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<br /> NOTICE OF DEED RESTRICTIONS: The undersi ned under.�tands that thls. �tmlt.ma .be,sub ect to"deed"restrictlons"
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<br /> which may be:more r.estcictive than County regulatlons. �The undersigned assumes responsibility for compliance with any
<br /> appl(cable deed restrictions. . �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required_to be.11censed in.accordance.with state.and�local regulations. If the
<br /> cont�actor is not Itcensed as requlred by law, both the owner and contractor-may be ctted for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what Iicensing.requirements may apply ior the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Divislon—L(censing Section at 727-847-
<br /> 8009. Funhermore, If the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
<br /> portions of the "contractor Block° of this application for which they will be responslble. If you, as.the owner sign as the
<br /> contractor, that may be an indication that he is not.p�operly flcensed and is not entitled to permitting privileges in Pasco
<br /> County. '
<br /> TRANSPORTATION IMPACTIUTILITIES IMPAC7 APID RESOURCE RECOVERYfEES: The undersigned understands
<br /> that Transportation Impact Fees:and.Recourse Recove.ry.Fees may�apply to the construction of new buildings,.change of
<br /> use in existing buildings, or.expansion.of��existiri,g��6uildings, as speclfled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended: The undersigned also understands, that.such fees�.as;may�be�due,.will:be identified at the time of
<br /> permitting. It is further understood that Transportation Irr�pact Fees and Resource Recovery�Fees must be paid prior to
<br /> receFVing a °certificate of ocbupancy" or final.power release. .If th� project does not involve a certificate of occupancy o�
<br /> _ final power release,=the fees_�must_tie-paid_prio�to=pe�rrelt-Issua�ce.—�u�h�rmoc�;-if Fasco=County�lNat�r/Sewer-impact— -- -
<br /> fees are due,th�y�must be-pald p�lor to permit-Issuance�fn accordance with�applicable Pasco'County ordinances. '
<br /> CONSTRUCTION LIEN LAW'(Chepter 713� Florlda Statutes�as amended): r`If yaluation of work.is$2,500.00 or more;�I,
<br /> certify that I, �he•applicant, have,-been provided with a copy of��tFie� "Florida Construction Lien Lav�—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the applicant Is someone
<br /> other than the"owne�", I certiry that I have.obtained a copy.of.the abQVe..described�document°and.promise in,good faith to
<br /> deliver It to the�owne�'prior�to-commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify ttiat all the Inf.ormation im this appl(catlon is accurate and that all work
<br /> will�be done in compliance with all.applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain .a permit.to do work.and Installation as indlCafed: 'I certffjr that no work or Installatton has
<br /> commenced prior to Issuance of a permit and that.all work will be pertormed to meet standards of all laws regulating�
<br /> construction, County and City codes, zoning regulations, and larod development cegulations�in the jurisdictfon. i also
<br /> certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
<br /> my responsibilily to identify�what.actions I must take to be�in_.compliance: $uch agencles include but are.not Iimited to:
<br /> - Department of Ehvironmental Protection-Cypress.Bayheads; Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management ..District-Wells, Cypress. Bayheads; Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health� 8 ReY�abilitative Services/Environmen�ai Health Unit Weil.s� Wastewater Treatment,
<br /> Septic Tanks. � _
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviatton.Authortty-Runways.
<br /> I understand that the following.restrictions�apply to the use of flll:•
<br /> - - Use of fill is not allowed in Flood Zone"V"unless expressly permittgd.
<br /> - If the fill material is to be used in Flood Zone. "A", it. (s understood that a drainage plan addressing a
<br /> °compensating volume" will be submitted at time of permitt(ng which is prepared by a professfonal engineer
<br /> Iicensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone 'A" in�connection�wlth.a �ermitted building using stem wall
<br /> - construction, I certify that fill,:will�be used only.to.flli the area within the stem�wall.
<br /> - If flll materlal is to be used in any a�ea, I certify that .use. of such flll will not adversely affect adjacent
<br /> properties. If use of flil is found to adversely:affect adJacent propertie�,.the owner may be cited for violating
<br /> the conditions of the building.permit issued�under the_atEached permlt�application, for• lots less than one (1)
<br /> acre which are elevated�by flll, an engtneered drainage plan is required. .
<br /> If I am the AGENT FOR THE OWNER, I,�promise In good f.aith to Inform the owner of�the permitting�conditfons set forth (n
<br /> this a�davit�prior to commencing construction. I understand that a:separate permit may be required for elecMcal work,
<br /> plumbing, signs, wells� pools; air conditioning, .gas, or other install�tions not spec►f(cally included-in.the application. .A
<br /> permit lssued shall�be constcued to be a Iicense to proceed with ttie�work and not as.authority to.vlolate, cancel, alter, or
<br /> set aside any provisions of�the technical.codes; nor shall issuance�of a permlt.prevent the Bulldirig Officlal from thereafter
<br /> requlring a cocrection af errors In-plans, construction or violaUons of any codes. Every pennit issued shall become invalid
<br /> unless the work authorized by such perm(t.•is-commenced•wtthln six months of permit issuance, or if work authorized by
<br /> the permif is suspended or.abando�ed for.a:period of�six(8)montfis.after the time the�work ls commen�ed. An extension
<br /> may be requested, in writing, from the Building.Official for a perlod.;not to.exceed�ninety�(90) days and will demonstrate
<br /> justi�able cause for.�the extensior�. If work ceases:for ninety(90)cons.ecutive:day.s�..the job�is.considered aba�doned.
<br /> WARNING TO'OWNER: OUit.FAILURE.TO.,REC:ORD A:.NOTIGE OF•COM CEMEMT.MAY�RESULT IN YOUR
<br /> PAYING TWICE;FOR 1 ,OV ENITS TO YO.UR:PROPERTY.=IF�.YO.tJ 1N�' O�O �AIN��FINtANCtNG,'CONSULT
<br /> WITH UR DE AN� ORN $ FOR��� CO � G% �U '.O . C N ;, ?�,.f. �-.
<br /> FLORIDA JURA�'(F.S..1. ° � � • _ � ` . ° . . ,
<br /> OWPIER OR AO CONTRACTO "
<br /> Subscribed and swom afli efore me fhis Subscribed and'swo ( aflirmed) efore me ttii�. '
<br /> by �by •.
<br /> Who is/are personally nown to.me.or has/Fiaye Produced Who ts/are p.erson known to�me.or has/have produced.
<br /> as Identlflcatlon, as idendflcaflon. �
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<br /> Notery Public Notary Public '
<br /> Commissi �,,,,., � ,,,�.,.,,, I
<br /> �o Commisslo �P •
<br /> ��._ Commission#FF 137073 • -- • � � , :►: ':= Commission#FF 137073 ' �,
<br /> � � :<= • , �; �: .
<br /> Name o( t�� , �P�dRl68��f���fi�em.3esao�s " Name.oT N e� , ; .�Pd�v�tt�arre#et,tap�ed�coacn�eeaa�s I'
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