i
<br /> NOTICE OF DEED.RESTRiCTlQABS: The undersign®d.undertnds°thy#:tFais;ppr�rtifmay. e,subject to°deedp restrictions° -
<br /> which may :'More-restrictive-*tharr county.tbo6lattons: -The undemlgned-assumes responsibility for compliance Wlth any
<br /> applicable deed restrictions.
<br /> UNLVCENSED-CONTRACTORS AND.CONTRACTOR-RESPONSii01LITiiE& =If the owner has°-hired a:contractor or
<br /> contractors to undertake work,they may be;required to-:beAlcensed In accordance.with slate-.and locel.regulations. If the
<br /> contractor Is not-licensed as requlred-by lair,-both the owner and.contractor may.be-cited-for`ai 4ril demeanor violation
<br /> under state law. If the owner or intendedr'contracteor.ar®,uncertain as'to what Itcensingirequirements may:apply-for°the
<br /> Intended work;they are advised to contact the Pasco County Building Inspection Division--Licensing Section at 727- �7-
<br /> 8009. Furthermore, if the owner has hired`a contractor or contractors, he Is advised to have the contractor(s) sign.
<br /> portions of the °contractor.8lock" of#his.applicatlon for,which they Will be,responsible.-,If.-you,.as.the oWrter"sign-is the
<br /> contractor, that-may bean Indication'that'he-is not properly licensed and is not entitled;to permitting prwilelges In Pasco
<br /> County.
<br /> TRAMBPORTATION.-IMPACTIUTILMt8z1M0ACT-_A D-RE80U1tCE RECOVERY-FEES.--The-undersigned understands -
<br /> that Transportation Impact Fees:and,Recourse Recovery.Pass may;apply'to the:constnue0on of new-bulldings,:change of
<br /> use In existing buildings, or:expanslorrrof'ei li1ig',buitdings', as specified.in Pasco County Ordinance number 89417 and
<br /> 90-07, as amended...The undersigned also.-understands; thait4such fees;;as;.may obr'du&-,nwIlf:-be identified at the time-of-
<br /> permitting. it Is Surther understood that Transportation Impact Fees and Resource Recovery:Fees.-must be paid prior to j
<br /> receiving a.?certificate of-occupancy' or-finat-power:release:-:lf the project_does,not-involve.a-certificate of occupancy.-or -. �
<br /> final power release;.the.fees must be paid-prior,to permit Issuance. Furthermore;tf.Pasco:County'Water/Sewer'Impact
<br /> fees are due,they must bepald prior to.permit-issu6nce:In accordance witheppilcaible.Pasco•County ordinances.
<br /> CONSTRUCTION LIEN LAW(ChOpter 713,Florldst Mutes,as amended): If valuation of work is$2,500.00•or more, I
<br /> cerllfy that 1, the. applicant,- have-been provided with_-a-aopy-of--the'°Florida-Construction, Lien laW -Homeowner's
<br /> Protection Guide"prepared by-the Florida Department"of Agriculture and Consumer-Affairs.- if the applicant Is someone
<br /> other than the°owner°, I certify-that,I-have,obtainetl;a=copy.of.the abovedescribed tiocuiaent-and.promiswIn;good faith to
<br /> deliver It to:the°owner":prior to;commenco"ment.'
<br /> CONTRACTOWWOWNER'S AFFIDAVIT- t ceitify..that all.-the-Informaition.In this application Is accurate.and that all work
<br /> will be done In compliance with all.applicable iews regulating construction, zoning and:,land-development. Application Is
<br /> hereby made to obtain-a.permit,to do.wotk.:and installation as indicated:'- R certify that no work-,or installation has
<br /> commenced prior to Issuance of a permit and that-all work will be performed-to most standards of all laws regulating-
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I-also !
<br /> certify that I understand that the regulations of other government agencies may ppplyto the Intended work, and that it is
<br /> my responsibility to Identify-what.actions I must-take10 bedn.-cornpiiance: Such agencies include but-are.not limited to:
<br /> - Department of Environmental ri=Cyp Protectlaress.®ayhe'adafi Welland Areas.and-Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment. t . -
<br /> Southwest Florida Water Management...District-Wells, Cypress. Beyheads;' -Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> Department of-Health-,A Rehabilitative Services/Environmentai Health Unit Wells,:_Wastewater Treatment,
<br /> Septic Yantis:
<br /> US Environmental Protection Agency-Asbestos abatement.,.
<br /> Federal Avlallon-Authority-,Runways.
<br /> I understand that the fcito�eiing.restrictions•apply to the use of filly
<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 addressing a
<br /> "compensating volume".will be submitted_ at time of permitting which Is prepared by a professional engineer
<br /> licensed by the State of-Florida-.-
<br /> If the fill material is`to be used-in Flood Zone °A" in>connection-with-a-permitted building using stem wall
<br /> construction, i certify that fill will-be used only.to.fiiil the area within.-the stem wall.
<br /> if fits material Is to be used•in..any area, I certify that .use of such fill witl.not adversely affect adjacent
<br /> properties. If use of fill Is found to adverseiy.affect adJacenVprtrperties, the owner may be cited formfol'ating
<br /> the conditions:of the.building:perniit Issued under the attached..permit-application, for_Iots less than.one (1)
<br /> acre which ere eledated•by fill;an engineered drainage plan is required..
<br /> 8f I am the AGENT FOR THE.0WNER, (;promise in good faith to inform the owner of lire permitting conditions setforth in
<br /> ,his affidavit prior to commencing construction. I understand the'a separate-permit may be required for electrical work,
<br /> plumbing,.signs, wells,.pools; air.conditioning,.gas; or-other Inswidtlims not.specifically included-in.the-application. .A I
<br /> permit Issued shall be construed to be-a-license-to proceed with the work and not as.authority to..violate,,cancel, alter, or
<br /> set aside any provisions of tfle.technlcai codes-,-nor shall issuanceof a.permit.prevent the Bulldirig Official from thereafter
<br /> requiring a correction of errors implans -construction or violations of any codes:.Every-;parmlt Issued shall-become invalid
<br /> unless the work authorized.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:. -:Mx -months.sftpr the time ther wrork>is commenced. An extension
<br /> may be requested, In writing,-from the Suilding.official far a perlod,not-to exceed:*'ninety=(90)-days ihd Will demonstrate i
<br /> jtustiftable-cause for-the extension. If work cesses.for ninety-(90)consecutive:days,.the`Job:ls considered abandoned.
<br /> WARNING TO OWNER: YOUR.FAILURE.TO.,Rf«.CORD-,aI>NOTQ ICE':Of°,COMM ENCEMENT f4AY,,RESUL-T IRI.YOUR
<br /> PAYING TWICE•FOR:IMPROYOMgt4TTS'.tO YOUR,,Pi.tt)PEt3'�:
<br /> ,3tlITI Y lJl lE D :®. 'AN, F.YG.UIi4TEMg IfANC_IN3;CORGULTE � Oe
<br /> ATfORNff EC Yl
<br /> R4T:
<br /> FLORIDA-JURAT,(F.S:117.03)
<br /> OWMER OR AGENT CONTfilAttaTO
<br /> Subscribed and sworn to(or a0lrmed)before me oils Subscdbad-and'S=rn:to(ot'atrirmed)-befor+Ei me'ltiis'
<br /> by by...
<br /> Who Is/are personally known tame orhasthave produced- YNtra.istare personally known to me or haslhatre-produced
<br /> as Iden8flca8on. as Identification.
<br /> Notary Public -
<br /> Notary Public
<br /> Commission Not, Commissfon.No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or sta pad
<br /> i I
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