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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" <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 contractor or <br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the <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 727-847 - <br /> 8009. Furthermore, if the owner has hired a contractor or contractors, <br /> he is advised to have the contractor(s) sign <br /> 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 properly licensed and is not entitled to permitting privileges 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 /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating <br /> the conditions of the building 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 I am the AGENT FOR THE OWNE o R, truction! s I in good <br /> inform <br /> permit may be conditions <br /> eq 9 ed for electr electrical this affidavit prior to commencing <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. <br /> permit aside a ny p v i s io construed ns of the technical codes, nor shall proceed the work and not as <br /> a permit prevent the Building Official from thereafter <br /> set asde any provisions <br /> unless the cor wor k aut of errorhorized by s u such permit p ermit is within six months .of permit issuance, ance,uordif shall become invalid <br /> work authorized by <br /> unless te k auty sc <br /> may permit is suspended or writing, f o the Building ' Offic al for 0 a per not to e exceed ed ninety da m aneWill demonstrate <br /> may be requested, in g, f <br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the \ j ob is si • - ed abandoned. <br /> WARNING TO OWNER: Y om ; ' ' FA RE TO RECORD A NOTICE OF OMMEN M • ' T MAY RESULT IN YOUR <br /> PAYING TWICE FOR I OVE TS TO YOUR PROPERTY. IF % IN END 0 COMMENCEMENT. <br /> JURAT (F.S FINANCING, CONSULT <br /> WITH YOUR LEND ;..!* AN ,' ORNEY BEFORE RECORDING YOUR <br /> . ' • <br /> t CONTRACTOR �� <br /> OR AGEN /% ' 'bed and • '11-be .re me this <br /> OWNER , „� r� : ore me this Subscribed r /s'?�j, <br /> Subscribed and y -` % ` ���L <br /> W ho is /are . Iy known to me or as /have produced <br /> Who is /are .ers:nall nown to me identification. has /have produced as identification. <br /> as i <br /> ilTh ,1 <br /> n , 1 ' kk . / G(, ,.. / f )�� Notary Public <br /> I l.,i! _ E ��gNotary Public t <br /> I 821833 <br /> * rIt s COmrn L. :".P" <br /> JACQUEL INE t�OGES co ission , • A, „►, . 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