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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 /> UNUCENSED 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 cod 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 lion 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 o nstruction of rev builcarigs, 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: 1 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. t 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 regulator* 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- Cyprees Bayheads, Wetland Aseae and Environmentally Sensitive <br /> Lands, WaterNVastewater Treatment. <br /> - Southwest Florida Water Management DiSrict- Welts, Cypress Bayheads, 'Aland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Dods, Navigable Waterways. <br /> - Department of Health 8 Rehabilitative Services/Environmental Health Unit - Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency- Asbestos abatement. <br /> - Federal Aviation Authority-Rutw'ays- <br /> i understand that the following restrictions apply to the use of fill: <br /> - Use of fill is not allowed in Flood Zone °i!' 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 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing construction. 1 understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A <br /> permit issued shall be oeristraed to be a license to prod with the work and not as authority to violate, cancel, alter, or <br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter <br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid <br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by <br /> the permit is suspended or abandoned for a period of six (6) month after the time the work is commenced. An ex ension <br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate <br /> justifiable cause teethe extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> , ins •i_I: _ 437i!.1 1 A s - 3 : 3 • i. R_ • - • iii Y •i : Olt. '. _ • , •I ,: _ ,,L NT_ <br /> ''r'' IDA JURAT (F,5-. Arl •' , L. <br /> C VNEt OR AGENT 1 / .0 ., / CONTRACTOR / <br /> � t4 bas s . J� �i. 0• <br /> J�i by r s a • • • ma this <br /> 1{Rb�raomly known to or Ms/haw produud N o a ■ • T ma or hassMva produced <br /> as lddRtinte ort. - se rdar a8os. <br /> ■ <br /> 0 _ % � 7L!<__ i —. Notary Pub <br /> 0„ � i 1 b Notary Public <br /> � 103Q <br /> start No -- - - - - - <br /> , r;or zrlaasic o, <br /> ! es ;, R MARK WILLETT Name of N.` en UU /'LL <br /> t` CAROL SMIDDY - � ' a Ex December 8, 2011 <br /> � : P* % ? Notary Public - State of Florida I • s fs:0' Bonded ThruTmy Fain lreurance89 !385-7919 <br /> • ` My Commission Expires Aug 13, 2011 <br /> ii ses �� � Commission # DD 703271 ) <br /> ' ��' 'F , , F ` ° Bonded Through National Notary Ase i. 0 <br /> • <br />