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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be .s~?ject to "dee?" restri~tions" <br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br />applicable deed restrictions. . <br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a c~ntractor or <br />contractors to undertake work, they may be required to be licensed in accordance with ~tate and loc.al regulations: If ~he <br />contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation <br />under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the <br />intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-8~7- <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 Block" of this application for which they will be responsi~le. If you, ~s. the o:^,.ner si~n as the <br />contractor, that may be an indication that he is not properly licensed and is not entitled to permitting pnvlleges In Pasco <br />County. <br />TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of <br />use in existing buildings, or expansion of existing buildings, as specified 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 Impact Fees and Resource Recovery Fees must be paid prior to <br />receiving a "certificate of occupancy" or 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 />fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br />CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation 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 Department of Agriculture and Consumer Affairs. If the applicant is someone <br />other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to <br />deliver it to the "owner" prior to commencement. <br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information 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. I certify that no work or installation has <br />commenced prior to issuance of a permit and that all work will be performed to meet 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 apply to the intended work, and 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 Environmentally Sensitive <br />Lands, Water/Wastewater 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 & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br />Septic Tanks. <br />US Environmental Protection Agency-Asbestos abatement. <br />Federal Aviation Authority-Runways. <br />I 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 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 fill the area within the stem wall. <br />If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent <br />;1 propertie~: If use of fill ~s !ound to .a~versely affect adjacent properties, the owner may be cited for violating <br />the con?/tlons of the bUlldln,g permit Issued under the attached permit application, for lots less than one (1) <br />acre which are elevated by fill, an engineered drainage plan is required. <br />If,! am .the ~G~NT FOR THE <?WNER, I pr?mise in good faith to inform the owner of the permitting conditions set forth in <br />thiS affidaVit prior to commencing construction. I understand that a separate permit may be required for electrical work <br />plum~i~g, signs, wells, pools, air conditi~ning, gas, or other installations not specifically included in the application. A <br />permit. Issued shal~ ~e construed to ~e a license to proceed with the work and not as authority to violate, cancel, alter, or <br />set ~~Ide any prov,lslons of the .technlcal codes, nor shall issuance of a permit prevent the Building Official from thereafter <br />reqUlnng a correction 0: errors In plans, c~n~truction or violations of any codes. Every permit issued shall become invalid <br />unless th,e .work authonzed by such permit IS c~mmen~ed within six months of permit issuance, or if work authorized by <br />the permit IS suspended or abandoned for a penod of SIX (6) months after the time the work is commenced. An extension <br />~a~ be requested, in writing, :rom the Building Official for a period not to exceed ninety (90) days and will demonstrate <br />Justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. <br /> <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN <br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM <br />FLORIDAJURAT (F.S. 117.03) ~7j <br /> <br />OWNER OR AGENT <br />Subscribed and sworn to (or affirmed) before me this <br />by <br />Who is/are personally kno'Ml to me or. h haass//hh~ . oduced <br />as I~cation. <br />~ _.",~.""..,., <br /> <br /> <br />A Y RESULT IN YOUR <br />INANCING, CONSULT <br />CEMENT. <br /> <br />'u~/ <br />!0/ <br />~:~. <br />com~r; ~o, <br /> <br />Notary Public <br /> <br />G?~j~U~~m~pob", <br /> <br />Commission No. <br /> <br />/., <br />- Name of Notary typed, printed or stamped <br /> <br />Name of Notary,./,l',Ped, printed or stamped <br />~~i~ Bobbie Swetland <br />:~*:" JIll :-! MY COMMISSION # 00268763 EXPIRES <br />" , " '7r! February 21, 2008 <br />'. o]r)NDr.~ 1'HRU TROY FAIN INSURANC~ INC. <br />