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08/31/2011 10:15 3525674454 MILBAR PAGE 02105 <br /> NoTICE OF pEEp REg7R�CTIONS; 7he und8fsigned undergtands that this permit may be subjeCt to " deed" restriotions" <br /> which may tSe more r�sst�ictive tha� County regulatlons. 7he undersigned assumes responsibility for comp��ance with any <br /> ' aPPlicable deed restnctlons. <br /> UNLfCENSED CON'1'R/�C7pRg AND CONTRACTOR RESPONSIDILITIES: If the pwner has hired a contractor or <br /> contractors to undertake work, they may be required to be licensed in accordance with atate and Ioca1 repulations, If the <br /> contractor Is not Il�nsed as required by law, both the pymer and conVactor may be cited far a misdemeanor violetlon <br /> under stake law. If the owner or intended contractor are uncertafn as to what lioensing requ;r+eme�� �y �pPly for the <br /> intended work, they are adv�sed to Conkact the Pa�sco Co�nty Building Inspection Divis <br /> 8009. Furthermare, if the owner has hired a contr�ctor or contractcrs, he is adwsed � e �e q�e �t�� <br /> portions of the "contraCtor B1oCk" of this appliCetipn for which they wfll be resppn.yibte. If you, ag the oyyner sfgn as the <br /> .__ contPactor, that may be an indication that he is not propeNy licensed and �e not entitled to perrnit6ng pr�HlegeS in Pasco <br /> Caunty <br /> TRANSPOR7ATION IMPAGT/UTII.ITIES IMpqCT AND RESOWRCE R�CpV�Ry FE,�g: The underslgned understands <br /> that Transportation Impact Fees and Recourae Recovery Fmes may app�y to q�e co�s{�� � n�, bulidings, ch�nge of <br /> use in existing buildings, or e�ansion of existing bulldinqs, as specilied in Pasco County Ordtnance number 89-07 end <br /> 90-07, as amended. The undersigned also understands, that such fees, aa may be d�� Wi�� be�ntitied at the time of <br /> permitting. It is further understood that Transport�tion lmpact Fees and Resaurce Recovery Fees must be paki phor to <br /> receiving a"certificate of occupanc�' or final power release, If f�e project does not involve a aertiflcate of oc�up� � <br /> fina! pow�r release, the fees must be paid prior to permit issuance, FuRhermore, if pasco Cou�, W�teNSewer Impact <br /> fees are due, they must be paid prior to permit issuance in acoordance wiH� app►icable pa�sco Counqr ordinances, <br /> CONSTRUCTION LIEN WW (Chapter 713, Flarlda"$tatuteg� as amended): If valuet�n of work is $2,500,00 or more, I <br /> certify that I, ihe applicant, have been provided wfith a copy of the "Florida Construction Lien Law—Homeowner's <br /> Protection Guide" prepared by the Florida Department of qgriculture and Consumer Aftairs, If the applicant is someone <br /> other than the "owner",1 ceRify that ! have obtained a copy of the above described dxument and promise in good faith to <br /> deliver it to th� 'owner" prior to commencement. <br /> C�N7'RACTOR'S104VNER�S AFFIDAVIT; I certi{y that all the intormation in this application is accurete and that all work <br /> wilf be done in compiienee with a!I applicable lews .regulating construction, zoning and land development. Application is <br /> hereby made to obtain a permit to do work and inataliation as indicated, I certify thet no „wrk or installation• has <br /> commenced prior to issuance of a permit and that alt work will be performed � rn�et standarcls of all laws. regulat;ng <br /> construction, Counry and City codes zoning regulaGons, and land devefopment r�egulations in the jurisdiction. 