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L"-" _--.•----•___......_.__..._.__.._......_,._..._.ems.`_ _...._...__..._._._..__..^. �.._ .�� —_ <br /> i <br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions <br /> wilful Maly ire mute?call n.i/ve Ulan iuu/Iiy I"wauvno. it s Ynvclmyilc�600iili/w IdojrGTiciumq wl n1r11611w:nut ugly <br /> ` applicable deed;restrlctions. <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—Lleensing Section at 727-847- <br /> 8009. Furthertvtore, If the owner has hired a contractor or contractors, he Is advised to have the contractot(s) sign <br /> portions of the`-'contractor Bloclf'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 impAC I lU I ILI i its IrA1'AL I ANU KtbUUKL;t:Kr.UWVtKY rtt*: I ne unaersignea unaerstands <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 amerided. 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 miaase,the fees must be paid prior to permit issuance. Furtharmore,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 Law—Homeowner's <br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant fa someone <br /> other than the`cwnor°,1 certify that I have obtained a copy of the above described document and promiso In good faith to <br /> deliver it to the!'owner"prior to commencement. <br /> CONTRACTOAIS/OWNERIS AFFIDAVIT: I certify that all the information in this application is accurate and that all work <br /> will be done In'eompllance 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 indleated. 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 unberstand 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 13ayheads,Wetland Areas and Environmentally Sensitive <br /> Lands Water/WastewaterTreatment <br /> - Soisthwost Florida Water Management Distriet-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> • Department of Health & Rehabilitative Servioes/Environmental Health Unh-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 /> vc!urne"%vM be 2llbM!L+2 i aM tirne of normf t!nn%thinh to nronararl Inv o nrnfoccinnni annrnoer <br /> Ilcdinacd 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 flit 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 /> 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 /> 1..,, ._ _.. •- 1.. :... . •_ .. _ .1�.JL Uy`..rd; a.l�NL u.a a�dL..J.,�v.:.I.L.. ...1 �16w. .. <br /> I1011llll IOC4CY OIIGII YC VUI\OLI4GV LV VG 6 IIYGII3G lV IJ1VLt.NL 11L11 , I•Y Y.{ti, L. IL] <br /> set selde 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 sdspended or abandoned for a period of sot(8)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 forthe extension. If work ceases for ninety(00)consocutivo days,the job is considered abandoned. <br /> r• <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 /> WITH YOUR LENDER OR AN ATTORNEYBEFORE B420_RDING YOUR MO TIDE-OF COM1MgNCEMJNT. <br /> OWNER OR Al CONTRACTOR <br /> a`ri ad and p'• r afrf ea► re me t bsori d and swam r nod) ar rma t (s <br /> hu° ' by <br /> Who islets pe sonalty known to me or has/have produced Who isfare perso y known Ve or haslhave produced <br /> as idenhtimtton. as fdeitl icatfon. <br /> Notary Public <br /> 4 av r4mmissron commisston ho. <br /> 2�SP�L1� • tic n`+=�r�xc�. � .,a f\_n � <br /> w...��uQVla�:d f CYrf�- ;F�e�lr�.Ur' •tnvat;'• tJenlb b � - : • d 1 <br /> ACKERSON <br /> -'F°F,F° Bonded Thrri Notary Public Urdenvriters * r MY COMMISSION <br /> r EXPIRES:February 23,2024 <br /> i .i <br /> ended Thru Notary Public Underwdters <br /> ds.. �.=c�tivca�:.•+a.c;;.",yy�: <br />