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<br /> NOTiCE OF DEED RESTRfCT10NS: The undersigned understands that this permit may be subject to "d�ed" ` s"
<br /> ', be more restrictive than Counry regulations. The undersigned assumes responsibility for complian ,:� "any
<br /> deed restrictions.
<br /> CdNTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> c�ors bo undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> � is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> unc�r state taw If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> +ntended work, they are �ivised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 80a9. FurtheRnore, if the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign
<br /> porti�s of the "oontrac#or Blodc" of this application for which they will be responsible. If you, as the owner s�gn as the
<br /> cantractar, that may be an indication that he is not properly licensed and is not entitled to permitting privileg� in Pasca
<br /> Gou�►1}r.
<br /> TRA►NSPOi�TAT10N IMPACTNTILITIES tMPACT AND RESOURCE RECOVERY FEES: The undersigned ,, w erstands
<br /> that Transportation Irnpac# Fee.s and Recourse Recovery Fees may apply to the construction of new bu�ldin �' �ge of
<br /> use in e�dsting buildings, ar expansion of existing buildings, as specified in Pasco County Ordinance numb �-f97 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. I# is further ur►derstood 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 /> frnaf 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 orctinances.
<br /> GOhiSTRUCTiON LFEN !AW (Chapter 713, Florida Statutes, as amended). If vaivatio� of work is $2,5Q0.(�O.q� I
<br /> certify ttrat f, the applica�t, have been provided with a copy of the "Floricfa Consfi.tc�on Lien Law—H s
<br /> Protection Guide° prepared by the Flo�ida Department of Agriculture and Consumer Affairs. If the a�iicar►t is` ne
<br /> other than the "owne�', I certify that I have obtained a copy of the above described documen# and promise in go� faith to
<br /> deli�r it to the `owne�' pri� to c�ommencement.
<br /> �. Q�„ S/OVI�IER'S AFFtDAVIT: I certify that all the infonnation in this apptication is accurate and wcxk
<br /> " �� ��s in compliance witfi all applicable laws regulating construction zoning and land deve4opment. q�or� is
<br /> here�i mad�e to obtain a permit to do work and installation as indicated. I certifi+ that no wat or instar�a�orr has
<br /> � prior to issuance af a permit and that al1 work will be performed to meet stand�ds oi aN iaws rec�ui�iing
<br /> 'on, Caunty and City codes, zoning regulations, and land develapment regulations in #he j�rrisct�r�an i afso
<br /> � cert�y #t►at I understand that the reguiations of other govemment agencies may appf�+ to tt�e intenc�d wvrk, ��hat it is
<br /> my responsibility to identify what actions I must take to be in compiiance Such agencies indude but ar+e �t l�it�eci to:
<br /> - Depa�t of Emironmental Protection-Cypress Bayheads, We#land Areas and Environmerrt�ly Se�we
<br /> Lands, Water/Wastewater Treatment.
<br /> - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetiar�d A,r� �g
<br /> Wat�aaurses.
<br /> - Army Corps of Engineers-Seawaiis, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Servi��es/Environmental Health Unit-1�/ells, Wastewater���atrt�#,
<br /> Septic Tanks.
<br /> - US Envirorunental Protection Agency-Asbestos abatement.
<br /> - Fede�al Aviation Authcxify-Runways.
<br /> I understar►d tt� tlie fdiowing restric�ions apply to the use of fill•
<br /> - Use af fiN is not aliowed in Flood Zone "V" unless e�qxessfy perrr�tted.
<br /> - If the fi!I materiai is to be used in Flood Zone "A", it is understood that a dr�nage pE� ad�g a
<br /> "campensating volumeA will be submitted at time of permitting which is prepared by a pro#� �
<br /> licensed by the State af Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a�ermitt,ed twi�ding �� vra�
<br /> construction, 1 certify that fill will be used only to fiil the area within tt�e stem w�i.
<br /> - If fi{( materia{ is to be used in any area, I certify that use of such fiH u� r�ot adw�seiy
<br /> �' properties. If use of fii1 is found to adversely affect ad}'acent prape�rties, tt�e cswner may be c�x!
<br /> '� the condi#ians of the building permit issued under the attactred permit appt�caiion, � k� 1e� ��'#)
<br /> acfe which are elevated by fill, an engineered drainage plan is requit�ed.
<br /> If ! a� tlze AGENT FOR THE OWNER, I promise in good faith to inform tt�►� owner of the �rrr�tting � s� f�h �n
<br /> , this �davit prior to cammencing construction. I understand that a separate permit may be required for � yu�ic.
<br /> pium�ing, signs, weils, pools, air conditioning, gas, or other installations not specifica4ly �►G� �n t#�e "�. A
<br /> permit bssued shall be construed to be a license to proceed with the work and nat as ae►#hority to vioia�, c�, �, Qr
<br /> set aside any provisians of the technical codes, nor shall issuance o# a pem3it prevea�t tl�e Bu�g Qf�pa,I �
<br /> requiring a correction of errors in pfans, construction or violations of any codes. Every pemut issued s#�a� �ae �d
<br /> unless the work authorized by such permit is commenced within six months of permit issuanc:�:, c� if uwak �Z�i t�,,
<br /> the permit is suspended or abandoned for a period of six (6} months after the time the worlc is cu�ced, q�
<br /> may be requested, in writing, from the Building Official for a period not to exceeti nine#y {9p) � anc{ ��,�a�e
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive clays, the � is c.�d atr
<br /> �'
<br /> WARNING TO OWNER: YOUR F WRE TO RECORD A NOT}CE OF CO�It�CEMENT Ii�LY �� qlI Y�l1R
<br /> PAYING TWICE FOR IMPROVE O YOUR PROPERTY. IF YOi1 ENTEND T� ANi FINANCpIC, C�.T
<br /> WITH YOUR LENDER OR A E EFORE RECORDING YQUR NOT
<br /> FLORIDA JURAT (F.S. 117.03)
<br /> OWi�7ER OR ACaENT CONTRACTOR
<br /> Subscribed and swom to (or affirtned) r me this Sutrsaibed artd swom to (or afiv me ihis
<br /> 20� �l by �E+NN L� ✓EL.�f �l' 7.SJ' l� by ToH �
<br /> V�(b,Q,�s/�g personally known to,m_e or has/have produced Whp (s!� �ersonat� knoam ip rnepr i� p�d� �
<br /> as identification. —°" � � „
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<br /> "' �c; �� Ca�i-e�.��- Notary Public 1 '_�� �,_
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<br /> Commission tvo. � D �g o�.� `�- Commission tvo rl �� 2,(c 2�
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<br /> :�"
<br /> �' Name df' ota ed, rinted or stam Name of iVotary typed, prirned or stampe�d
<br /> �ti�Y A � KRISTEN P. JOSEPH
<br /> =�� �: Commission # DD 882627 ��MY Ps;�.,, KRISTEN P. JOSEPH
<br /> �;�Q�: Expires April 21, 2013 �� := Commission # DD 882627
<br /> '''J�, ,�ndedT� ryFainlnsweoce8('� 385-701b :' o. ExpiresApril21
<br /> we . �� , , ndetl 7' ;� �ain InsurenceBn 385-7014t
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