1 also <br /> certify that I understand that the regulations of other govemment agencies may apply to the inte�ded work, and that It is <br /> my responsibility #o identify what actions I must taka to be in compliance. Such agencies andude but are not limited to; <br /> - Department of Enviro�menta) Protection.Cypress gayheads, We�and Aceas.and Environmerrtally Sensitive <br /> Lanols, WateNWastewater Treatrnenk <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, qltering <br /> V1�atercourses. <br /> - Army Corps of Engineers-Seawalls, Dodca, Navigable Waterways. <br /> - Department of Health & Rehabtlitative Services/Envlronmenta! Health Unit-We11s, Wastewater Tr <br /> Sept�c Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement <br /> , Federal Aviation Authorlty <br /> I understand that the foilowing restrictions appry to the uae of flll; <br /> - Use of 611 is not allovued in Flood Zone "V° unless expressly permitted, <br /> - If the fill material is to be usad in Flood Ione "A", it Is understood that a drainage plan addressing a <br /> "compertsa4ng volume' will be submitted at time of peimitdng ufiich is prepared by a pmfessional engineer <br /> Ilcensed by the State of Florida, <br /> - If the nll material is to be used fn Flood Zone "A" in connecUon with a perrnitted bullding using stem wall <br /> construcHon, I certlfy that flll will be used only to �itl the area within the stem wa11. <br /> - If fill mateNal is to be used In any aree, I certify that use of such flll wlll not a�versely affect adjacent <br /> propeRies. if use of fill is fpund to adversely ai�ect ad)acent propertles, the owner may be cited for �iolating <br /> the conditions of the building pertrot issued under the attached pemtit applicedon, for lots less than or�e (1) <br /> acre which are elevated by fill, an enginea�d dralnage plan is required. <br /> ff I am the AGEN1' FOR THE OWN�R, I prpmise in good feith to infortn the owner of the permitting condiHona set fo�th in <br /> this a�idevit prior to commencing constn�ction. I unde�stand that a separate permit may be required for clectrical work, <br /> plumbing, signs, wells, pools, air cenditioning, gas, or other tnstaUati4� not specificaliy induded in the eppllrativn. A <br /> permit issued shall be construed ta be a lioense to proceed with the ,nrorlc ond not as authority to violate, cancel, alter, or <br /> set aside any provisions of the technical codes, nor shall iasuance of a permit prevent the Buiiding Official irom thereaRer <br /> requiring a carrection of errors in plans, construction or violations of any codes. Every permit issued shall become Invalid <br /> unless the work authorized by such permit is commanced within aix months of permit issuance, or if worlc autho�ized by <br /> the permit is suspended or abandoned for a period of six (6) manths after the time the work Is commenced. An extension <br /> may be requested, in writing, trom the Building dfNcfai for a period not b exceed nlnety (90) days and will demonstrate <br /> Justifiable cause for the extensi�n. If work oeases for ninety (90) consc�cutfve days, the job Is xn3Edered abardoned. <br /> WARNING '1'O qWNER: YOUR F'All.UttE TO RECORD A NOTICE OF CpMM�NCEMENT MA,Y RESULT IN YOUR <br /> PAYING TMCE FOR IMPROVEMENTS TQ YGUR PROPERTY. IF' YOU INTEND T� OBTAIN FINANCING, CONSULT <br /> WI UR L1 R AT*Q � �QRE ^ Di �1°'3 Y l•F O C 'C T. <br /> FLORIUA JURAT (F,S, 117,63 <br /> OWNER OR AGENT CQNTRACTOR <br /> suba • a o � to ( Tr mm�e� fo�me this suesc►i�ed and s to �or ) roro me u,k <br /> �o b nep ma �hesJhave produced s! e or haalheve producad <br /> as idAnt'�'icetion. as IpelklflCatlon. <br /> NaAry PubNc <br /> �� —�— Notary Publlc <br /> Cammisslon No, <br /> Commission N <br /> •:' � R:ooe�c1z 6 QLIIMA A, t011�1T <br /> Name of Notery typo 1„ � tsmpOtl ��� Name of Nofa d�� �� <br /> �u �� <br />