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<br /> NOTiCE OF DEED RESTRICTIt7NS: The undersigned understands that this permit may be subject to "de�ed" ` s"
<br /> ��may be more restrictive than County regulations The undersigned assumes responsibility for complian� tki any
<br /> d�ed restr�ictions.
<br /> SED CONTRACTORS AND CONTRACTOR RESPOIVSIBILITIES: If the owner has hired a contractor or
<br /> ��Ctors ta undertake work, they may be required ta be licensed in accordance with state and local regulations. tf the
<br /> t�r is not licensed as required by law, both the owner and contractor may be cited for a misdemeanar violation
<br /> ur�er state law. If tFte owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended wo�ic, tttey are a�dvised to contact the Pasco County Building Inspection aivision—Licensing Section at 727-847-
<br /> 80Q9. Furtheimore, if the owner has hired a contractor or contractors, he is advised to have the c�ntractor(s) sign
<br /> po�tiorts of the °contractor B{ock" of this application for which they wil! be responsible. If you, as the owner s�gn as the
<br /> contractor, that may be an indication that he is not properiy licensed and is not entitled to permitting privilegqs in Pasco
<br /> Cottnty.
<br /> TR��NSPoOi�TAT10N IMPACTNTIUTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned ,, , erstands
<br /> that Trar�spartatior� 1rn�act Fees and Recourse Recovery Fees may apply to the construction o# new bu�din '� �e of
<br /> use in e�sting buildings, ot' e�q�ansion of e�sting buildings, as specified in Pasco County Ordinance numb �, �-ff�7 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at' thie time of
<br /> perrrutting. It is further undetsiood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupanc�' or final power release. If the project does not involve a certificate of occupancy or
<br /> frnal power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fces are due, tt►ey mus# be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CANSTRUCTlON LiEN !AW (Chapter 713, Ftorida Statutes, as amended). If vaivatio� of work is $2,500.00 �t� rr�re, I
<br /> certify that I, the applicant, have been provided with a copy of the "Fiorida Construc.�ion Lien Law—ti , s
<br /> Pro#e�ction Guide° prepared by the Florida Department of Agriculture and Consumer Affafrs. tf the appiicant isF ne
<br /> other than the "owner", l certi(y that I have obtained a copy of the above �escribed documen# and pror�tise in c,�o�d {�itfi to
<br /> it to the "awme�' prior to c�rrtmencement.
<br /> 'S/OIAMi€R'S AFFtDA1flT: I certify that all the information in this application is aca.+rate and ` �ork
<br /> �� m compliance with aB applicable laws regulating construction, zoning and fand dew°lo�ent. � is
<br /> - her "' , made to obtain a permit to do work and installation as indicated. I cerUfy that no wrar�k or in t�as
<br /> pricx to issuance of a permit and that all work will be perfarmed to meet starid�ds of aN lavvs rec,�iatin�
<br /> :� 'on, County and City codes, zoning regulations, and land developmen# regulations in the jurisd6t�on i a#so
<br /> � cer�y that I understand that the regulations of other govemment agenci�es may appty ts3 t!� intendsd work, a��f that it is
<br /> ° my responsibility to idenbfy what acfions I must take to be in compiiance Such agenaes include t�ut are nat 4�te�ii to:
<br /> - De.partmer�t of Environmental Pr�tection-Cypress Bayheads, Wetland Areas and Environmen#�y S�
<br /> Lands, WatedWastewater Treatrnent.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayhe�s, We�and �� �
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigab+e Waterways.
<br /> - Department af Health & Rehabilitative Services/Environmental Heatth Unit-We!#s, W�stewater��'�#,
<br /> Sep#ic Tanks.
<br /> - US Envinaxr�entai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authcxity-Ru�ways,
<br /> I undefstand that the fdfowing restrictions apply to the use of fill:
<br /> - Use of fill is not atlowed in Flood Zone "V" unless expres�ty perrmtted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood tttat a�rainsge ptarr addr+�g a
<br /> "compensating volume" will be submitted at 6me of permitting which 'rs �repared by a pro� ��eer
<br /> licensed by the State of Florida. ,.
<br /> - If the fill material is to be used in Flood Zone "A" in connection wfth a pe� buiid�g using � wa�
<br /> construction, t certify that fill will be used only to fill the area within the stem w�i.
<br /> - If fill materia4 is to be used in any area, I certify that use af such fiH w� rrot �
<br /> `° � prapertes. If use of fifl is found to adversely affect adjacent properties, t�e o�er may be c�ed
<br /> 7�
<br /> the conditions of the building permit issued under the attached permit �►ppGca�an, €or E�s le:ss �, {1)
<br /> acre which are elevated by fill, an engineered drafnage p#an is required.
<br /> If l am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the p�g � sei t�t► in
<br /> this ai�davit prior to commencing construction. I understand that a separate permi# may be rec�ed finr �a1 wKxk,
<br /> " plu�g, signs, wells, pools, air conditioning, gas, or other installations not specifi� �►duded i� t#ie . A
<br /> permit issued shall be construed to be a license to proceed with the work and nat as au#t�ority t�o v�ta6e, ca�i, a�, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prev�'►t ttie St�utg t�l �
<br /> requiring a correction of er�ors in plans, construction or violations of any codes, Every pe�mit issued s� bea�e �
<br /> unless the work authorized by such permit is commenced within six months of p�mit i;sst�ance, or €f wo�lc �� �,r
<br /> the permit is suspended or abandoned for a period of six (6) months after the Gme #he wor�c i� c:�m�. ,q�e �en►s�
<br /> may be requested, in writing, from the Building Official for a penod not to exceed rair►sty (9f?) days ar�d � d�at�;
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is G�id�cl abanc�d.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTlCE OF C 111AY �f Ilf 'M'C)�!R
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IWTEN� TD OBTANi FN�ANCNMG�, CO�LT'
<br /> WITH YOUR LENDER OR AN A EY BEFORE RECORDING YOt1R NOTICE OF
<br /> FlOR10A JURAT (F.S 197.�3)
<br /> OWNER Oft AGENT CONTRACTOR
<br /> Subscribe and swom to (or re me s Subscxibed artd swom to (or
<br /> , .� d — bY � ___ - �, 2� l l by To H
<br /> Who is/� personally known to m� or ha /have produced Who isl�e personaHy known to rnB or t�we prodex�ed ,�:
<br /> as identification. '—°"' —""' <,�
<br /> as ide�ca�on '
<br /> � . � � � Public —
<br /> �ommission rvo. � D g�o�-� Commission ►vo. Zy13 �'.Z,Co r L�
<br /> ;z �.,
<br /> i�' �,�
<br /> �" Name ' ota ed, rinted or stamoed _ Name of tVotary typed, pri�tad or stampe�d
<br /> i.,
<br /> . A' KRISTEN P. JOSEPH
<br /> ,�' �'&,..,� uu�,,
<br /> _*. �= Commission # DD 882627 ,�::*�:°r�,,, KRISTEN P. JOSEPH
<br /> �.�P = Expires April 21, 2013 _�. *; Commission # DD 882527
<br /> %� nndedT .� Fainlnsorance8a 385-7��y :a o, ExpiresApri121,2013
<br /> I F Y .+
<br /> � ;ndedi' �Fa�r�lnsurance8o 385-7U1G
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