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<br /> a NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> vvi li:;I clay uC IIiUIC rCau LL.IIVC it jai CUlil ILi ICyuijki.; i16. i(Ic ui ivcioiyicu oouuilicii iocPvilriivnnj ivT�.vIT,Yiim,�.c'onu ouj
<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 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 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 imay be an Indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMHAC IIU I ILI I It811141NAt:I ANU KtbUUKGt:Ktt:UVCKT rtto: I ne unaemgnea unaersranas
<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 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"I p nce%1 ccrti that I have-obtained a copy of the above decc.-:bcd document and promiso In good faith to
<br /> deliver it to the 1 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 ini'compllance 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 1 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 1 must take to be in compliance. Such agencies Include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Sayheads,Wetland Areaa and Environmentally Sensitive
<br /> I_nhdR WaterMastewaterTreatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Arrhy Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> Department of Health & Rehabilitative Servicea/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US,`Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand thbt 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
<br /> "c omnnncating vc!'ume"..,ill Le eubmitted at time of normpHpnn%ghich Ic nronamei h11 a nrnfoccinnal onninoor
<br /> Ilccnscd 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 till 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
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<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a coriectlon 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 TO4OWNER: 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 ATTORNEY BEFORE RgCORDING YOUR NOTICE OF COMMENCEMENT.
<br /> 7;�. ...
<br /> 1'
<br /> OWNER OR AGE,i
<br /> CONTRACTO
<br /> a10Mribedfirmed)bafore me this t)ednd sora ow rna his
<br /> Who isla Pe onialy known to m or ha have produced Who i re perso Jy kn" o e rhasJhave produced
<br /> e ident6cetlon. —asIdentifrcation.
<br /> ry � Notary Public
<br /> Commis mmisslon tvb. C-,Ct�S t�et C Q
<br /> 5 n _.L fir �-
<br /> L9rfe�v to Ndrfld br No Fry ty pd lied or stamped
<br /> oaS EXPIRES:FebNub Ct underwriters
<br /> nd ruNolaryPu ;,;.vP A
<br /> "?',FodF�g Bo MTh : MANDA ACKERSON
<br /> f ;*: My COMMISSION#GG 926496
<br /> EXPIRES:February 23,2024
<br /> :+_ OF F1�. Bonded Thru Notary public Underwriters
<br />
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