, t r+i -- ` _.
<br /> � 4
<br /> �,i� �
<br /> NOTlCE OF DEED RESTRiGT10NS: The u�dersigned ander.�tands°that thls.p�rmit.may be sub�ect ta�deed"restrlctlans"
<br /> which may be.mare•restcictl�re'than County regulakions, �The undersigned assumes responsibfltty far compliance with any
<br /> applicable deed rest�ictions. � " .
<br /> UNIICENSED CUNTRACTCIRS AND CCtNTRACTOR RESPONSIBILtT1ES: If the awner has hired a contractor or
<br /> contractors to undertake work, they may be required..ta be�Iicensed In accardance.with state.and•local regulations. If the
<br /> contractor is no#lfcerased as requ3red by law, t►oth Ehe owner and cantcactor may be ctted for a misdemeanor vtalation �
<br /> under state law. If the awner ar Intended�contractor are uncertain es to what Iicensing.requirements may apply for the
<br /> intended work, they are advised to con#act the-Pasco County Building l�spectfon Divislr�n—!_tcensing Sectlan at 727-847-
<br /> saas. Furthermore, if the owner has hired a cantractor or contractors, he is advised ta have the cantractor(s} sign
<br /> portions of the "cpntractor Black" of this applicatian for which they wiil be responsible. If you, as.the owner sign as the
<br /> contracfor, that may be an indlcation that he Is nat properly licensed and is not ent�tled to permltting privlleges tn Pasco '
<br /> Counky. - ' � "
<br /> TRANSPORTATIt�N IMPACTIUTIl.ITlES IMPACt ANb RESCIURCE RECOVERY�FEES; The undersigned undetst�nds
<br /> that Transportation impact Faes and Reoaurse Recove.ry-Fees may apply#o.the construction of new bulldings, change of
<br /> use in existing buildings, or-expansion of existirig buildings, as specifled in Pasco Caunty Ordinanoe number 89-07 and
<br /> 90-07, as amended. T1te underslgned aiso understands� th�it such fees�as may�be:due,.wll! be identified at the time af
<br /> permitting. It is further understood that Transporkation Impact Fees and Resource Recovery Fees mus# be paid prior to
<br /> receiving a °certificate of occupancy" or firta! pawer. release: :If the.projeck:does nat involve a ce�t�icate of occupancy or
<br /> final power releas�, the fees must be paid prior to permft issuance, F�irthermare, if:Pasco County 1NaterlSewer Impact
<br /> fees are due, they must be-paid pNor to permit-Issuance�in accordanae with appllaable Pasco County ordlnances.
<br /> f CONSTRUCTlON �.lEN LAW{Chapter 713, Flarlda Statutes�as amendedy: If valuation af work is$2,500.00 ar more, i
<br /> certifiy that I, #he applicant, have.been provided with a capy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepare� by the Fiorlda Departmenf.of Agrtauiture and ConsumerAffairs. [f the applfcant Is someone
<br /> other than#he"owne�", i certify that I have obtained_a capy of.the above des.cribed document and promise in:gaadfaith:to
<br /> deliver ft to the°owner"prior to commencement: . '
<br /> GONTRACTOR'S/OWNER'S AFFIDAVIT: i cer�ify#hat ail.the information in this apptication is accurate and that ali wark '
<br /> will�be done in compliance with ail appl(cable laws regulating constructlon, zoning and land develapment. Appllcatian is
<br /> hereby made to obtaln .a permit ta do work and tnsEallatlon as Indtca#ed. '1 certify that no wark or tnstallatian has
<br /> commenced prior to issuance of a permit and that.all work will be perto�med to meet standards of all laws �egulati�g-
<br /> construckion, County and City aodes, zoning;c�gulations, and land develapment regalations�ln the jurlsdlction. ( aiso
<br /> certify that t understand that the regulations vf attier„gavernment agencies may apply�#o the intended work, and tha# ft is
<br /> my responsibility#o identify�what.actions I must take to be:�in,carr�pliance. S,uch agencles include but are not limited to:
<br /> - � Departmen#.of,Env,iro�imental Pro#ectton-Gypress.Bayheads, VYetland Areas and Ernfronmentally Sensi#ive
<br /> "'�l.ands„Water/Wasteyva#er Treatment.
<br /> - Southwesf �'Florida Water Management Distriat We11s, Cypress. Bay.heads, Wetland Areas, Af#ering
<br /> Watercourses, , �,;
<br /> � �
<br /> - Army Corps af Engineers-Seawalts� Docks�Navigable Waterways.
