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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 rest�ictive than County regulations. The undersigned assumes responsibility for compltance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE3: 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 locai 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 intended contractor are uncertain as to what licensing requirements may apply for the <br /> intended work, they are advised to contact the Pasco County Building Inspection Division--Licensi�g 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 tv permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <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 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 T�anspo�tation 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 WaterlSewer Impact <br /> fees are due, ihey must be pafd prior to pe�mit issuance in accordance with appiicable 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 "Florida Construction Lien Law—Homeowner's <br /> Protection Guide" prepared by the Florida Depa�tment of Agriculture and Consumer Affairs. If the applicant is someone <br /> other than the"owner", I ce�tify that I have obtained a copy of the above described document and promise in good faith to <br /> deliver it to the"owne�"prior to commencement. <br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that ali 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 installatfon 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 af all laws �egulating <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 responsibility to identify what actions i must take to be in compliance. Such agencies include but a�e not limited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, Water/Wastewater Treatment. <br /> - Southwest Fiorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> Army Corps of Engineers-Seawails, Docks, Navigable Waterways. <br /> - Depa�tment of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> Federal Aviation Autho�iry-Runweys. <br /> I understa�d that the following restrictions apply to the use of flll: � <br /> Use of fili is not allowed in Fiood 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 fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall <br /> construction, I certify that fili will 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 appiication, for tots less than one (1) <br /> acre which are elevated by flll, an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER,t`cti nis I'understandhthatna�s pahat permit may be requi�red for'electr c 1 work, <br /> t hi s a ff i d a v i t p r i o r t o c o m m e n c i n g c o <br /> plumbing, signs, wells, pools, air�c�e aI license to p oceed with the work and not a is cauthor ity to violate e anael aa1lter, o� <br /> p e r m i t i s s u e d s h a l l b e c o n s t r u e d t <br /> set aside any provisions of the technical code,su,c{on o alviolat on of any codes P r E ery permit i issued shall become inv I d <br /> requiring a c o r r e c t i o n o f e r r o r s i n p l a n s, c o n s t <br /> unless the work authorized by such permit iseomdmo s�X�6�mhonths after the t mpe the work as commenced. An hextension <br /> t he permi t is s u s p e n d e d o r a b a n d o n e d f o r a p g p d a y s a n d w i l l d e m o n s t rate <br /> may be requested, in writing, nom the Building Official for a period not to excee d n i n e ty ( ) <br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO UR PROPER'iY.TIF YOU ICOENDETO OBTA N FI1NANCSNGTCONSULT <br /> PAYING TWICE FOR IMPROVEMENTS TO YO <br /> WITH YO R LE R AN ATT R Y EFORE RECORDING YOU OTIC C N E NT. <br /> FLORIDA JURAT(F.S. .03) � � <br /> � : � C�ITRACT <br /> ' yyNE AGEN ,, S pib � r aiflrmed)b me this <br /> ands or a ed)� e is � ���y J <br /> by W �hp�a�e personally known ta or haslhave produ d <br /> o i a persop�ll novm to me or sfiave produced as idenBflcatl n- <br /> �� �; �_as identlflcadon. <br /> •, � �r ,� Notary Public <br /> � <br /> �� � _ � � ublic <br /> �''�;, JACQUELiNE <br /> " 1 Commissiq�i N . , �� E��� <br /> Co BOBBIE S. � :;�::;,.�.ts: EXpir�s Dt��p <br /> ?ft�'�r'�'jE's S <br /> ' #EE 140709 Name of Nota 800�'701° <br /> Na � ��e�-ro�s <br /> -., ��nwrance <br /> •,Rf„� <br />