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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 responsibility for compliance with any <br /> applicable dead 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 violation <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 advised to contact the Pasco County Building Inspection Divislon—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 IMPACTIUTIU71ES IMPACT AND:RESOURCtE RECOVERY FEES: The undersigned understands <br /> that Transportation imnact Fees and Recourse Recovery Eves ma)r.aoDly to the construction of new buildings.chance of <br /> use In existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number W07 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 /> recelving a"certificate of occupancy"or final power,release. If the project does not Involve a cars ficate of occupancy or <br /> final power release,the fees must be paid prior to permit Issuance. Furthermore,If Pasco County Watert3ewer Impact <br /> fees are due,they-hrust be paid,prior to permit issuance In accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work Is$2,600.00 or more,I <br /> certify that 1, the appilcant;'have been provided with a copy of the 'Florida Construction Lien Law—Homeowner's <br /> Protection Guide*prepared by the Florida Department 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 ceRltyr 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 of a permit and that all work will be performed to meet standards of all taws regulating <br /> construction,.County and City codes, zoning regulations, and land development regulations In the jurisdiction. I also <br /> certify 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 ProtectlorrCypress Bayheads,Wetland Areas and Environmentally Sensitive <br /> Lands,WateNWastewaterTreatment. <br /> Southwest Florida Water Managemeht District-Wells, Cypress Bayheads, Wetland Areas, Aiterfnng <br /> Watercourses. <br /> • Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> Department of Health & Rehabliblive ServiceslEnvirgnmental 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 restrictions apply to the use of fill: <br /> Use of fill Is not allowed in Flood Zone VV unless expressly permitted. <br /> it 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 /> It 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 /> t fill <br /> ndrhtapettiet be sd for (he conditions of the building Perm%Issuedeteattacchnt ed miiappication,for man one 1) <br /> acre which are etevated by fill,an engineered drainage plan Is required. <br /> If I am the AGENT FOR THE OWNER,I promise In good faith to inform the owner of the permitting conditions set forth In <br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, <br /> plumbing,signs,wells, pools,air conditioning, gas, or other Installations not specifically included In the application. A <br /> permit Issued shall be construed to be o license to proceed with the work end not as authority to violate,cancel,alter,or <br /> set aside any provisions of the technlcal codes,nor shall Issuance of a permit prevent the Building Official from thereafter <br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid <br /> unless the work authorized by such permit is commenced within six months of permit issuance,or If work authorized by <br /> the permit is suspended or abandoned fora period of six(6)months after the time the work-is commenced. An extension <br /> may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate <br /> Justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR-PROPERTY. IF YOU INTEND TO OSTAiN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY SEFORE RECOBONG YOUR OTICE OF COMM GEMENT <br /> FLORit}AdtJRAT f. .M.43) [�cj <br /> OWNER OR At3 N V CONTRACTO <br /> 221-11 ).hero met this soli ad and barore-e thto <br /> l/ u o Ware ee Ana n-frown to o haMays produced of a nasty tom r hasfiave pmduead <br /> a it s <br /> as cat Ion. sas identlilcatlon. <br /> No�PuLbllo Public <br /> Comrtdsston too Gommia�lon No` <br /> i <br /> ,;►*Y"• ;: A ANDA CKERSON I Nanr°°r o p ° A` � ACKERSON <br /> MY COMMISSION#FF963675 "= MY COMMISSION#FF963675 <br /> r& EXPIRES February23.2Q20 EXPIRES February 23.2020 <br /> . <br /> rft,,• <br /> (40)398.0153 Floridallo aySmKc.con• I 140 1 39 8-01 53 rtoddallo:aySorvWacon' <br /> I <br />