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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 w'rth 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 misdemeanorlvifoat{he <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. Fu�thermore, 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 understan s <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 spec�ed 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 "ce�tificate 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 NFlorida 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 ail work will be performed to meet standards of all laws regulating <br /> construction, County and City codes, zoning regulations, and land developmenPrPegulations in the jurisdiction. i also <br /> ce�tify that I understand that the regulations of other government agencies ma a I 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. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> Army Corps of Engineers-Seawalis, 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 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 fili material is to be used in Flood Zone "A" in connection with a permitted building using stem wall <br /> construction, I certify that fill wili 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 adversely affect adjacent <br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating <br /> the conditions of the building permit issued under the attached permit application, for Iots less than one (1) <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER�truction!S I lu de�standhthatna�sepahat permit may be req u d for lel ctr cal work, <br /> this affidavit prior to commen g <br /> plumbing, signs, wells, pools,arto be a��cense osp oceed with theawork and not ascauthor'ty to violateec ncielaa1lter, or <br /> permit issued shall be constru <br /> set aside any provisions of the techni salconst u t on oalviolat ons of any odesprEvery perm t iss ed shall become inval d <br /> requiring a correction of errors in plan , <br /> unless the work autho�ized by such p�e��m�a�S er od of six(6) mhonths a er the t mpe thetworkas comme ced Anhextension <br /> the permit is suspended or abandon p <br /> may be requested, in writing, from th`eork'ce'aseso orininety(90)rconsecutive days, the job is�con s de ed ba'ndonedstra e <br /> justifiable cause for the extension. If ni <br /> WARNING TO OWNER: YOUR FAILUREO YOUR PROPERT1f.TIF YOU NTEND TO BTAIN FI�NANC NG CONSULT <br /> PAYING TWICE FOR IMPROVEMENTS T <br /> WITH YOUR LENDER OR AN TTORNEY BEFORE RECORDING YO OTICE OF OMMENCEMENT. <br /> FLORIDA JURAT(F. .� •�3) ! ''---- <br /> � CONTRACTO <br /> OVYNER OR AGEN -- Subscribed and swom to(or affirmed)before me this <br /> Subscribed and sworn to(or affirm before me thls by <br /> by yyho�slare personally known to me or has/have produced <br /> yyho is/are personally known to me or haslhave produced as identification. <br /> as identlficatlon. <br /> i' <br /> Notary Public <br /> � ~� SIJIANr, aLLEn <br /> ,�r„'i►'�., SUZaNNE ALLEN Commissio o. <br /> Commission . �ate�� r�da <br /> o a u �c- a e M�r CoMN11.Ex :s c• <br /> �:M Comm Expires Oct 25.2015 Name of Notary �Sta $� M EE »� <br /> Name of Notary N�� or st�M�aion * 1 <br /> .,�,�„--�,, <br />