f�
<br /> � � f
<br /> NQTICE OP DEED REST.RiCTIQNS: The undersigsaed under�tands��tfi��t,#his:p�rmit rrrayybe,sub�ecfi ta.°deed"restrlctlons"� ,
<br /> which may be�more'restciative=than��Gounty:�i�agulatlons:`The underslgned�assurries`responsitilitty.for�ompliance;with any
<br /> , . � : . .. . . . t,,�,,.., , .;
<br /> app#fcable de.ed�estrlctfon.s:�: �<'; t�;�. . . - '�.-'-:� .��;. . ' , ,: .
<br /> UNLIGENSED Ct1NTRACtORS AND CONTRACTOR itESPONSIBIL1TtES:-� If ttte owner-has fiired a can#ractar or
<br /> contractors to undertake work, they may be:requlred,.to�be;Ilcensed In,accardance.with.�tate.and;local_regulatians. If the
<br /> contractor is nat Ilaensed as�roqulred'by law, botfi� the ovvner and contractar��may be�cited-for-a=misdemeanar violation
<br /> under state law. If the awner or Intended��contra,ctor�.are uncertain es to what Ilcensing.requlremen#s�may apply�:�for�tiie
<br /> intanded wark,they are advfsed ta coritaat ttie Pasao County Buildfng inspection C)Ivlslorr-Licensing Sectfon at 727-847-
<br /> 8009. Fu�ttrermore, ff the vwner has tii�eia a canhactoT"or iconfractors� he is adv{secl to have the canfractor{s} sign
<br /> portions of the "contracto� Block" of this appl(catian for which.they wilt.be responstble.. If.yauR as.the owner stgn`as the
<br /> con#ractor, thattnay be an Ind�catlon #hat=he�is not�groperiy llcensed�and�ls,_no#•ent�tlsdato'qet�il#tingfp,�iyllieg$s In Pasco
<br /> ,s ,,� �.» �. .. .`.",;, �C�)`'Mr,j�•_��,Era.,R•� ..� . . .i.. • '�'., w ��' � ..
<br /> COUnty. •'• �, , -'.
<br /> �'RANSPORTATION�IMPACTtUTIl.4TIES=IMPAC`C-ANL?�RESQi�RCE RECnVERY FEE�;The unde�slgned understands
<br /> that Transpartation IQnpact Fees and.Reco.urse Recove.ry.Fees may��apply�#a�tfie construction af new buildings,�change of
<br /> use In existing bufldings, ar';expansi�n>,of•.existing�buildings; as speclfled.in Pasco�County Ordinance number 89-07 and
<br /> 90-07� as amended. The undetsigned also understancfs� �hat such fees;�:as�may�be:due,:-will,be ideritified at the�time af
<br /> permitting. It is further understaod that Transportation Impact Fees and Resource Recovery"Fees.must be pald priar to
<br /> , ...
<br /> recetving a°certiflcate of o�upan�";ror f�a1�E,power release. :!f the project does.no�involve-a:aattifit�te of occupancy or
<br /> final power release; the fees'rnu�t be paid prlor#o permlt Issuance. Ft��thermore;if Fasco�County�Water/Sewer lmpact
<br /> fees are due,.they�must be-paid prior to permlf�lssuance�in accordance wittt appflcable Pasco County-or�linances.
<br /> CONSTRUCTtON CIEN I.AW iChapter 713� Elorl�ia st�tutes�,a�amend+�+ttj: if.,v�tuat�,on af-r�vork.is:_$2,5q0.00.ar more, i
<br /> certify that I, the applicyant, have-been provided inrifFi'a at�py'-"of t�heti`"Florida Constructton' Lierr.Law:Homeowner's
<br /> Protectivn Guide" prepared by the Fio�tda Depa�tmenf of Agr#cutture and GonsumerAffatrs. {f#he applicattt ts sameane
<br /> ather than the"owner", I certify that I h�ve,obtained'a copy.of.#he:above..des.crlbed�docurt�ent°and.p�romise in,good falth to
<br /> deliver It to.the°owne�'pdor.�to}commer�cement, ' � , .�
<br /> CONTRACTClR'S/OWNER'S AF�IDAViT: i certify ttiat.aii the��,inf.ormation ln•this apptica�to,n is`accurate and that all work
<br /> wlll�be done in complianae with all appllcable laws regulating constructlon, zoning and�land�development. AppliGatlan is
<br /> hereby made to obtaln .a perm�# to do. work:and -tnstatla#ion as 1ndEcafed.�; `I cert#jr tfia# no work':or installation has
<br /> cammenced p�ior ta Issuance af a permit and that.all-work will be performed ta meet standards af all laws regula�ing�
<br /> aonstructfon, Caunty and.Gity codes, zonfng �egula#ions� and land devetoprnent regalatians�tn the jurisdtc#lon. ! a4'so
<br /> certlfy #hat I u�ders#and th�f the regulatlons of other govemment agencles may apply�to the lntended work, and that it is
<br /> my responsibllity to identify�what:act[ons 1 must take:to be,ln:.corr�pllance. S,u�h agencles.lnclude but-are nat ltm(kec!!o:
<br /> - Depa�tment of Er�vironmental Protection=Cypress.Bayheads; 1NeHand Areas and Envtronmeritafiiy Sensitive
<br /> L.ands,WatedWastewater Treatment. 4,
<br /> - Southwest Ftor�da Vttater Management .C?istrict iNeNs� Cypress. Bsy.heads; WetEand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Englneersweawa!!s�Docks,tdavtgable Waterways. .
