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<br /> NO'fICE OF DEED RESTRICTIONS� The undersigned understands that this permit may be subject to "de�d° ` " s"
<br /> v�hid��jnay be more restrictive than County regulations. The undersigned assumes responsibility for complian �f� any
<br /> de� restrictions.
<br /> CONi'RACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> �ors to undertake wwk, they may be required to be licensed in accordance with state and iocal regulations. if the
<br /> �r is not licertsed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> urx�`ar°state taw If the owner or intended cantractor are uncertain as to what licensing requirements may apply for the
<br /> inter�cled work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 800�. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the °contractor Block" of this application for which they will be responsible. If you, as the owner s�gn as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privilegaes. in Pasca
<br /> County.
<br /> TF2ANSP0�'TATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned �,erstands
<br /> thai Trans�Ortation Irnpact Fees and Recourse Recovery Fees may apply to the construction of new bu�din �ge of
<br /> use in e�asting buifdings, or e�sion of existing buildings, as specified in Pasco County Ordinance num -�7 and
<br /> 9407, as amended. The undersigned also understands, that such fees, as may be due, wiN be identified at the frme of
<br /> pemrtting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid pr�or to
<br /> receiving a`certificate of occupancy" or final power release. If the project does no# involve a certificate of occupancy or
<br /> final powei retease, the fees must be paid prior to permit issuance Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are �e, they must be paid prior to permit issuance in accordance wFth applicabls Pasco County ordinances.
<br /> UEN LAW (Chapter 713, Florida Statutes, as amend�): If vaivatian of work is $2,500.00 �,rr�re, I
<br /> certifY that �, the applicant, have been provided with a copy of ths "Fiorida Construction Uen Law—H , s
<br /> Protectian Guide° prepared by the Fforida Department of Agriculture and Consumer Affairs. If the appiic�nt is.° ne
<br /> att�er than the "owner", I certify that I have obtained a copy of the above described document and promise in go,pd fait� to
<br /> � it to the "owner� pri� to cornmencement.
<br /> �= C't�OR'S/OW�IER'S AFFfDAViT: I certify that alf the informatian in this apptication is ac�urate and � �raic
<br /> ' u�I ° one in compliance with a!I app4icable laws regulating constructian, zonin ar�d land dev
<br /> 9 ebpmer�� �n �s
<br /> her '`, made to obtairt a permit to do work and instailation as indicated. I certify that no waric or 'snsta�vr� has
<br /> ; prior to issuance of a permit and that all work will be perfom�ed to rr�et staE►d�ds of aN iaws rec�uia�ting
<br /> � " bn, County and Cify codes, zoning regula6ons, and land cle��efopment r�gulations in the jurisdidi+an d atso
<br /> ce+rh�jt fhat I understand that the regulations of other govemment agencies may appiy to the intended avo�k, a�f �a� it is
<br /> my resporisibility to identify what actions I must take to be in compiiance. Such agencies indixie �ut are ruri lir�ited tt�:
<br /> - De�artrt�t af Environmental Pro#ection-Cypress Bayheads, Wetland Areas and Environ�y Ser�+,-�
<br /> �ands, WaterM/astewater Treatrnent.
<br /> - Southwes# Florida Water Management District-Wells, �ypress Baytteads, W�anci p,r� p�
<br /> Wa#e.�courses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Servi�es/Ernironmental Heafth Unrt-We1fs, Wastew�er�'��r�r�t,
<br /> S�tic Tanks. `' �
<br /> - US Envirocanentaf Protecti�on Agency-Asbestas abatement.
<br /> - Federal Av'ration Authaity-Runways,
<br /> I understartd fhat the foibwing restric�ions apply to the use of fill:
<br /> - Use of fil! is not atiowed in Flood Zone "V" unless e�qxessfy perrr�tted.
<br /> - If the fill material is to be used in Flood Zone "A", it is ur�derstood that a�rair►age pian � a
<br /> "compensating volume" wifl be submitted at time of permittirg which is prepare� by a p�rof� �r
<br /> licensed by the State of Florida.
