I �
<br /> FIOYICE O�DEED Ri�3'�ReCYIORlS: �h�u�dersi�ned:u�der,�tands°�.th�t:thi�;.p�rmlf,.may;be,subJect to,°deed"restricttons° �
<br /> which may be more�rest�ictive th�n,Countjr'r+egulatlons."��'he'u�iuderslgned��ssumes�responsibtlity-fbr cce►►mpllance with`any
<br /> applicable de�d restrictions. ,. � :,- . � ' � '
<br /> UNLICENSED CONTRACTORS AND CONTttACTOR RESPONSI�ILIYiE�: -If the owner has �hirsd a contractor or
<br /> contractors to undertake work, they may be;requlred:.to.be Iicensed in.accordance:wlth state.and•locai regulattons. If the
<br /> contractor (s not Ilcensed.as requlred by I�w, both the owner �nd��cont��ctvr-mey�be�cited for-a�misclerneanor violation
<br /> under state lavv. if the owner or Intended:contractor.are�unce�taln as to wh�t iicensing.requirements may-apply�or the
<br /> intended work, they are advised to coritact the Pasco County_,Ba�ilding"Inspection Dhiision--Licenstng Section at 727-847-
<br /> SU09. Furthermore, ff 4he owner has�fii�ed�a contractor o� contractors, he �Is advised to have the contractor(s), sign
<br /> portions of the "contractor Block" of this application for which they.wfll. b�r.e�ponsible. If you,-as-.the owner sign'as the
<br /> contrac4or, th�t�may be an 0ndication�that�he is not�.properly 1ic�nsed and is not entitled to perinitting u�ivileges in Pasco
<br /> County. ` �
<br /> Tite4NSPORTATION IMPACTIUTILITIES�IINPAC'Y'AP1b�RESOURCE REC04/EttY�FEE3:�The undersagned understands
<br /> that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may�apply��to�the construction of new b��lldings,:change�of
<br /> use in existi�g buitdings, or:expanslon•of:�ezistin;g'�buildings, as specffied in P�sco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, th�t:such fees; as�rnay��e:�dne;,�wlll-be identlfied at the`time'of
<br /> permitting. It Is further understood that Transportation Impact Fees and Resource Recoaery"Fees.m�st be pald prior to -
<br /> rece4ving � °certi�cate.of occupancy" or final powec�release. :If the proj�ct.does not Involve-a certfficate of occupancy or
<br /> final power release; the.fees must b� paid prior to permit iss�ance. Ft��thernnore,�if Pasco County`Water/Sewer-lmpact
<br />, fees�re due, lhey must be�pald.prior to permit-Issuance�in accaPdance with�pplicable Pa�co�County oriiinances.
<br /> CONSTRUCTION LI�N�I.I�W(Ch�pter 713� Elorld�S���ut�s,.��mended): If v�luatlon of vvork is�$i!,500.00 or more, i
<br />' certify that I, the applicant,_ h�ve�been provided with a copy of the "Florida Construction Lien .L�w—Homeowner's
<br /> Protection Guide" prepared by the Florida Departmer�f of Agrlc.vlture and ConsumerAffairs. if the ap�licant Is someone
<br /> other than the°owner", I certify that I�h�ve.obtained�a�copy,of.the above..described docurr�ent°and.pmm�se in,good�faith to
<br /> deliver it to the`owner"prior�to�corn�nencement:' ' ' ' .
<br />� CONT13�1CTOR'SlOd11P1ER'�AFFSDAVIT: I cert�fy.tFiat-�II the,lnforr�ation in this �pplicatian is accurat�s and that all work
<br /> will'be done in compliance with all.appilcable laws regulating constructlon, zoning and:land developm�:nt. Appitcation is
<br /> hereby made to obtain .a permit Co do:work:,.and�Installation as Indl�afed:� `I certlfy that no work��r Ins�allation Nas
<br /> commenced prior to Issuance of a p�rmif-and that.all work will be performed to meet standards of �II laws regulating-
<br /> construction, County and City codes, zoning regulatfans, and land deveiopment regulatlons-in the )urisdtction: 1 also
<br /> certiiy that I understand that the regul�tlons of other gov�rnme�t agencies may�apply�to the intended�o�k, and that it is
<br /> my responsibili�+to id�ntffy�what.actfons I must t�ke to be,ln:.corrlpilance._ Such agencles Include but-are►.not Ilmited to:
<br /> - Department of E�lvironmental�`Protection=Cypres�.B�yheads, VVetland Areas �nd EnvironUnentally �ensittve
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florid� Water Management• Dis4rict-Wells, Cypress.f�Bay.heads; Wettand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, iVavigatile Wate�vvays.
