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NOTICE OF DEED RESTRICTIONS. The undersigned uriderstands that this permit may be sub�ect to "deed' restridions' <br /> wh�ch may be more restrictive than County reguletions. The undersigned assumes respons�bility for compliance with any <br /> appiicable deed restnctions <br /> UNIICEN3ED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or <br /> contractors to undertake work, they may be required to be I�cen68d in aocordanCe with state and loCal regula0ons. If the <br /> contractor is not licensed as required by law, both ihe owner and contractw may be ated for a misdemeanor violation <br /> un0er state law If the ownar or intended corrtractor are uncertain as to what lioensing requiremeMs may apply for the <br /> intended work, they are advised to c�ntact the Pasco Cauity Building Inspaction Division--Licensing Section at 727-847- <br /> 8009 Furthertnore, if the owner has hired a contraGor or corttractors, he is advised to have the contractor(s) sign <br /> portions ot 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 entiUed to pertnitting Qrivileges in Pasco <br /> County <br /> TRANSPORTATION IMPACTNTIUTIES IMPACT AND RESOURCE RECOVERY FEES: T�e undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construdion of new buildings, change oi <br /> use in existing buildings, or expans�on o# existing buildings, as specified in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended. The undersi�ed 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 Resouroe Recovery Fees must be paid prior to <br /> receiving a"certificate of occupancy' or final povver release. tf the project does not invdve a certificate of oa:upancy or <br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact <br /> fees are due, they must be paid pnor to pennit issuanoe in aocordanoe with applir.aWe Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW (Chaptsr 71 S, Fbrlda Ststub�s, aa amandsd): If valuation of work is E2,500 00 or more, i <br /> certify that I, the applicant, have been provided wifh a cnpy of the "Florida Constn�cdon Lien Law--Homeowner's <br /> Protection C,uide" prepared by tl�e Florida Department of Agriculture and Consumer Af►airs. If the applicant is someone <br /> other than the "owner", I certify that I have obtained a copy of the above described doaxnent and promise in good faith to <br /> deliver it to the "owner pnor to commencement. <br /> CONTRACTOR'S/OVYNER'S AFFtDAV1T I certity that all the irrformation in this application is accurate and that all work <br /> will be done in compliance anth all applicable laws regufating consUvcfion, zoning and la� development. Application is <br /> hereby made to obtain a permit to do work and instalfa6on as fndicated 1 certHy that no work or installation has <br /> commenced prior to issuance of a permit and that aN woAc will be perfortned to meet standerds of all laws regulating <br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdidion. I also <br /> certfy that I understand that the regulationa ot other govemment agencies may appty to !he intended woric, and that it is <br /> my responsitritity to identify what actions 1 muat take to be in compliance. Such agencies indude but are not limited to: <br /> - DepaRment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sens�tive <br /> Lends, WateNWastewater Treatrnent. <br /> - Southwest Florida Water Management Districc:t-Wells, Cypress Bayheads, WeUand Areas, Altering <br /> Wateroourses. <br /> - Army Corps of En�neers-Seawaus, Dodcs, Navigable Waterways <br /> - Department of Health & Rehabilitative ServioeslEnvironmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protedion Agency-Asbestos abatement <br /> - Federal Aviation Auihority-Runways. <br /> I understand that the fotlowing restrictions apply to the use oi fill. <br /> - Use oP fi�l is not allowed in Flood Zone "V" unless expressly permittetl. <br /> - If the filI meterial is to be used in Flood Zone 'A°, it is understood that a drainage plan addressing a <br /> "ca�npenseting volume' will be submitted at time of permitting which is prepared by a profess�onal erigmeer <br /> licensed by the State of Florida. <br /> - If the fill matenal is to be used in Flood Zone °A" in connection with a permitted building using stem wall <br /> consWC4on, I oertiry that fill will be used only to fill the arrea within the stem well <br /> - If fill meterial is to be used in any erea, I ceitify that use of � fiN wiA not adversely affect adjacent <br /> propeAies. If use M fill is lound to adversely afFect adjacent properties, the owner may be ated for violating <br /> the conditions of the bu'rlding permit issued under the attached pertrrit application, for lots less than one (1� <br /> acxe which are elevated by fill, an engineered c�nage plan is required. <br /> If t am the A(3ENT FOR THE OWNER, 1 promise in good faifh to iMortn the owner o( U►e permitting conditions set forth in <br /> this aPfidavit pnor to commenang construcxion. I understand that a separate pertnit may be required tor eleotrical work, <br /> plumbing, signs, we11s, pools, ai� aonditbninq, gas, or ather inst�lations not specificaNyr induded in the application. A <br /> permit issued shall be oonstrued to be a license to proceed wffh tlie work and not as authority to violate, ca�oel, alter, or <br /> set aside any provisions of tlie tedmical codes, nor shall issuance of a permit prevent fhe Building Offiaal firom thereafter <br /> requiring a correction M errors in plans, construction or videtions of any codes. E�ery pertnit issued shall become invalid <br /> unless the work authorized by such pertnit is commenced within six months of pertnit iswance, or if work authorized by <br /> the permit is suspended or abandoned tor a period of six (6) monihs after the Gme tl�e worlc is commenced. An extension <br /> may be requested, in vwiting, from ths Building Official for a period not to exceed ninety (90) days and will dem�strate <br /> justifiable cause for the extens�on. If work ceases for ninety (90) consecutive days, the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYINd TVNCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> FLORIDA JURAT 03) <br /> �� �" <br /> OWNER OR A6E CONTRACTOFt ���' <br /> a sw+om to (or aTfir before me this SubeaiDed and aKVm to (or � rrneti) petore me this —� <br /> by <br /> are petsonall kno to me or hadhave produeetl Wh r Nv m h�,e p��� <br /> as den6ficaLOn ya�� 1 'vy/„' ; �fication <br /> �..T �' �� � vi-Y/`� <br /> Notary PuUic _Notary Pubhc <br /> an N _ o <br /> Na of� type ,���� ta d Name oT Nda ty , prrnea « stampeo AILLANCOURT <br /> o�ry P�a� sate a Fiorw, NOTARY PUBLIC <br /> . . Kendra A wlson STATE OF FLORIDA <br /> ''� # My Commission EE075722 , Comm# EE009677 <br /> Mv�� €X�s0�l2Q12a15 <br /> Expires 7/18/2014 <br />