i
<br /> NOTICE OF D D RESTRICTIONS: The undersigned.understands that this permit may b subject to"deed"restrictions"
<br /> .' i . pp . .......la N-...
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<br /> applicable deed restrictions.
<br /> UNLICENSED I.ONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to u idertake 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 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,fl fey are advised to contact the Pasco County Building Inspection Division Y.Icensing 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 BIOCif'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 /> TRANSPORTA TION IMPAG7IU 11U 1 5 IMNAG I ANIJ K1:5UUKUt kECUVCKT rism: I no unaersignea unaemianas
<br /> that Transports on Impact Fees and Recourse Recovery Foes may apply to the construction of new'buildings,change of
<br /> use in existing 5ulidings,or expansion of"existing buildings,as specified In Pasco County'Ordinance number 8947 and
<br /> 90-07,as ameded. The undersigned also understands,that such fees,as may be due,wilt be Identified at the time of
<br /> permitting. It fit'further understood that Transportation Impact Fees and Resource Recovery Faso must be paid prior to
<br /> receiving a°cehiflcate 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,it Pasco County Water/Sewer'impact
<br /> fees are due,t ly 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, (((���a applicant, have been provided with a copy of the "Florida Construction Uen Law—Homeowner's
<br /> Protection Gule-prepared by the Florida Department of Agriculture and Consumer Affairs. If the appitcant Is someone
<br /> other thran:the' wner",I certify that 1 have obtained a-copy of the above described document t and promise in good faith to
<br /> deliver it to the owner"prior to commencement.
<br /> CONTRACTO ISlOWdER'S AFFIDAVIT: I certify that all the information In this application Is accurate and that all work
<br /> will be done In compliance with all applicable laws regulating construction,zoning and land.development. Application is
<br /> hereby made obtain a permit to do work and Installation as indicated. i certify that no work or installation has
<br /> commenced par 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 to the Jurisdiction. I also
<br /> certify that.1 unilerstand that the regulations of other government agencies may apply to the intended work,and that it is
<br /> my responsibillo to Identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> De artment of Environmental Protection-Cypreaa Bayheads,Wetland Areas and Environmentally Sensitive
<br /> Lands:Water/WastawaterTreatment.
<br /> So Ahwast Florida Water Management District-Wells, Cypress Bayheada, Wetland Areas, Altering
<br /> ercourses.
<br /> Arr iy.Corps of EriglneemSeawalls,Docks,Navigable Waterways.
<br /> De artment of Health 8i Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Se tic Tanks.
<br /> US iEnvironmental Protection Agency-Asbestos abatement.
<br /> Fe eral Aviation Authority-Runways.
<br /> I understand th t 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-'eta fill material is to be used in Flood Zone "A", It Is understood thata drainage plan addressing a
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<br /> Ii nacd by the State of Florida.
<br /> If a fill material Is to be used in Flood Zone 1W in connection with a permitted building using stem wall
<br /> eoAstruotion,I certify that fill will be used only to fill the area within the stem walla
<br /> If 411.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 /> am which are elevated by fill,an engineered drainage plan Is required.
<br /> If i am the AGE NT FOR THE OWNER,I promise In good faith to Inform the owner of the permitting conditions set forth in
<br /> this affidavit pr or to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signp,wells,,pools, air conditioning, gas,or other installations not specifically 1r hided In the application. A
<br /> rlCill 111 IOOYCU lgll YC l.V ilOL1YCV lV YC O IlVa:lloC �.r V,.tOV•., . r•V r+„ „v .�__ • ,r ,..i
<br /> set aside any provisions of the technical codes,nor shall Issuance of a permit prevent the Building Officlal from thereafter
<br /> requiring a co otlon of errors in plans,construction or violations of any codes. Every permit Issued shall become invalid
<br /> unless the wo authorized by such permit is commenced within six months of permit Issuance,or If work authorized by
<br /> the permk Is s pended or abandoned for a period of sbr(8)months after the time the work is commenced. An extension
<br /> may be requel ed,In writing,from the.Building Oincial for a period not to exceed ninety(90).days and will demonstrate
<br /> justifiable caul forthe extension. if work ceases for ninety(90)consecutive days,the job is;cdnsidered abandoned.
<br /> WARNING TOiOWNER: 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 /> IMBNOEMENT.
<br /> OWNER OR A0 CONTRALTO
<br /> od an or
<br /> 'afNrmed)txfgle m this pyLtied�ad.pnd a dl fo i th'
<br /> d E'�`8� by ��
<br /> Who a person I y known to ma or tasthave produced YVho Islets parse Ily known me erne ave produced
<br /> as identification. as Iiientficaflon.
<br /> I
<br /> i
<br /> Note �^1 i(I Notary Pudic
<br /> Commisston No. - tsslon No�s"1`- QS—AC!Le
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<br /> in
<br /> `oin?Y°�e ypH f l+i�n,�� 1 p t'm of Ne ry ty ..printer or stamped
<br /> *: MY CONT V
<br /> :a EXPIRES:February
<br /> A. f,;<"'°°�Pyc; AMANDA ACKERSON
<br /> -9jFOF F`OQ�. Bonded Thru t•�otary Public Underwriters
<br /> rj k, MY COMMISSION#GG 925496
<br /> `. !jFbFdCoP�F EXPIRES:February23,2024
<br /> Bonded Thru Notary Public Underwriters
<br />
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