<br /> - Department of Health� $ Rehabititathre Services/Ertivironmentai Health Unit Weli.s, Wastewater�Treatment,
<br /> Septic Tank§. , �..;., �.._ i. _:�1__ , ... , . _ ' ,
<br /> - US Environmental Protec#tori-Agency;,Asbestos:aba#ement. . ' �
<br /> - Federal Avtattvn Authorlty-Runway's. -- - ��Y• -� ���� ���-�- _" '�
<br /> !c►nderstand that the fotlouv�ng�restrlctions apply to the use�f flll:• �
<br /> - Use of filt is not aliawed in Flood Zone`�/"uMess expressiy permitted.
<br /> - If the 1�11 material�Is to be used. In.:Flood Zone. �A", It. Is understaod that a dralnage plan address[ng a
<br /> acomper�sa#Ing v�lume"wilt be submltted a#time af permItttng wl�tch is prepared by a professianal engineer
<br /> Ilaensed by#he Sta#e of Florlda:
<br /> - If the #iN mate�ial_Es to be used En Ftood Zone °A" In�conneclion�w1#h.a�{�ermi�ted buit�ing as�ng stem walt
<br /> � construction, i certify that fill•.will:lae used only.to.flll#he are.a withln the�stem�wall.
<br /> . - If fill materla! Is ta be used ln any area, I +certlfy that use. af such �ill wlll nat adversely affect ad}acent
<br /> . properties. if use of fill is fonnd to adversely:�ffect adja�ent��properties,.the awner may be cited for vioiating-
<br /> the condltions of the building:permtt I�sued�under the attached permlt applicatlan, for lots less#han one (1)
<br /> acr$which are elevated by fllt��n engineer�ed dralnags piat�#s required. .
<br /> If I am the AGENT FOR THE OWNER, I;�promise In good fatth#�Inform the owner of�the permltting conditians set forth tn
<br /> this affidavlt'prior to commeracing constcuctlon. f understand th8t a-separate permlt may be requlred for etect�ical work.
<br /> plumbing, signs, wells, poots; air canditianing, .ga�s, or athec instalta#lons not•spec�icatly included in the application. .A
<br /> permlt Issued shall be constcued to be a Ilcense to proceed wlth tNe work and nat as:authority to.-vPolate,cancel, alter, or .
<br /> set aside any provisians o#tlie t�chntc�l codeis,�nor shalt 3ssuance�af a.petmlt.pcevent fhe Bulldirig O#tEclal from Eherea#ter
<br /> requiring a carrection af errors In.plans, cons#ructlan or vlolations of any codes. Every p�erml#Issued shall become invalid
<br /> unless the work authorized_by stach permEt:�is.carnmenced�wlthln st�c months of pet�mit Issuance, or if work.authorized by
<br /> the permit is suspended or.abandoned for a period af si�c�6)montfis.after the time the�work�is commenced. An extension
<br /> may be requested, In wrlting� from the Bullding,Offlclal for a perlod.not to exceed nlnety_(90) days and wlll demonstrate
<br /> '—�ust�ia6���eause-for:tt�e exte�tsiori:�lf�work cease�i`or ninety{90)cons.+acutive:day.s;..tFie�ab is constdered abacrdoned.
<br /> WARNING TCJ► OWNfR; YOUR.FAIL,URE TO,REC.QE2D.A NQTIGE QF CQMM�NCENIEI+tT�MAY�RESUlT IN Y�UR
<br /> PAYING'iWICE,FOR IMPROVEMENTS Ttt YOUIi�PROPERTY. .1F�YO.U�IN�EWiD'T�OBTAIN�FINFANCING;'C.I�NSUL.T
<br /> WIT OU D � AN ATTO NEY 8 FORE��RECOt�U G.�' °U � O -� 'O �� '•' �E E �
<br /> PI.QRIDA JURAfi{F. 't.17.03) _ .. . .
<br /> OWIdER OR AOEN ! ��---' CC)NTltACTO
<br /> Subscrlbed and swom to{or afllrmed)beiore me fhls Substxtbed and' ar afllrmed��befare me ttils
<br /> by •by
<br /> Who Is/are persanally knawn to.me or haslhave produced Who.lsJare personellylci�own tty me or has/have•produced •
<br /> as Idendflca8on. as Edenti�cattan.
<br /> - t/' bllc _ otary Publlc
<br /> ,,,�,�,,,,
<br /> CommisstanN .-'��'YP��'� .;7� Camntlsslon�No. .� `Y"•.
<br /> ;�� �yr •'•�3 � _ �+- Commission#FF 137073
<br /> ' Name otNotaty ctx' � _ Name of Natary e . ,„,� �• eintnswanca8R7365�78f9
<br /> I - -
<br />
|