i
<br /> NOTICE OF QEEQ RES'�'RICTlQNS: The undersfgned uncter�tands:that thls.p��mlt.may be,subJect to"deed"restrictbns"
<br /> which may be:more-rest�ictive�than County regulations. �The undersigned assumes responaiEiiiity far campiiance with any
<br /> applicable deed restrictions. , �
<br /> UNLtCENSED CONTRJ�ACTURS AND CONTRACTOR RESPt}NSiB11:IT1ES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required.ta be.11censed in acaordance.wlth state.and�local regulations. If the
<br /> � contractor fs not itcense�! as t�equlred'by taw� both the owner and contractor may be clted for a misiiemeanor violation
<br /> under sta#e law. if the awner or intended�contractvr�are wncertain as ta wfia# 1lcensing.requtrements may appiy iar the
<br /> intended wark�they are�dvtsed ta contact the Pasco County Building Inspection Divislon--Licensing Section at 72T-847-
<br /> 8oU9, Furthermare, if the owner has hired a contractor or contractors, he is advlsed ta have the contracta�{s) slgn
<br /> portfans af the °contractvr Black° of thfs appllcation for which they wtll be responsible. If you, as.the owner slgn as the
<br /> contractor, that rnay be �n indication that he is nat.properly licer�sed anc! !s not entitled ta permikt4ng privUeges fn Pasco
<br /> � County. '
<br /> TRANSPORTATION IMPACTIUTIl.ITIE� IMPACt'ANb-RESOURCE RECOVERY��EE3: The underslgned unde�s#ands
<br /> that T�ansportatlan Impact Fees and.Recoucse Recave.ry.Fees may�apply ta the aonstruction of new bu3ldings, change of
<br /> use in existing buildings, or.expanston:of�ezis#ing'buildings, as specifled in Pasco County Ordinance number 89-07 and
<br /> s0-O7, as amended. '�ha undersigned aiso understands, that suah fees, as�may�be�dna,:w[i1�6e tdentlfiied at the time af
<br /> permitting. it is furtfier understood that Transportatian Impact Fees and�Resaurce Recovery Fees must be paid prlor to
<br /> receiving a "certificake af occupanay'° or final pawer.release. :I�the project does not Envolve a certfficate of accupancy or
<br /> --'n_finat_povirea re(e�ase�ths-fees-mus#-be=Paid-Rrior-ta-perm6f-isst�ance.--Ft��thermore,�if.-Pasc�-County 1Nater/Sewer�lmpact__- � �_
<br /> fees are due, they�must be-pald pr(or to permit-Issuance�in accordance with applicable Pasco�County ordinances.
<br /> GONSTRUCTtUN LIEN EAW{Chapter 7�#3. EtoMda S#atates,as amended�; �f vatua�on of work Is$2,500.00 or more, (
<br /> certify that I, the applic�nt, have.been provlded with a copy of the "Florida Construct(on Lien Law—Hameowner's
<br /> Protectton Guide" preparQd by the Flarida Department of Agrtculture and Consumer Affa[rs. 1#the appticant Is someone
<br /> ather than the"ownar", t certify that 1 t�ave obtained a•copy;of the above.described docurr�ent�and.pr.omise in,good fai#h to
<br /> ' deliver it to the"awner"�piior tv=commenc�ment: .
<br /> � CONTRACTOR'S10WNER'S AFFIDAYIT: t.cerklfy that all the Ic�fs�rmatlon in tht�appEtcatton is accurate�nd that all work
<br /> will'be done in campliance with all appl(cable laws regulating construc8on, zqning and land development. Application (s
<br /> herehy made to obtain .� permit ko do work and Irtsta!}ation as tndtceted:- '! certitjr Ehat�no wark o� InstaNattan has
<br /> commenced prfar to issuance of a permit and that.all work will be performed to meet s#andairds of all iaws regulating°
<br /> constructio�, County andl City codes� zaning regulatio.ns, and land development r.egulatlons�tn the jur(sdlctton. I aiso
<br /> certify that 1 understand #hat the regulaftans af other government agencEes may�apply�to the intended work, and that it 1s
<br /> my responsibili#y to identi�y.what.actions I must take.ta be=in<.compllance. Such agencies-tnclude but-are.not Iimited to:
<br /> - Department �f Environmentai Protectton-Gypress.Bayhead�; Wetland Areas.and EnvEronmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> • Southwest Flo�ida Water Management .DisU#ct Wells, Cypress. 8ay.heads� Wetland Areas� Altering
<br /> Watercaurse.�.
<br /> - Army Corps of Enginee�s-Seav+ralls, Docks, Navlgatile Waterways.
<br /> - Department �f Neaitti �& Rehabll[tative SsrvlcestEnvironmenfal Nea[th Uitit Welts, Wastewa#era Treatmenf,
<br /> Septic Tanlcs. .
