. � �'
<br /> N0710E QF DEED REST.RICTIONS: The undersigned understands�=.th2�t ihl�:permlt.may.be;subJect to,"deed"restrlctions" �
<br /> which may be.�more°tesUlctive�tba�n"Countyc��egulatlons. �The undersigned�assumes;responsibiiity for compltance`with an"y � `
<br /> applicable daed restrlations. ,. � - �
<br /> UNl.tGENSED CONTRACTQRS AND CONTRACTt?R RESPONSlBi�iTlES: -!f the awner has fi3rec! a contractor ar
<br /> conkraotors to under#ake work, they may.be;r.equl.r:ed-.ta-.be3Hcensed ln.accordance.with sta#e.and•loca!regulattons: !f the. -
<br /> contractor ts not Ucensed as requlred"by law, botfi the awner and'contraato��may be-cited for�a�misdemeanor vtalatlon
<br /> under state �aw. If the owner ar tntended°contrac,tor•�are;uncertaln as to what Ilcens�ng.requlrements may�apply--�'or the � -
<br /> intended work, they are advised to contact the Pasco County Buliding'Inspection Division--i�icensing Section at 727-847-
<br /> 8009. Furthermore, If the owner has h3recl a contractor ot coritractors, he is advise+d to have the con�rac#or(s} stgn
<br /> portlons af�the "contractor @lock° of thls appllcatlon tor whlah they wlll.be �esponslble. !f you, as-.#he owner'"sigh�as`tk'�e
<br /> contraotorR tfiat may be an Indication that he Is nat properly licensed and is not entitled to permitttng privileges in Pasco
<br /> County. � ' �
<br /> TRANSPORTATiON IMPACTIUTiC:iTiES�MRAC'fi'ANb-itESOURCE RECi�VERY REES:�The�undersigned undersfands
<br /> that Tcansportation Impact�ees and.Recourse Recave.ry.Fees may_>apply�to°the constructian of new buildings,tchange of �
<br /> use !n existing bulldings, a�expansio�-of exlstiiig'�6uitdlogs; as speci�ied In Pascct County t}rdinance number 89-47 and
<br /> 90-07, as amended. The undetsigned also.uaderstands, tha�t s�ch fees�:as�may�6e�due�;wlll.�be identlt�ed at the=time of � '
<br /> permiNing. It Is further understood that T�anspo�tatton Impacf Fees and Resou�ce Recorrery'Fees must be paid prior to
<br /> receiving a °certlflcate of occupanay" or final-pawer=release. :Ifithe project.does not Involve-a certif(cate of occupancy or
<br /> finai power release, the fees mu�t be paid prior ta permit issuance. Farthermore��ff Pasco County tNaterlSewer Impact
<br /> fees are due,they must be paid prior to permit-t�suarice-In accordance with appiicabte Pasaa�County o�dinances.
<br /> CONSTRUCTlC?N l.fEN l.AW�Chapter 713� Fior�da 3tatute��as amended): If valuation of work is$2,500.00:ar more, 1 �
<br /> certify that I� the appllcant, hava been provl.ded with. a copy� of-#he "Florlda Constrt�ction� Llen_lau�---Harneawner's
<br /> Protectlon Guide" prepared by the Florida Departinenf of Agric.ultnre and Consumer AfFairs. !f the appllcant is someone ,_
<br /> ather than the"awner", i certify that I�have.obtained�a copy,of the.above..described docurr�ent°and.promise in,good falth to
<br /> delivet 1#to the°ownec"priar ta-commencemerit: ,
<br /> CONTRACTOR'S/OWNER'S APFIDAVIT: 1 ce�tify#hat�ail_the,lnf.ormatlon in this appl€catEon is accurafe and thaE ati work
<br /> will'be done in compltance with al! appilcable laws �egulating construc#lon, zontng and�land�devetapment. Applfcatlan is
<br /> hereby made to obtaln .a permit to do_ wo�`k<<and installatlon as tnd[cafed;� I ceKify that no work"or lnst�ltatton has
<br /> Jcommenced prior #a issuance af a permit and that.all work will be performed to meet standards af all laws regula�ing�
<br /> construction, County atrd Cify aodes, zoning regulatlons, and iand development tegulattons�in the jurisd(ction. ( al'so
<br /> certity tha# ! unders#and that the ragulations af other government agancies may�appiy�ta fhe intended work, and that i# is
<br /> my responsibility to ldentlfy�wha#.acilans f must Eake#o beftn.cott�pllance. 5uch agenates inctude but are.not iimited#o:
<br /> - Department of E�vironmental�Protection-Cypress'Bajrtiead�, Vltetiend Areas ar�d Environmentaily Sensitive
<br /> Lands,Water/Wastewa#er Treatment.
<br /> - Southwest Florida Wa.ter Management :C�istNct-Welis, Cypress. Bayheads; Wetland Areas� Altering
<br /> Watercaurses.
<br /> - Army Corps af Englneers-Seawalls, Docics,Navigatite Waterways.
