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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" <br /> vVIr1Ul 111dy UC IIIUIC It"U16L1VC UI011 VUWAY 1"U10-110. „'Zi uliVci uiy�lc�a uoou�,icD iccprvih�tv.n,) .v,w,l.l+no�.�.i:�•.ur an <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 /> 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 Bloch'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 IMIJAG I lU 11LI I ItS IMIJAG I ANU KtJUUKLt Kr-UUvtKT I-== 1 ne undersigned unaerswas <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"celtificate 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",-%,ncr•,I ccrtlt;that I have obtained a copy of the above described document-.id promise In good faith to <br /> deliver it to the"owner"prior to commencement. i•n <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 icompliance 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 orrinstallatlon;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 jurlgdiction. 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 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 ands WaterlWastewater Treatment. <br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Watland 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 /> Use;of fill Is•.n`ot allowed In Flood Zone"V"unless expressly permitted. <br /> If.the 11II riiatettal is to be used in Flood Zone "A", it is understood that a drainage plan addressing a <br /> • ....,.......--+rf....vc!u.ne"udll Le cnhmitted of 41mo of normiHinn which ie -pa—A by o nrnfacelnnal nnnlnnor <br /> :ixnacd by the S ate of Florida. r <br /> - If'the%fll rnetedai;is to be used in Flood Zone 'A" in connection with a permitted building using stem wail <br /> construction,I cer(Jfy 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 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 /> 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 /> ,i-----J- .--1- :.L 14-..-A,--A�-1 w -,.Y•..N.r M. �Iw1.. wI wlf�. <br /> pii-lil iaou cd JI WII uc C.-1,JU YGY iV VG G, clroC W j+ivb <br /> set aside any provisions of the technical codes,nor shall isamnee of a permit prevent the Building Official from thereafter <br /> requiring a coiiectlon 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 ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, <br /> OWNER OR AO _ �Z Cr� CONTRALTO <br /> ub nbad and it rm2d)before meths uc�bed and sl rffirrr.vl before me this <br /> by i` 1 1 <br /> V�fio is are rwnally�me or hasihave produced who is/ rso Jy m me or hasmave produced <br /> as idenutcation. as Identirication. <br /> r <br /> _1 <br /> ----�__ Notary r" Notary Public <br /> Commission No. mmisslon Not ��L <br /> fir. r'1 _-a f1n 1. <br /> ' tery ty r i - ! h,W.1 or stomped <br /> r. = Y� M COMMISSION#GG 92 9G°K eye.�• �� � ;�o• .�•: AMANDA ACKERSON <br /> I. rep o• EXPIRES:February'23,2 i;RY COMMISSION#GG 925491i <br /> bonded Thru Notary Public Under :R ' <br /> YL _ Lo EXPIRES:February 23,2024 <br /> 6crided Thru Notary public Underwriters <br /> :�:•� —� —m.A <br />