NOTICE OF DEED RESTRi eT�ON County r gulafions. The undersigned a'ssumes esp nsibilty for compi ance tw th any
<br /> which may be more rest
<br /> appticable 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 misdemyan�opyiolation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a t 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 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 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 finat 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 pe�formed 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 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 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-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 fi11 is not allowed in Flood Zone"V"unless expressly permitted.
<br /> tf 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 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 f�the'Iowner mayrbel cit d for v�olat ng
<br /> properties. If use of fill is found to adversely affect adjacent properties,
<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 OWNER, �ction1Se u de�stan'd that a�sepah at permit may be req u ed for'electr cal work,
<br /> this affidavit prior to commencing constr
<br /> plumbing, signs, wells, pools, air conditiocense to oceed with the work and ot ascau�t or ty t�o�violateecanP'elaa'Iter, or
<br /> permit issued shall be construed to be a I P
<br /> set aside any provisions of the technical c nst u t onsoalviolations of any codesprE erytperm t iss ed shall be ome inval d
<br /> requiring a correction of errors in plans, co
<br /> Y
<br /> unless the work authorized by such permi ais e od of six(6) mhonths after the ti pe thetwo kas commenced. An extension
<br /> the permit is suspended or abandoned fo p
<br /> may be requested, in writing, from the Buil eiag �f��Ininety(90)rconsecutive days, the job isoc ns de ed ab�a donedstra e
<br /> justifiable cause for the extension. If work c
<br /> WARNING TO OWNER: YOUR FAILURE TO RR PROP RTl(.TIF YOU INTEND TO OBTAIN F NANCING CONSULT
<br /> PAYING TW�CE FOR IMPROVEMENTS TO YOU
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> . CONTRACTOR be ore,me this
<br /> pWNER OR AGENT �- �S bscrib an m to(or affi ! ) � ������
<br /> Subscribgd and swo (or affirm �before me thfs ��2,•, �.�-� by - -� -
<br /> 3 J 3 by J 2 Ce�'r���� o is/a�ona,�n to me or has/have produced
<br /> W ho is/are pe��n a l l v kno`_^m t°m e o r h a s/have produced - as identification.
<br /> as identification.
<br /> � _ Notary Public
<br /> , � Notary Public � `
<br /> �- �,>���� �,,� z�� Co mission No. ��� ���� `� 5
<br /> C misslon No.
<br /> Name of Notary typed,print�r�r�}P�d•, �r;,n pk�x}�y�
<br /> Name gf���,Yp�Y$�.��(�� �ar� � ' Ford
<br /> Darlene Ford � -C��� •n���._ •�DD9o5245
<br /> �.�:Commission#DD905245 `-:�.,` i:z.~_:t� 'J.07,2013
<br /> ;�Expires: AUG.07,2013 so.����� � _. -� . �r.�c��o„�rc
<br /> g0��7'HRU A7L1.�"i'IC 6D\'DING CO.,INC.
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