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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be;subject to"deed"restrictions"
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<br /> applicable deedrestrictions.
<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 no#licensed as required by law, both the owner and contractor may be cited ifor 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—incensing Section at 12j-ai(-
<br /> 6009. Furthermore, if the owrer has hired a contractor or contractors, he is advised tot have the contractors) sign
<br /> portions of the"contractor BIooV of this application for which they will be responsible. if you,as the owner sign as the
<br /> contractor,thatlnay be an indication that he is not property licensed and Is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPURIATIUN IMPAu ltu itU I l"IMr'AU I ANU tit_bUUKI:r KCtiUVGKT rrtS: ins unoempeo undermnas
<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 /> W-07,as amended. The undersigned also understands,that such fees,as may be due,vi+il 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 i a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. FuRhemtare. It Pasco County WsieriSewer impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with appGeable 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 Affair's. If the applicant is someone
<br /> other than the".bwnoe,I ccrtity that I have obtained a copy of the above doacrised document and promise In good faith to
<br /> deliver it to the`'owner"prior to commencement.
<br /> CONTRACTOR'SfOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in ioompilance 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. t aiso
<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 Bayheeds,Welland Areas and Environmentally Sensitive
<br /> 1.aridr WatedWastewater Treatment
<br /> Southwest Florida Water Management District-Wetts, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> Department of Health & Rehabilitative 5ervicee/Envirenmerttaai Health Unit-Welts, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US`Envlronmental 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 /> iloanood by the State of Florida.
<br /> If the fill materiel 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 fill will snot 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 or the building permit Issued under the attached permit application, for lots less than one(1)
<br /> a0e which are elevated by nu,an engineeted drainage plan its required.
<br /> If 1 am the AGENT FOR THE OWNER,1 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 isetiance of a permit prevent the Building Official from thereafter
<br /> requiring a collection of errors in plans,construction or violations of any codes. Every permit issued shag 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,rOWNER: 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.LENDE13 OR AN ATTORNEY SgFORE COD O YOUR-NOTICE OF C0MNJ!NQEMENT,
<br /> f
<br /> QMRR OR A + CONTRACTOR
<br /> Sub^ r d relrirmed)befora this 4ubse bed and s rmed) fo mu s
<br /> by Y
<br /> o is/a monaii known t me or laS awe PtOOCed +ho is/re perso y me or osmove produced
<br /> ns�dentAwatian. as fdenttrieaticn.
<br /> N
<br /> p► otary Public
<br /> gCommission No. CormMrtaton No 6_^'_1`-�ic:1 a tit LA
<br /> Q'¢(t P Y IY 925496 NWN+ di No my IV ,prh+tud or btoltlpuJ
<br /> COMMIS9I0`l� 23 2024
<br /> EXPIRES:February n�?
<br /> :sfi•"`4 ; ANIANDA ACKERSON
<br /> Bonded Thru NOWY public Underwriters , MY CONIMISSION#GG 925496
<br /> • ,______----••:.ter,. ,p -
<br /> ;tee;
<br /> EXPIRES:Febniary 23,2024
<br /> Eonded T_; hru Notan Public Undewrters
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