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07/27/2011 16:30 3525674454 MILBAR PAGE 02/05
<br /> NOTICE OF DEED R�STRICT{ANS: The undereigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be more restnctive than County regulations. The undersigned assumes responsibility for complience with any
<br /> appliceble d0ed restriCtlons.
<br /> UNL.IC�NSED COId'TRACTORS AND CONTRACTOR R�SPQN3191LITIE3: If the owner tt2is hired a conhsctor or
<br /> contractors to undertake work, they may be required to be licensed in axardanca with state and bcal regulations. If the
<br /> contractor is not Ilcensed as required by law, both the owner and contrector may be Gted for a misdemeanor violatlon
<br /> under state law If the owner ar intended contractar are unCeRain as to whet licensing requir'ements may apply for the
<br /> intended work, they ar� advised to contact the Pasco County Buiiding lnspection Division—Licensing Section ek 727-847-
<br /> 8009, Furthermore, if the oHmar has hired a contracbor or contractors, he is advised to have the conlractor(s) sign
<br /> portions of the "contrector Block" of this applicatlon far which they will be responsible. If you, as the owner slgn as the
<br /> contractor, that may be an indication that he is not properiy licensed and is not entitled to permittit►g privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITI�S IMPAC7 AND RESOURC� RECOVERY FEES: The underoigned understands
<br /> that Transportetion Impact Fees and f2ecourse Reoovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion af existing bulldings, as specifled in Pasco County Ordinance number 88-07 and
<br /> 90•07, as amendetil. 'fhe undersigned also undersbnds, that such fees, as may be due, will be iden�ed at the time of
<br /> permikting. It is further understood that Transportation Impact Fees and R�ssource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy" or final power release. If the projeck does not involve a ae�tificate ot axupancy or
<br /> final pawer release, the fees must be paid prior to parmit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, th�y must be paid prior to permft iasuance in accordance with applicable Pasco County ordinances,
<br /> CONSTRUC'I'ION LIEN LAW (Chapber 713, Florlda Statutes, as amended); tf valuetion of work is ffi2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Fbrlda Construction Lien Law—Homeowner's
<br /> Proteotion Guide" prepared by the Florida Departmenk of Agriculture and Consumer AfFairs. If the applicant is someone
<br /> other than the °owner", I ce�lfy that 1 have obtained a copy af the above described document and promise in good faith to
<br /> deliver it to the "owner" prior to commencement.
<br /> CONTRAC?Olt'SIqWNER'S AFFIDAVI'T: I certify that all the inbrmaQon fn this appliCation is acxurate and that all work
<br /> will be done in compiiance with ali applicable laws regulating constna�, zonfng and 18nd development. Applicafion is
<br /> hereby made to obtain e permit to do work and instaltation as indicated. I certafy ihet no work or installation has
<br /> commenced prlor to issuance of a pertnit and that all work will be performed to meet standards of all laws regulating
<br /> constructlon, County and City codes, zoning regufations, and �land development regulations in the )urisdiction, I also
<br /> certfy that I understand that the regulations of other govemment agencles may apply to the intended work, and that it is
<br /> my responsibility to identify what actfons I must take to be in compliance, Such agencles include but a� not Iimitad to:
<br /> - pepartment of Environmentai Protection-Cypress 6ayheads, WeUand Areas and Environmentally Sensitive
<br /> I..ands, WaterlWastewater Treadt�nt
<br /> - Southwest Florida Waker Management Distric4+We11s, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Se&walls, Docks, Navigable Waterways.
<br /> - Department of Health 8� Rehabilitative Services/Environmental Heafth Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental ProteGtion Agancy-Asbestos abaCement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that t�e following restrictions apply to the usa of nll:
<br /> - Use of fill is not allowed in Flood Zone "V" unless expressly permitted,
<br /> - If the fill material is to be used in Fbbd Zone "A", it is Lndersbooc4 that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitdng which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill materlal IS to be used in Flood Zane "A" in conn�ctton with a permitted building using gtem wall
<br /> construadon, I certlfy thAt fill wlll be used only to fill kAe area within the stem wall.
<br /> - If fill material is to be used in any area, i certify that use of such fitl will not adversely affect adjacent
<br /> properties. If use of fiU is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the condlUons of the buliding permit issued under the attached pertnit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered dreinalge plan is required.
<br /> If I am the AG�NT FOR THE OWNER, I promise in good faith to inform the oumer of the pemlitGng canditions set fonh in
<br /> this affidavit prior to commencing construction. I undersWnd that a separate permit may be required br electrical work,
<br /> plumbing, signs, wells, pools, alr conditioning, gas, or other installatlons not speat�Cally included in the application, A
<br /> pertnit issued shall be construed to be a I'�cense to proceed wikh the work and not as authvrity to violate, cancel, alter, or
<br /> set aside any provisians of the technical codes, nor shall issuance of a permit prevsnt the Building Qfficial from thercaiter
<br /> � equiring a correction of errors in plans, construcction or violations of any codes. �vory pertnit 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 permft is suspended or absndoned tor a per.iod of six (8} months after the time the wolic ia comm�nced. An extension
<br /> may be requested, in vv�iting, trom the Building Offlclal for a p�riod not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety (90) conseCUti�e daye, the }oy Is cc�sidered abar,doned.
<br /> WARNING TO OWNER; YOUR FAILURE TO RECORD A NOTICE O� COMMENCEMENT MAX RESULT IN YOUR
<br /> PAYING'MIICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT�ND TO OBtAIN FINANCING, CONSUI.7
<br /> Wlt U I EN �! Q�� � ' �CR 11 �IJ Na G O Ca � ENC E T.
<br /> FLORIbA JURAT (F.S. 117,03)
<br /> OWNER OR AGENT CONTRACTO
<br /> &ubsulbed and a �o (or rtne� re ma ib Subac�ibbd and t0 (o� )��° ro me this
<br /> 'i � by �_���sx� u '" � � J.ZI'1�L�._..
<br /> who Israre peraona naarr smave produced who IsMte paso�aly know�tFrlR�b haslhave produced
<br /> as Identificatlon, C� , j-� as IdeM'd'icaUon,
<br /> fy Publlc Notsry Publlc
<br /> Cammissi A. �OVE� Commission N �hA A. (py�
<br /> �,p �f7�P1AESJU�29I0i2 � as �JIA.2a2074
<br /> Name of pHn ��; Narr�a of Nota
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