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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 contrac or 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 <br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y <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 REC�oV�ER onstEStion of new b ude gsnchange of <br /> that Transportation Impact Fees and Recourse Recovery Fees may app y <br /> use in existing buildings, or expan ned also un such fees, be duey OI abe d ntif ed at the �me <br /> 90-07, as amended. The undersig <br /> permitting. It is further understanc th or final power ele sea the p ojecRdoes a certificate occ pancy o� <br /> receiving a"certificate of occup y <br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac <br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> 500.00 or mvre, I <br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a ofmhe �F orida Construction L en L aw—Homeowner's <br /> certify that I, the applicant, have been provided with a copy <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'SIOWNER'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 regul I must take to b e n complia ce. Such agenc�es include are n t limi ed to: �t is <br /> my responsibility to identify what actio <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering <br /> _ Southwest Florida Water Management District-Wells, Cyp Y <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 be submitted at time of permitti g wh ch is p epared a neer <br /> "compensating volume will <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 wa <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 an adve sel affect adjacent propertiesf I the I �owner may cit d for v�olat ng <br /> properties. If use of fill is found to Y <br /> the conditions of the building perm�t ineered dr�a nage plan s equ � at application, for lots less than one (1 <br /> acre w h i c h a r e e l e v a t e d b y f i l l, a n e n g <br /> If I am the AGENT FOR THE OWNER, I promise �u de�stan�d that pa h at permit may be req u d for l electr c al�work�, <br /> this affidavi t prior to c o m m e n c i n g c o n s t r u c t i o n. I <br /> plumbing, signs, <br /> wells, pools, air conditioning, gas, or other installations no t speci fic a l l y i n c l u d e d i n t h e a p p l i c a t i o n <br /> permit issue d s ha l l be c o n s t r u e d t o b e a l i c e n se nor shall ssua a pe mit�preven t t h e B u d i n g O ce a l f r o m t h ereafter <br /> set aside any provisions of the technical cvdes, <br /> re uiring a correction of errors in plans, construction or�v�a�witnin s x onths of perm p sua e, wo authorized bn <br /> q <br /> unless the work authorized by such permit is commen da s and will demonstrate <br /> the permit is suspended or abandoned for a perioOd�c al fo6a per not to ed netyr(gp�co �menced. An ex ensio <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 /> ARNING TO OWNER: YOUR FAILURE TO RECORDE TM T�F YOU INTEND TO OBTAIN F NANCING, CONSULT <br /> W MENCEMENT. <br /> PAYING TW�CE FOR IMPROVEMEN NEY BEFORE RECORDING YOUR NOTIC <br /> WITH YOUR LENDER OR AN ` % <br /> ;1 ` �'. <br /> FLORIDA JURAT (F.S. 117.0 ,� , <br /> `- - CONTRACTOR before me this <br /> OWNER OR AGENT Subscribed and swom to (or e) <br /> Su sf,�'!b �nd swor to (or affirm before me thls -_by <br /> / o�y by Who is/are perso y known e or has/have produced <br /> known to a►e"or as/have produced as identification. <br /> o is/ re pe�ona y as identification. _ <br /> _ / I � � <br /> ��"\ T � � � Notary Public <br /> � _ � � ry Public _ <br /> --- Commis ' <br /> � �;� eiy� BOBBIE S. SWETLAND <br /> ,�.�:riyX;,, 608BIE S SWETLAND ' ' <br /> s, ;: Cort�°rn:,;i�n Name of d� � 2012 <br /> Na ��P����� , ��,. 9aidadThru7royFanlr�xenceBOD <br /> � � n Band40 ThN Troy Fa�n rr�surance 8W�3A5-7019 <br />