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<br /> NOTtCE OF DEED RESTRiCTtONS� The undersigned understands that this permit may be subject to "d�ed" y ,, s"
<br /> whir�} be more restrictive than County regufations The undersigned assumes responsibility for complian � any
<br /> deed restridions.
<br /> D COAITRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> to undertaice wark, 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 /> f un� state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> inter�ied work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8�. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "cantractor Blodc" of this application for which they will be responsible. If you, as the owner si�n as the
<br /> cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileg�s� in Pasco
<br /> County.
<br /> TRANSROf�TATfON lMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned erstands
<br /> that Trarisportation Irr�act Fees and Recourse Recovery Fees may apply to the construction of new buu�l�din '`�aage of
<br /> use in e�ng buifdings, or expansion of existing buildings, as specified in Pasco County Ordinance numb ,'-f�7 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at tt`�e tirne of
<br /> perrrritting. ft is turther understaod that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receivirig a`�te of occupanc�' or final power release. If the project does not involve a certificate of occupancy or
<br /> final po+nrer re6ease, the fees must be paid pnor to permit issuance Furthermore, if Pasco County Water/Sewer Impact
<br /> fee.s are due, they must be paid prior to permit issuance in accordance w�th applicablp Pasco County orct+nances.
<br /> CONS'fRUCTK}N UEN LAW (Chapter 713, Florida Statutes, as amended). If valuatiori of work is $2,5�0.00 wF more, I
<br /> certify that I, the app{icant, have been provided with a copy of the "Fiorida Construction Lien Law—H , s
<br /> Prater�ion Guide" prepared by the Florida Department of Agriculture and Consumer Affaits. ifi tfi�e appiicant is ne
<br /> otl�er ttran the "ov�me�', I certfy that I have obtained a copy of the above described document and promise in go�d �ait�t to
<br /> it to the "oHme�' prior to cocnmencement.
<br /> SlOYMNER'S AFFtDAViT: I certify that all the informatbn in this application is aaxarate a�nd ` �ra�ic
<br /> � v�l in compliance with all applicable laws regulating construction, zoning and land deve4opment. � is
<br /> Mer �, made to obtain a permit to do work and installation as indicateci. I ceatidy that no wrork or in has
<br /> prior to issuance of a permit and that all work will be performed to meet standards ofi aN la�ws regvia�ng
<br /> �' 'on, County and City cades, zoning regulations, and land develo�ment regulations in the j�risdit�n % a�o
<br /> � cert�y thai I u�derstand that the regulations of other govemment agencies may appfy to the inter�dsd avork, a�cf that it is
<br /> ' my responsibility to identify what actions I must take to be in compfiance. Such agencies inc�ude but are nat E�d to:
<br /> - Depar�nent of Enviro�►mental Protection-Cypress Bayheads, Wetland Ateas and Envimnment�y� S�
<br /> Lands, WatedWastewater Treatrnent.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, W� A� ;�eri�+g
<br /> Wa#ercourses.
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Departrnent of Health & Rehabilitative Servi�es/Environmental HeaEth Unit-We4ls, Was#ewater�'�'�.
<br /> Se�ic Tanks. '
<br /> - kJS Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviatian Authority-Runways.
<br /> 1 unders#anci that tt�e fotfowing restric�ions apply to the use of fil(:
<br /> - Use of filt is not atlowed in Flood Zone "V" unless e�xessty psrr�tted.
<br /> - ff the fill material is to be used in Flood Zone "A", it is understood mat a�nage pian � a
<br /> "campensating volurtte" will be submitted at bme of permitting which is preparett by a pra� �
<br /> ficensed by the State of Florida. ,.,,.
<br /> - If the fill material is to be used in Flood Zone °A° in connection with a pe�ed buiiddi�vvg using �rs w�!
<br /> construction, I certify that fill wiN be used only to fill the area within the stem w�i.
<br /> - !f fil! material is to be used in any area, I certify that use a# such fiH w+� r�t adve�y
<br /> ;�• properties. If use of fill is found to adversely affect adjacent properties, th� c�er may be e�ed
<br /> ' the conditions of the bui{ding permit issued under the attact�ed permi# ap�i�n for do� iass (�j
<br /> acre which are elevated by fill, an engineered drainage p#an is required.
<br /> If 1 am the AGENT FOR ThlE OWNER, I promise in good faith to inform the owrr�r of tfie pe�rptting c� set t� in
<br /> thi� 2iffdavit prior to commencing construction. I �nderstand that a separate permi# may be requirecf �ar e�ica4 w�k,
<br /> w plum�irig, signs, welts, pools, air conditioning, gas, or other installations no# specifica�ty ir►ducRed �n t�e �. A
<br /> permit issued shall be construed to be a license to proceed with the work antJ not as au�rity ta vida�e, caax�, �es, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prev�t the Su�rig Offipai fror� �r
<br /> requiring a correction of errors in plans, construction or violations of any c�odes. Ev�y pe�mit isst�l sfr� bec�cne �
<br /> un{ess the work authorizetl by such permit is commenced within six months of permit issuance, c� �# vaork �zed �
<br /> the permit is suspended or abandoned for a period of six (fi) months after the time tt�e � is cosrur�c�d. A�t �►
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (g(}) days and +�! c�a�e
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the }ob is c�d aban�d.
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<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOT}CE OE COM� T YAif �Ji..F � YC�iR
<br /> PAYING TWICE FOR IMPROV NTS TO YOUR PROPERTY. IF YOt! Ii�fTEND 7Q AIN F7!lANCIMG, t:+O�T
<br /> WITH YOU.R LENDER OR EY BEFORE RECORDING Y011R NOTlCE
<br /> FLORIDA JURAT (F.S. 117.03)
<br /> OWNER OR AGEN7 CONTRACTOft
<br /> Subscribed and swom to (or affi re me this Subscribed artd swom to (or affi � �Dre me �+is
<br /> 7"� ' I � by o "'( 2C1 ( � by To HN e. P�-
<br /> Vy,�yQ;sl�g �ersonally known to me or has/have produced Who is/�e persona�y kr�wn to me or t�ere produced =�.�
<br /> as identification. ""°"' as iden�on.
<br /> � � -
<br /> - _Notary Public
<br /> Commi� ion No. � 8�.P `�--� Commission No. �D �?.Ca `Z�
<br /> iK ',
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<br /> !` Name ota ed rinted or� sta�� Name of Notary ryped, printed or stamped
<br /> �1�:Y : , KRISTEN P. JOSEPH
<br /> .-�• �'__ ; ;p�:�Y : 's�,,, KRISTEN P. JOSEPH
<br /> _*. � Commission # DD 882627 ,
<br /> �a g Expires April 21 2(113 �` ..: Commission # DD 882627
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