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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 /> 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 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 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. <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 Agbncy- 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 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 tots less than one (1) <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> rth in <br /> If I am the AGENT FOR THE OWNER, in <br /> understand that inform e owner of the permitting <br /> permit may be required for i electr cal <br /> this affidavit prior to commencing construction. I <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. <br /> set aside an y p i s io ns of the construe technical codes, nor shall ass issuance of a permit prevent the Building Official from thereafter <br /> set asde any provisions <br /> unless t a correcti he work au thorized by of error s s u such permit p ermit construction <br /> commenced within within six months of permit Assuan issuance, shall become invalid <br /> work authorized by <br /> unless tty sc <br /> m a Ab r is es ed, pendr <br /> in d owritf g, from the Building i Offi Official (6) months after <br /> period not the <br /> exceed ninety days and will demonstrate <br /> may be requested, in ing, <br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the is considered abandoned. <br /> WARNING OWNER: YOUR FAILURE TO RECORD A NOTICE <br /> IF YOU INTEND <br /> NCEMENT MAY RESULT IN YOUR <br /> OBTAIN FINANCING, NANCIING, CONSULT <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> WITH YOUR LENDER • R AN ATTORNEY BEFORE RECORDING YOUR NOTI %E OF C • MMENCEMENT. <br /> FLORIDA JURAT (F.S. 117,/) ilk ``.� <br /> OWNER OR AGENT <br /> '' ` i C ONTRACTOR rmed befor me t „ i� ' ' � � '� Subsc d an �puarn (or ) - , <br /> Sups bed and sw• t• (•r a`pied ''e ' s 1 11 � ' o re by W y ` A — who is/ pe orally known to me or has/have produced <br /> o rep rs I en have produced L (._ as identification. <br /> as Identification. <br /> / =� Notary Public <br /> 0 �� / � � fA L, ` � �j : Notary Public —/--�� — <br /> pion No. ✓ 9" /U • Commission No. I ( ) 2-( .° / . _ - <br /> /,l, . • p e - f LICEA <br /> Na l', o peg, P . r �. -i ., . N ame of , . ,7 . ;' -4P tinted o <br /> it ' 1. <br /> _ s 4 ; Notary Public - State of Florida <br /> (*Ai- N y Notary Public - State of Florida t , • � '` ` My Commission Expires Oct 18, 2011 <br /> ii E My Commission Expires Aug 13,2011 I, . --Ae Commission # DD 726124 <br /> t '' i " °� Bonded Through Nat nal Notary 7 sun. <br /> � Commission 1 DD 703271 <br /> 11. ,• ' ' Bcode011iroughtlationat7lobrikan. 0 <br />