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NOTICE OF DEEd RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be marl;restrictive than County regulations. The undersigned assumes responsibility for Compliance with any
<br /> applicable deed re¢trictions.
<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 Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the ovmer 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 IMPACTIUTiLITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 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 thither understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
<br /> final power releasb,the fees must be paid prior to permit issuance. Furthermore,if Pasco County Water/Sewer Impact
<br /> fees are due,theyfmust be paid prior to permit Issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTIONJLIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,600.00 or more,I
<br /> certify that I, thelapplicant, 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 certify 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 Ito issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, Cour7ty 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 Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
<br /> Lands Water/WastewaterTreatment.
<br /> - SoutNvest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Water ourses.
<br /> - Army Porps of Engineers-Seawails,Docks,Navigable Waterways.
<br /> Department of Health & Rehabilitative Services/Environmental Health Unil-Wells, Wastewater Treatment,
<br /> Septic7anks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federill Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use ot':fill Is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the Mill 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 /> - If the till 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 rilaterfal is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the co(lditions of the building permit issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated 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 b&a Ilcanse to proceed with the work and not as authority to violate,Cancer,alter,or
<br /> set aside any provisions of the technical 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 for a 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 fof the extension. If work ceases for ninety(90)consecutive days,the job Is considered abandoned.
<br /> WARNING TO OV;/NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FPR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN 6MORNEY BEFOR RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIQAJ (F. .f117.133)
<br /> OWNER OR A® i CONTRACTOR
<br /> ed and or of rm d)before me this pgrJi end swo Mmed to o me thls
<br /> �11 Who is ape onally known t me or hasrhave produced Who Islare pe ally knwih to e or hasihave produced
<br /> C as Identification. as identification.
<br /> i
<br /> r
<br /> Notary Public Notary Public
<br /> Commission No,el_G -lQ-54iLle Commission No:&Jej
<br /> r1�grit 1n - '. �G�».rSLen
<br /> Na a of Notary typed,panted or stamped
<br /> AMANDA ACKERSON
<br /> ft. , MY COMMISSION#GG926495 AMANDAACKERSON
<br /> -� off= F�(PIRES:February 23,2024 :.; ,, MY COMMISSION#GO 925496
<br /> Bonded Thru Notary Public Undenrriteis 'a`, EXPIRES:February 23,2024
<br /> 4Q' Bonded Thru Notary Public Underwriters
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