properties,
<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 am the AGENT FOR 7HE OWNER t� p t on ise l ' u n de�stan l d that a�separate permit may be req 9 ed for l electr cal work,
<br /> th�s affidavit prior to commencing co hcation. A
<br /> plumb�ng, signs, wells, poo f�drto be a�icen�se pro the t work a�d noe as au hor ty tlo tliolateecancel, alter, or
<br /> permit �ssued shall be const
<br /> set as�de any provisions of o�s in C ha sa se uct o ons of an p odes t iss ed shali become inaal d
<br /> requiring a correction of err p
<br /> unless the work authori2ed bandonedeforlalpe od of six (6) months fter he time the commenced An�ext nsion
<br /> the permit is suspended or a
<br /> may be requested, m writing,sfonm If work ce es� o�C (90) consecutive days, the job Is s�dee d ba donedstra e
<br /> justifiable cause for the exte
<br /> WARNING TO OWNER: YOUR FAILURO OUR PROPERTY YOU INT D OBT N F NANCING7CONS� LT
<br /> PAYING TWICE FOR IMPROVE BEFORE RECORDING YOUR NOTICE OF C EMENT.
<br /> WITH YOUR LENDER OR
<br /> FLORIDA JURAT (F S 117 03)
<br /> CONTRACTOR this AR-�N ����
<br /> OWNER OR AGENT is M ���� Subscribed and swom ro(or affirme /�
<br /> Subscribed and sworn ro(or affirme ,yp�� b 7oNN 4l�P! y/
<br /> 2011 bY �' `Nho is��e ersonally known to me has/have produced
<br /> V VhO I s � s� onallv known to �r or hasihava prod�ced ,_,,,,�, as identification.
<br /> as Identification
<br /> Notary Public
<br /> otary Public
<br /> mmiss n No �D 7�4 � 2 - 3 Commission No DD 72H o s--3
<br /> Name of Notary tyPed, pnnted or stamped
<br /> Name of Notary typed, printed or stamped
<br /> ,,.,...... +��};r' ''•� ELISSA M, HOILERAN
<br /> ;,;,.',�;�,ei;� ELISSA M. HOLLERAN ��`, �;1 Commission DD 774023
<br /> ;;� �; = Commission DD 774023 :� Expires June 6, 2012
<br /> : :? .
<br /> =.'• Expires June 6 , 2��2 �,pF� ,°,•`'� BondedThru?royfainureurence
<br /> , •,
<br /> �'•�;Rf„�� Bonaea firu iroy Fein ins�rence 800385�7019
<br /> �.+oaw
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