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' NOTICE OF DEED RESTRICTIONS: The undersigned undcrctends that this permit may be subI Ct 10 "deed' restrictions' <br /> which may be more restrictive than County regulations. The underslened aRRumes 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 tseuirod to be Ilcanee d In accordance with state and local reputations, If the <br /> contractor is not licensed as required 1iy 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 Inspeelloh DivlsIon— Licensing Section at 727 -&47- <br /> 8009. Furthermore, 11 the owner has hired a contractor or contractors, he is advised to have the contractors) sign <br /> portions of the "contractor Block" of tee application for which they will be responsible. If you, as the owner Rlgn 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 /> Co unty, <br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES. The undersigned understands <br /> that Trart-eportatlon Impact Feca and Recourse Recovery Fees may apply to the constnletion of new buildings, change of <br /> use in existing buildings, or expansion of existing buildings, as specified in Pesce County Ordinance number 89 -07 and <br /> 90 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 Fors and Resource Recovery Fees must be paid prior to <br /> receiving a "certificate of occupancy" or final power release. If the project does riot Involve a certllioate of occupancy or <br /> final power release, the fee.,e must he paid prior to permit Issuance Furthermore, if Pasco County Water /Sewer Impost <br /> fees aro due, they must be paid pr'wr to permit Issuance In accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW (Chapter 713. Florida Statutes, es amended): II valuation of work is 52,500.00 or more, I <br /> certify that 1, the applicant, have been provided with a copy of the "Florida Corietructlon 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 obtolncd a copy of the above de °cribed document and promise in good faith to <br /> deliver it to the "owner' prior to commencement, <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify Met all the Inlormetion in thin application is accurate and that all work <br /> will be done In compliance with all applicable IAwS regulating construction zoning and land development. Application I. <br /> hereby made to obtaih a permit to do work and inslollation as indicated. I certify that no work or installation has <br /> commenced prior to issuance of a permit and that all work will he performed to meet slenderde. of all laws regulating <br /> construction, County and City codes, zoning regulations, and land development regulations In the junsdletion, I also <br /> certify that I understand that the regulations of other government egencles may apply to the intended work, and that it he <br /> my responsibility to identify what actions I must take to be In compliance. Such agencies inolude but are not limited lo: <br /> Department of Environmental Protection - Cypress Bayhcads, Wetland Artne and Environmentally Sensitive <br /> Lands, Water/WastewsterTreatment. <br /> • Southwest Florida Water Management District- Welle, Cypress Beyheade. Wetland Areas, Altering <br /> Wetc <br /> - Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. <br /> - Department of Health 8, Rehabilitative Services /Environmental Health Ur 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 511 is not allowed in Flood Zone "V 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 st time of permitting which is prepared by a professional engineer <br /> licensed by the State of Florida. <br /> - If the ell 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. 1 certify that use of such fill will not adversely affect adlacent <br /> properties. If use of finis found to adversely affect adjacent properties, the owner may be cited for violating <br /> the conditions of tho building permit Issued under the attached permit application, for lots less than one (1) <br /> acre which are elevated by 1111, an engineered drainage p1a11 is required. <br /> 111 are 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 commenoing construction. 1 understand that a soparaio permit may be required for elec(rioal work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included h the application. A <br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or <br /> cat aside any provisions Of the technical code ;, nor shall Issuance of a permit prevent the Building Official from thereafter <br /> requiring a correction of errors in plane, eonstructIon or violations of any codes, Every perrne issued shall become invalid <br /> unless the work authorized by such permit is commenced Within six months of permit Issuance, or if work authored by <br /> the permit is suspended or abandoned for a period of six (6) months after the limn the work Is commenced, An extension <br /> may be requestee, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate <br /> justifiable cause for the extension. If work ceases for ninety (90) cuhsecutive days. the lob 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 T. OBT • IN FINANCING, CONSULT <br /> Al 14 YOUR LENDE OR AN ATTORNEY BEFORE RECOeDI..G OU; , e C eR C•. E EMENT. <br /> FLORIDA .IVRAT (F.S 117 03 <br /> OWNER ORAO /S_ _/ / <br /> CONTRACT() - IO � _ -- ��yf" <br /> ub ibed an • :worn to {- • :} • lore me this Subscribed and - 10 V rm ! A FAA th . / <br /> /Y-2 ' qlQ_ _._ l ,, ,- .,., v .._ . / <br /> Who is /are uerNunairy nuwn Io me or Gn/hov c <br /> e produced Who islare r er = ono m <br /> . A to n ru '- ;Jhavr: produced <br /> _ <br /> _._ ,..._ / � s identification t " an identification .2�7')c( c _ y ) / 0.exe� Ncnary PllbhC A-15...A.1,-.. , . Naar PJyIIC <br /> ( .. ..n.,. _. ,.. ... <br /> Or: NO D C 1 2.04RB <br /> , y ;..� LIN ©A J. ASHLINE _ ,r - Dge- 1.,�tlir4) <br /> Mt tlrlViaOOMMM1SeI N # 00_815183 Na 3* Or NQIary lypad. pnnterd 01 xralmr d <br /> EXPIRES August 17, 2012 <br /> (407)388 - 0153 FloridallotaryService.com _ ; YOONJUNG DONELAN <br /> A?.. ' MY COMMISSION # DD920688 <br /> "e ��` EXPIRES August 27, 2013 <br /> (407 -0153 FloridallolaryService.dom <br />