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• <br /> 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 /> appiicable:deed restricti©ns <br /> UNLICENSED CONTRACTORS AND CONTRAC RESPONSIBILITIES: I 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. It the <br /> contractor Is not licensed as required by law, both the Owner and contractor:may.b,a, 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, 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 1, 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.' I <br /> - Army Corps of Engineers- Seawalls, Docks, Navigable Waterways. <br /> Department of Health & Rehabilitative Services /Environmental Health Unit- Wells, Wastewater Treatment, <br /> Septic Tanks. ik <br /> US Environmental Protection Agency - A sbestos 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 under adjacent propetis, the <br /> permet application, for lots le <br /> the 'conditions of the building permit is <br /> acre which are elevated by fill, an engineered drainage plan Is required. <br /> If m <br /> in <br /> a the AGENT FOR.THE,OWNER, I promise in good faith to inform the at mit of the ey ermi equge o fd iti o ns set forth <br /> t work, <br /> this affidavit prior to commencing construction. l o <br /> ,understand <br /> other nstaliat installations not specifically included the application. o A r <br /> plumbing, signs, wells, pools, air conditioning, gas, <br /> permit issued shall be construed #o lc a ense nor shalt ssuaincehof e work a pe mit preven t t h e hB u l i nce ding Official from thereafter <br /> . set aside any provisions of the technical coode s , <br /> requiring a correction of errors ln'plans; constructiom l d i within six a months of perm pssua,uordif shall beco m invalid <br /> work au thorized by <br /> unless the work authorized by such permit is com <br /> the Permit Is suspended or abandoned for a period of six <br /> P eriod not to time he days and will demonstrate <br /> may be requested, in :writing,-from the Building O <br /> .,. <br /> Justifiable cause for the extension. If work ceases for ninety'(90) consecutive days, th�job is considered <br /> ) M AY _:RESULT IN YOUR <br /> .: COMMENCEMENT FINANCING, IN Y <br /> WARNING I C OWNER: YOUR /FAILURO YOUR PROPERTY.TIF YOU INTEND TO�,,s t. _ <br /> PAYING TWICE LE FOR IMPROVE / ► <br /> WIT. OUR LE s _ • . 14,1,21: L BEFO - RECORDI G OUP NO I �n!�t ! <br /> FLORIDA JURAT (F.S. 117.03) vie 0,10 coNTRALTO' <br /> OWNER OR AGENT (or . :i71: —� is �e-Eagu.t�y <br /> Subscrib and sworn to oro� -.Air E� <br /> Subscribed and swomtoor affl R:a 2..e rIl by <br /> 20TH 101:4 by ✓ o It j ' <br /> Who ovally known to r�r a or has/ aye produced <br /> Wh•Ib -re personally known to me or has/have ntiticallon. <br /> as identification. i <br /> i / Public <br /> `� Notary <br /> / Notary Public O � <br /> _ 7•71/ Commission No. b 775(0 Z <br /> Commission No. <br /> Name of Notary typed, printed or stamp= ,., ,: Commission DD 774023 <br /> Name of Notary typed, prl , '''� , •-t p - %remission DD 7740 c , ��; �= Exp Tin ires June ti, 2012 . <br /> PI i" i om <br /> = Expires June 6, 2012 <br /> � pg „� aond.o Troy Fain Mauro. a eoo 9B6 lot fl <br /> �` oona.afnN T " "I° lmunn� " <br /> � 731. ' <br />