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<br /> NOTICE OF DEED RE57RiCTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restriative than County regulatipns. The undersigned assumes responsibility fot compliance with any
<br /> applicable deed restrictlons.
<br /> UNLlCENSED COFiTRACTdRS AND CONTRACTOR RESPONSIStt.t1'IES: !f the awner has hlred a contractor or
<br /> ' eantractors to undertake work,they may be required to be licensed in accardance with state and local regulations. If the
<br /> contractar is not licenssd as required by law, both the owner and contraator may be c(ted for a misdemeanor violation
<br /> under state law. If#he owner ar intended contractor are uncertain as#o what Iicenstng requiremenfs may appiy tar the
<br /> intended work,they are advised ta contact the Pasco County Building Inspection Diuision--Licensing Section at 72T-847-
<br /> 8009. Furthermore, if the owner has hired a cantractar or contractors, he is advised to have the contractor(s) sign
<br /> p�r#ions of ths"contrac#or Block"af this applica#ion for wh3ch they wilt 6e responsi6le. lf yau,as the awner s�gn as the
<br /> cantractor,that may be an Indication that he is nat properly licensed and is not entitled ta permitting privileges in Pasco
<br /> County.
<br /> TRA�iSPORTATlON IMPACTIUTILlTiES lMPACT APID E2ESOURCE RECOVERY FEES: The u�sdersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply ta the construction of new buildings,change of
<br /> use in existing buiidings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as smended. Tl1e unders'sgned afso unders#ands,that such ises,as may be due,will be iden#ified at fhe 23me of
<br /> permitting, it is further understood that Transportation Impact Fees and Resource Ftecovery Fees must be paid prior to
<br /> recelving a"certificate of occupanoy"or finai power release. If the project does not involve a certificate af occupancy or
<br /> flnal power reiease,the fees must be paid prior to permlt issuance. Fu�thermore,if Pasco Gaunty WaterlSswer lmpact
<br /> fees are due,they must be paid priar to permit(ssuance in accordance with appiicabie Pascp County ordfnances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florlda Statutes,as amended): If valuation of work is$2,50p.00 or more, I
<br /> certify that f, the agplicant, have been provided wtEh a copy af the "Fiorida Canstruaiion Lien Law--Homeowner's
<br /> Protection Gulde°prepared by the Fiorida Department ot Agricuiture and Consumer Affairs, If the appiicant is sameone
<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 /> CQNTRACTOR'S/OWN6t�'S AFFiDAV)T: I certify fhat ai(the information in fhis app}ication is accurate and that aii work
<br /> will be dane in compliance with all applicable laws regulating construction,zoning end land development Applica#ion is
<br /> ' hereby made ta abtain a pecmit ta da work and installatfon as indicated. i certify that no work or instaliation has
<br /> � commenced prior ta issuance of a permit and that al!wark wili be perFormed fa meet standards of a!1 laws regulating
<br /> ', constructian, County and City codes, zoning regulations, and land development regulatians in the juriadiction. I also
<br /> ' certify that 1 understand that the regulatians of ather government agencies may appfy to the intended wark,and that it is
<br /> ( my responsibil3ty ta identify what actions!musf take#a be in compliance. Suah agencies include but are nat iimtted to:
<br /> ', - Department af Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterMlastewater Treatment.
<br /> � - Southwest Flarida Water N{anagement dis#rlct-Weils, Cypress 8ayheads, We#land Areas, AI#ering
<br /> Wateroourses.
<br /> - Army Corps of Engineers-Seawalls,Dacks,lVavigable Waterways.
<br /> � - Depa�Etslent of Heaith & Rehabilitative Serv"�ceslEnvitonmental Fteatth Unit-We1ts, Wastewater Trea#menf,
<br /> Septic Tanks,
<br /> - U8 Environmental Pratection Agency-Asbestos abatement.
<br /> - Federal Aviat�on Aufhority-Runways.
<br /> I understand that the following restrictions apply ta the use af fill: ,
<br />' - Use af flll is not allowed fn Fload Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Fiaod Zone "A", it is understaod that a drainage plan addressing a
<br /> "compensating volume"will be submitted at kime of permitting which is prepered by a professionai engineee
<br /> licensed by the State of Florida.
<br /> - if the fit# cnaterial fis ta be used in Fload Zone"A" In connectEan wiih a pertrri#ted 6uiidang usic�g siem wali
<br /> construction,l certiiy that fiit wilt be used only ta fili the area within the stem walt.
<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 oY fill is found to adverseiy effect adJacent propetties,the awner may be cited far uiolating
<br /> the condifions of the building permit issued under fhe attached permit application,for!o#s (ess than one(1)
<br />� acre which are elevated by fill,an engineered drainage plan is required.
<br /> !f i am the AGENT F4R TktE 4WNfiR,t pramise in gaod fafth to inform the owner of the permitting conditiqns set forth in i
<br /> this affidavit prior to cotnmencing construotion. t understand that a separate permlt may be required for etectrFcal work,
<br /> plumbing, signs, wells, paols, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permiE issusd shait be canstrued to be a license to proceed with the work and nat as authority to violate,cancel,alter,or
<br /> set aside a�y provtsians af the technical codes,nor shali issuance of a permit prevent#he Suilding OfficiaE from#tsereafter
<br /> �equiring a correction of errors in plans,construction or vialations af any codes. Every permit issued shall become invalid
<br /> un4ess the work aukhorized by such permit is commenced within six months ofi permit tssuance,or if wark authorized by
<br /> the permit is suspended or abandoned for a periad af six{6}months after fhe t(me the wark is commenced. An extension
<br /> may be requested, in writing,from the Building Official far a period not to exceed ninety(90)days and will demonstrate
<br /> jusfifiable cause for the exlension. If work ceases for ninety(90)consecutive days,the job is considered ahandoned.
<br /> VtIARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WtTH YQUR LENDER Ot2 Atd ATT4RNEY BHFORE RECORDtNG dUR�14"E'ICE QF CQMMEiVCE1V1E1�T.
<br /> FI.ORIDA JURAT(F.3.117.03)
<br /> OWNER OR AGE �9_L`J �"L.._ CClJVTRACTO •. �+�
<br />' �u s 'bed�a'nd ia{or aSivme�bef ine fhis �Sybscs�,,d;nd s m to or afCsme�ksfn e,gie thi�
<br /> k�c3 �� "�
<br /> Who is/are p onally known o rr or hasRteve oduced Who Islare p onally known to)me r haslhave produced
<br /> _,,,,,,.. .,. ._,_as identificatlon. as identification.
<br /> `�"� Notary Pub4ic �,,,, . Notary Public
<br /> Gpmmissiqn No��� Q�t Q !�` Qommission No.__ '"��0 t��9��
<br /> ,� tVame of Nota
<br /> ,�e"'•'•� AMANGIA ACKERSON ;�;'s"•Y'•'�;: AMANDA ACKERSON
<br /> '�'��';= MY CQMMISSIOs�t#FF963675 "� °= MY C47MMISSION#FF963675
<br /> ��'�o;���d;:' EXPlRES February 23.2020 ��',�a,�o?'°� EXPlRES February 23.2ff2d
<br /> ��
<br /> IfAC713�6-0153 Floridallo:ayearncc.:,on• 14C71�398-0153 I'IpiideNot�"Sc�Kc.c+xt'
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