<br /> - 1f the fill material is to be used in Flood Zone "A° in connec�ion with a perrr�ted buik�ng usi�g � yra�
<br /> construction, I certify that fill wiN be used only to fiil the area within tt� stem w�l.
<br /> - lf fill material is to be used in any area, I certify that use o# suci� fi{� �x� nat adveE^seiy � �
<br /> � properties. If use of fiR is found to adversel a#fect ad'acent
<br /> Y 3 {xoperties, the ov�er may be o�ec!
<br /> the conditions of the building permit issued under the attached per,mii ap�i�c�ateon, {or to�s #�SS {'{)
<br /> acxe which are elevated by fill, an engineered drainage plan i5 required.
<br /> If I arn the AGENT FOR THE OWNER, I promise in good fai#h to inform the ovmer of the p�ng corx�iio�s set �th sn
<br /> this �#avit prior to commencing construction. I understanC that a separate �mi# rnayr be r�ed �or e� �r#c,
<br /> ptumE�ng, signs, wells, pools, air conditioning, gas, or other ins#aliations not specif+� ir�dutiecf in #4�►e appii�ra_ p
<br /> permit issued shall be construed to be a license to proceed with the worlc and nat as autho�ty to v�t�e, carx�, a�, c�
<br /> set aside any provisions of the technical codes, nor shall issuance of a p�rmit prevent the &t�dirtg ��
<br /> requiring a correction of errors in pfans, construction or violations of any codes. Ev�y p�rmit iss��ed y� ber�n�e� �
<br /> uniess the work authorized by such permit is commenced within six rrtonths of per�r►it iss�ce, ��f v�kk � by
<br /> the permit is suspended or abandoned for a period of six (6j months after the time #he �r�#c is coa��t�r�c,ed. R�t °
<br /> may be requested, in wrifing, from the Building Official for a period not t� exceed ninety �90) � and r� d��
<br /> justifiable cause for the extension. If work ceases for ninety (90) cansecutive days, the job is � .
<br /> � ,; ,
<br /> WARNlNG TO OWNER: YOUR FAILURE TO RECORD A.NOTiCE O� CO�t II�'�( �T p� �
<br /> PAYING TWICE FOR IMPROVE TO YOUR PROPERTY. IF YQV INTEND TE) ANi FlN�ANCINt;, (�O�.,T
<br /> WITH YOUR LENDER OR BEFORE RECORQlNG YQU�2 NOT
<br /> FLORIDA JURAT (F.S. 917.03)
<br /> OWN�R OR AGENT CONTRACTOR
<br /> Subscribed and swom to {or affirtned) ore me this Subscxibed and swon� to (or rtye �is
<br /> i ��� by � '1''ZC�•I�l by� ToH G t
<br /> VyhQ j,s/�g person ally knouyn to_m_,e or has/have produced W�o is/� ���� ������ .,,,,
<br /> as identification. "'°" � �
<br /> �
<br /> r»
<br /> ^ �-�����Notary Public
<br /> Commission Na � D�8 'o�.�,p�--� Commission ►�o. 2
<br /> � -
<br /> :� ,
<br /> s' Name ,' � ota ed, rinted or stam tVarrie of Notary typeQ, pri�r0ed or stamped
<br /> •t�r P1y�,, KRISTEN P. JOSEPH
<br /> ;�: •• ,,,�,�,;
<br /> _*. .,� Commiss�on # DD 882627 ,,�;*!�:er�-, KRISTEN P. JOSEPH
<br /> � =�_ Expires April 21, 2013 =>. ;�: Commission # DD 882627
<br /> „p��° =a ± � ,, Expires f�pni 21, 2013
<br /> �ndedP �yFair�lnsuranceBe 385-701y :o
<br /> � �,oF���`` ; uded i' , Fainlns�uance8�� b85-7U1;r
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