. �.
<br /> NOTICE OF D�ED RESTRICTiON�: he undersigned ynderstands that thls per it ma b�subject ta Ndeed"restrlatlans"' ,
<br /> which rnay be more resfrfotive than �Ca nfy regulattons. The undersigned assum s ces onsibiiity far compiianee with any
<br /> appllcabfe deed restrictlons. �
<br /> UNLiCENSED CONTRACTORS AN C4NTRACTOR RESPC?NS{BlLITlES. !f the owner has hlred a contractor or
<br /> cantractors to underEake work, they m y be required to be iicensed in accordance with state and iocai regulatlons, If the
<br /> contractor (s not !(censed as requlrc�d y (aw, both the owner and confractor may be it�d for a misdemeanor violatfon
<br /> under state {aw, if ths owner or fnten ed cantractoc are uncerlaln as ta what llcer�sin r�qulrements may apply for the
<br /> intended work, they are advised to can ac#ttr'e Pasco County Buiiding inspectlan Divisi n—Licensing Seotlon at 727-847-
<br /> 8009. Furthermore, If the owner ha h(red a cantractor or contractors, he is advis d fo have fhe contractor(s} sign
<br /> portlons af the °cantractor Bloak" of' th s appUcatlon fot which they w1q be responsible, if you, as the owner sign.as the
<br /> contrac#or, that may be an indfcatian t at he is not properly Ilaensed and !s not entitls ta perrnitting prlvlleges !n Pasao
<br /> County. �
<br /> TRANSP�RTATION IMPACTlUTlLITI S lMPACT AND�RESOURCE RECOV�RY FE S: The undersigned undersfands
<br /> fhat Transpor#atfon impact Fees and ecaurse Recovery Fees may apply to the constr ction of new bu8d(ngs, change of
<br /> : use in ex(sting buiidings, nr ex'pansia of existing buiidings, as speclfled in Pasco Go nty Ordlnance number $9-47 and
<br /> 90-47, as amended. The underslgne also understands, that such fees, as may be d e, wiH be idenfified at the time of
<br /> peemitting. It 1s further understood th t Tcanspartatlon Impact Feas and Resource Re avery Fees must be paid prior to
<br /> receiving a °cer#ificate of occupancy" r finai powet release, If the proJec# does not in olve a certfflcate of occupancy ar
<br /> fina( power release, fhe fees must be paid prior to permit fssuance, Furthermore, If asca County Water/Sewer lmpact
<br /> fees are due, they must be pald prlor t permit I"ssuance In accardance wi#h appiicable asco Caunfy ordinances.
<br /> CONSTRUCTI4N LiEN LAW{Cha�t r 713, Flarlda Statutes� as amende�d): !#valua lon af work Is$2,500.00 or more, (
<br /> certify that I, the appiicant, have be n provided wikh a copy af the "Flarfda Gon truction L.len Law=Homeowner's
<br /> Protectlon Gulde" prepared by the �lo Ida Deparfinent of Agrlcu{fure and �onsumer A airs. if the appiicant is someane
<br /> other than the"owner", ! cert{fy.khat I h ve ob#alned a copy of the above descrlbed doc mant and promise in good faith to
<br /> deiiver it fo the"owner" privr to camm ncement.
<br /> CONTRACTOR'S/4WNER'S AFFIID IT: ( certify that ail the information In this appli ation is accurate and that aN work
<br /> will be done In compllance wlth al! ap Iicable laws regulating consfruct(on; zoning an land development. Appliaation is
<br /> hereby made ta abtain a permit ta o wark and instaflatlon as Indicated. I certi that no wark o� installatfon has
<br /> commenoed prior ta issuance of a p rmit and that a1i work wiil be perfarmed ta me t standards of al! laws regulating
<br /> construction, County and Gity codes, xonJng regulations, and fand deveiopment reg lafions in the jurisdic#ion. f aisa
<br /> cerfify that I understand that the regul tians of ottier government agencie� may apply o the lnfended work, and that it Is
<br /> my responslbility to identify what actio s i must take to be in compiiance. Such agenc! s #izclude but are not lirnited to:
<br /> - Departmenf of Envlromm �tal Protection-Cy,press Bayheads, iiVefiand Ar as and Environmentaily Sensi#ive
<br /> Lands, WaterlWastewater Treatment.
