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<br /> NO�'iCE OF DEED RESTR1CT10NS: The undersigned understands that this permit may be subject to "d�ed° ' s"
<br /> '�may be rrmre restrictive than County regulations. The undersigned assumes responsibility for complianC�`��/i� �'� any
<br /> ' deed restridions.
<br /> CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> c��s � undertake work, they may be required to be licensed in accordance with state and locai regulations. If the
<br /> ' � is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> ur� state law If the owner or intended cantractor are uncertain as ta what licensing requirements may apply for the
<br /> interrded worlc, they are advisecf to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 80p9. Furtt�ermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> partions of the "contractor Blodc" of this application for which they will be responsible. If you, as the owner sign as the
<br /> cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting priviieg�s in Pasca
<br /> Ga�nty.
<br /> TRANSPOi�TATION IMPACTNTILITIES tMPACT AND RESOURCE RECOVERY FEES� The undersigned ., ,erstands
<br /> thai 7r�nsport�atior� Irr�pact Fces and Recourse Recovery Fees may apply to the construction of new bu�t�4in '�e of
<br /> use in existing buiklings, or expansian of e�sting buildings, as specified in Pasco County Ordinance numb �-�� and
<br /> gp_p7, as amended. The undersigned atso understands, that such fees, as may be due, wiN be 'sdentified afi the tirrte of
<br /> pemtitting. It is further uncierstood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> rece+v'sng a"ceftificate of occupanc�' or final power release. If the project does not involve a certificate o# occupancy or
<br /> final power release, tt►e fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer impact
<br /> fee, are due, they must be paid prior to permit issuance in accordance with applicabi� Pasco County ordinances.
<br /> LIEN LAW (Chapter 713, Ftorida S#atutes, as amended). If valuation o# work is $2,500.00 �c �e, I
<br /> cefify that I, the applicant, have been provided with a copy of ths "Fiorida Construction Lien Law—H . s
<br /> protection Guide' prepered by the Fiorida Department of Agricuiture and Consumer Affairs. ifi the a�iicant �s`'
<br /> o�er tl�n the "owner", I cefify that I have obtained a copy of the above described documer►t and promise in gos�d f�+th to
<br /> � to the "owner" priar to c�mmencement.
<br /> �, 'SlOWNER'S AFFfDAVtT: I certify that aN the information in this application is accurate a+xi , wcxk
<br /> vwlt` in campiiance with ail applicable laws regulating construction, zoning and land devebpment. Ap� is
<br /> here� made to obtain a permit to do work and installation as indicated. I c� that no work or instai�a�on has
<br /> , prior to issuance of a permit and that all work will be performed to meet stand�rds of aN iaws reguia�ng
<br /> °� `�� 'on, County and City codes, zoning regulations, and land develapmer►t reguiations in the jurisdic�ion i a3so
<br /> � oe�y that I understand that the reguiations of other govemment ageneies may apply to the intendsci vv�k, a�-cf ttsat it ss
<br /> ' my respansibility to identify what actions I must take to be in compiiance. Such agerx.�ies indude but are r�rt t�eted to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmen#ailY �tiv�
<br /> Larids, WaterllNasteHrater Treatrnent.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, VVlffetlan+d Rr�,�, P�
<br /> Watercaurses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
<br /> - Department of Health & Rehabilitative Servi�es/Environmental Neatth Unit-Wei3s, Was#ew�er���.
<br /> S�6c Tanks.
<br /> - US Environmental Proter.tion Agency-Asbes#os abatement.
<br /> - Federa! Aviation Aufhority-Runways.
<br /> I understand that the falbwirtg resUictions apply to the use of fiA:
<br /> - Use of fill is not atlowed in F1ood Zone "V" unless e�ressty perm+tted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understoal that a dr�r�age pian � a
<br /> "compensating volume" will be submitted at time Qf permitting wh+ch is prepaa�ecf bY a pro� �n9i�e+'
<br /> iicertsed by the State af Florida. '
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a perrnitted buildirg +��g � waY
<br /> construction, I certify that fill wiil be used only to fill the area within tl� stem w�l.
<br /> - If fifl material is to be used in any area, I certify that use o# such fiH wi� r�ot ad+r�y . e+�
<br /> �� properties. If use of fill is found to adversely affect adjacent properties, the ��ner may be c�ed �
<br /> & the conditions of the building permit issued under the attached permit a�plicatian, for �s less � {�)
<br /> acre which are elevated by fill, an enginesred drainage ptan is required.
<br /> If ! a� the AGEMT FOR THE OWNER, I promise in good faith #o inform the ovvr�r of ttte � cotx#�o� se4 ��n
<br /> this �favit prior to commencing construction. I understand that a separate permit may be req�recf far � w�c.
<br /> �� ptum�g, signs, weils, pools, air conditioning, gas, or other installations no# specifica�ty induc#ed in #t�e a�r�or�• a
<br /> permit issued sha11 be construed to be a license to proceed with the woric and rFat as autt�cxity to v+�1�e, carx�9, �er, or
<br /> set aside any provisians of the technical codes, nor shall issuance of a permit prev�t the Bu�uzg Offiaal f�
<br /> requiring a correction of errors in plans, cons#ruction or violations of any codes. Every perrr�t tssued si�a� �ne �
<br /> unless the work authorized by such permit is commenced within six months of pe�nit issua�ce, � if wor#c �mr�d by
<br /> the permit is suspended or abandoned for a period of six (6} months after the time the w�c is c�tc�+d. Rie �ion
<br /> rrtay be requested, in writing, from the Building Official for a period nat to exceed �une#y (90} days and wri� d�e
<br /> justifiable cause for the e�ension. If work ceases for ninety (90) consecutive days, the }ob is c�ider� aban�d.
<br /> WARNING TO OWNER: YOUR FAtLURE TO RECORD A NOTtCE OF CO�C �T MAY �� ql Y�EfR
<br /> PAYING TWICE FOR IMPROVE S TO YOUR PROPERTY. IF YO1J INTEND T BTAiN FINAtlCMiC, C�.T
<br /> WITH YOUR LENDER OR A Y BEFORE RECORDING YOUR NOT
<br /> FLORIDA JURAT (F.S. 197.03)
<br /> ONYNER OR AGENT CONTRACTOR
<br /> S and swom to (or affi this Sutrscribed art� swom to (ot me �is
<br /> '( ZU - ll by c+ -'[ Zl:j•L1 by �'aH.v �.�vF�-�
<br /> V�Q,^s/�B personally known to m� or has/have produced Wh is/�6e oe� naNy knam to m6 or t�e pmduced
<br /> as identification. � �• " �
<br /> K
<br /> � s �_` � �. Public
<br /> �' r ��
<br /> Commissipn No. �D �a�.P� Commission No. [�� 2�O -
<br /> t: '
<br /> M.
<br /> A � Name i5f ota ed, rinted or stam�� Name of Notary typed, priMed or stamPed
<br /> i! ��w+�
<br /> „a�o„
<br /> ,�.�:::sy�.,, KRISTEN P. JO E �,as:P" KRISTEN P. JOSEPH
<br /> _*, .,.. Commiss�on # DD 882527 �,��.
<br /> '�. ,: Expires April 21, 2013 =+.�' � .*= Commission # DD 882627
<br /> S 'r p' f �QQ\ �nded T� , oy Fain I�urenC68C' 385 7U1b o`: Expires P�pril 21 � 207.�
<br /> ����� �!'�� ; ndedi' f FainlnSUtanceBU 385701:�1
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