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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may tie subject to"deed°restrictions"
<br /> t witfUir uury un tihrrr rvauit.iive iirau vuW riy toyuioiivifa. ills ueiv6toijrtcv 600iiwitE,a A3opvit8tanny list wmpnouw iiiut oi,�
<br /> applicable deed-restricttons.
<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 far 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 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,that1may be an indication that he is not property licensed and is not entitled to permitting privileges In Pasco
<br /> County.
<br /> TRANSPURTA'TION IMPAC IfU I ILi I It-b IrAPAU I ANU Kr_bUUKUt:KEWYEttT I'Ct6: i ne UnOefslgnea UnOerstanQB
<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 i39.07 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 /> permittng. it 4 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,K(Pasoo County Water/Sewer Impact
<br /> fees are due,ttf.ey must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION UEN LAW(Chapter 7%Florida Statutes.as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Gulae"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
<br /> other than the"owner",1 ccrtifi;that I have obtained a copy of the above de scribed document and p omiao in good faith to
<br /> deliver it to the Towner"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`complience with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made fo 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 reeponsibliilj to identify what actions 1 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 antis Wateir/iNastewaterTreatment
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawa[is,Docks,Navigable Waterways.
<br /> Department of Health & Rehabilitative Services/Environmental Health Unit Welts, Wastewater Treatment,
<br /> Septic Tanks.
<br /> USEnvlronmental 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"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
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<br /> licensed 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 wail
<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 /> properties. If use of fill 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 /> acr`,o which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good;with 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
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<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the.Bujlding Official item thereaiter
<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 YOUR D ORAN ATTORNgXBEFORE 59CORDINGYOUR MQT"QECO
<br /> OMERORA r T CONTRACTOR
<br /> utts r� d end or afrjrmedi a ors m�e 11 s_ _ u cri -d'and svo or afilrm d)iaefore this
<br /> Who is/are rsanelly known o me or has/have produced Who is/are rso y�y kn to me ornaassmave pmaucea
<br /> as identification. as idelftation.
<br /> r ,
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<br /> �'C�Pt3o/ta�ry irC + _ P� Notary Public
<br /> p^�commission tvb.0 t�-�,=�a1`�..e L Commission No '� �1
<br /> i \ � G o � '������ s a •
<br /> At:
<br /> r tymu, f a-�rypecf�,m, - t�encca nr + t ' (�kitttvJ or t)VaA ACKERSON
<br /> �Y��z` AMANDA ACKERSON -" ,r t MY COMMISSION
<br /> fi hAY COMMISSION#GG 925496 I '•';F •••• ° EXPIRES; #GG 925496
<br /> February 23 2024
<br /> EXPIRES:Februaryp F�q'• 5ond
<br /> Fo F�Qc; Notary 23,2024wed Thru Notary public underw;tors
<br /> 5gnded Thru Nota Public Underwriters -
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