NOTICE QF DEED RESTRICTIONS: The undersigned understands that this permik may be subject to"deed"restrictions°
<br /> �which may be more restrictive than County reguiations. The undersigned assumes responsibi#ity for campliance wifh any
<br /> applicable deed restrictions.
<br /> UNLtCENSED CONTRACTCIR� AND GONTRACTOR RESP�NSIBI�.IT[ES: Ef the owner has hired a cantractor or
<br /> contractors to undertake wark, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as requIred by law, both the ouvner and conkractor may be .cited for a misdemeanor violatton
<br /> under state law. If the owner or intended contractor are uncertain as to wha# licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspec#ion Division—Licensing Section at 727-847-
<br /> 8009. Furthermare, if the a�nrner has hired a confractor or contractors, he is advised ta have the contractor{s) sign
<br /> porkians of the "contractor Black" of this applfcation for which they wilt be responsible. If you, as the owner sign as the
<br /> cantractor, that may be an indication that he is nat praperly licensed and is not entltled to permitting priviteges in Pasco
<br /> County.
<br /> TRANSPCIltTATlON lMPACT/UTlLITIES IMPI�►Cl'AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transporfation Impact Fe�s and Recourse Recavery Fees may apply to the construation of new buildings, change of
<br /> use in existing buildings, or expansion af exis#ing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90�07, as amended. The undersigned alsa understands, that st�ch fees, as may be due, wil! be identified at the f's�ne af
<br /> permitting. It is further understood that Transpa�tation Impact Fees and Resaurce Recovery Fees must be paid prior to
<br /> receiving a "certificate af occupancy" or�nal pawer release. 4f the project does not invoive a certificate af accupancy ar
<br /> finai power release, the fees mus# be paid prior to permit issuance. Furfhermore, if Pasco County Water/Sewer }mpaet
<br /> fess are due, they must be paid priar to permit issuance in accordance wlth applicable Pasco County ordinances.
<br /> CONSTRUCTICIN !}EN LA1�1(Cha�ter T13, �lorida Statutes,as aenendedj: !f valuation af work is$2,500.OQ or mare, i
<br /> cerlify that I, the applicant, hav� been provided with a copy of the "Florida Construction Lien Law—Homeawner's
<br /> Frotection Guide" prepared by the Ftorida Department af Agricultctre and Gansurrier Affairs. If the applicant is someane
<br /> other than#he"owner", I certify that I have obtained a copy of the above described document and promise in good faith ta
<br /> delsvsr it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFI�AV{T; t cer�i{y that a11 the infarmation in fhis application is accurate and that atl work
<br /> will'be done in compliance with all applicable laws regulating constructian, zaning and land development. Application is
<br /> hereby made to abtain a permit to do work and installation as indicated. 1 certlfy that no work or installation has
<br /> commenced prior to issuance of a permit and that all wark wili be pertormed to meet standards of all laws regulating
<br /> canstructian, Gaunty and City cades, zoning regulatians, and tand deveiopment regulatians in the jurisdictian. i also
<br /> cer#ify tha# 1 undersfand that fhe regulatians of other government agencies may apply to the intended work, and fhat it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Departmen# of Environmental Protectian-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, VVater/Wastewater Treatment.
<br /> - Southwest Flarida Vtlater Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Wa#ercourses.
<br /> � Army Corps of Enginesrs-Seawa!!s, Docks, Navigable Watennrays.
<br /> - Department of Heaith & Rehabiiitative Services/Environmentai Heaith Unif-Wells, Wastewater Treatmen#,
<br /> Septic Tanks.
<br /> - US Enviranmentai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> 1 understand that fhe follawir►g restrictians apply ta the use af fill:�
<br /> - Use of fill is not allowed in Flood Zane"V"unless expressly permi#ted.
<br /> - if the fll material is to be used in Fload Zone "A", it is undetstood that a drainage plan addressing a
<br /> "compensating votume" will be submifted at time of permitting which is prepared by a prafessianal engineer
<br /> licensed by the State af Florida.
<br /> - tf the fill material is ta be used in FEoad Zone "A" in cannection with a permitted buitding using stem wali
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any arsa, 4 certify that use of such fiH wiii nat adversely affect ad}acent
<br /> properties, ff use of fill is found ta adversely affect adjacent properties, the awner 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 /> acre which are elevated by ftll, an engineered drainage plan is required.
<br /> If I am the,AGEfdT FOR THI� OWNER, I promise in good faith to inform the awner of the permitting conditions set forth in
<br /> this a�davit prior to commencing cons#ructian. 1 understand that a separa#e permik may be requirsd for electricai work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations nat specifically included in the apptica#ian. A
<br /> permit issued shall be construed ta be a license to proceed with the work and not as authority to_violate, cancel, alter, ar
<br /> set aside any pravisions of the technical codes, nor shail issuance of a permit prevent fhe Building O�cial fram thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is cornmenced within six manths of permit issuance, ar if wark authorized by
<br /> the permit is suspended or abandoned for a period af six(6) months after the time the work is commenced. An extensian
<br /> rryay be requested, in writ�ng, from the Building Official for a peeiod not to exceed ninety (90) days artd wi!! demanstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abancioned.
<br /> VifARNIiVG T� OWN�R: YC3UR FAiLURE Tt7 RECORD Iq NOTICE 1�� CC}MMENG�iMENT MAY RESU�T 9N Yt}UR
<br /> PAYING TWICE FOR I�IIMPROVE�YIEPiTS 1'O ifOiJfZ��i��PEF�'fY: i�Yi7ip i�ni�i"ei+iZf�'O�B�AiPV-�9hA�fE��d�;CEp�'d�l�4:��--_ --
<br /> 1�tITH YC?UR�.ENDER OR AN ATTQRNEY BEEORE RECtJRDING YC1UR Nt}TIGE QF COMNiENCEt1�ENT.
<br /> FLQRIDA JURAT(F.S. . . 3) /�
<br /> OWNER OFt AGEN7 CONTFtACTOR ��l'_'�s
<br /> Subscribed and swam to(ar a d)before me thls Subscribed and swom �o(or irmed befare me this
<br /> ��i-t 5 by ��Yrv� ��� 3-�i��S by `-IAmmh �t.r-�1.�.L�r'�
<br /> Who islare�persanatly known. me or hasthave produced Wha lslare personally known to or haslhave produced
<br /> as Identlticadon. as identification.
<br /> �� �(/�' � / otacy Public �' ` �2% ' �-~'"� � Notary Public
<br /> Commission No.
<br /> Gt�� Commission No.
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<br /> ,,.���„ ANNA MARIE LYNCH TERRY ,�s,,,���,,,, pNNA n�3AR�f iYNCri TERRY
<br /> Name of Nota ty,� qpc�eg���ic- a� Name of Notary typed r3' „� _ �rY u ic- �
<br /> -�'• ' ..; .•_ My Comm.Expires Apr 4,2q16
<br /> = • ;._ �ty Camm.Expires Apr 4,2016
<br /> "ss,* "o;: Commission#EE 166985 ;s,.qr a�c Commission#EE 166865
<br /> � 4 Nr ���i�OF F4�'��
<br /> ��/�FpF F4�a+'' gonded 7hrough National Notary Assn. ,,,,,,,,� Bonded Through National Notary Assn.
<br /> 1��11111�1
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