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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 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 "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. <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 ting will be submitted used <br /> at time of p drainage <br /> permitting which Is prepared edby agprofessio addressing <br /> professional engineer <br /> "compensating <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 /> - <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, I certify that use of such fill will not adversely affect adjacent <br /> - <br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating <br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1) <br /> acre which are elevated by fill, an engineered drainage plan required. condi <br /> ons set forth in <br /> If I am the AGENT FOR THE OWNER, I promise lh that n a o s pahat permit t may be r d for cal work, <br /> this affidavit prior to commencing construction. I understand <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not spetcificallyhinict luded in the application. A <br /> permit Issued shall be construed to be a licensenor shall issuance wii h the a permidt no a n t it o B r y in Official from ther <br /> set aside any provisions of the technical codes, <br /> requiring a correction of errors in plans, construction or l within six of of perm Pssuaince g , or if wo auto <br /> unless the w authorized by such permit is commenced days .demonstrate <br /> the permit is suspended or abandoned for a period ffc(al for a period not to the tyre 90 is) ds nd commenced, de n <br /> An ned ens o on <br /> O <br /> may be requested, in writing, from the Building , <br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, th�job is considered aban o • NT MAY RESULT IN YOUR <br /> PAYING TWICE FO <br /> WARNING TO OWNER: YOUR F LURE TO RECORD A NOTICE OF COMMENCE <br /> R IMPROV f TO YOUR PROPERTY. IF YOU INT _ INTEND TO uy�: A IN FINANCING, CONSULT <br /> "e= k- u <br /> WIT 0 R LE DEL'. 0 ► ' �,, BEF � RE RECORD NG YOUR '.. /. <br /> FLORIDA JURA7 (F.S, 117. - 00) �� <br /> . .�', ., <br /> ) CONTRAC TOR ion .� <br /> OWNER OR AGENT .__ ' s 3"vwE Subscribed and sworn to (o 75rIr G -• - e this wn+ <br /> S+�bscribed and sworn to (o ii'►�.c'� " "' ?.v/ by ' <br /> 9. to b :loge V iLI .cy y�h.� .re personally known to me aoc <br /> Who are personally known to m as identification. as has /h Idenve prtification, dued <br /> /� Notary Public <br /> • - ary Public '� �' /� ~ <br /> AI DD 771/ 023 Commission No. • <br /> Commission No, „. „ " <br /> " . ' Name of Notary typed, printed or stamps = .f'',', ; __ Commission 00 774023 te ;p i I 774023 } ''"' ' 1. Expires June 6, 2012 <br /> Name of Notary typed, prl =:• ; -;�- � :mmi D D � '"a• -.: - � 3esao +a <br /> t' s June 6, 2012 - 'of,or . doodad TON Troy Hon 'Murano to) <br /> ; Expire 5,019 <br /> 1 .....::;2'''P ` ®xndetlT11N Troy fain nom) P00 38 <br />