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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 cor 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 <br /> hat may "contractor <br /> an B indicat indication that application <br /> not properly licensed is not entitled you, as the <br /> permittingpr privileges In Pasco <br /> cont <br /> County. <br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOV 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 Coujdy 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 and 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 fs " be <br /> ill be submitted at time of a <br /> permitting which i prepared a <br /> professional engineer <br /> "compensating volume" <br /> 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 wal <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 to area, <br /> affect adjacent will not <br /> may for violating <br /> - <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 Tess 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 understand that pahate <br /> owner of the permit ma ybe rlequ for conditions <br /> electr cal work, <br /> this affidavit prior to commencing construction, I,un <br /> sins, wells, pools, air conditioning, gas, or other Installations not specifically included in the application. A <br /> plumbing, 9 <br /> r <br /> permit issued shall be construed to a license , nor shall issua a pWmitprevent the B i ding d Official from thereafter ll <br /> q <br /> set aside any provisions the technical codes, <br /> requiring a correction of errors in plans, construction orcviol i ons six months of perm] p or work autho bn <br /> unless the work d ud o such permit is commenced (90) days and d .11 demonstrate <br /> the permit is suspended or r abandoned for a period of period not to ex work <br /> Is considered aban o r( is commenced. An ne d ens o <br /> may be requested, the extension. a te from the Building <br /> Off lal <br /> justifiable le cauau se for the extension. If work rk ceases th � j ases for ninety (90) consecutive days, - R <br /> , ENT MAY RESUL T SUL IN YOU <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC t NT MAY R I Y UL <br /> PAYING TWICE FOR IMPRO �� � i TS TO YOUR PROPERTY. IF YOU I T <br /> ', BEFORE RECO - DING YOU 0 .. , <br /> FLORIDA JURAT (F.S. 117.0 Ls.; � CONTRACTO Tti �..: rip. <br /> NT — Subscribed and sworn to (.11 ^ � ' `� C i w ,� me this 1un►f <br /> Subscribed and sworn t�or a <br /> OWNER OR AGE �i,:� �-.� •„�, r* this curv r e , 0 --- ---- -- <br /> 'hvI? u <br /> 9 {e b r o %/^' r ' , 1 Fey Wh.� -re personally known to me •r haslhave oduced <br /> Who dare personally known to m as identi <br /> as Identif <br /> / Notary Public <br /> Notary Public <br /> DD 77Y 0 23 Commission No. 75� � Z3 <br /> Commission No. <br /> e � ry ed, printed or stamps ='' ';: Commission DD 774023 • <br /> Name of Nota typ P :• • = 2012 <br /> :P r, -r.:-..:1,.,,‘ Expires June 6, <br /> Name of Notary typed, prl ".6t.`..:: ; .mm ission DD 77402 ` <br /> 1;2r. E ne 6, 2012 �.:�o, a«+a.eTnnr :mv F•inln.ur „oo800.3es•TOre <br /> :a�- fires Ju <br /> ••.'•';� �(�p,� ®dnneaT11N Troy Flin �NUronec a0o 385�7ote <br />