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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 riot 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 "airier" 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 izoning and land development. Application is <br /> will be done in compliance with all applicable law s regulating construction, <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 regulatirig <br /> construction, County and City codes, zoning regulations, and land development ulations in the jurisdiction. I also <br /> . <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 <br /> ronment al Protect bn- Cypress Bayheads SWetland Areas and Environmentally t <br /> - Sensitive <br /> Department of Environmental <br /> Lands, Water/Wastewater Treatment. Bayheads, Wetland Areas, Altering <br /> - Southwest 'Florida Water Management District - Wells, Cyp ress y <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. Asbestos abatement. <br /> - US Environmental Protection Agency-Asbestos <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 /> - " f the f n material us me to be use will be submit Flood ted ed at time of permitting which is prepared drainage <br /> professiona addressing <br /> eng engineer "compensating volu" <br /> licensed by the State of Florida. <br /> - If the fill material is to be used in Flood Zone "A" in connection tiin tw wi mitted building using stem wad <br /> construction, I certify that fill will be used only to fill the area <br /> If fill material is to be used In any area, I certify c adjacent properties, fill <br /> the will <br /> owner may c affect d for violating <br /> - If use of fill is found to adversely affect <br /> properties, 1 <br /> the 'conditions of the building permit issued under the attached e application, for lots less than one (1) <br /> acre which are elevated by fill, an engineered drainage plan . <br /> m <br /> If <br /> ons set forth in <br /> I a `the AGENT FOR;THEOWNER, i promise in good faith that tna sepahat ovine!' of the permit may be ued forieleetricai work, <br /> this affidavit prior to commencing construction. I <br /> Numbing , stgns, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A <br /> pi g Official from t a e l er, or <br /> permit issued shall be construed to be. a license to proceed i n e a permit prevent the h B tiding iolate. conceal evalid <br /> P shall permit Issued shall become <br /> set aside any correction of r the technical codes, nor <br /> requiring a correction of. errors in plans; construction or violations of any codes. Every <br /> authorized by such permit is commenced within six months of p i c , rif work Uthorizediby <br /> unless m the t work au period of six (6) months after <br /> the permit is suspended.or abandoned for a p (90) days and will demonstrate <br /> ceases for ninety (90) consecutive days, th�job is considered abandoned. <br /> may be requested, in writing, from the Building O, fficial a . period not to exceed ninety ( ) y <br /> justifiable cause for the extension. If work <br /> INTEN D N CEMENT AY : � I N FINANCING, E SUL T I CONSULT <br /> ft: YOUR FAILURE TO RECORD IOMMN M RESULT YOUR <br /> WARNING TO O <br /> PAYING TWICE FOR IMPR - MENTS TO YOUR PROPERTY. IF YOU NOTICE OF C T , 4 ' 0 I <br /> FLORIDA JURAT (F :S. 117.0 <br /> WITH YOUR LEN • E • O I %- 1lIL• - NEY BEFORE REC • ' DING YOU • NO 1 4 <br /> 3) �' . r <br /> ��'�� CONTRALTO' . .. . afore me this �oyeMQEy <br /> OWNER OR AGENT < ! this ' Subscribed and sworn ^� �• N L. /ve <br /> Subscribed and sworn • t o ��3413f7' Alp it, rem by known tom - or has/have produced <br /> h o ae 2409 . by --/ VVh te r ° r as Identification. <br /> or has/have pro <br /> Who Mare personally knownas identification. <br /> //,‘,/ //,0,/'- <br /> Notary Public <br /> J Notary Public Z3 <br /> DD 774/ 0 23 Comm No. <br /> Commission No. ,w - • <br /> • ed, printed or stamp ,., ,_ Commission DD 774023 <br /> Name of N otary typ t <br /> P ' `i Ues June 6, 2012 <br /> typed, prl :',, ' mmissi DD 77 C ' : -' ' A`' E xp Fan iM o•3e64019 <br /> Name of Notary typ , P c P Bonded 'Nu Troy : , a 1 Expires June 6, 2012 P,.. <br /> ' L +4 , o • • s o y =, em+d.Otnti troy own m� mo , <br />