<br /> - US Environm�nta!Proteatiort Agency-Asbestos abatement.
<br /> - Federat Aviat�on.Autharity-Runways.
<br /> I understand that the fallowing:restrictions apply to the use of flll:�
<br /> - Use of fll€s n�t allowed ln Ftoad Zone°V"uMess exp�essly perirtltted.
<br /> - If the fill maCeria) is to be used In �Fload Zone "A", (t. Is understood that a drainage plan addressing a
<br /> °compensatin� volume" wlll be subm(tted at time of pecmlt#Ing whlch 3s prepared by a professfonal engfneer
<br /> iicensed by#he Sfate of Florlda.
<br /> - If th� fill mat�rial (s to .be used In Flood Zone "A° itr>connection�wlth.a�perrnitted building using stem wall
<br /> construction, �ce�ti�jr#ha#fi11�.wA1�6e used only.ta.fill the a�ea within�the�stem wail.
<br /> - If flil materlal is to be used in any area, I certify #hat .use of such fill will not adversely affect adjacent
<br /> prapertles. !f use of fIH 1s found to adversely.�ffect adja�ent�prope�tfes,.the ownet may be cited for vlotating
<br /> the condiiions, of the building�.permi# issued under the attached permit applicatlon, far lots less than one (1)
<br /> acre whlch are;elevated�by flll, an englneer�ed dralnage pian is requtred. .
<br /> If 1 am the AGENT F{3R THE OWNER, l,��romise In gaod-fatth#o infarm#he�owner af the permitttng condi#ions set forth in
<br /> , this affidavit�prior to cammenoing canstruction. I understand tha� a�separate permit may be requlred fior elecMcal work,
<br /> plumbing, signs, weils, Rvols, air condltioning,.gas, or athec instaila#Ibns nat spec�#lcaily irtclu�ed En.the appifcation. .A
<br /> pernnit issued shall"be corv"strued to be a'Ilcense to proceed with ttle work and not as.authority�ta,viola#e,cancel, alter, or �
<br /> ' se#aside any provistons ofi the techntcal codes; nor sh�tl tssuance�of a.permit.pcevent the BuNdtrig Offiiclal from thereafter
<br /> requfring a correction.r�f ecroes{n ptans,cattstruction or vlotations af any codes. Every petmit issued shaR become invaiid
<br /> unless the work authorized.by such perm(t.�ts-commenced�wlthin sGc manths of pemnit issuance� or if work authorized by
<br /> Ehe permit is suspended o��.abanda�ted for.a:perlod of�slx{6}months.after tiae tirne tha�work��is commenced. An extensiar�
<br /> may be requested, in wciting, from the Building,Official for a perfod'not to exceed nlnety�(90) days and�will demonstrate
<br /> �ustl�able cause fbr_the extension: If work aeas�s:for nfnety(9Q}c�nseautive:daysr..the�ob�is aonsfdered aba�doned.
<br /> WARNING�TO pWNER: YOUR.�AILURE,,TC1.,RECI'�RD A.,NOTl6E OF�COMMENCEMEMT NlAY=RESURT IN YQUR
<br /> ( PAYINGTWfCE.FQRIMPRt3VE_MENTS�T+D.YC3UR:Pi�'�PERTY.�.#F°YC1.11��IN�'E.�ID�Tt'��OBTAIN��I[+tAN�iNG;`CON3UI.T
<br /> '' , WIT Y . D `O: � .ATTOR �8 ORE� ECC1 � G:� .O R' O ��CE''C1F' �' E N .
<br /> FLORlRA JtlRAT{F.S..11 T.03) _ � . .
<br /> OWMER OR AOENT CON7'RACTOR
<br /> Subscribed and swotttixo(or a m�edj before me!h!s Subscrfbed and'swamto or aftirmed}•betore me th15
<br /> �-��"iS by K-Q�,�i �,,,c.w— $Lz-[5' •by 1��•iZ.�,w'°'�--"'_'.
<br /> VYho is/are aersonallv known kq me onhas/haye produced Wha.ls/are pe�sona�y known�to me.or has/have:produced
<br /> es IdenUflcatlqn. as tdenU�caUan.
<br /> _ �Notery PublEc . Notary Pubtic
<br /> Comrnlsslon No. ���"�'""ti"�^++ Gflmmission No, v�° Nata Putriic State.of f{orida
<br /> �p � ��Y t� tic$tate of Ftprida , : Tammy Verdadera
<br /> • . Tammy Verdadero 4 � My Commission FF 184019
<br /> Nam�at Nota ed r! s�on F 184018 Alame of Notary typed,pdnted or s p er a xpues
<br /> �Y tYP ,P P@ ires i2tt8t20�a
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