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1 <br /> I � � ,t� _ �J <br /> ;` <br /> NOTiCE OF DEED RESTRICTIONS: The undersigned,understands�.th�t:this:�pQrmit-.may;sbe,subJect.to"deed".restrlctlons°: :�";.':���`, <br /> which may�tie;more'-resUictive�-th�Fl County�:r+'agulatfons:'The�underslgnedFassumes�responsibiltty'for"compiiance:with"any `- � <br /> applicable.deed restrictions. .-�.�„ -, .. � • . _ , . -. _��, .. - . '""` <br /> ��C OR RESPONSIBILITIE�: `=1f°the�owner-has�'�hired`�"a=contractar or <br /> IJNLICENSED=CONTRACTORS AND CONTRA T, <br /> contractors to undertake work, they may�b.e;requlce.d�to.tie,licensed.ln�accordance.with�state°.and_zlocal,regulations;��lf�the=-�y� � �;=� <br /> ... r_....x...:..: <br /> contractor Is not l(censed as�required:;by law; botN�the own�r,and conf�actor-=-may�be�cifed-for���misdemeanor violatlon <br /> under state law. If the owner or Intendedt�contractor,,-are,�uncertaln as to whaf Ilcensing.requirementsQmay��apply���for=ttie`��: • <br /> � . .._. . <br /> . ,,..,.r�.,. : . : ,... � <br /> intended work.they are advised to coritact the Pasco County,Bullding'.Inspectlon„Dlirlslon--Licensing Section at 727-947- <br /> SOU9. Furthermore, If the owner'has�`filred-a con&actoF'or contractors, he Is advised to have the contractor(s),stgn.-. _ <br /> : ,�.<;;.; � , ,. , <br /> portions of the "contractor Block" of..this_application.for,which.they will.b.e-,r.esp.onsible.-: If.you�=as.the owner;sign�'as'the ' <br /> contractor, that�•may be an indication that`he-ls�not"�properly licensed"and°�is not entitled to perniitting�privileges In Pasco . <br /> County. � : ,�,-_.��.:;;. , . .._ <br />� TRANSPORTA710NsIMPACTIUTIUTIES�(MPAC'��ANb�RE30URCE RECOVERY,FEES:� The�undereigned understands <br /> that Transportation Impact Feas and.Recourse.Recovery„Fees_may:�tapply�to�the;construction_of new_buildings��change�of`�`�`=�=-�'� <br /> use in existing buildings,�or.:expansian�of��ezisfing:�b�uildings, as specified.in Pasco County O�`dinance number 89-07 and <br /> 90-07, as amended.,,The understgned also:understands, that`such fees�;as��may:tie�:due;,.will:�tie.identff(ed at the��time�of��� ��=�'�' �" <br /> permitting. It is iurtlier understood that Tra�sportation Impact�Fees and;Resource.:Reco�ery�Fees,must be paid prior to <br /> receivtng-a"certiflcate-of ocxupancy" or flnal�power>release. :I�the.project;:does�.not involve:a,certfficate of occupancy�o���=���•-�=�'�'" <br /> final power-release;,,the.fees mu�t.tie paid;prtorto;permft�issuance. F��thermoce;ff:.Pasco_�County�WaterlSewer;lmpact • .: .. <br /> fees�re due,.lhey.mustbe-pald.pnlor to permit_�Iss.ujance:in.accordance.witli.�applicable_Pasco��County ortlinances. • <br /> CONSTRUCTION�L'IEN LAW'(Cliapter 713�Florlda Statute��as amended): If valuation of work Is$2,500.00:oc;more,_I- .:. =���_: <br /> cerlify that I, �he applicant,. have.been provided��with-a�copy=of:the:"_Florida��Consttuctton� Lien_Law=Homeowner's <br /> Protection Gu(de" prepared by,'ftie�Flo�ida Department�of Agriculture and Consumer;Affairs. If the applicant Is sonneone ,. �,: . <br /> other than the"owner", I certifj►.that..l,;h�ve:obtained%'a�copy;of:the�abova.desc�ibeddocurtient-and_p,r.o�ise:,in,good:.faith.to . , , <br /> ...,,. _ _ <br /> delider It to the."ownec"rp�ior:to=commencement:�' � � � � � � � -- ' - . � <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.ceitifyt:that,;ail thg�lnformetlon:.in�thi�applicatlon is accurate.and that all work <br /> wiil'be done in comptiance with all.appllcable laws regulating constructlon� zoning and�land°development. Appl(catlon is <br /> her�by made to obtain .a.pecmit�.Co do_wotk,�,and��ihstellatlon as indi�ated:�:..�'I certffy"that no work:or Installatton Fias <br /> commenced prior to issuance of'a permiC"`and�that.all work will be pertormed�to meet,standards-of ali laws regulating- <br /> construction, County and City codes, zoning regulatians, and land development regulatlons�tn tfie.jurisdiction.