. S �
<br /> NOTICE QF DEED RESTRICTlONS: The unde�stgned under�tands°th�t this_p�rmlt.may.be.subJect to"deed"restrictions" ,
<br /> which may be�more.r.estcict{ve�th�n County reguiations. �TFie uridersigned"assumes responsibitity far°campiiaiice with�any �
<br /> appUcable deed restrictions. '
<br /> UNLICENSED CONTRACTQRS AND CONTRACTOR RESPaNSIBIt�ITiES: If the owner has hired a cantrac#or or
<br /> contractors to undertake work, they may be requfred.#o be:ilcensed In accordance.with state.and•local cegulation�. =If�the
<br /> cant�actar is not !lcensed as required'by law. both the awner and contractor�may be�cfted-for a�misdemeanor violatlon
<br /> under state law. If the owner or tntended contractor:are uncertaln as to what ticensing.requirements.may appiy�far�the
<br /> intended work; they are advised to contact the Pasco County Bullding (nspection Dlvislon--Licensing Sectian at 727-847-
<br /> 8009. Furthermore� tf the owner has hlfed a contfac#or or cotafractots. he Es advised to have the conUac#ar(s}, sign
<br /> portions of the "contractor Blockp of thls application for which they will be.responsibie. If you, as.the owrier sign as the
<br /> contrac#or, tha#may be an lndicatlon that�fie Is not.properly Hcensed and ls not entltlsd to per�ciltttng privileges !n Pasco �
<br /> Counry. ' '
<br /> TRANSPORTATION IMPACT/UTIUTIES IMPAC�'�ANb RESOURCE RECOYERY°FEES: �The underslgned understands
<br /> that Transportation impact Fees and.Recourse Recove.ry.Fees may�apply:ta°ths'canstruction of new bu{IdEngs,.;change of ;
<br /> use in existing buildings, or-.expansion•.of-�ezis#iri,g'�6uildings, as speclfled.in Rascv County Ordinance number 89-07 and
<br /> 90-07. as amended '�he undersigned aiso understands, thaE.such fees.:as;may��e�due,.wlll�be tdentified at the�time of . �
<br /> permitting. It fs furtfier understood that Transportatton Impacf Fees and Resource Recovery�Fees must be paid prior to
<br /> �eceiving a "certiflcate of occupanay"_or flna! pawer.release. :If the project daes not Involue a:certfflcate of accupa�cy.o�
<br /> finat power release, the fees must be-paid priar ta permit issuance. Fu�thermore;�i#Pasco County£WaterlSewer Impact- •
<br /> fees are due�they�must be.paid prior to permit�lssuance�in accordance with applicable Pasco County ardinances.
<br /> CONSTRtlCTtCtN LIEN LAW(Chapter 713R �larida Statutes�a�amended); !€valua�on of work ls$2}504.00.ar more� 1
<br /> certify that I, �he applicant, have been provided with a copy of the °Florida-Construct(on Lien.L'aw—Homeawner's
<br /> Protect(on Gu(de" prepared by the Ftorlda Department of Agricuikure and Consum�r Affatrs. If the app!lcant{s someone
<br /> other than the"owner", 1 certify that i t��ve,obtained a copy;of the.above.descrlbed documettt�and.pcomise in,good fa�h ta
<br /> del�ver ft to the"owner".prior to�commencement: ' � .
<br /> GCINTRACTOR'SIQWNER'S AFFIDAVlT: 1 certifjr ttiat all#he;lnf.ormatlon in this.applicatlon is accurate and that alf wock
<br /> will�be done in compliance with all applicabla laws regulating canstruction, aoning and land development. Application is
<br /> hereby made to obtaln .a pe�mit to c!o wat�k and {nstalfatlon as ittdl�ated.� 1 cerilfjr that no work .or Instailattan has
<br /> cammenced prtor ta (ssuance of a perm(t and that.al( work wtll be performed to meet standaTds af aN laws regutating-
<br /> c�nstruction, Caunty and City cades, xoning regulations� and land development regulations-in the jurlsdtction. 1 al'so
<br /> cer#ify that i understand that the regulafians af oti�er government agencies may apply�ta tFte intended wortc, and that it is
<br /> my responsibility to identify�what,actions I must take.to be,in<.corr�plianae. S.uch agencies include but are.not Iimited to:
<br /> - Deparkmen# of E�vironmental Protec#ton=Gyptess.�Bayheaci�� Wettand Areas and Envlronmental4y Sensitive
<br /> Lands,Water/Wastewater 7reatment.
<br /> - Sauthwest Florida Water Management .Distrlct Wells, Cypress. 8ay�eads; Wetland Areas, Altering
<br /> Watercvurses.
