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<br /> jNOTICE OF DEED RESTRiCTIONS� The undersigned understands that this permit may be subject to"deed"restrictions" �
<br /> ' which may be mare restrictive than County reguletions. Tne undersigned assumes responsibility for compliance with any
<br /> �, applicabie deed restrictions.
<br /> UNLtCENSED GONTRAGTORS AND CONTRACTOR RESPQNSIBlLITfES: If the owner has hired a cantractor or
<br /> contractors to underteke work,they may be required to be licensed in accordance with state and local regulations. �f the
<br /> I� contractor is not licensed as required by Iaw, botfi the awner and cantractor may be cited for a misdemeanar violation
<br /> I� under state 1aw. !f the owner or intended contractor are uncertain as to what licensing requirsments may apply for the
<br /> �" intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> ��; 8009 �urthermore, if the owner has hired a cantractor or contractors, he is advised to have tf�e contractor{s) sign
<br /> i� portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not properiy licensed and is not entitled to permitting priviteges in Pasco
<br /> County.
<br /> � TRANSPORTA710N IMPACTlUTlLITIE3 IMPACT AND RESOURCE RECOVERY FEES� The undersigned understands '
<br /> � that Transportation Impact Fees and Recourse Recovery Fees may apply to the co�structio�of new buiidings,change of
<br /> use in existing buitdings,ar expansian of existing buildings,as specified in Pasco County Ordinance�umber 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such Pees, as may be due,will be identified at the time of i
<br /> permitting. It is further understood that Transportatipn Impact Fees and Resource Recovery Fees must be paid prior to !
<br /> receiving a"certificate of occupancy"ar final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> (ees are due,they must be paid prior to permit issuance irt accordance with applicab(e Pasco Caunty ocdinances.
<br /> CONSTRUGTlON LlEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,5Q0.00 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 Department of Agriculture and Gonsumer Affairs. If the applicant is sameone
<br /> other than the"owner",!certify that I have obtained a copy of the abave described document and promise in good faith ta �
<br /> deliver it to the"`owner"prior#o commencement.
<br /> CONTRACTOR'SlRWNER'S AFFfDAViT: !certify that a0 the inPormation in this application 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 indicated. 1 certify that no work or instai4ation has
<br /> commenced prior to issuancs of a permit and that al! work will be performed ko meet standards of ail laws regulating
<br /> construction, County and City codes, zoning regulations, and Iand development regulations in the jueisdiction. 1 also
<br /> certify that 1 understand that the regulations of other government agencies may app(y to the intended work,end that it is �
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Envieanmentally Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwesk Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seawaiis,docks,(Vavigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addeessing a
<br /> "compensating volume"wiil be submitted at time of permitting which is prepared by a professional engineer ,
<br /> licensed by the State of Florida. �
<br /> - if the fill materiai is to be used in Flood Zone "A" in connection with a permitted bvitding using stem wa(!
<br /> construction,!certify that fiii wiii be used only to fill the area within the stem wa!!.
<br /> - If fill material is to be used in any area, I certify that use of such fifl will not adverse�y affect adjacent
<br /> properties. tf use of fill is found to adversefy affect adjacent properties,the owner may be cited far violating
<br /> the conditians af the building permit issued under the attached permit application, for lats less than one (1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR TNE OWNER,1 pramise in good faith ta infarm the owner of ihe germitting conditions set forth in
<br /> this a�davit prior to cammencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, weils, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority ta violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Qfficial from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shail become invalic3
<br /> unless the work autharized by such permit is commenced within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,from the Building Official for a period not to exceed ninety(90}days and wii4 demonstrate
<br /> justifiabie cause for tns extensian. if wark ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TC? RECQi2D A NOTiCE OF COMMENGEMENT MAY RESULT tN YOUR
<br /> PAY{NG'fWlCE FOR lMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CON3ULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU O71C OF COMMEN EMENT.
<br /> FLORIDA JURAT{F.S.117.43} ,�j
<br /> QWNER OR AGENT CONTRACTC7R'` !
<br /> Subscribed and sworn to(or affirmed)before me this Su scribed and sw„Qrn[�r affirme df)b r��q'��this ( � ,,/ �
<br /> by t�Ay 7�%(r by,1(' t��.t��{� V�/1.l S�,!Y/Y
<br /> Who islare personally known to me or has/have produced Who islare pe,[�sonalty knowf��Fo m�or has/have produced
<br /> as identification. FG+ 4.�P.4�2t SG�lC¢.e.���as identification.
<br /> Notary Pubiic l� Notaty Public
<br /> Commissioo Na. Co is i n No.
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