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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 IMPACTIUTILITIES 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. 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 - WeIIs, 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 d ve r se l cit d for n t <br /> properties. If use of fill is found to adversely affect adjacent properties, the <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 is required. forth in <br /> If I am the AGENT FOR THE OWNER, <br /> truction! I i u derstan that permit may be requ i <br /> ired for electr c I work, <br /> this affidavit prior to commencing cons <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. <br /> permit a s a any shall <br /> ro i io be construed to is a <br /> codes, nor shall issuance of a pemitp not as event the Building violate, <br /> Official from thereafter <br /> set aside any provisions r the technical codes, <br /> requiring a correction of errors in plans, construction menced within six a m nths of per Every permit <br /> ss issuance, ordff shall become invalid authorized by <br /> unless the work authorized by such permit is is commenced. An <br /> ension <br /> the permit is suspended or abandoned for a peri Offc al for perio months <br /> d not to the <br /> exc nety days and will demo <br /> may be requested, in writing, from the Building consecutive days, the job is considered abandoned. <br /> justifiable cause for the extension. If work ceases for ninety (90) , <br /> WARNING <br /> TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO N O OBTAIN F Y RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT (RS. 117.03) _- 9�, <br /> ONTRAC • • - Ar� <br /> G 4 /rm. G =this <br /> OWNER O , • . - • . nd swom t• fflrmed) b e: ! , his <br /> Subscribe or affi )�. • fo e me c Is •.. "- = <br /> by or has/have produced <br /> by - s � • • /h p ro ,-- 3 Who is/are • .11 - known to P <br /> VVh�islare p Wally nown to me or slhave prod red as identification. s dentlflcatlon. <br /> C _ / ota Public <br /> / / �" - u blic Ii. - ' • rY <br /> Commissio '; <br /> Comm . slow.; = = i� Commission DD 734406 <br /> * w i ,k: Comm • ssion CO 734406 " ti : 2012 <br /> Name �1 p=•-o, } , 9b 1-1-T .... X0,9 <br /> Name of N t e•a a TM�urayF.ri • . ...', 2 <br />