<br /> - A�nny Corps of Engineers-Seawalls� Doaks� Navigable Waterways.
<br /> - Department af Health�8 RefiablE3tative,ServlceslEnyironmental Health Unit Wells, Wastewater Treatrnen#,
<br /> Septic Tanlcs. � .
<br /> - US Environmentai Pfotectlan Agency-A�bestos abateme.nt.
<br /> - Federal Aviat[on.Authority-fiunways. �
<br /> f understand that the following.restricttons apply to the use of flll:�
<br /> - tlse af fli1�s not allowed in F4oad Zone"V"unless expressly pe�mltted.
<br /> - If the fiil materfal fs to be used, in �Flood Zone "A", ft Is understood that a drainage plan addressing a
<br /> "compensaEing volume°w�4t be submltted at time af permttting which Is prepared by a professlona! engineer
<br /> Ilcensed by�he State of Flo�ida.
<br /> - !f the #ill material.is to be used in Flood Zona °A" In�connec�ian�wlth.a �ermikted building using stem wall
<br /> � aonstructio�., 1 certify that fiil�w�it=be used only.ta.fill the area within the�s#em�wai{.
<br /> - If ffll material is to be used in any area, I certify that .uee. of such flll will not adversely affect adjacent
<br /> prape�ties. tt use of ff11 is fonnd to adversely:�ffec#adjacen#praperties,_the awner may be cited for viatating
<br /> the condi#ions of the building:permit issued under the.attached'permit application, for lo#s less than ane (1)
<br /> acre whlch are e4evated by i�!!;$�engEneered dralnage plan is requlred. �
<br /> if 1 am the AGENT FC3R THE OWNER, I;�promise in good faith to inform the owner nf-the permitting conditions s�t farth in
<br /> this affidavit�prior to commencing construction. I unders#and that a:separate permit may be required for electrical work,
<br /> plumbing, signs, wetts, poots;. air canditloning,.g�s� ar other Ins#all�tions not.spec�calty inclu�ied In.the applicatEon. .A
<br /> permit issued shall be construed to be a�Iicense to p�oceed with the work and not as:authoNty#o_violate,cancel, alter, ar ,
<br /> set aside any pravislons of the techntca4 codes; nor sha111ssua�ce�of a.permit.prevent the 8u!ldirig U#tTcla!from theteafter
<br /> requlring a carrection af errors in ptans, constnuction or vialatlons of any codes. Every permit issued shafl become invaiid
<br /> unless the work autho�lzed.by such permit�Is.commenced�within sfx months of permlt issuance� or if work authorized by
<br /> the permit is suspended ar.abandoned for a:perEod of siac{�}manfhs.after the time#he�wa�k is commenced. An extens{on
<br /> may be requested, In writing, fram the Building,Official for a period not to exceed ninety�(90) days and will demonstrate
<br /> justifiable cause for.the extenslon: If work ceases:for nlnety(9Q}conseoutive:dayst..the�ob�is.consEdeted aba�doned.
<br /> WARNlNG Tt'y OWNER; YOUR.FAl1.URE�TO,REC.QRD A:NATIGE gF COMMENCEMEMT MAY RESULT IN YOUR
<br /> PAYtNG TWiCE.Ft1R iMP VEMEN: S Tt1 YQUR=PRCiPER7Y. IF°YI���tNTE�1D°'TQ�CIBTAIN�F1PtANCtNG,�CONSU�.T
<br /> WITH Y U AN A N � O . R COR�F1 G�� �U � - � 'OF� E EN �
<br /> F�o��aa.�u�►�r{F. �. � . . .
<br /> OWNER OR AGENT ~� - v - -- - - - ---CONTRACTO .�- - — - -- , _ -__..-__ _�_ _-_
<br /> Subscdbed and sw+o to{or af�rmed}before lfiEs .. 6scrib a 'swom to(at afftrmed)� �" e tliis �
<br /> by y'__".
<br /> Who is/are personally knawn to.me or has ave�"roduced 'o is re personaliy kna M me "r has/have�produced •
<br /> as tderttlflcatlon. as IdenBflcaUon.
<br /> �- Notary Pubtic . No#ary Pub11c
<br /> Commtssion No. Comm st .No.
<br /> ,.,�. �'N'';, JACQUELINE BOGES
<br /> :�.e�.
<br /> Name of Notary typed,printed or stamped Name of IJota �ytp pt,�nt ¢ 150422
<br /> .; 4r; Expires Decembec 12,2018
<br /> '��.,j����`�,`,' Bonded Ttw Troy fain Insittanca 800395-7019
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