<br /> - Departrnent of Health�'& ReY�abllita�ive Servlces/Environrraental Health Unit-Vllelis. WastHUVater-Treatment,
<br /> Septtc Tanks. ,
<br /> - US Environmental Protection Agency-Asbestos aba�ement.
<br /> - Federal Avfatton Authority-Runways:
<br /> I understand that the following.restrictions apply to the use of flll:•
<br /> - Use of flll is not allowed!n Flood.Zone"V"unless�expressly permitted.
<br /> - 9f the flll materfal is to be use"d:�in :�lood �one. tlA", (t. is under�tood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at tim� of per.mift(ng which is prepared by a prot'essional engineer
<br /> Iicensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in>connec�lon with'?a permitted buildin� using stem wall
<br /> � construction., I certify that flll<wlll=b.e used only.to.fill the area w(thin the�stem�wall.
<br /> - If flll materlal Is to be used in any area, i-�cer@l�jjr that .use. of such flil will not adversely affect adJacent
<br /> properties. If us� of flll Is found to adversely:�ffect adJacent�propertie5,.the o�nrner may be c0ted for viol�ting
<br /> the conditions of the buiiding�.permit Issued•under the"attached�permit application, for lots less than.one (1)
<br /> acre which are elevated�by flil, an engineered draln�ge plan Is r�quired. .
<br /> If I am the AGENT FOR TFIE OWNER, I;promise in good faith to inform the ovvner of the perrnitting cortdittons set forth in
<br /> this affidavit�prior to commencing constructlon. I understa�d that a-separate permit may be requtred for electrical work,
<br />, plumbing, signs, wells, pools, air conditioning, .ga.s, or oth�r install�tions not.spec�ically Included�in tl�e appficatfon. .A
<br /> perrv�bt lssued shall be construed to be a Hcense to p�oceed v�ith tfie virork and not as.authority to,violat��;cancel, alter, or
<br />, set aside�ny provisions of the technlcal codes; nor shall Issuance�of a.permCt.prevent the Buliding�icEal fcom thereafter
<br /> requfring a correction nf errors in.pl��s,-corisfiuctlon or vlolation�of�ny codes. Every permit issued sh�ll becorne invalid
<br />, unless the work�uthorized by such permR�ls.commenced�withfn sfx months of permft issuance, or if vWOrk authorized by
<br /> the permit is suspended or.abandoned for a:pertod of�six(H)months.�fter the tirne the work is commenc;ed. An extension
<br /> ma be re uested in writin from the Buildin Officfal for � �riod�not•to �xceed ning 90 da s ancl w+ill demonstrate
<br /> Y 4 � 9� 9. P tY� ) Y
<br /> justifiable cause for.the extension. If work ceases��or ninety(90)cons.ecutive day.s...the job�is conside�ed abandoned.
<br /> UVARNI(VG TO OWNER: YOUR.FAILURE�TA.R�C.O�tD.A P��TIGE OF�CAMMENCEMENT��VFAY !t@SUL:T IN YOiJR
<br /> PAYING TdViC@.FOR:IMPROVEMEN.�'S TO.YOIIEt<PR�P@R'�'. IP°YO.U�INTEND�:TA��T�►1N��FIPI�AI�EIMG���CONSULT
<br /> 9fiii�'N YfiUP��LE � d °aiP7�'PY��F�E"��i3"FG`�^�� �va-� - a�s`'Y�-"�'��.�. ����,��v :. .,n��r�� _ .�. . .� --- - - - —
<br /> FLORIDA JURA�(F.S. �, � � - '
<br />' OIPVMER OPt�1�ENT �" CTO ^ l� � p�
<br />� Subscrlbed and swom to(o a rmed)before me thfs Subscrlbed'and'swom (ot aflirtn�d)�before m thls -�?�"` l.-
<br /> by �by
<br />�, Who Is/are personally k� to.me or haslhave produced Who.is/are personallyknowm•tn-me or haslhave-prodi�ced
<br /> as ldentlflcatlon. as identlficafion.
<br />�
<br /> Motery Public _ Notary Publlc
<br /> Commisslan No. Commleslon.No.
<br /> Name oF Notary typed,printed or stamped Name of Nolary typed,printed or stamped
<br />
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