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From. 02/08/2013 14.56 #176 P.0011001
<br /> �iiOTICE OF DEED RESTRICTIONS: The undersigned understands thet this permit may be subJect to"deed'restrictlons"
<br /> which may be more restricNve than County regulatlons. The undersigned assumes responsibillty for compliance with eny
<br /> appfiqble deed restrictbns.
<br /> UMLICEN&ED CONTRACTORS ANd CONTRACTOR RESPONSIBtLfTIES� I} the owner has hired a contractor or
<br /> contrectors to und�take wo�k,they may be required to be licensed in accordance with state and local regulatlons. If lhe
<br /> contractor fa not licensed as required by law,6oth the owner and contractor mey be cited for a misdemeanor violatlon
<br /> under etate law If the awner or iMended contractor are uncertain as to what Iicenaing requirements may apply for the
<br /> intended work,they are adviaed to contact tfie Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthertnore, fl the owner has hired a contractor or coniraciors, he is advised to have the conhactor(s) afgn
<br /> portions of the"contraotor Block"of this application tor which they wlll be�esponaible. H you,as the owner sign as the
<br /> contractor, that mey be an indication that he is not properly licensed and Is not entiUed to pertnitting priv�eges In Pasco
<br /> Courriy.
<br /> TRANSPORTATION IMPACTIUTILITIES IIIIPACT ANR RESOURCE RECOVERY FEE3: Tfie underaigned understands
<br /> that Transportation Impaet Fees and Recourae Recovery Fees may appfy to lhe construction of new buNdinga,change of
<br /> use In existing bufldings,or expanaton�f exis6ng build'mgs,as speciCed'm Pasco County Ordinence number 89-07 and
<br /> 9U-07, as amended. The undersigned elso undentands,that auch fees,es may be due,wlll be Identified at the time oi
<br /> permlriing. It is further understood that Transportetion Imped Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"cert�icate of occupenoy'or flnal power release. If the project dces nof inwlve a certifieate oi xcupancy or
<br /> finai power release,the fees must be paid prbr to permit issuance. Furthermore,H Pasco County WaterlSewer lmpact
<br /> fees are due,they must be paid prior to permit issuance in accordance with appficaae Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florfda 9tatutos,�unend�d): If valuation of work is 52,500.00 or more,I
<br /> certHy that I, the appflcant, have been p►ovided with a capy of the 'Fbrtda Conetruction Lien Law—Homeowner's
<br /> Protectfon Guide'prepared by the Flalda Departme�t of Agricutture and Consumer Aftaira, It the applicant is somaone
<br /> other than the"owner",f oertify that I heve oblafned a copy of the ebove described documeM and promise in good faith to
<br /> deliver It to the`owner'prior to commencement.
<br /> CONTRACTOR'SlO1NNER'3 AFFIDAVIT: I certify that all the Infamatlon In this appiicatlon is accurate and lhet all work
<br /> will be done in compliance with all applicaWe laws ragulating consUuction,zoning and land developmen� Applicatlon ia
<br /> hereby made to obtain a permlt to do worfc and instaqation as indicated. I oertify thel no work or instsllatlon has
<br /> commenoed prior to isauance of a permit and that all wak vnlf be performed to meet atendards of al1 laws regulating
<br /> conshuction, County and City codes, zonfng regulations, and land development regulations in the jurlsdicHon. 1 also
<br /> ceRHy thet I understand that the regulaHora of othsr govemment agencies may apply to the iMended work,and that it is
<br /> my responsibNiy to identify what aotions I must iake to be In complience_ 5uch epenoies inolude but are not Nmited to:
<br /> - Depariment of Envirvnmental Protection-Cypress Bayheads, Welland Areas end Environmentally Sensitive
<br /> Landa,WaterNVastewater Treetment.
<br /> - Southwest Fforida Water Management Distrfot-We11s, Cypress Bayheads, Wetland Areas, Altering
<br /> Water�ourses.
<br /> - Army Corps of Engineers-3eawalla,Docks,NavigaWe Watenvays.
<br /> - Department of Health 8 Rehabilftalive Services/Environmental Health UnR-Wells, Wastewater Treatment,
<br /> Septi�Tanks.
