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NOTICE OF DEED RESTRICTIONS: The. undersigned understands fihat ihis permit may be subject to "deed" restrictions" <br /> which may be more restricfiive fihan County regulations. The undersigned assumes responsibility for compliance with any <br /> applicabie deed restrictions. <br /> UNLICENSED CONTRACTORS AND COIVTRACTOR RESPONSIBIL►TICS: 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 coniractor may be cited for a misdemeanor violation <br /> under state law. If the owner or intended contractor are uncertain as to whaf licensing requirements may apply for the <br /> intended work, they are advised to�contacfi the Pasco County Building Inspection Division—Licensing Section at 727-8�7- <br /> 8009. Furfihermore, if the owner has hired a contractor or contractors, he is advise.d 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 properiy licensed and is nofi entitled to permitting privileges in Pasco <br /> Counry. <br /> TRANSPORTAT(ON IMPACT/UTILITIES IMPACT AND RESOURCE RECOVCRY FEES: The undersigned understan s <br /> that Transportation Impact Fees and I�ecourse Recovery Fees may apply to the construction of new buildings, change of <br /> use in existing buildings, or expansion of existing buildings, as speci�Fied in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned also understands, that sucl� fees, as may be due, will be identified at the time of <br /> permitting. It is �urther understood fihat Transportation Impact Fees and Resource Recovery Fees musfi be paid prior to <br /> receiving a"certificate of occupancy" or final power release. If the project does nofi involve a certificate of occupancy or <br /> final power release, the fees must be paid prior to permit issuance. Furfihermore, if Pasco County Water/Sewer Impacfi <br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco Coun�y ordinances. <br /> CONSTRUCTION LIEN LAW (Chapter 7'13, Florida Statutes, as amended): If valuation of woric is $2,500.00 or more, I <br /> certify that i, the applicant, have been provided wifih a copy of ihe "Florida Consiruction Lien Law—I-lomeowner's <br /> Protection Guide" prepared by the Florida Department of Agriculfiure and Consumer Aifairs. If the applicant is someone <br /> other than the "owner", I certify thafi 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 thafi all the informafiion in this application is accurate and that all work <br /> will be done in compliance wiih all applicable laws reguiating construction, zoning and land development. Application is <br /> hereby made to obtain a permit to do work and installafiion as indicated. I certify that no work or installation has <br /> commenced prior to issuance of a permii and fihafi all work will be performed to meet sfiandards 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 responsibilifiy to identify what actions I must take fio be in compliance. Such agencies include but are not limited to: <br /> - Department of Environmental Protection-Cypress 13ayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, Water/Wastewater Treatment. <br /> - Southwest Florida Water Managemenfi Districf-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 Env.ironmental 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 nermitted. <br /> If the fiill materiai 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 permiiting which is prepared by a professional engineer <br /> licensed by the Stafie 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 fio fill the area wifihin the stem wall. <br /> If fill material is to be used in any area, I certify fihafi use of such ����the may d fior v�olating <br /> properties. If.use of fill is found to adversely �ffect adjacent properties, <br /> the conditions of fihe building permit issued under tlze attached permit application, for lots less than one (1) <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> if 1 am the AGENT FOR ThIE OWNoR,t� p ti nI I ders�tan'd,thatna�separat permifi may Ue requged for <br /> this affidavit prior to commencing c <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. <br /> permit issued shall be construed fio beai c shall s�sua a pe mit�prevent the Officeal from thereafter <br /> set aside any provisions of the technic <br /> requiring a correction of errors in plans, constr co t mmenced l within siX�months of perm t pssua wo authorized by <br /> unless the work authorized by such permit is <br /> the permit is suspended or abandoned for aPe����° ial fo6a per�od noi ne y days and demon trate <br /> may be requested, in writing, from the Buil g <br /> the ob is considered abandone . <br /> justifiable cause for the exfiension. If work ceases for ninety (90) consecufiive days, �j <br /> WARNING <br /> TO OWNER: YOUR.FA(LURE TO RECORD A NOTICE OF 'NTEND TO OBTAINM NANCING C T <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROf'ERTY. 1� YO <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT (F:S. 117.03 � . ���,���J'L <br /> ! J, CONTRACTOR <br /> OWNER OR AGENT S bs ribed an sworn t f,�y�L d) befoJ� me t�s !4 <br /> cribe�! b sworn�p raifrme ) efo e rr�e�his lSf' ���� bY f{ <br /> y � � Who is/are oersonally Icnown to me or has/have produc <br /> Who is/a_ r� S°�aily known to me or haslhave producetl ^.--------- as identification. <br /> as identification. <br /> � <br /> Notary Public <br /> Notary Public <br /> � Commission No. <br /> Commission No. ,, �•""'•• Suzanne B3�1T <br /> NOTARY PLBLIC-STATE OF Fl.ORIDA -�� <br /> Name of Notary typed, printed;; ,, X ,,: ; ,; �; eV, 22, 2014 <br /> NameofNotarytyped,print�," La�,n�F�rsission#EE044504 Bo��E�ri ,•;,,.,;;�.r�>>���cco. <br /> •' Expires. i±OV. 22, 2014 <br /> aoti���rr��T �i�,.�.�ric.i;m��ticco.,arc. <br />