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NOTiCE OF DEED RESTRICTIONS: The undersigned undetgtands;th�t,this:permit.may.be.sub)ect to."deed"resUictlons" <br /> which may be.=more�restctctive�th�ln Gounfy regulatlons. �The underslgned assumes responsitiiitty for compliance with any "� <br /> applicable deed rest�ictlons. � _ � <br /> UNLICENSED CONTRACTORS -AND CONTRACTOR RESPONSIBILITIES:= -If tFie owner-has hired a contractor or <br /> contractors to undertake work, they may be:required,.to be:ltcensed In accordance.with.state.and•local regulations. :If the <br /> contractor is not Iicensed as requlred:by law; both the owner and.coritracto��inay be,cited for-a�misdemeanor vtotat(on <br /> under state law. If the owner or intended:contractor�are_uncertaln as to what Iicensing;requirements.;may apply.�.�for�the <br /> intended work, they are advlsed to contact the.Pasco�County Bullding Inspection DIvlslon-l:Icensing Section at 727-847- <br /> 8009. Furthermore, If the owner�has hired a cont�acto� or contractors, he is advised to have ihe contractor(s) sign <br /> portions of the "contractor Block" of this application for_which ihey wlll.be r.esponsible. if you._as.fhe owner sign'as the <br /> contractor, that may be an indication that�he is not.properly licensed and is not entitled to perriiitting privileges in Pasco <br /> County. . - <br /> TRANSPORTATION IMPACT/UTILITIES�IMPAC7=ANb-RES�URCE RECOVERY�FEE3: �The undersigned unde�stands <br /> that Transportation Impact Fees and.Recourse Recove.ry.Fees may��apply�to the construction of new buiidings,:change of' <br /> use in existing bufldings,�or�.expansi�n•.of�:ezistin,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�ma�r be�.due;:will,�be identified at the°�time of <br /> permittfng. It is furtFier understood that Transportation Impadt Fees an.d=Resource Recovery'Fees must be pald prior to � <br /> rece�ving a °cerfificate-of occupancy" or flnal power.release. :If the project does not involve:a.certfficate of occupancy, or I' <br /> final power release; the fees must�be paid pr(or to permit issuance. Fu�thermore;�if Pasco County�INater/Sewec-Impact ' <br /> fees are due,.they�must.be:paid prior to permiE�lssuance�in accordance witfi applfcable Pasco�County ordinances. <br /> CONSTRtJCTION-LIEN�LAW(Chapter 713� Flortda Statutes�aa amended):� If valuatlon of work is$2,500.00�or more,•I <br /> certify that I, the applicant,_ have.been provided with a copy of the °Florida Construction�.Lien:Law .—Homeowner's <br /> Protection Guide� prepared by the Florida Departmenf of Agric.ulture and ConsumerAffairs. If the applicant Is someone <br /> other than the°owne�", I certify that I have,obtained�a copy.of;the:above.�escribed document�and promise in,good failh to <br /> II deliver ft to..the`owner"prioc to�commencement:- ' ` • <br /> CONTRACTOR'S/OWtdER'S AFFIDAVIT: I ce'rtify_that..all..the�;inf.ormation In thi.s application is accurate and that all work <br />� will�be done in compliance with all appl(cable laws regulating constructlon, zoning and land development. Applicatlon is <br /> hereby made to obtatn .a.permit.to do..work and installation as indicafedc.: I certify�that no work .or installatton has <br /> commenced prior to Issuance of a permiE�and that':all�work will be perFormed to meet standards of all laws regulating- <br /> construction, County and City codes, zoning regulations, and land developmer�t regulatlons-tn�the jurisdtctfon. ( also <br /> certif that I understand that the re ulatlons of other ov <br /> y g g ernment agencies may apply to the intended work, and that it is <br />� my responsibility to identify�what,act(ons I must take.to be.ln:.corr�pliance: S.uch agencies.include but are.not Ilmited to: <br /> - De artment of E�lvlronmental Protec' <br /> p tion=Cypress'Bayheads; Wetland Areas and Envlronmentall Sensitive <br /> Lands,WateNWastewater Treatment. <br /> Y <br /> - Southuvest Florida Water Management ..Dtstr(ct-Wells, Cypress. Bay.heads; Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Health� 8 Rehabllitative Serv(ces/E�vi�onmental Nealth Unit Well.s, Wastev�rater Treatment, <br />' Septic Tanks. � <br />� - US Environmental Protection Agency-Asbestos abatement. - . ` <br /> - Federal Av,lativn Authority-Runways. �" • � <br />', I understand that the following:restrictlons apply to the use of flll:� <br /> Use of fill is not allowed in Flood Zone"V"unless expressly permitted. <br />� - If the flll material�is to �be used. In Flood Zone �A", It. (s understood that-a drainage plan addressing a <br />�� °compensaBng volume" will be submitted at time of permittfng which is prepared by a professfonal engineer <br />� licensed by the 5tate-of Florida: <br /> - If the fill material.Is to be used In Flood Zone "A" in�connection wit7�.a�permitted building using stem wall <br />� � construction, i certify that fill,wall:b.e used only.to flll the area w(thin the�stem wall. <br />' - If fill materlal is to be used in any area, I certify t#�at use. of such flll will not adversely affect adjacent <br /> ' propenies. If use of flll is found to adversely,�ffect adJacent�properties,.the owner may be clted for violating <br />� the condiflons of the building:permit fssued under the attached permit application, for lots less than.one (1) <br /> acre whtch are elevated by flil,an engineer�d drainage pian Is requtred. . <br /> If I am the AGENT FOR THE OWNER, I,;promtse In good faith to fnform the�owner of the permitting condittons set forth in <br /> this affidavit�prior to commencing const�uction. I understand that a�separate permlt may be requtred for electrical�work, <br /> plumbing, signs, welis, pools; alr condttioning, .gas, or other install�tlons not�specfflcally Included�in.the application. .A <br /> permit issued shall be constcued to be a�Iicense to p�oceed with tlie work and not as.authority to,vlolate,cancel, alter, or <br /> j set aside any provisions of the technical.codes;�nor shall issuance�of a.permlt.prevent the Bulldirig O#flcial from thereafter � <br /> requiring a conection.nf eROrs In plans, construction or violatlons of any codes. Every permit issued shall become invalid <br />- -unless�the�wrork au4horized-by such-permit�Is:commenced�virithln'sIX-rr�ontfis of permit issuance, or if work.authorized by � <br /> the pe�mtt is suspended or.abandoned#or a period of six f 8)montfis.after the time.the�work��is commenced. An extension <br /> may be requested, In writing, from the Building.Officiai for a period.not to exceed ninety�(90) days a�d will demonstrate <br />', justi�abie cause for.the extension. If work ceases.for Nnety(90)�ons.ecutive day.s�..the Job�Ps considered aba�doned. <br /> , . . <br /> I WARNING TO OWNER: YOUR.FAILURE.TO.REC.ORD,A NOTIGE OF•COMMENCEMEMT�MAY RESULT IN YOUR <br /> PAYING TWICE.FOR IMPROVEMENTS TO YOUI��PROPERTYo IF YOU�IN�TEhID'TO OBTAIN•FINANCING,'CONSULT <br /> WITH YOUR LENDER:OR AId ATTORNEY�EFORE�RECOR��ING�YOUR'NOTICE'OF`CdMAIIENCE�IffE(dT� <br /> FLORIDA JURA'�(F.S.117.03) . ' ` - <br /> OWNER OR AGENT CONTRACTOF�� /��I� .(J�,,dv <br /> Subscribed and swo or aflirmed)before m Is Subgcrib�d�n�dy' wo to p�r flirmed)�befol�e e' <br /> �I'��/�y . I / 4� � � E?-.S�'l�by�A.c/P��N)'�S�c� <br /> Who Islare personally kn vm to.me or has/have produced VYho J&/pre per�onallykno •lo me or hes/have•produced • <br /> as Identlflcatlon. r��� Q�JCw�� li as identlflpflon. <br /> �-'� Notery Public . Notary Public I <br /> Commis � ••PYe'�•, JACQUELINE OGES •• Z'°Y'�•-; JACpUELINE <br /> Com Ion . �. . , GES <br /> �; •;�: omm�ssion : . - 22 <br /> �o�: Expires December 12,201 B -,�-,a.0.P;' Expires December 12,2018 I <br /> Name of N ' � , �th�[ Nfl �1e Name of No , "�e��esaaia <br /> I _ � <br />