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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictians" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance witli any <br /> appiicable 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 Iocal 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 intend�d contractor are uncertain as to what iicensing requirements may apply for the <br /> intended work, they are advfsed to contaet the Pasco County Building Inspection Divtsion—L[censing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contracfor(s) sign <br /> portions of the "contractor Block" of this,application for which they wiil 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 not entiNed 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 Re�course Recovery Fees may appiy to the constructlon of new 6uildings, change of <br /> use in existing buildfngs, ar 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 °certiflcate 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 �AW(Chapter 713, Florida Statutes� as amended): If valuation of Vvork is$2,500.00 or more, I <br /> certify that i, the appiicant, have been provided with a copy of the "Ftorida Construction Lien Law—Homeowner's <br /> Protection Guide" prepared by the Florida Department of Agricultu�e and Consumer Affairs. If the appiicant 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" prio�to commencement. <br /> CONTRACTOR'B/OWNER'S AFFIDAVIT: i certify that all the information in this application is acaurate and that all work <br /> will be done in complfance 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 wiil be performed to meet standards of all laws regulating <br /> construction, County and City codes, zoning regulations, and land developmenPregulations in the jurisdiction. I atsv <br /> certify that I understand that the regulations of other government agencies ma a I to the intended work, and that it is <br /> m y r e s p o n s i b i l i a���ttof Environtmental Protect on Cyp ess Bay h e a d s S W tl a n d A r e a sn a n d E n v i r o m e n t a l yt S e n s i t ive <br /> Dep <br /> Lands,WaterlWastewater 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 ServiceslEnvironmental Nealth Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> Federal Aviafion Authorfty-Runways. <br /> I understand that the following restrictions apply to the use of fill: <br /> Use of fiil is not ailowed in Flood Zone"V"unless expressly permitted. <br /> If the fill materiai is to be used in Flood Zone "A", it is understood thak a drainage pian 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 wali <br /> construction, I certify that flll will be used only to fill the area within the stem waii. <br /> If flil mate�ial is to be used in any area, I certify that use of such fill wili not adve�sely affect adjacent <br /> properties. If use of fili is found to adversety affect adJacent properties, <br /> the owner may be cited for violating <br /> the cvnditions of the building permit issued under the attached permit application, for lots less than one (1) <br /> acre which are elevated by fili, an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER,#�ctiontS I fu derstand that a�s parat permit tmay be fequ9 ed fortielectrical work, <br /> this afFidavit prior to commencing con as, or other installations not specif�cally included in the application. A <br /> plumbing, signs, wells, poois, air conditioning, g <br /> permit issued shall be construed to be�i �`irocaesenor shall i suaincehof a pe mitprevent thehBu li ding iOfficiai from thereafter <br /> set aside any provisions of the techni <br /> requiring a correction of errors in plans, co{`g commen eidl within sixa onths of perm t i s aince,uo aif wolrk aUthoerized by <br /> unless the work authorized by such perm <br /> the permit is suspended or abandoned Build neriOffi ial fo6a period not to exci edtninetyr(90) days and will demo strate <br /> may be �equested, in writing, from the 9 <br /> the ob is considered abandone . <br /> justifiable cause for the extenslon. If work ceases for ninety(90)consecutive days, \j <br /> WARNING TO OWNER: YOUR FAILURO YOUR PROPERIY.T�F YOU INTEN.D TO OBTA N F NANCINGTCONSULT <br /> PAYING TWICE FOR IMPROVEMENl`S T p E C ENT. <br /> WITH YDU EN � ATTO EY BEFORE R CORDING YOU <br /> FLai21Di,JURAT��.s. `.e�; � � ,.�- <br /> j ,. CONTRACTO s� <br /> OVYNER OR A(iENT o or ed)before m this <br /> Subscribed and swom r affir dZb re me this Subscribed and b � ,� ��` ..J _ <br /> t+� • y__!L <br /> by G' ""`''=— <br /> Who(s/are personally known to m r haslF�ae���on. <br /> Who ts"—%are personally knowa.t� mas ide Hflpd nroduced <br /> ���r �,�j�_ ' � ' � 7'��Notary Public <br /> �� �,(,(ivti ' �-l7 -'1 1 Notary Publk _--- <br /> Commisslon No. , <br /> Commission No. <br /> Name of Notary tYPed�P�inted or stamped <br /> Name of Notary tyPed,printed or stamped <br /> �+ Touo ru.uKO�vs�u <br /> .� t: �r co�saioN�r���oo <br /> apIRE8 p�camb�r 1$.Z016 <br /> �a+a <br />