�� 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 responsibllitysto identify�what.act(ons I must�t�ke.to besin:,corrlpllance:�Su�h.agencles-include but=are.not Iimited to: ; • <br /> - Department of Environmental-`Protection=Cy'p"ress.'Bayfiead�; Wetland Areas and Environmentally Sensittve <br /> Lands,WatedWastewater Treatment. � <br /> - Southwest Florida Water Management:Dlstrict�Wells;� Cypress.��Beyheads;� Wetiand Areas� Altering <br /> Watercourses. ` � - � <br /> - Army Corps vf Englneers=Seawalls,'Docks, fVavigatile Waterways. <br /> - Department of.Health;;.&..ReY�ablBtative,Services/.Environmenfal-Health Unit-Well.s� Wastewater=�Treatment, <br /> Septic Tanks�. _ �_ " - - _. . _ . <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> Federal�Avlattvn_Autk�orlty,Runways:- ' � <br /> I understand.that the.following..restrlctlons apply�fo tfie use of flil:• <br /> - Use of fill is not allowed in.Flood._:Z..o,ne"V"unless expressly permitted. - <br /> - If the.fill-material--is to be used.�In �Flood Zone. "A°, tt. Is understood that a drainage plan addresstng a <br /> °compensattng volume" will be submiited at#ime of:permifting which is prepared by a professional englneer � <br /> Iicensed�by-�tie State of Florida: . <br /> - If 1h� flll materia) is to:be used in Flood Zbne 'A" In�connection�with�a�permitted building using stem wall <br /> � construct(on, I certiry that�il�:wall=be-used only-to.fill the area within�the�stem wall: - <br /> - � If flll mate�lal�is to be used-In� any area; I �certify tfiat .use of such flll will not adversely affect adjacent <br /> properties. If use of flll is found,to adversely::�ffect adJaEent`prc�perties,.the owner may be cited for violating <br /> the condf�lons_of the b�ilding�;permit issued�under the'at�ached_permit gpplication;�for.lots-.less�.than.one (1) <br /> acre which are elevated�6y flil;��englneer�ed dralnage plan is required. <br /> If 1 am the AGENT FOR THE OWNER,.I�promise In.good,faith to inform the owner of�the permitttng condftlons set forth tn <br /> thts affidavtt`prtor to commer�cing conatructlon. I understand thet a:separate pertnit may be requlred for elecMcel work, . <br /> plumbing, signs, welis,.pools;. alr cond(tioning,-.g�s, or otMer'. install�'tlons not•spec�tcally included-in.the�application. .A . <br /> permit Issued shall be conshued to be�a�Iicense'to�proceed with'the work and not as:authoMty to.violate; cancel; alter, or <br /> set as(de any provisions of the technical codes;�nor shali Issuance�of a.permit.pcevent the Buildirig O�icial frorr�thereafter <br /> requfrin.g a correction af errors.in�plans, constiuctlon.or violations of�any codes:� Every permlt=lssued sfiall��become invalid <br /> unless the work authorized.by such permit:ls.commenced�wlthin sf�cvmnnths of�permit lssuance, or If work authorized by <br /> the permit is suspended or:aba�doned-for:a�;period:of�six(�)mon�s,:aRer the.time the�work�ts commenced. An extension <br /> may be requested� In writing,_from tHe.Building,Officfel for a period.not.to exceed ntnety(90)�days and will�demonstrate <br /> justifiable cause for.�the extension. If work ceas�es:for ninety.(90)cons.ecutive days,..th�Job�is considered aba�doned. " <br /> WARNING TO OWNER: YOUR..FAILWRE�TO:.R�EC.ORD.A,NOTICE:OF:�COMMEMCEI111EMT�:MFAY�RESULT IN YOUR <br /> PAYING TWICE;.FOR�IMPROVEMENTS:TO:YOUF�;PROPERTY:��IF°.YO.U,I�I�'fEND�T�`bBTA1N�E1NA1�EfNG;_CONSULT __ _ <br />---VYITH YOUR_CENDER;OR AN i4�TORNEI��3EF.ORE+RECOR�I�iG_�=YOUR'NOTICE'OF'COIIA ENC�ENT: ' <br /> FLORIDA JURAT_(F:S:-t17.03) ." . _ - . . . `-� _ ' <br /> OWNER OR AOENT CONTRAGTOR _ � <br /> Subsaribed and svvom to(or aflirmed)before me fhls Subscrlbed'and'svuom-to(of a(flrmed)�befote me ttii�� <br /> by 'bY . <br /> Wfio Islare personally known b.me or has/have.produced Who.ls/are p.eraonallyknown•to me o[haslhave:prodi�ced <br /> ' as Id"entlflcatl4n. as Idendflcadon. <br /> Notery Public . � Notary Publlc <br /> Commisslon No: Commisslon No. • <br /> Name oI Notary typed,printed or stamped Name ot Notery typed,pdnted or atamped <br />