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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 /> co of the " may actor Block" indication that he is not properly licensed will <br /> a d is not entitled to you, <br /> permitting privileges sign <br /> in Pasco <br /> contractor, that may be an indi . <br /> County. <br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND RE 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 - 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 Protectibn- Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, Water/Wastewater Treatment. Ba heads, Wetland Areas, Altering <br /> - Southwest Florida Water Management District - Wells, Cyp ress Bay <br /> heads, <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 <br /> vo is lume " well be be used in Flood submitted at Zone <br /> time of permitting which Is p that a repared drainage <br /> professio addressing <br /> engineer <br /> "compensating vo" <br /> licensed by the State of Florida. <br /> - If the fill material Is to be used in Flood Zone ' A" h e area ectio t wit hte m vi ermitted building using stem wall <br /> construction, I certify that fill will be used only to <br /> fill material is to used In al affect adjacent properties, the mayr adversely affect cited for - p fit to violating <br /> iiolating <br /> properties. If use of fill Is found to adversely <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 /> ons set forth in <br /> If I am the AGENT FOR THE OWNER, I promise In good <br /> that pahat permit may be are for cal work, <br /> this affidavit prior to commencing construction. I,under stan <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 licensenor shall issua a permitpreventahehB Tiding Official from thereafter <br /> p - <br /> set thin aside any correction of r the technical codes, <br /> requiring a correction of errors in plans, construction or violations within six months of permit Pssuaince,uordif shall become invlid <br /> work authorized <br /> rq 9 <br /> unless the work authorized e d or b such permit is commence <br /> d. An extension <br /> the permit is suspended or abandoned for a period 6a period not to excieedtnirAetyr days an k Is d emonstrate <br /> may be requested, in writing, from the Building O ffi (al fo <br /> )ustiflable <br /> cause for e <br /> r the extension. If work ceases for ninety (90) consecutive days, th�job Is considered abandoned. <br /> OWNER: YOUR FAILURE TO RECORD A NOTICE INTEND TO ME IN I Y RC NG CONSUL I Y R <br /> , TO YOUR PROPERTY. IF <br /> WARNING TO . re <br /> PAYING TWICE FOR IMPROVE _ i EFORE RECO' D NG YOUR 0 ' A� " li _N • WITS YOU' E E' �.— 0 11114" FLORIDA JURAT (F.S. 117.03) /� � CONTRACTOR <br /> OWNER OR AGENT �"'' �"'�� — Subscribed and sworn to (or affirmed • �� <br /> � <br /> OWN ib ) ! s .Tt.NE ..ice affirmed) E` <br /> Subscribed and sworn to (or affirms• Zv/R ny <br /> 6114 2p 1 o by - / L /'� L y Wh.0 - re personally known to me or he esadentificatced <br /> Who are personally known to mas or has/have roduced <br /> � Notary Public <br /> / Notary Public S'•r/ <br /> '- DD '7'7/7 0x3 Commission ° � Z <br /> - . _ . _ <br /> C. mission No. .... ,. _ _ • - . <br /> e Name of Notary typed, printed or stamps ?�'', ;= Commission DD 774023 <br /> .." i I 77402p . -.. Expires June 6, 2012 <br /> Name of Notary typed, prl =' ; ;, P "Lmmission DD + ' FO ,, ,, B o Troy Fain lnwruna e00'36640t9 <br /> led ` Expires June 6, 2012 • <br /> n ` <br /> • :2 ; i� �:: ,0,- T11r0 TIDY PDIn IOID(DhM 800 3857019 <br />