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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 : tha n County reguiationS. The undersigned assumes responsibility for compliance with any <br /> applicable deed r , <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 skate 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 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 Wate r/S ser Impact <br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco Col.ty df <br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): if valuation of Worlds $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 cant Is someone <br /> Protection Guide" prepared by the Florida Department of Agriculture <br /> abo and e dscribed Affairs. If the <br /> and prompse intgood faith to <br /> other than the "owner ", I certify that I have obt ained a copy the <br /> deliver it to the "owner" prior to commencement. <br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that he i zoning application nd and de 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 /> tirig <br /> commenced prior to issuance of a permit development regulations in the jurisdfction. l <br /> construction, County and City codes, zoning regulations, g <br /> my re that I understa that the ntify what actions ust take to be in compliance. Such may include but are not limited that is <br /> my responsibility to idections <br /> - Department of Environmental Protectibn- Cypress Bayheads, Wetland. Areas and Environmentally Sensitive <br /> Lands, Water/Wastewater Treatment. Bayheads, Wetland Areas, Altering <br /> - Southwest' Florida Water Management District - Wells, Cyp ress Y <br /> Watercourses. Docks, Navigable Waterways. <br /> Army Corps of Engineers- Seawalls, <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 Is to be used b mitted at time o f permitting which is prepared a <br /> " engineer <br /> "compensating volume will be submitted <br /> licensed by the State of Florida. <br /> - If the fill material is to be used in Flood Zone "A" in ec ti i in the it htem w mitted building using stem wall <br /> construction, I certify that fill will be used only to fill th e area <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 i attached permit application, for lots less cited than VOnlet(1 j eies, the owner ma <br /> the 'conditions of the building permit issued under the <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> If i am d AGENT <br /> FOR.THE. 1 pr._omise in good faith to inform tha w e mi t may eeq permitting e fd iti o ns set forth <br /> in <br /> wor k <br /> ta <br /> this affidavit prior to commencing construction. 1 a nd o ers other Installations r a not specifically included in the application. A <br /> plumbing, signs, wells, pools, air to be a conditioning, g � not <br /> permit issued shall be construed #o be a license to proceed u inCeh a permitp event the Official from thereafter <br /> requiring set aside any : provisions of the technical codes, nor shat iss <br /> requiring <br /> a correction of errors In plans; construction or violations si am stop of perm ermit ls s b r d i f wo autho b y <br /> unless m the work suspended o by such fo is commenced within sand d. demonstrate <br /> it is sus end ed or abandoned d for a period of six (6) months after the time the work is commenced. An extension <br /> may p requested, In writing, rom the Building Official a period no to exceed ninety (90) days <br /> . <br /> e extension. If work ceases for ninety (90) consecutive days, th�Job Is Considered abandoned. <br /> justifiable le cause fo r t h <br /> OWNER: YOUR FAILURE TO RECORD A NOTICE 'OF ICOE D N ; A EAIN FINANCING, S I ONSU T <br /> WARNING Ic OWNE ' ,� �� , Il -_ <br /> - EFe- RE • 1• • : • .r <br /> PAYING TWICE FOR IMP ft M STS TO YOUR PROPERTY. IF I. <br /> FLORIDA JURAT (F.S. 117.03) ; <br /> CONTRpCTO' �� — <br /> w 'T1iI'� " n.. , _ me itl3vea+rtEYL <br /> �..,,... s Subs cribed and swo <br /> OWNER OR AGENT � : + 'h ►�•�•�' Sri <br /> Subscribed and sworn t o N " �,, J F L `-/C1-4" � Vav�M, Zfq ra by <br /> Subsc haslhave produced <br /> 14 H 409 by Wh •ILA =re Personally known t <br /> as Identification. <br /> as Identificat ion. <br /> o has/have produced <br /> Who are personally known <br /> / <br /> Notary public <br /> rotary Public <br /> Commisslo o. � 7`l �� Z3 <br /> Co isslon No. DD T7�f 0 23 <br /> wp • : 7 • <br /> typed, rioted or stamp= :: Co mmission bD 774023 <br /> ., , Name of Notary typ printed <br /> P '•mmission DD 7740 ! P`.= Expires 6, 2012 <br /> Name of Notary typed, Prl xr � • • Troy Fein Ia„agi8p0a96.7019 <br /> M ; :,;= Expires June 6, 2012 <br /> . .. t' .7 13, r. woo fIN Nm IMM 800.985.7019. <br />