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NOTiCE OF DEED RESTRiCT10NS: The undersigned understands that this permit may be subject to "d�ed° '� ._ s°
<br /> w� be more restrictive than County regulations. The undersigne�d assumes responsibility for complianc�: �� ' any
<br /> ` deed fes�ictiOfis.
<br /> S'ED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> o�s to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> co is not ficensed as required by taw, both the owner and contractor may be cited for a misdemeanor violation
<br /> un��state taw. If the owner or 'sntended contractor are uncertain as to what licensing requirements may apply for the
<br /> intend+ed wark. they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8IX19. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> pvrtiass 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 tfiat he is not properly licensed and is not entitled to permitting privileg�s +n Pasco
<br /> County.
<br /> TRAt�POi�TATfON IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned ,erstands
<br /> that Transportation Jrr�art Fee.s and Recourse Recovery Fees may apply to the construction of new bu�kiin �e of
<br /> use in existi� buiklings, or expansion of exis#ing 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 af the time of
<br /> permi#ting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> rec�iving a`�te of occupanc}r' or final power release If the project does not involve a certificate of occupancy or
<br /> final pan+e,� release, the fees must be paid prior to permit issuance Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they m�t be paid prior to permit issuance in accordance with appiicab�e Pasco County ordinanaes.
<br /> UEN LAW (Chapter 713, Florida Statutes, as amended): If vaivation of wo�lc is $2,500.00 aE. rr�are, I
<br /> ce�tify that I, the appticant, have been provided with a copy of the "Fiorida Construction Lien Law—H . s
<br /> Protection Guide° prepared by the Florida Department of Agriculture and Consumer Affaits. i# tfie appiicar�t isR
<br /> oti�er tfian the "owner, I certify that I have obtained a copy of the above described document and promis+e in g�d fait� to
<br /> it to the "owne�' prior to commencement. �,, ,.
<br /> � R'StOWNER'S A�IDAViT: I certify that all the information in this application is aecx+rate �d ##�N �rork
<br /> e in campliance with all app4icable laws regulating constructian, zon'tng ar�d land deve�opment. �rr Ms
<br /> here� rrtade to obtain a permit to do work and instailation as indicated. 1 certify that no w�rk or in��in has
<br /> p�or to issuance of a permit and that a{I work will be performed ta meet startdasds of aN faws reg��ia�ir�g
<br /> � 'an, County and City codes, zoning regulations, and land developmer►t regulatians in ttte j�risdiction d aiso
<br /> � ce that I unders#and that the regulations of other govemment agencies may appfy to tt�e intencied wcxk, aa�d tt�at i# is
<br /> � my responsibifity to identify wfiat actions I must take to be in compliance. Such agencies indttde but �e rmt Ei�ed ho�
<br /> - D�artrrient o# Environmental Protection-Cypress Bayheads, Wetland Areas and Environment�ly� Serrs�ifive
<br /> Lands, WaterNNastewater Treatment.
<br /> - Southwes# Florida Water Management District-Wells, Cypress Bayheads, W� Pu� Ai6er'irhg
<br /> Wat�cou+ses.
<br /> - Army Carps of Engineers-Seawalls, Docks, Navigab+e Waterways.
<br /> - Department of Health & Rehabilitative Servi�es/Environmental Heafth Unit-Weiis, Wastewater��;��#,
<br /> S�tic Tanks. �
<br /> - US Environmenta! Protection Agency-Asbes#os abatement.
<br /> - Fede.�al Avi�ation Authority-Runways,
<br /> I understand that tl�e fdfowing resbictions apply to the use of fi11:
<br /> - Use of fill is not aliowed in Flood Zone "V" unless ex}xessly pem�itfed.
<br /> - !f the fiA materiai is to be used in Flood Zone "A", it is understood that a dr�nage �n ad�►� a
<br /> "compensating volume" will be submitted at time of permitting v�ich is prepared by a prof�rat �eer
<br /> licensed by the State of Florida. x
<br /> - lf the fifl materia{ is to be used in Flood Zone "A" in connection with a�em�tted buiiciirvg using � vwa�
<br /> construction, I certify that fill will be used only to fill the area within tt�e stem w�i.
<br /> - lf fifl material is to be used in any area, I cefify that use of such fiH w� r�ot a�r^seiy �al, �1�
<br /> �;� � properties. If use of fiff is found to adversely afFect adjacent properties, the awner may be ra�xf
<br /> ' the conditions of the bui{ding permit issued under the attact:ed permit applscation, fot Eats less ' f�)
<br /> acre which are elevated by fil(, an engineered drainage p#an is required.
<br /> If I act� the AGENT FOR THE OWNER, I promise in good faith to in#orm the awner of the perrr�ng � set frx� in
<br /> ' this 'a�"�ciavit prior to canmencing construction. I understand that a separate permi# rnay be rec�uired f+or � w+c�r#c,
<br /> ' piumbing, signs, wells, pools, air conditioning, gas, or other installations no# specific�y inGuded �n the . 1�
<br /> permit issued shall be construed to be a license to proceed with the woric and not as at�thority to viola�e, c�, aiier, cu
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Bu�ding Ofiiaal b�om ��
<br /> requiring a correction of errors in pfans, construction or violations of any codes. Every p�mit issued sira� becan�e �
<br /> unless the work authorized by such permit is commenced within six months of permit issua�tce, or i# work a�t�ib� b�y
<br /> the permit is suspended or abandoned for a period of six (6) months after the time the w�c �s ct�rr�rtcsd. !� �
<br /> may be requesied, in writing, from the Building Official for a period not t� exceed ninety (9t?) day�s and r+� de��e
<br /> justifiable cause for the e�ension. If work ceases for ninety (90} consecutive days, the � is cans�c�ered a�a��ed.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOT}CE Ot� CO YAY �F Ni 1fa1�R
<br /> PAYING TWICE FOR IMPROVEME S TO Y011R PROPERTY. IF YOU 1NTEI�D TO AiN FMWMCING, C�tLT
<br /> WlTH YOUR LENDER OR AN Y BEFORE RECORDING YOU�2 NOT
<br /> FLORIDA JURAT (F.S. 117.03)
<br /> OWNER OR ACsENT CONTRACTOR
<br /> Subscribed and swom to (or affirtned me this Subscxibed and swom to (or a rne �is
<br /> "f 2.0 i1 by O "�"I• Zb-ll by ToH l�1vft�
<br /> Vy,�,is/�g personally known to m� or has/have produced Who is/�e persortaqy known to me or t�sltfave produoed ""
<br /> as identification. —m " as ide�ca�ion. 4.
<br /> � � �yNotary Public
<br /> Commi&sion No. � � �J �a Commission tvo. Z�D �?.Co r L�
<br /> �' �
<br /> I^ Name 8' , ota ed, rinted or stam Name of Notary typee, prirtted or stamped
<br /> r:
<br /> ,.�uu„
<br /> •t�Y � : KRISTEN P. JO E ` ��HY P�
<br /> '�' .,� Commission # DD 882627 ,,�:�»r�•,, KRISTEN P. JOSEPH
<br /> '*: - ;*. ..= Commiss�on # DD 882627
<br /> � ;; Expires April 21, 2013 ;�;�;; Expires April 21, 20'!3
<br /> %� F�° ndedT� �;yFaiulnsutance8( 385-7U1y `'
<br /> rP����� ���F �� . �nded7' r FBU�InSW811C88U 385-71115
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