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NOTICE OF DEED RE8TRICTION3: The undersigned understands that this pertnit may be subject to"deed'restrictions" <br /> which may be moro rastricWe ri�an County rogulations. The undersigned assumes reaponsibi�itY for compliance with any <br /> appiicable deed rostridfons• <br /> UNLICENSED CONTRACTOR8 AND CONTRACTOR RESPON8IBIUTiES: If the owner has hired a contrac�or or <br /> contractas to undertaka work,theY maY be required to be ifcensed in accadance with state and local regulatlons. N the <br /> contrac�or is not licansed as roquired by law, both 1he ownar and oontractor may be dted for a misdemeanor violadon <br /> under state law. If U►e owner or intended contractor are uncatain as to what Ucanaing roquiroments maY apply for the <br /> intended work.they are advised to contact the Pas�o County Bullding Inspectlon Divisfor�Licensing Sactlon at 727-847- <br /> 8009. Furthartnore, if tF►e owner has hired a contractor or contradors� he is advised to have the contractor(s) sign <br /> portions of the"contractor Blodc'of this applicatioo for which thay will ba responsible. If you,as the owner sign as the <br /> contractor,that may be an indicaUon thffi he is not properly licensed and is not aMitlad to pertnitting privileges in Pasco <br /> CouMy. <br /> TRAN8PORTATION IMPACTNTILITIE3 IMPACT AND RESOURCE RECOVERY FEES: The undersig�ed understands <br /> that Transportatlon Impect Fees and Reoourse Recovery Fees may apply to the construction aF new buildhgs,d�anga of <br /> use in e�dsting buildings,or expansion of exlsting buildings,as spedlied in Pasoo Counly Ordinance numbar 89-07 and <br /> 90-07,as amendad. The undersignad also understands,tl�at such fees,as may be due,will ba ida�tlfled at the tlma oi <br /> permitting. It is turther undetstood thet Transportation impect Fees and Resource Reoovery Fees must be paid prior to <br /> raceiving a'cerdficate oi occupancy'or flnal power release. If the project does not invdve a cart)ficate of occupancy or <br /> final power release,the feas must be paid prior to pem�ft issuance. Furthertnore,ff Pasco County WatedSewer Impact <br /> fees are due,they must be pafd prior to permit issuance in accordance with applicable Pasoo County ordinancxs. <br /> CONSTRUCTION LIEN LAW(Chapbr 713,Florida StatuMs,as amend�d): If valuation of wak fs$2,500•00 or more.I <br /> certliy tliat I, the applicant, have bean provided with a copy of the "Florida Construcdon Lien Law—HomeoMmers <br /> Protection Guide'prepared by the Florida Departrnent of Agriculture and Consumer AfFairs. If tfie applicant is someone <br /> other than the"owne�',I certiTy that I have obtained a copy of tha above described document and promise in good faith to <br /> deliver it to the'ovmer'p�ior to commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certity that all the infortnation in this appiicatlon is acwrate and that all work <br /> will be done in compliancx witli all applicable laws regulating construction,zoning and land development Applk�on is <br /> hereby made to obtain a pertnit to do work and installation as indicated. I � that no virork or inatallaUon has <br /> commanced prior to issuance of a pertnit and that all worlc wili be pertormed to meet standards oi all laws regulating <br /> construction, County and City codes, zoning regulations, and land development regulatlons in the jurisdiction. I also <br /> certity that I underatand that the regulations of other govemment agencies may apply to the intended work,and that it is <br /> my responsibNity to identHy what actions I must taka to be in compiiance. Such agencies indude but ara not limited to: <br /> - Department of Environmantsl Protection-Cypress Bayheads, Wetiand Areas and Environmentally Sensitive <br /> Lands,WaterlWastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalis,Docks,Navigable Watervvays. <br /> - Department of Health & Rehabilitative Services/Environmental Health Unk-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental ProtecUon Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Rurnvays. <br /> I understand that the folbwing restrictions apply to the use of fill: <br /> - Use of flll is not allowed in Fbod Zone'V'unless expressly permitted. <br /> - If the fill material is to ba used in Flood Zone °A', it is undarstood that a drainage plan addressing a <br /> 'compensaUng volume'will be submitted at tlme of pertnitting which is prepared by a profeasional engineer <br /> Ilcensad by the State of Florida. <br /> - If the fili material is to be used in Flood 2one "A° in connection with a permitted building using stem wall <br /> construction,I certify that fill will be used only to fill the area wifhfn the stem wall. <br /> - If fill material is to be used in any area, I ceRify that use of such flll will not adversely affect adjacent <br /> properties. H use of flll is found to adversely affect adjacent properties,tha�vner may be dted for violatlng <br /> the oonditlons�the buflding pertnit issued under the attac��ed pertnk applicaUon,for lots less than one(1) <br /> acre which are elevated by flil,an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER,I promise in good faifh to inform the oMmer of the permitting conditions set forth in <br /> this atfidavit prior to commencing consVuction. I understand that a separete peimit may be roquirod for electrical work, <br /> plumbing, signs,wella, pools, air conditioning, gas, or other installations not spec�flcally induded in the applicatlon. A <br /> permit issued shall be construed to be a Iicense to proceed with the wak and not as authoNty to violate,cencel,alter,w <br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buiiding d(Rdal irom thereafter <br /> requiring a�on of errors in plans,construdion or violations of any codes. Every pertnk issued shall become invalid <br /> unless the work authorQed by such permft is commenced within six months of pertnit issuance,or ff waic auttwrized by <br /> the permit is suspended or abandoned tor a period of six(6)months after the Ume the work is commenced. M extension <br /> may be requeated,in writing,irom the Building Official for a period not to exceed ninety(90)days and will demonstrate <br /> jusWiable cauae for the extension. N work oeases for ninety(90)consecutive days,the job is considered abendoned. <br /> WARNINCi TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 111AY RE8ULT IN YOUR � o <br /> PAYING TIMCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CON8ULT o � <br /> � � <br /> FLORIDA JURAT(F.S.117.03) � � <br /> u wm <br /> a C W o <br /> ONMER OR AGENT CONTRACT eo c <br /> Sub�aibsd and awom ta(a sfNrmW)bs(oro ma this Subsaibsd and 60(or efirtned) ms thb y � °—y ro <br /> m <br /> Who islaro psraonaly kno�m to me or haalhavs produced Who ia/ero ps��idly known ro me a haslhsve produced a� E o <br /> aa identlflcation. u identlliqtlon. � � 10 <br /> b � �� <br /> Z��W <br /> Noc�y a�,w� Nofary Pudic <br /> Commiaslan No. Commbalon No. 3 D ��� <br /> ��(Z--1 V 5�`L'J�z—�� �.� <br /> Nams of Notary lypsd,prirMW a smmped Nams d Ndery ,prinfsd a sfanyxd <br />