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i <br /> NOTICE OF DE i ED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" <br /> wiliu'll IIIGy ut:KWIC I0OL116(VC Wall VUulli}i IG'b ul0lIV110. i(Ic ui�uci oly�lcu GlCol.lilivm i6oYvil Ciwu.) 1 nrao�lw•run oily <br /> applicable deed,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 lave. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the <br /> i intended work,they are advised to contact the Pasco County Building Inspection Division--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,thatimay be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco <br /> County. i <br /> TRANSPORTATION IMI'AC I1U I ILl I it,1114FAt:I ANU KtbUUKI:t KEWVEIRT PCEJ: 1 no unuers!gnoo 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 further 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 release,the fees must be paid prior to permit Issuance. Furthermore, if Pasco County Water/Sewer Impact <br /> fees are due,they must 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$2,500.00 or more,I <br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Lavr—Homeowner's <br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone <br /> other than the"c:vnc?',!certify that i have obtnircd a copy of the above doacribcd docun rnt and promise In good faith to <br /> deliver it to the"owner'prior to commencement., <br /> CONTRACTOR'S/OWNER'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 to Issuance of a permit and'that all work will be performed to meet standards of all laws 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 Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive <br /> I-ands WaterMastewaterTreatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Health & Rehabilitative Services/Environmental 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 /> Us of fill Is not allowed in Flood Zone"V"unless expressly permitted. <br /> If the fill material Is to be used in Flood Zone "A", It is understood that a drainage plan addressing a <br /> o.+Hnn vn6,.nd'will Ho cuhrvllMo.i �h 4in,a of narmiHlnn IuV,inh ie nronararl by a nrnfaocinnol anninaor <br /> I106nzcd by the State of Florida, <br /> - If 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 rill will not adversely affect adjacent <br /> properties. If use of rill Is found to adversely affect adjacent properties,the owner may be cited for violating <br /> the conditions 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 /> It 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 /> .y —J...:t4 t4- -.1. sJ..�L w .,LL.w.:..,�-. ..1..1. wl ..N... <br /> {JCIII III 1J0VCV Jllall UG VVII0t1uCV W Va:O IIa.c11Ja:a IJ,Va. • , , V lad ♦ ,r .. <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 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 OBTAIN FINANCING,CONSULT <br /> WTH YORal-EN ER OR AN ATTORNEYBEFORE RECORDING YOUR NOTICE OF COMMENCEMENT <br /> OWNER OR A9 CONTRACTOR <br /> �I b ribed and yjor a Irrned) fore mo th s scrit�ed and a ffirme t�efore�thi�u <br /> Who istare rsonally kno to me or has/have produced Who istare is Ily Kn m o e or hasfna�ve pSroduced <br /> 1 as identification. Bs identification. <br /> p <br /> Notary //1� �^^ Notary Public <br /> 1 Commission No. Commission Nol.��"'1'�\�J CJ t__Q <br /> Af10t ��- <br /> Jain ,f r U,"1�1�`�`C`1�P V4 Name ar No ery tyres ,in hlrnJ or stamped <br /> E i r *= 1� :February 23,20 I : <br /> v"TFOFF��; BondedThruNotaryPublieUnden AMANDA ACKERSON } <br /> _ MY COMMISSION#GG 925436 <br /> " 1 0` EXPIRES:February 23,2024 <br /> Qk FOF F�4• Bonded Thru Notary Public Underwriters <br />