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NOTICE OF DEED (3ESTRICTIONS: 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 /> UNLI 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 misdemeanorr 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, 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 amed a copy Agriculture <br /> above Affairs. If the <br /> and prompse in faith to <br /> other than the "owner ", I certify that 1 have obtained py <br /> deliver it to the "owner" prior to commencement. <br /> k <br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certifY that all the information in this application land development. ntn Appllcali wor <br /> is <br /> will be done in compliance with all applicable laws regulating construction, 9 <br /> has <br /> hereby made to obtain a permit to a miit and installation as indicatd. <br /> work will be performed! to certify of all installation <br /> regulating <br /> commenced a <br /> prior to Issuance of a p <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 must other <br /> ake to be in compliance. Such agerc s but not limited to it is <br /> my responsibility to identify what actions I mu <br /> - Department of Environmental Protection- Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, Water/Wastewater Treatment. 1 Bayheads, Wetland Areas, Altering <br /> Southwest Florida Water Management District- Wells; Cyp ress y <br /> Watercourses. 1 <br /> Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. ' <br /> Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, <br /> Septic Tanks. Asbestos abatement. <br /> - US Environmental Protection Agency- , <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 <br /> an g vo is lume to be use will be s ubmit ed at time of permitting which is prepared drainage <br /> professio addressing rengineer <br /> "compensating vo <br /> licensed by the State of Florida. <br /> - If the fill material is to be used in Flood Zone "A" in <br /> area connection tiln the with htem wall. <br /> permitted building using stem wall <br /> construction, I certify that fill will be used only to fill <br /> - If fill material is to be used. In any area, I adjacent properties, l owner rnaY hit d for violating <br /> affect adjacent <br /> ' properties. If use affect ad1 <br /> e'of fill is found to adversely <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 ad AGENT F <br /> OR THE,OWNER, I.pr._omise in good faith to inform the owner of <br /> e p ee l equ g lred for conditieons set forth rthrin <br /> this affidavit prior to commencing construction. ,understand tr inst at a I lations r not specifically included in the application. A late <br /> plumbing, e d s wells, Pools, air be a conditioning, g <br /> serm <br /> it issued shall be construed to be a license to proceed issuance a pe mttpreent tMe ding Official from thereafter <br /> rr <br /> set i .provision the in plani,lcodes, nor shat six any months of permit issuance, if work ecome invalid <br /> by <br /> uirin a correction of f or rare in plans", construction or vlolaV'thm of any cod v <br /> requiring <br /> es. Every permit issued shall become in sled <br /> unless th e work authorized by <br /> such permit is commenced <br /> a <br /> the `ermlt is suspended or abandoned for a period G}�i�o(sa months after the <br /> period not to excieedtnlnetyrkm,/ is ds and will demonstrate <br /> co mence .andoned: <br /> p <br /> may ab requested, In .writing sn. the Buildings O, in 90 consecutive days, the job is considered a <br /> justifiable cause for the extension. If work ceases for nety ( ) N IAY :RESULT IN YOUR <br /> TO OWNER: YOUR AILURE TO R ECORD A NOTIC E O U IC OMMEN 0 ENT M NN RESULT <br /> , IN YOUR <br /> WARNING I ,1 NTS TO YOUR PROPERTY � , r, F N IN <br /> PAYING TWICE FOR IMPROVE 1 <br /> /_a!!! � .4.�_ = EFO' E RECD - Di G OUi .0 i NT. <br /> FL ORID AoURAT F 5, 1 17 03� ��, <br /> FL + I ®�� CONTRALTO' . wrn* :�' -,�u,� '� <br /> T ® Subscribed and swom to (or a'Tiiy;;L be : ► , +ra ` 1 <br /> OWNER OR AGENT 1 �.,.� Is . .t440 -7 rm ?.A by �° <br /> Zerti Subscribed and sworn to �,,� Wh P <br /> 2 0 0 9 by o - e ersonally known to me or halm' ve produced <br /> Who p are rsonall known to m: . : s/have produced � as Identification. <br /> ,r as identification. <br /> 1 "te <br /> Notary Public <br /> 4114111 Notary Public <br /> D 7 D 2 Commission N ®D Z 7Ye •Z <br /> Commission No. 7 ,..„ _ _ <br /> Name of Notary typed, printed or stamp' ,a, commission DD 774023 ;�_ <br /> typed, ri .y' ' P ' :mmi ssion DD 7740 c Q5., a Expires June 6, 2012 <br /> Name of Notary typ P . . � ''gy a«a.arnN Troy FUnmwr.naeooaeo-rolo <br /> ' '' Expires June 6, 2012 <br /> n V p dour J 1Ny Fin MGM '' .: <br />