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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" <br /> which may 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, 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 riot 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 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 Cot,ty 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'SiOWNER'S AFFIDAVIT: I certify that all this application ld land developments Application is <br /> will be done in compliance with all applicable laws regulating construction, <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 alto <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 a Environmental Protect bn- Cypress Bayheads Such <br /> Wetland Areas n and Environmentally t <br /> - Sensitive <br /> Dent of Environm <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 t time of permitting which�s prepared by a <br /> "compensating volume" will be submitted <br /> by the State of Florida. <br /> - . If the fill material is to be used in Flood Zone "A" in connection the ithtem permitted building using stem wall <br /> construction, I certify that fill will be used only to fill the area <br /> - If fill material is to be used in any area, I I y certify adjacent propertiesfiltheilolvnroeC may nit affect d for violating <br /> If use of fill is found to adversely <br /> properties. <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 l am AGENT FOR.THEOWNER, I promise in good faith to inform the ownemf e pleq g cond <br /> fditions s et <br /> ic I irthr <br /> t a <br /> this affidavit prior to commencing construction. l nd o er other installations t not specifically included in the application. A <br /> P ate prit rl <br /> lumbIng, d s wells, pools, air be a conditioning, gas, <br /> permit issued shall be construed to be a license e to proceed with h of a permit preVent t he h f tiding Official from thereafter <br /> set aside any provisions of the technical codes, nor shat issuance <br /> requiring <br /> a correction of errors in plans', construction or violations s six cths s. perry permit iss <br /> if shall b ecome invalid <br /> d by <br /> the unless <br /> permit work daauthorized such permit r a commenced within g0 dr <br /> s e n c will demonst <br /> may pbrm <br /> mil <br /> it is suspended or r abandoned for a period of six ($) months <br /> eriad not tninethe is mned. An extension <br /> may be requested, In writing, from the Building Official a period <br /> justifiable th�)ob is considered abandoned. <br /> ustifiable cause for the extension. If work ceases for ninety (90) consecutive days, MAY RESULT IN YOUR <br /> WARNING TO, OWNER: YOUR FAILURE TO YOUR PROPERTY.TIF YOU INTEND COMMENCEMENT � � A N Fl ANCiNG, CONSULT <br /> PAYING TWICE FOR IMP�t���VEMENTS TO Y FO . E . EC � ' DID • i -' � ' "`�'`` `� _' u <br /> FLORIDA JURAT (F.S. 117.0 •,, (41.00 <br /> &4 CONTRACTO' -- me this �tfbydMQ�� <br /> OWNER OR AGENT Subscribed sworn to (or Lavin <br /> S��bscHbed and sworn to o �L .. - %ir •' fr his �lov�M 2 rN and by NN <br /> by ; -I ° Al"' . 1' t ✓F<y x ,, re personally known t or has s de tiflc on. <br /> Who are personally known to as identlfl ationroduced y <br /> Notary Public <br /> /� — Notary Public .40.4"/"" <br /> Pt) ' I r 7 # 023 C No 7 7 1 / 0 2 . 3 <br /> Name of Notary typed, printed or stamp d ,. R. Commission DD 774023 <br /> typed, rl ''' ' P :Arnmission DD 7740 ‘ V. .. es 6 ,,,,,,�,w.eooaearo +9 , 2012 <br /> Name of Notary tYP P , s0= Ex fires June 6, 2012 <br /> �, ' ° � W111N troy Fug IMUmoa' ...: <br />