<br /> - Southwest Fiorida Wat r Management Distr(ct-Wells, Cypress Bay e�ds, Wetland Areas, AlterCng
<br /> i Watercourses.
<br /> - Army Corps of Engineers- eawalls, Dacks, tVayigable Waterways,
<br /> - Department of Health & Rehabifftatfve 3erv(ceslEnvlronmen�al Health nit-Wells, Wastewater Treatmenf,
<br /> Septic Tanks.
<br /> I _ US Envlronmental Prot�cf on Agency-Asbestos abafement.
<br /> FederaE Aviatlon Authorlty Runways.
<br /> f understand fhat fhe follawing restricti ns apply to the use of flll:�
<br /> - Use of fill is not ailowed In Fload Zone uV"unless expressiy perm#tted.
<br /> - If the fl!! materlal Is tu e used in Flood,Zone "A", It (s understood t at a drainage pian addressing a
<br /> "compensating vofume° i!! be subm{tted ak t!►ne of permitting whlch Is p pared by a professional engineer
<br /> ' licensed by the State of FI rida.
<br /> - !f th� fl!! materla( (s ta b used in Flood Zone "A" in connection with a ermftted buiiding usfng stem wall
<br /> consEructlon, 1 certify that !!wlll be used only fo f!f!fhe area withln the sfe wa(I,
<br /> - If fl11 material is to be u ed in any area, 1 .certlfy that use of such fl!I will not adversely affect ad�acent
<br /> propert(es. if use of flli fis found fa adversely affect adjacent properties, t e owne� may be c4ted for violat{ng
<br /> khe cond!#lons of #he bul! ing pe�mit Issued under the affached permit a plicafian, #ar iots (ess than one {1}
<br /> acre whlch are elevated b fllf, an sngineered drainage plan Is'requlred.
<br /> If i am the AGENT FOR THE�OWNE , ( promise in good falth to lnfarm the owner of t e permltting conditions set fo�th In
<br /> khis affldavit prlor to commeric(ng aa sfruct(on. I understand that a separate permlt ay be requlred for electrica! work,
<br /> plumbing, slgns, weils, pools,.alr co dltioning, gas, or other (nsfallatians nof specific 11y included in the app}icatian, A
<br /> permft issued shaH be construed to b a Hcense ta proceed with the work,and not as uthorify�to,ulolate, cancel, aiter, ar
<br /> set aside any provisions of tlie techni ai codes, nor shali issuance af a permit prevent th� 8u!ldlrtg Officla!from thereafter
<br /> requfr4ng a correc#lon af errors In plan , construck(an or violafions of any codes. Eve permit Issued sha{1 became lnvalid
<br /> uniess the work authorfixed by such ermlt is commenced within slx months of permi is;�uance, or if work aufhorized by
<br /> ^ the permit is suspended�o"r apandane =far-a�period �f-s!x{6}.manths_after�he_tlme_the .ork Is._COmmenced. An extension
<br /> may be requested, In writing, fram fh Building Offlciai for a perlad not ta exceed nin ty {90) days and wll) tlemonst�ate
<br /> }ustlflable cause far the extension. If ork ceases for ni►tety(90)consecutive days, fh job is consfdered abandaned.
<br /> WARNING TO OWNER: YO.UR FA LUR� TtJ RECC}RQ A NQTICE OE COMMEN E4MENT MAY RESULT IN YOUR
<br /> PAYlNG 7WlCE FC�R f�lf'iPi'c0"d�i4�E g� Td�YOl�6t P�d�PIE�2TY� iF YOU(IVTEND T OBTAlN FlNANGING, GONSULT
<br /> wtTH.�I'fi?UR L�1DER oR AN AT o NE <B FORE REC- RDI G U O � F ° MMENC�M T.
<br /> FLORIDA JiJRAT(F,S.117.43) ,
<br /> OWN�R OR AtiENT GONTRACTOR '
<br /> �d�
<br /> Subscribed and swom ta(or affltrnedy befare a thls Subscrlbed and sworn to(or afflrmed before me tfils ,
<br /> �y bY
<br /> Who Islare pe�sonaNy known to me or hasihav produc�ed Who Is/are personally known ta me o has/have;praduced
<br /> as identlflc�U n. as Identl8catlon.
<br /> M1lotary Pab!!c Nofary Publlc
<br /> Commiss(on No. Commisslor�No.
<br /> Name of Notary typed,printed or stampad Name of Natary typed,printed'or sta p�d
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