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NOTICE OF DEED R��TRICTIONS: The undersigned understands that this permit may be subJect to"deed"resMcti�ns" <br /> which� er�ay be rr►o�.r�i�tfve than County regulations. The undersigned assumes responsibility for compliance with a,ny <br /> appticable deed restrictions. <br /> UNLIGENSED C�N'�'�i0►�TORS AND �dW'FR74CTOR RESPON$IBILITIES: If the owner has hired a contractor or <br /> contFactors to undertake work, they may be required to be Iicensed in accordance with state and local regulations. If the <br /> con�€actor is not (icen$ed as required by law, both the owner and contractor may be cited for a misdemeanor viot�tion <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 �dvised to co�tact the Pasco County Building Inspe�tion Division—Licensing �e�tion 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 respor�sibie. If you, as tt�e 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 /> TRdM'SPO�t�ATION IMPi1CTlUTILITIES IMPA�T AND RESOURC� REC�VERY FEE3: The undersigned understands <br /> that Transportation impect Fees and Recourse Recovery Fees may �pply to the construction of new buildings, chan e of <br /> use in existing buildin�, or �xpansion of exiati�g buildings, as specified in Pasco Cot�nty Ordinance number 89-(?�'arit� <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 pi`fbr to <br /> receiving a "certifl�ate of occupancy" or flnal power release. If the project does not involve a ce�tificate of occupancy or <br /> finai power release, the feas must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Imp�et <br /> fees-are.due,..they must be paid prior to permit issuance in accordance with applicable Pasco County ordinarrces. <br /> CO�lgTRUCTION"LIEN LJ41IV(Chaptar 713, Florida 3tatutes, as amended): if valuation of work is$2,500.00 or more, I <br /> certify that I, the appllaant, have been provided with a copy of the °Florida Construction Lien Lauv--HoFneow�gr�s <br /> P�otection Guide" prepared by the Florida Department of Agriculture and Consumer Affafrs. if the applicant is someone <br /> othe�than the"owner", I eertify that i have obtained a copy of the above described document and promise in good�aith to <br /> deli�er it to t�ie"owner"�prior to commencement. <br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that ail the information in this application is accurate and that alw work <br /> will�be done in compliance with all applicable laws regulating construction, zoning and tand development. Application is <br /> hereby made to obtain a permit to do work and installatlon as ind(cated. I certify that no work or installation has <br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws reguFatang <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't�ia� it is <br /> my responsiDe art enttof Environtmental P otect on Cypress Bayheads SW tlagd Areas and Enviro ment'atlyt3ensitive <br /> P <br /> Lands, Water/Wastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Ba�heads, Wetland Areas, Altering <br /> Watercourses. <br /> Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Departrnont of Heaith 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Envlronmental Protection Agency-Asbestos abatement. <br /> Fede�al A�iation Authority-Runways. <br /> I understand that tl�e foliowing restrictfons apply to the use of fill: <br /> Use of fili is not allowed in Flo�d Zone"V"unless expressly permitted. <br /> w If the flil material is to be used fn Flood Zone "A", it is underatbod that a drainage plan addressing a <br /> "compensating volume" will be subm(tted at tfine of permitting which is prepared by a professionai engtneer <br /> Ifcensed 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 wali <br /> co�sttuct�on, I c�rtify th�f flll will be used only to fill the area withfn the stem wail. <br /> If fill material is to be used (n any area, I certffy that use of such �theilowner mayrbeicit d for vi�olatit�g. <br /> properties. if use of fill is found to adversely affect adjacent properties, <br /> the conditions of the building permit issued undertMe attached permit application, for lots less than one (1) <br /> acre which are elevated by flll, an engineered drainage plan is required. <br /> If I am the AGENT F`L�)R THE OWNER�tructi nis I iu derstanid thatna�s pa�rat permit tmay be requi9r d fortlelecMcal work, <br /> this affidavit prior to commenc g ag, or other installations not specifically included in the applicaEio�t: A <br /> plumbing, signs, wells, poots, air conditioniw�g, g <br /> permit issued shall be construed to�ecal codesenor shall i s afncehof a pe mitp event thehBu dirig iOfficiai from thereafter <br /> set�aside any provisions of the tech <br /> requiring a correction of errors in plans�rmit is otmmenced�within s zam nths of perm t pssuaince,uor�ff wolrk authoerized by <br /> unl�ss the work authorized by such pe <br /> the permit is suspended.or ab�ndo�he BuildingiOfficial fo6a period not to extceedtninetyr(9a) days and will demanstra e <br /> may be requested, in w�'iting, from <br /> just�i�bte cause for the extensior�. If�+►ork ceases for ninety(90)consecutive days, th�job is considered abandoned. <br /> WA&�i1l�IG '�A OalVl!�: YDUR FAtLURE TO RECORD A NOTICE OF f@NlMEN�MEN'T MA� R6$�U�-T IN,1�� <br /> PAYtNG TWICE FOR IIr1iPROVEMIENTS TO YOUft PROPER�. G YOI��INTEI�TO QBTA�N�FtI+�►�N�� CONSULT <br /> � F <br /> FLORtt�A JUF�AT(F.S.117:0�) <br /> CONTRACTOR <br /> OWNER OR AGENT Subscribed and swom to(or afflrtned)before me this <br /> Subsaibed and swom to(or afflrmed)before me this by <br /> _______bY o is/are perso�ally known to rne or has/heve prod�eed <br /> Who Is/are personaily known tb me or haslhave produced as IdentlficaHon. <br /> as identlflcatlon. <br /> Notary Public <br /> Notary Public <br /> Commission No. <br /> Commisslon No. <br /> Name of Notary tYPed�Printed or stamped <br /> Name of Notary tyPed,printed or stamped <br />