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NOTICE OF DEED RE8TRfCT10NS: The undersigned understands #hat this permit may be subject to "deed" restrictions'
<br /> which may be more restriciive than Courrty regulaaons. The undersigned assumes respor�sibiiity for compliance with any
<br /> applicable deed restrlctions.
<br /> ` UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIUTIE8: If the owner has hired a contractar or
<br /> cantractors to undertake work, they may be requlred to be licensed in accordance with state and local regulat�ons. If the
<br /> contractor is not Ifoensed as requir+ed by law, boih the owner and contractor may be cited for a misdemeanor violation
<br /> under state taw. If the owner or irrtended contrador are uncertain as to what licensing requfrements may apply for the
<br /> intended work, they are advised to contact the Pasco CouMy Buiiding Inspectlon Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the ov� t�as hired a corrtractor or contractors, he is advised to have the contraaor(s) sign
<br /> portions of the "coMractor Block` of this applicatfon fw which they wilt be responsible. If you, as the owner sig� as the
<br /> contractor, that may be an indication that he is not properly Ucensed and is not entitled to permitbng privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersfgned understands
<br /> that Transportatlon Impact Fees and Recourse Reco�rery Fees may apply to the co�sbucdon af new buildirgs, change of
<br /> use in existing buildirgs, or expansion of existfig bufldings, as specifled in Pasoo County Ordinance numDer 89-07 and
<br /> 90-07, as amendecl. The undersigned also understands, that such �ees, as may be due, will be identified at the tlme of
<br /> permttting. !t is iurther understood that Transportation lmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"cErtiflcate o# occ�pancy" or final power release. If the project does not irnrolve a certificate of occupancy or
<br /> flnal power release� the fees must be paid prior to permit issuar�ce. F�U�ertr�o�e, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to pertnft issuance in aa�ndance with appticable Pasco County ordinanoes.
<br /> CQNSIRUCTfON LiEN LAW (Chapter 713, Florida Statutes, as amended): 1f vafuation of worlc is 52,500.00 or more, I
<br /> certlfy that I, the applicant, have been provided with a copy of the "Florida Construcilon Lien Law�—liomeowne�s
<br /> Protection Guide" prepared by the Flortda Department of A�riculture and Consumer AfFairs. If the appticarrt is someone
<br /> other than the °owner�, ! certify that I have obtained a copy of the above described documeni and promise in good faitt� to
<br /> deliver it to the "owne�' prior to cortwnencemeM.
<br /> CONTRACTOR'S/OWNER'3 AFFIDAVIT: I certity that ali the information in this application is accurate and that all w�o�ic
<br /> wil! be done in compllance wi(h all applicabis laws regulating construction, zoning and tand development. Application is
<br /> hereby made to obtain a permit to do work and installatlon as (ndicated. I certify that no wo►k or installation has
<br /> commenced p�ior to issuance of a permit and that ali work will be performed to meet standards of all laws regulating
<br /> construc�ion, County and City codes, zoning regulations, and land developme�t regulatio�s in the j�uisdiotiUon. 1 afso
<br /> certify that I understand that the regulations of other govemmeM agendes may apply to the intended work, and that it is
<br /> my responsibility to identify whst actions I must take to be in compliance. Such agencies inGude but are not i(mited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WatedWastewater Treatrt�ent.
<br /> - Southwest Florfda Water Management District-Wells. Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - � Corps of Engineers-Seawalls, Docks, Navigabte Watermrays.
<br /> - Department of Heaith 8 RehabilftaUve Services/Environmental Heafth Unit-Wells, Wasiewater 7reatment,
<br /> Septic TaMcs.
<br /> - US Environmental Protedion Agency-Asbestos abatement.
<br /> Federat Avlation Authority-Rurnvays.
<br /> I understand that the foliowing resfictions appy to the use of ftll:
<br /> - Use of fili is not affowed In Fiood Zone °V" unless expressly perm+tted.
<br /> - if the fllt material is to be used in Flood Zone "A", �t is understood that a drainage ptan addressing a
<br /> "compensafing volume° will be subrrutted at time of permittiny which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the flil materiai is to be used in Flood Zone "A" in connecdon with a permitted buildirtg using stem watl
<br /> construction, I certify that flll will be used only to fllt the area within the stem wall.
<br /> - If fiil material is ta be used En any area, 1 cenify that use of auch fili will not adversely at►ed adjacent
<br /> properties. If use af flll is found to adversely a}fect adjacern properties, the owr�er m�y � p� {�r violating
<br /> the conditions of the building permil Issued under the atfached permlt applicatlon, for bts less than o� (1)
<br /> acre which are elevated by fl11, an engineered drainage pian is required.
<br /> If I am the AOENT FOR THE OYVNER, 1 promise in good faith to inform the ov�mer of the permitting conditians set forth in
<br /> this affidavit p�4or to commencing construction. I understand that a separate pertnft may be requi�d fo� �e�al w��C.
<br /> plumbing, signs, w�efls, pools, air conditioning, gas, or other instatlations not spedfically induded � the appticafion. A
<br /> permit issued shall be construed to be a license to proceed wi;h the wprk arb not as authaity to violate, cancN, a$er, or
<br /> set aside arry provistons of the technical codes, nor shall issuanoe of a pem�it preverrt the Buiidfng Offfciaf from thereafter
<br /> requiring a correction of errors in plans, construdion or violaUons of any codes. Every pennit issued shall become imalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if wv�ic authwized by
<br /> the permit is s+�spended or abandoned for a period of six (8) monihs after the tkne the work is cammenced. An extension
<br /> may be requested, in writing, from the Butlding dfficial for a period not to exoeed ninety (90) days and will demon,strate
<br /> just'rfiable cause for the extension. If ases for ninety (90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OYVNER: YOUR AIL E TO RECORD A NOTiCE OP COINNENCEMENT IIAJIY RESUtT IN YOUR
<br /> PAYING T1MCE FOR IMPROVE E TO YOUR PROPERTY. IF YOU INTEND TO 08TAIN FiNANCINCi, CON3ULT
<br /> Wt YOUR LEN B F RE R C N Y UR T1C F ENT.
<br /> FLORIDA JURAT {F. . 177.0 _
<br /> OWNER OR AGENT CONTRACTOR
<br /> S � r ,� a
<br /> Who is/aro y kn m� or D Who feJ a ma or hesRwve produced
<br /> as identlfication. as Identlflcation.
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<br /> �. '�' No Publk
<br /> c�� ".� :, KIMBERLY ROHN co,n �on �''� "'• ROhiN
<br /> - ��': MY COMMISSION # EE008524 �'= MY COMMISSION # EE008524
<br /> n►ame •. ,�: ,' prt"te��guly 13, 2014 Neme of Na ��� ted or �S July 13, 2014
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