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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 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 to be used in Flood Zone "A ", it is understood that a drainage plan addressing a <br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer <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 /> If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent <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 Tots less than one (1) <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNE o R, trucfionl s I in good <br /> inform <br /> at permit may be required conditions <br /> ed for electr electrical <br /> this affidavit prior to commencing <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. <br /> set aside an y p v i s io ns of the construe technical codes, nor shall issuance of a permit prevent the Building Official from thereafter <br /> set asde any provisions <br /> unl t h e cor wor k aut ho ri z ed error y in plans permit s commenced within six a months of permit issuance, uordif shall become invalid <br /> work authorized by <br /> unlss the k autried b s <br /> the permit is es in d or , from the Building Official for a period not the time <br /> ninety may (90) days and will demonstrate <br /> may be e requested, writing, the ing from cause for the e <br /> e extension. If work ceases for ninety (90) consecutive days, job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE YOUR NOTICE OF <br /> YOU COMMENCEMENT <br /> OBTAIN MAY <br /> PAYING TWICE FOR IMPROVEMENTS TO <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N • I OF CO MENCEM NT. <br /> FLORIDA JURAT (F.S. 117.03) <br /> CONTRACTOR L. `is <br /> OWNER OR AGENT Subsscrribe and sworn to (or affirmed) before meth <br /> Subscribed and sworn to (or affirmed) before me this lA iQ MAC i-f-4) <br /> by Who is/are personally known to me or has /have produced <br /> Who is /are personally known to me or has /have produced as identification. <br /> as identification. <br /> -401W Notary Public <br /> Notary Public \ . - <br /> Commission No. <br /> • <br /> Commission No. <br /> typed, tinted or stamped Name . `_pMee SO MISSION # uD913786 <br /> • <br /> Name of Notary typ P <br /> EXPIRES August 25, 2013 <br /> (407) 398.0153 FkxidallotaryService.com <br /> ...« —••. 4 <br /> _ „ «, .. m <br />