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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 compiiance 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 /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemyanpopyiolation <br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I for the <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 IMPACT/UTILITIES 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 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 "certificate 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 "Florida 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'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 developmen pp y ulations in the jurisdiction. I also <br /> certify 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 Fiorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> Army Corps of Engineers-Seawalis, Docks, Navigable Waterways. <br /> - Department of Health 8� 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 fill material is to be used in Flood Zone "A" in connection with a permitted building using stem watl <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 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 lots 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 OWN�ER�tructionls I Iunderstan1d thatna�s pah at permit may be req g ed for Ielectr cal work, <br /> this affidavit prior to commenc g <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. <br /> permit issued shall be construed to bcal codesenor shall ssualncehof a pe mitprevent thehBu ding Officeat from thereafter <br /> set aside any provisions of the techn <br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invali <br /> unless the work authorized by such pe�o�a�se od of six(6) mhonths a er thetmpe thetworkas co�mmenced Anhextension <br /> the permit is suspended or abandoned f p da s and will demonstrate <br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) Y <br /> the ob is considered abandoned. <br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j <br /> WARNtNG TO OWNER: YOUR FAILURE OUR PROPERT1f.TIF YOU INT�E D TO OBTAIN F NANC NG, CONSU T <br /> PAYING TWICE FOR IMPROVEMENTS TO <br /> WITH YOUR LE DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT. <br /> FLORIDA JURAT(F.S.117.03) <br /> � <br /> �„, �„�,,� ��.�---- CONTRACTUR <br /> OWNER OR AGENT Subscri ed and s m to(or afflrmed)before me this <br /> or affirme before me t e 0 I ��. by •-r I-�D� - f hC��!'Jc- <br /> Subs b and swom ( ) <br /> �0 � by ld n e� �ic�v.nh�-,��s SC � __ � <br /> Who is/are�on Ilv known to me or has/have proauaeu Wha Islare personally known to me or haslhave produced <br /> _ ti ,� _ �__-�s identification. <br /> as idenBficaBon. <br /> �: � Notary Public <br /> o Notary Public <br /> Commission No. <br /> Co ssion No. NOTARY PtiBLIGSTAI'i;Ol�FLORIDA <br /> ed, rinted`Ffi'����C•STaTE CF FLORIDA Name of Notary typed.Printed or st�l, :Commission#DD905245 <br /> Name of Notary typ P var!ene Ford '•.,, ,,.=`Expi�e� A7.;G 07,2013 <br /> '.�'1„ :Commission#DD905245 eo�'v'��ixo�<<.�:�r�cao�!:����co.,txtc, <br /> �'Expires. AL'G.07,2013 <br /> BONDED'IHR��ATI3.�-CIC BO\'DI*7G CO.,INC. <br />