<br /> - US Environmental PratecUon Agency-Asbeatos abetert►ent
<br /> - Federal Aviafion Authotity-Runways.
<br /> 1 understand that the idlowing roaWetione apply to the use oi fith
<br /> - Uae of flll is rmt allowed In flood 7.nne'V'unless expressy permltted.
<br /> - ff the fl0 ma�rial is to be used in Flood Zone °A", it Is undarstood lhat a dreinage plan addressing a
<br /> "compensatlng volume'will be submitted at time ot permit6ng which is prepered by a professional engineer
<br /> licer�sed by the Siate of Florida.
<br /> - If the flN met�lal is to be used� Flood Zone"A"tn connedivn wtth a permitted building using stem wall
<br /> wnstruction,I certiy th�flll will be used only to fi11 the area wkhln the stam wall,
<br /> - Ii flll material is to Ee used In eny area, I certlfy that use of such flll will not adversefy affect adjacent
<br /> propertles. If uae of till Is found to adversely afFect adjaoenl properties,the owner may be cited for vblefing
<br /> Ihe condftions of the buiidfng permil issued under the attached pertnit applicetion,for Iots less than one(1}
<br /> acre which are elevated by fl11,an enpineered drainage plan is required.
<br /> H I am the AGENT FOR THE OWNER,I promise in good faiUi ta fnform ihe awner of lhe permiltfng condltions set foAh in
<br /> this atfidavlt prfor tv commeneing consbuctfon. I understand lhat a separate permit may be required(or elecMcel work,
<br /> plumbing, aigns,welis, pools,eir conditioNnp, gas,or ofher InsfaAatfons not speciFicalfy induded 'en the applicatfon. A
<br /> pertnit Issued shall be consinied to be e ticen�e to procead with the wotk and not es authorlty to vfolate,cantxl,atter,or
<br /> set eaide am provlsions af the technical codas,nor shell issuance of a permit prevent the 6uilding Ofticial fram thereafter
<br /> requl►ing e correclion oT errors in pians,construction or violatlona of arry codes. Every pertnit issued ahsll beoome invalid
<br /> unless the work authorized by such permif is commen�d within sbc moMhs of petmR Issufltice,or tf wwk authorized by
<br /> the pennit is suspended or abandoned tor e period of six(6)monlhs after the iime the work is oommenced. M extension
<br /> may be requested,{n vuriting,irom the Building Ofllcial for a perlod nat to exceed nlnety(9U)days and wlll demonstrate
<br /> justiflable cause for the extensbn. If wwk c•.easee fm ninety(90)�onsecutive days,U�Job is considered abandoned.
<br /> WARNiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEAAENT MAY RE3ULT IN YOUR
<br /> PAYING TYViCE FOR IMPROVEMENT9 TO YPUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> W H N F
<br /> FLORIDA JURAT(F:S.117.03
<br /> OWNFRORAOENT �'`"� C�N1RACi0
<br /> SubsplbRd and awam Io(or aAlime�beF e thk Suhsafbad a to(or al�m�ce) ms
<br /> by by
<br /> Who falare peraons6y known lo me or hasRmve produeed 1Mw Ware P�onsty known Do me a tws�have Pmducs3
<br /> ae wenukeenon. as�aem�aon.
<br /> ` i � 1 l�:J�a�t�W�°"d-J l. Not9�y PubRc � c , NWery Publio
<br /> Comrnlcslon No. � — 1 ��� � Commtrabn No. o� -� `� "' �
<br /> rn� c �i�Swo�,nS�h- r� ► �},�1� Swo,hs�s
<br /> Nsmr ot Notary lyped.Pdrrted or clampetl Name o!NohrY bP�.P�ted or stamPed
<br /> ' 44�RY a��` N�ry��0 O�F
<br /> =��OgY Pw Notary Pudic Stats of Florida � a �' ' �8
<br /> ��`f; Michele Swanson �:x' i M+chele Swanson
<br /> � My Commusion EE062369 =�."3.,""'�' MY Commission EE0823B9
<br /> o� Expirea 0 5/2 2/2 0 1 5 0�no Ezpires OS/22/2py5
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