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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 ean Block" of <br /> Indication that application for which they is not properly licensed will <br /> a be <br /> d is not entitled you, as the owner <br /> permitting privileges g in Pasco <br /> contractor, that may <br /> County. <br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE R ECOVERY 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 - 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, 1 <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 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 " will be submitted bmit ed at time of permitting which Is p that a repared r by a engineer <br /> "compensating volume I <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 /> fill material is to used In y certify adjacent properties, will not <br /> may r be i cited fory <br /> p fill properties. If use of fill Is found to o a a dversel Y affect <br /> the conditions of the building permit issued under the attached permit application, for lots less than one ( ) <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER, I promise In good <br /> owner of the permit ma ybe r d for conditions <br /> electrcal work <br /> this affidavit prior to commencing construction. Lunde stand <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A <br /> permit Issued shall be construed to be a license to l ce a permitprevent the Official from thereafter <br /> provisions of the technical codes, nor <br /> shall Issua <br /> set aside any p <br /> rq 9 <br /> e ulrin a correction of errors In plans; construction or violations <br /> six months of perm issuance, fshali <br /> work authori by <br /> P <br /> become Invalid <br /> unless the work authorized such permit is commence d 90 da s e n c will n <br /> An ex ensio <br /> the permit is suspended dad or r abandoned for a period Official fo�a period not to excieedtnitletyr(is)co> commenced. An ex ens <br /> may be requested, i writing, th�)o b ( s considered abandoned. <br /> from the Building O <br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, CEMENT MAY RESULT IN YOUR <br /> WARNING TO OWNER: YOUR F !LURE <br /> TO YOOUR RECORD A PROPERTY.TIF YOU INTTEN 0 �sBTAIN FINANCING, CONSULT <br /> PAYING TWICE FOR IMPROVEM • Y _�,- . E RECORDING YOU: 0 '� '. f• =' 11 1 <br /> WITH OUR E'.�E• O. <br /> • ' _. FO / %� "'_ <br /> FLORIDA JURAT (F.S. 117.03) U��� CONTRACTO ���` (�� <br /> �� ‘ ►! ��',17 _:0 - .re me this guivf <br /> OWNER OR AGENT ' § Subscr a nd sworn to (• N 4w0« ------ Subscribed and sworn to pr affirmed) b- • 1 -111 . SIR uy <br /> g i N ZOO by :TO Ai" L i✓F4 Wh re person know to me or has as identification. <br /> /have produced <br /> Who (s'Iare personal) ky sown to or has /have produced <br /> as Identification <br /> 4 # 1.' <br /> Notary Public <br /> 41 ,1)F' <br /> Notary Public <br /> DD , 7'7 i1 0 23 Commissio ' <br /> . 77,- - — <br /> Com - sion No. • " <br /> • ed, printed or stamps 3'� s , '• Commission DD 774023 <br /> 7 402p Name of Notary typ P :"i i 2012 <br /> June 6, <br /> Name of Notary typed, prl z e.dr .: p - er mission DD 7 '•",,,F `,► 1: Expi J neurons e00.36sao +9 <br /> " fires June 6 <br /> 2012 ,,of royHuni <br /> ' ?.. ': , t "' Expires Troy NOM Ifilwrnnno ®00 389.7019 <br />