<br /> - Depa�tment of Heaith� 8 Ret�abllftafive ServEcesiEnvironmentat Nealth UniRWells, Wastevuater Treatment,
<br /> Sep#Ic Tanlis. .
<br /> - US Envi�onmental P�otection Agency-Asbestos�batement.
<br /> - Federat Avlatton Authoriiy-Rur�ways.
<br /> !understand tha#the fallowing.r�strictlons appty to#he use of fl(i:•
<br /> - Use of fili is no#aflowed in Fiood Zone"V"unleas expressiy permitted.
<br /> - If the fi!! material !s to be used. !n-�Flood Zane "A", 4t- is un�l+�r�stood that a dralnage plan ad@ressing a
<br /> °compensating valume" wlll be submitted at#ime of permitting v�r6ich 1s prepared by a professfona! engfneer
<br /> ticensed by#he State of Florlda:
<br /> - if the fill materiai is to be used in Fioad Zone °A" in�connectian�wlth.a �ermitted building using stem waU
<br /> � construction, i cetfify that fiil:wili:b.e used only.to fiti the area within the stem:wail.
<br /> - if fil! materfal is ta be used in any area, F.certify that .use. af such fitl witl not adversety affect adjacent
<br /> praperties, !f use of fl!I is found ta advers��y.�ifect ad}a�ent�propertfes�_the owner may be cited for viol�ting
<br /> the condttions of the building:permit lssued�under the.attachied�erml!applfcatlon� for lots less than one (1}
<br /> acre whlch ere elevated by flll,an engineered drainage plan is required. .
<br /> tf I am#he AGENT FOR THE OWNER, i,-�promise in good fat#h to lnform the�wner of-the permitttng condit(ans set forth tn
<br /> this a�davit��pr(or to commencing constructian. i understand that a-s+�para#e permit rrtiay be required far electricai work,
<br /> plumbing* signs, wells, pO01sy alr conditioning, .gas, or other Enstall�tlons not.speai�calty inaluded in the application. .A
<br /> permit issued snall be aonstrued to be a�Itasnse to proceed wlth tt�e work an�d not as�authorlty to,viota#e,cancei, after, ar
<br /> set aslde any provlsions of the technical.c�odes;�nor shall Issuance�of a.permlt.prevent the Bullditig Ot�Icla!from Ehereafter
<br /> requiring a cor�ection Qf errors in.pla�s; constructlon or vloiations of any codes. Every pemtit issued shali become invalid
<br /> I, unless the work authorized by such permit_�fis.commenced•within sUc m.onths of permit issuance, or if work authorized by
<br /> � 1he permlt Is suspended or.abandoned for a:perlad of six(�)mont�s.after the#me the�wot'k is commenced. An e�ctension
<br /> may be �equested� In wrlting, from the Suilding,t?fficfa) far a perlod not to exceed ninety(90)days a�td will demonsfra#e
<br /> justifiable cause for.the extension. If work ceases.for ninety(90j consecutive days,..t�ie job is.constde�ed aba�doned.
<br /> WARNING TQ OWNER: YOUR.FAiLURE�TO,REC.CIRD. .A.;(�OTIGE O��COMMBNCEMEMT MAY=RESULT IN�YOUR
<br /> PAYiNG TWICE�'OR�IMPROVEMENTS Tt3.YO,UR�PROPERTY. .IF�YO.U�iI�'fE�iD�'TQ�OBTAiN��FIPFAN�ING;'CONSULT
<br /> W!T Yt?U D U AN 'tTClRNEY-B F�RE�= COR�i �:�Y~U ' � �C 'OF' ��' E CE � N � __._ _'.
<br /> � FLORIDAJURA�•(F.S.117.03) �"�
<br /> QWNER OR AC3ENT - "'� �-C�~aSG� I �L/�..�' C!?NTRACTi�R� �0 5.. . � �1'��r<V t'� -
<br /> Subsc�ibed and�swom to kr afflrm�d)befor me this Subscribed and'bwo�bo(ar a„�ed�befare me'Rtil�
<br /> �t. . y_ � �,.�_
<br /> � Wha Isfate pe 4nally kno �to.m or haslhave produced Wha tsl�re p. onai kno}�m to me or hasfiave praduced
<br /> _,�i[, /Z,�l�s ��s Identlflcatlon. �L-� �'l,�r-�c Gs' � as tdentlflcatlon.
<br /> _- . �,
<br /> � .'" L`t� -
<br /> Natary Pubtla Notary Publlc
<br /> Com � GES Co slon. .
<br /> '�Q�,... •.,*M Commission#FF 15D """.,.
<br /> �' be�12,201$ ;k4�"•"•`�Y°,.�;� JACQUELINE BOGES
<br /> Name . �+pe�f,,��lr�ted;e�+���e5�7 Name of Notary e�F
<br /> e
<br /> �•,,�,,,,,,, � �°E� ember 12,2018 -
<br /> :*,-
<br /> '�p(�p�qp��� 9onded Thru Troy Fain Ineurance 800-�BS-701@' ,
<br /> +�w�re��+�r��w�
<br />
|