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NOTICE OF DEED RESTRI eTtON C unty r gulat'�ions. The undersigned alssumes resp ns b Ity for c mpl a„nce tw'th any
<br /> which may be more rest
<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 RECOV�ER onstruation of nedw b 9de gsnchange of
<br /> that Transportation Impact Fees and Recourse Recovery Fees may app y
<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 fu�ther understood that Transpo�tation 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, Florlda 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 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 comptiance 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 ce�tify 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 development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulas�I must take to be in compliance! S ch agencyes nclude but are not I'mi ed {o �t is
<br /> my responsibility to identify what action
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
<br /> - Southwest Florida Water Management District-Wells, Cyp Y
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, 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 e submitted at i me of permitting wh ch is prepared rby a9professionalr eng neer
<br /> "compensating volume" will b
<br /> licensed by the State of Florida.
<br /> If the �II material is to be used in Flood Zone "A" in connection with a permitted building using stem wa
<br /> construction, I certify that fill will be us a�rea,I I tcertify that use't olf such tfilrl willllnot adversely affect adjacent
<br /> If fill material is to be used in any
<br /> properties. If use of fill is foun e�m tassued under the,attached per�mit application, oa lots less thanvonlet'( )
<br /> the conditions of the building p
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promis��understanld thatna�separat permit may be req u ed for�electr c I work,
<br /> this a ffi davi t pri o r t o c o m m e n c i n g c o n s t r u c t i o n l i c a t i on. A
<br /> plumbing, signs, wells, pools, air conditiocense t S oceed with the work and ot as cauthor ty to violate ecancel, alter, or
<br /> perm i t issu e d s h a l l b e c o n s t r u e d t o b e a I P
<br /> set aside any provisions of the technical codes, �on oalvi lat ons of any codes P r Every tperm t iss ed shall become invalid
<br /> requiring a correction of errors in plans, construct
<br /> unless the work authorized by such permit is co�o s�X 6Wmhonths a er the t mpe thetwo kas ommenced. An extension
<br /> the permit is suspended or abandoned for a perio � )
<br /> may be requested, in writing, from the Building Officininet a90 rcon ecutive days,the job is�cons de ed b�a donedstrate
<br /> justifiable cause for the extension. If work ceases for Y( )
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORPE TM T�F YOU NTOENDETO BTA N FANANCSNGTCONSULT
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PRO
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC F COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. 117•03) � �J /I_���/�- .��
<br /> �r��.,t CONTRACTOR�< <
<br /> OWNER OR AGHNT before me this_ Subscribed and swo to(or ed)befpre me is • �.
<br /> Subscribed and swom � ��� J Z�_ [_�-/Z bY �
<br /> Z-/ '�by � ' Who i are person nown to me or ha asadentlfication.
<br /> Who.l�lare personally known to me or aslhave produced �.,���S fC.2�yc
<br /> �Y�l• _ ( ,� ,•w�� as iden8flca8on.
<br /> 'J� � Notary Public
<br /> � �r,� Notary Public + .�ti JA
<br /> ? CQUELINE BOGES
<br /> Com sl •' ' '
<br /> �; :'a,: Expires December 12,2014
<br /> Com ,�.
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