<br /> - Depa�tment of Health 8 Rehabititative SenrlceslEnvironmsntal Health Unit Wells, V1►astewater Trea#ment,
<br /> Septtc Tanks. .
<br /> - US Environmental Protectfan Agency-Asbestos abatement. �
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the€ollawing res#rictions apply to the use of flIL•�
<br /> - Use of fill is�ot allowecf in F{aad Zone°V"uniess expressly perm6t�ed.
<br /> - If the fill material is to be used In Flood Zone °A", 6t_ts understaod 4hat a drainage plan addressing a �
<br /> "compensating voEume"wtlt be submitted at t#me af permif�€ng wliich 1s prepared by a professiona! engineer
<br /> licensed by the State of Flor(da. � ,
<br /> - !f the f!I materfal ts to be used fn �lood Zorte "A" (n�connec�ion�wlth.a �ermitted building using stem wa!!
<br /> � construction, I certiiy tha#fiil�witi.be used only#o fill the area within the stem wali.
<br /> - !f fill material is ta be used in any area, I certMfy that .use. of such fiil wlll nat adversely affect adjacent .
<br /> prapertles. If use of fill ls found to adversely:affect adJacent prope�tle�,.t�e owner may be clted for viotat�ng
<br /> the conditions of the building.permit Issued under the attacfied permit applicatian, for lots less than one (1)
<br /> acre which are etevated by#I11,an engEneered drainage pian is required. .
<br /> tf i am the AGENT FOR THE O.WNER, I,pramise in gaad faith to lnfarm the�owner of-#he permitting conditions set forth in
<br /> this aftidavit prlor to commencing construc#lon. I understand #hat a=separate permit rnay be required for electrical work, '
<br /> plurnbing, signs, welts, poals, air condit�oning,.gas, or other installat[ans nat spec#ftcally inctuded-�n.the application. A
<br /> perm(t issued shall be constcued to be a Iicense to proceed with the work and not as authority to.vlolate,cancel, alter, or
<br /> set aside sny provistans af the techntcai codes, nor shail lssuance of a pe�mlt.prevent the Bu#Idirig Officia[from thereafter
<br /> requiring a correction af eROrs in.pians, constn�ction or violatlons of any codes. Every permlt Issued shall become invalid
<br /> u�less fhe work authori�ed by such permit�is.commenced wlthln sGc months of permik issuance, or if wark authorized by
<br /> tF►e permit is suspended or.abandoned for a period a#sGt{6)montfis aftec the time the�work is commenced. An exfension
<br /> may be requested, in writing, from the Building,Officiai for a period.not to exceed nfnety (90) days and will dennonstrate
<br /> —�ustlfisbie cause-far#he-exfenslor�.-If-w�rk ceases:for nine�{90}con���u#lve-daysj.-the��E���s-�nsid�red-z�bandc�n�d:----.– _ �_
<br /> WARNING TQ OWNfR: YOUR FAILURE TO.RECQRD A NQTIGE:OF GQMMENCEMENT MAY�RESU�T ! t?UR
<br /> PAYING TWiCE�OR iMPROVEMENTS TCi YOUR PROPERTY. IF YOU�INTEND'TU OBTAIN PIPtANCING,� ONSULT
<br /> W17H YOU L R AN A O NEY 8 F �RECOR�DI G� O � CE`O O E E
<br /> FLORIDA dURRT{F.S.11 .
<br /> OWNER OR At3ENT CON7'RACTO
<br /> Subscdbed and swam!ar{ar a rmedj be€are me this Su6scribed and swam ta{ar aflirmed}before me
<br /> by .by..
<br /> VYho Islare persanatly knovm to.me or has/have produced Who Is/are personally kinown to me or has�ave�produced
<br /> as#den�flca�on, as iden��catlon.
<br /> Nota . +-✓ Notary Pubilc
<br /> r..r++�'r�°'
<br /> Gomm s[an No. �;�,,,,,,,,,,,,�.BACON Commisston
<br /> :`�' k�;= Commissian 2018
<br /> =*� s June 29, ,,,,,,,,
<br /> Name of Notary tYR ; .tr��irs�d�°Y f�n nsu�e 1Vame af No . ,'"�a �r
<br /> "P;,,,.� :�? b�=. �ommisslon#FF
<br /> �.�R"�,qP;.= �Expires June 29,20a�073_
<br /> Ced 7hn1 Ap},fa�n tnsrasar�g�,�8�7019
<br /> ��'-�
<br /> . �
<br />
|