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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 responsibflity 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 /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor�vi��lat{he <br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y <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 IMPACTlUTILITIES 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�nal 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, Flocida 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 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 vf 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 /> ce�tify 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 rest�ictions 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 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 fill will not adversely affect adjacent <br /> properties. If use of�II 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 OWNE�R�truction!S I lunderstanld thatna�s pah at permit may be requ9 d for Ielectr cal work, <br /> this affidavit prior to commenc ng <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. <br /> permit issued shall be construed chn cal codesenor shall ss a'ncehof a pe mitprevent thehB i ding Officeal from the�eafter <br /> set aside any provisions of the te ermit issued shall become invalid <br /> requiring a correction of errors in plans, construction or violations of any codes. Every p <br /> unless the work authorized by suonedefor1a15 e od of s z(6)mhonths after the t mpe thetworkas commenced Anhextension <br /> the permit is suspended or aband P <br /> may be requested, in writing, fr nm If work'ce'ases��rininety(90)rc nsecutive days,the job is�cons de ed bandonedstra e <br /> justifiable cause for the extensio <br /> WARNING TO OWNER: YOUR FAILURO YOUR PROPERT1f.TIF YOU INTE D TO OBTA N'F�INANCSNG, CONSULT <br /> PAYING TWICE FOR IMPROVEMENTS <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RE ORDING YOUR OTI E OF C N EME T. <br /> FLORIDA JURAT(F.S. 117.03 - <br /> CONTRACT <br /> OWNER OR AGEN Subscribed an or ed)befpre m s <br /> S scrlbed a d s , or rm bef e this _ by• <br /> - G�'-� Y° ~fs/are pe na e or haslha pro uced <br /> o islare person� k o to me or ha ave o c as identlfication,i �- <br /> as IdentlficaUon j ., <br /> ._- � r. ' �.-� � , ,. <br /> �� ` , .., <br /> � otary Public <br /> �t�� �/ � , <br /> ` - —' `- Commissio Np;��»'� � g�E S. <br /> Com _,�p,►�t�,. ,,, . .,2�.. ' SWETLAND <br /> Comm�ssion#EE 140�09 �. :� • . <br /> "' �* �7019 Name of N ,2a16 <br /> Name ,.��,,, '.P � ao"a�°nn�rrorF'"�eoo-�esm�a <br />