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NOTICE OF DEED RESTRICT'�NS: The undersigned undersNands that th�pertrNt may be subjed to'deed"restrictions"
<br /> which may be more restrict'rve than CouMy regulatio�. The undersigned assumes responsibilily for compiance with any
<br /> applipble deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CON7RACTOR RESPONSIBIUTIES: ff the owner has hired a corrtractor or
<br /> coMradors to undertake work,tfiey may be required to be lioensed i�a000rdance with state a�d bcal regulat'a�s. If the
<br /> contrador is not licensed as required by law, both the owner and contracbor may be ci6ed for a misdemeanor violation
<br /> under state law. If the owner or inbended coMrador are uncerfain as to what lioensing requiremeMs may apply for the
<br /> intended work,they are advised to coMad the Pasco Courriy Building Inspection Divisan—iice�ing Sectan at 727-847-
<br /> 8009. Furthermore, if the owner has hired a coMractor or ooMracbors, he is advised to have the coMractor(s) sign
<br /> portions of the"coMractor BIocK of fhis applicatan for which they will be responsible. H you,as the owner sign as tho
<br /> contrador,that may be an indication tlwt he is not properly lioe�sed and is not entitled to pertnilting privileges in Pasco
<br /> CouMy.
<br /> TRANSPORTATION IMPACTNTiLI71ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Trensportation Impad Fees and Recourse Recovery Fees may apply�o the canshuction of new buildings,change of
<br /> use in existing buildings,or expansion of euisting buildings,as spec�ied in Pasco CouMy Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that wch fees,as may be due,will be identified at the time of
<br /> permitGng. ft is further understood that TransporfaUon Impad Fees and Resource Reoovery Fees rtrist be paid prar to
<br /> receiving a"certfiqte of occupancy'or final power release. If the project does not irrvoNe a cerh'fic:ate of occupancy or
<br /> final power release,the fees must be paid prior to pemrt issuance. Furthermore,if Pasco Courdy WatedSewer Impact
<br /> fees are due,they must be peid prior M pemrt issuance in accordanoe with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of vwrk is 52,500.00 or more, I
<br /> certiTy that I, the applicarrt, have been provided with a copy of the 'Florida Construction Lien Law—Homeowner's
<br /> Protection Guide°prepared by the Florida Deparfment of/�riculture and Consumer AfFairs. lf the applicant is someone
<br /> other than the'owner,I certify that I have obtained a oopy of the above described documer�t and promise in good faith to
<br /> deliver it to tfie"owrrer'prior to oortxnencemerrt.
<br /> CONTRACTOR'SI'OWNER'S AFFIDAVIT: I certify tl�at aN the information in this appNcation is axurate and that all work
<br /> will be done in cornpliance with all appYcable iaws re�lating construction,zoni�g and land devebpment. Application is
<br /> hereby made to obtain a pertnit to do work and 'nstaMation as ir�ed. I oertiy that ra vwrk or instaNation has
<br /> commenced prior to issuance of a pertnit and that all work wil be performed to meet standards of all laws regulating
<br /> construction, County and C�y codes,zoning regulations, and la�d devebpmerrt regulatans in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemmerrt agericies may apply to tfie ir�tended work,and that it is
<br /> my responsibility to ide�ify what actions 1 rnnt take to be in oompliance. Such agencies indude but are not limited to:
<br /> - Depar6ne�t of Environmental Protection�ypress 6ayheads,Wedand Areas and EmironmeMally Sensitive
<br /> Lands,WaterMlastevrater Treatment.
<br /> - Southwest Fbrida Waber ManagemeM DisUict WeNs, Cypress Bayheads. Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-SeawaNs,Dodcs,Navigable Watenvays.
<br /> - Departrnent of Health & Rehabailative Services/EmrironmeMal Heaqh Unit Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Ernironme�tal Proted'an Agency-Asbestos abatemerd.
<br /> - Federal Aviation Authorily-Runvrays.
<br /> I undersfand that the folbwing restrictions appy bo the use of fill:
<br /> - Use of fill is not allow�ed in Flood Zone'V'unless e�xessy pemwtted.
<br /> - If the fill material is to be used in Flood Zone 'A', it is understood tliat a drair►age plan addressing a
<br /> "compensating volume'wiN be submitted at time of pemiil6ng Mfiid�is prepared by a professional engineer
<br /> lioensed by the Sfate of Florida.
<br /> - If the fill material is to be used in Fbod Zone'A'� connec6on wAh a pertMted building using stem wall
<br /> construction,I�rtiy that fill wi1 be used only To fill tl�e area wilhin the stem well.
<br /> - H fill material is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent
<br /> properties_ If use of fill is Tou�d to adversely affed adjaoerrt properties,the owner may be cited for violating
<br /> the oond'tions of the build'mg permit issued under the atFached pertr�application,for lots less than one (1)
<br /> acre which are elevated by fiN.an engineered drainage plan�required_
<br /> If I am the A(3ENT FOR THE OWNER,I promise in good faith to inform the owner of tt►e perrcrttirg oonditions set forth in
<br /> this affidavit prior to commencing constr�x�ion. I understand tl�at a separate pertrit may be required for electrical work,
<br /> plumbing, signs,wells, pools, air conditioning, gas,or oiher i�llations not specificaNy irx�uded�U�e applicatan. A
<br /> permit issued shall be oonstrued to be a icense�o prooeed wilh the work and not as autlarity 4�violate,cancel,aRer,or
<br /> set aside any provisions of the tec;hnical codes,nor shan iss�nce of a perm't prevent the Budding Olficiel from thereafter
<br /> requiring a corredron of ertors in plans,constn�ction or valations of arry codes. Every permit issued shall become i�valid
<br /> unless the vwrk author¢ed by wch pem�R is cortknenoed wiThin scc months of pertnit iss�noe,or if work authorized by
<br /> the permit is suspended or abandoned for a period of sa(6)morrths after the time the woric is comrtienced. M eutension
<br /> may be requested,in Mrtiting,from the Building OfBcial for a period not to exoeed ninety(90)days and will demonstrate
<br /> just�able cause for the extension. If work ceases for niney(90)consecutive days,the job is oonsidered abandoned.
<br /> WARNIN(3 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYINt3 7WICE FOR IMPROVEMENTS TO Y PROPERTY_ �YOU INTEND TO OBTAIN FMANCIN(i,CONSULT
<br /> WITH YO R LENDER OR AN ATTORNEY BE RECORDIN(i YOUR NO OF M EMENT.
<br /> FLORIDA JURAT(F.S.117.
<br /> OINNER OR A(i@IT VV �pC7p
<br /> Subsaibed a�d s`wrn to(or before rre th's Su a sMOm bo(o m�e�befwe me is
<br /> � �-��
<br /> Who isJare personaNy Imown to me or I�asrtiave produoed 41Rw istare IvwMn to me a haslhave qoduced
<br /> as identification. as iden6il'c�ai
<br /> �Y�s \ blic
<br /> Commissbn No. =" =+: C+O�)1R11
<br /> �-;�, _,-�,; pires Decernbg�12,2014
<br /> Name af NdarY tYP�.P�rted or sFartped Name of 7'Ot�
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