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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnit may be subject to"deed'restrictions" <br /> which may be more restrictive than County►egulations. The undersigned assumes responsibility for compliance with 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 /> contrador is not Hoensed as required by law,both the owner and contfacta may be ated for a misdertreanor vidation <br /> under state law. If the owner or intended contrador are uncertain as to what licensing requirements may apply for the <br /> intended work,they are advised to contad the Pasco County Building Inspection Division--Licensing Section at 727-847- <br /> 8009. Furthermore, ff fhe owner has hired a contrador or contractors, he is advised to have the contrador(s)sign <br /> portions of the"contractor Block'of this application for which they wiN be responsible. If you,as the owner sign as the <br /> contrador,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasw <br /> County. <br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understa�ds <br /> that Transportation Impad Fees and Recourse Recovery Fees may apply to the construdion of new buildings,change of <br /> use in existing buildings,a e�ansion of existing buildings,as speafied in Pasoo Caunly Ordinanoe niur�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 /> pertnitti�g. It is further understood that Transportatlon Impad Fees and Resource Recovery Fees must be paid prior to <br /> receiving a"certlticate of oocupancy'or final power release. If Ure projed doea not involve a certlficaLe d axupancy or <br /> final power release,the fees must be paid prior to permit fssuance. Furthermwe,ff Pasco County WaterlSewer Impad <br /> fees are due,they must be paid pria to permit fssuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chaptar 713,Fbrida St�tuMs,as smanded): !f valuailon of work ls 52.500.00 or more,I <br /> certity that i, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Hameowner s <br /> Protection Guide"prepared by tlie Flaida Department of Agriculture and Consume�Affairs. If the applicant is someone <br /> other than the'owner,I ce�tify that 1 have ot�ained a copy of fhe above desaibad document and promise in good faith to <br /> delivet it to the"ovme�'prior to commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certiry that all the informetion in this application is accurete and that all work <br /> w�l be done in complience with aN applicabfe laws regulafing consWction�zoning and land de+�elopment Application is <br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work a installatlon has <br /> commenced prior to issuance of a permit and that all work wifl be performed to meet stendards of all laws regulating <br /> constrvcdon, County and City codes, zoning regulations, and land development regulations in the juhsdictiai. I also <br /> certiry that I understand that the regulations of other govemment agenaes may apply to the intended wak,and that it is <br /> my responsibility to identity what ackions I must take to be fn compliance. Such agencies indude but are not limited W: <br /> - Departrnent of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> - Southwest Fiorida Water Management DisUid-Wells, Cypress Bayheads, Wetland Neas, Altering <br /> Waterc:ourses. <br /> - Army Corps of Engineers-Seawalls,Dodcs,Navigable Waterways. <br /> - Department of Heaith 8 Rehabilitetive Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviatlo�Authority-Runways. <br /> I underst�d that the fdlowing restrictions apply to the use oi fill: <br /> - Use of fiil is not aliowed in Flood Zone"V°unless expressly permitted. <br /> - If the fill material is to be used in Flood Zone "A", R is understood that a drainage plan addressing a <br /> ��P�b�9 volume"wiY be s�mitted at time oi pennitting vAuch is Prepa►ed bY a A��engineer <br /> licensed by the State of Florida. <br /> - If the fill mate�al is to be used in Flood Zone`A"in connedion with a permitted building using stem wall <br /> crostrudion�I certify tliat f�l wiY i�e used ordy W fi6 the area witl��the stern wall. <br /> - If fill material is to be used in any area, I certify that use of such fiB wiil not adversely affect adjacent <br /> properties. If use of flll is found to adversely aifed adjacent properties,the owner may be cited for vidating <br /> the conditions of fhe building pertnit issued undaz the attac�J�ed pemiit appGcatiwi,tor bts less ihan one(1) <br /> aae which are elevated by flN,an engineered drainage plan is reQuired. <br /> If I am the AGENT FOR THE OWNER,I promise in good falth to infortn the owner of the permitting conditions set forth in <br /> this affidavit priw to conunencing construdion. I understand that a separate permit may be requ'red for electrical work, <br /> plumbing, signs,weAs, pools,air conditioning, gas,or other installations not specfically induded in the application. A <br /> permit issued shall be c�nsVued to be a license to p►oceed with the wwk and not as authaity to violate,cancel,aRer,or <br /> set aside any provisions of the technical codes,nor shaY issuance of a permit prevent fhe Buikling O�dal irom Miereafter <br /> requiring a corredion of errors in plans,construdion or vidatio�s of any codes. Every pertnk issued shaH become invalid <br /> unless the work authorized by such permk is commenced within six months of pertnit issuance,or'rf work authorized by <br /> the permit is sus�ended or abandoned fa a period d six(6)ma�ihs after tfie time the work is commenced. An extensiai <br /> may be requested,in writing,from the Building Offiaal for a period not to exceed ninety(90)days and wtll demonstrate <br /> justifiable cause fa the extension. H work ceases fa ni�ty(90)consecutive days,H�e job is considered abanda�ed. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWfCE POR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> FLORIDA JURAT(F.S.117.03 �/� <br /> l_ .S�ME$:OR�A6ENT]e�.� ! CONTRACT <br /> b(r alArmedj b ore s ands�qq b l� ��� <br /> /t�—I.�by • � �/ "�Zby l'lf`GL , (A Y/N\ <br /> Who .pa nown to me or haslhave produced ' ar4 _Mrson W me oi haelNeve produced <br /> �.� as wene�iceuo�. r VLr C as ide�Hification. <br /> ,---"'� R� r _r��- ` ^ � ���/ 'Y PubHc <br /> � � .� <br /> Commiselon No. • . `i0(I11111SS10�1 <br /> ','+ �' F���gpp38S7019 <br /> '�;:�M�t/�ne s iB�.�s�atv�e d • <br /> i,�' I LhIVU <br /> �; '�: Commission#EE 140709 <br /> .� � Expires February 22,2016 <br /> r..� BDrdW 71vu Troy Fain hwrsnce E00.30.5�7019 <br />