,
<br /> "'�
<br /> OT10E OF DEED RESTRlCT14NS: The undersigned under�tands�,that.th(s:p�r:mit.may be.subJect to,"deed"restrlctlons"
<br /> hich may be�more�rest�[ctiveKtha�n Caunty>reg�latiotis:�Ttie'u�dersigned ass�i�e's'respoi�sitiilityfor�cpmpliance�with any
<br /> �plicable deed�restriotions, rv .
<br /> NLICENSED CONTRACTORS -AND �CONTRACTOR RESP�NStBIIlTIES:- Ef �he aw+r�er�ha��lii��a�can#ractor or
<br /> rntractors to undertake work, they may be r�qutred::to.�be;Ilcensed in accordance.with:state.and•local regulations. If khe
<br /> mtraator Is not licensed as�.requlred"by law� both�the owner and-contiactor`�rriay be•citeci-for a inlsdemeanor vlolatian
<br /> zder state I�w. If#he owner or interided=,contrac#ar are.uncartain as to whaE ticensing.requirements may.rappty.>�or.ti�e
<br /> tended work, they a�re advised ta contact the Pasco Courlty Bulldtng"Inspection Dlvislon---Licensfng�Sectian at 727-847-
<br /> �09, Furthe�rmore, 'if the owr�er has�hiret3 a contracto� �o�cciiitrac#ors. he is ac{irEsed ta have the con#ractof{s}_ sign
<br /> �rtions of the "contractor Block° of thts application for whtch they wilt.be.responsibie.. If you, as.:the owner�'sign�as the
<br /> �ntractor, that�may be an Indication that he is�not.properly 8censed and!s not entitled'to pettriitting privlleges ln Pasco
<br /> ounty. . . ,
<br /> RANSPORTpTION.IMPACTIUTILITIES IMpAC'�ANb�RESOURCE REC01/ERY�FEES:�The undersigned understands
<br /> �aE Transporta#lon Impact Fees.and.Rec�.uese Recove.ry.Fees m�ip�_apply-ta:the cons#ruc�an af new�bui_Idings,�change ci€= .
<br /> �e in existing buildings, or:expansion::of-�existirig',buildings,�as speclfied.in Pascq County Ordlnance number 89-07 and
<br /> a-47, as amended..,The underslgned also,understands, th�t suah fees,,as�may��e�due„=wi3t:�tie Identlf3ed at the�time�af
<br /> armitting. it is furtiier understood that Transportation impact Fees and Resource Reco�ery�Fees:must be paid prlor to '
<br /> �ceiving a "certificate_of occupancy" ar flnal power.�.release. :If�the proJect:does,not Involueaa..certiflcats of occupancy a�
<br /> na# pawer release; the fees mu�t be pald pclor to permit issuance. F��thermore;-�if Pasca County�lNaterJSewar�impact
<br /> :es are due, they must be•paid prior ta permit-lssuance�ln accord�nce.with applicable_Pasco'�County a�dinances.
<br /> :tJNSTRU�TlaN Ll�N�LAW{Cfiapter 715,�lor�da Statutes,as amend�d}: If vatuat�on of wark is$2,50Q.00.-•ar more� ! .
<br /> ertify that i, the appiican#, have-been provlded with: a copy of the "Florida-Constructton'.Lien L:aw:Homeawner's
<br /> rotection Guide" prepared by ttie Florida Deparfinent of Agrlculture and ConsumerAffairs. _tf the applicant is someone
<br /> ther than th�"owner�, t certifjr that t have.:abtainedTa�copy;of.the,above..des.crtbed docur�ent-and.p.r.omise in,good faith to
<br /> eliver it to.the°owner"�priar�to�commencemerit:` " . ,
<br /> ;t?NTRACTOR'S10WNER'S AFP[DAVIT: 1 ceitify;#hat a11 tfi�s Inf.arma#tan In thi.s appllc�tton�s accurate ancf that ai1 work
<br /> rill be done in complfance with all appl(cable laws regulating construction, zpning and_land development. Application Is
<br /> ereby made te obtaln .a permit,to-do..wotk,;and •Installation as lndl+Gafed:• `I cert#fy-�that no wark or Instailatton ha�s
<br /> ommenced prior ta issuance of a permi#`°and that':all work witl be performed�to meet standards of aii laws regulating
<br /> onstruction, County 'and City codes, zoning regulatiQns� and land.develapment cegulations�i� the Jurlsd(ction. ( al'so
<br /> ertify that 1 uaderstand #tta#the t'egt�latlons t�f other gavet�nment agencies may-apply�to the Mtended wark„ and that it is
<br /> �y respans(bllity to identify.what.�cttons I must take;to be,ln:.corrlpllance: S.uch agencies Include but are.not Iimtted to:
<br /> - Department af Envlronmentai-Protecfiori=Cypress.'Bayheacfs� Vltefland Areas and Enviranmen#ally Sensitive
<br /> Lands,WaterlWastewater Tr.eatment. ' . .
<br /> - Sauthwest Florida Waker Management .district-WeUs, Cypress. Bayheads; Wetiand Areas� A#tering -
<br /> Watercourses.
<br /> - Army Corps of�ngineers-Seawalls, Docks, Navigable 1Naterways.
<br /> - Department of Health� 8 Ret�abllitathre ServlceslEnvitonmerital Neal#h 11nit We1ts, Wastewater Tteatment, .
<br /> Sep�tc Tanks. _
<br /> - US Envlronmental Protectlon Agency-Asbestas abatemsnt.
<br /> - Federai Aviatton_Autharity,-Rurnnrays.
<br /> understand that the following�rest�lctlons apply to#he use of flll:•
<br /> - Use af fit#is no#allawed in Fload Zone"V"unless expressly permitted.
<br /> - If the flll materfal is to be us`ed. In.:Flood. Zone °A", tt. is understoad that•a drainage plan addressing a
<br /> "compensaEing vofume" wili be subr�ttted at t�me ot'permlttEng_which ts prepared by a professional engineer
<br /> ticensed by#he State of Flarida. , �
<br /> - lf ihe fill material.is to be used in Flood Zbne 'A" in�connec�fon with.a �ecmitted butlding using stem wal!
<br /> ' canstrue#ion, l certify that till�w�l#;be used anly.to fill the area wlthin�the�stem�walt.
<br /> - if fiil materlal is to be used� irt any area, I �certify that .use. of such fill will not adversely affect adjacent
<br /> prop�rties, E#use o#fl!1 is foand to acivers�ly:�ffect ad�seent properties,.#he owner'may be cf#ed for vlolating
<br /> the condi#ions of the building:permit Issued under the'attached permit applicatlon, for lats less-than.one (1)
<br /> acre which are elevated�by ilil;an englneered dralnage plan Is required. � ` .
<br /> '!am the AGENT`�OR TNE OWNER, I;�romise In good f�ith ta iiiform the�awner of the.permit#ing canditians set farth In
<br /> iis affidavtt prio�to commencing construction. I undersfand that a-separate permlt may be required for el�ctrical work, r
<br /> lumbingf signs, weifs, poots, alr condlt�oNng,.gas� or-otl�er Ms#alla�ons_na� speclftcalEy included in.#he application, .A �
<br /> �srmit Issued shail be cons#rued to be� iicense to proceed with ttie~work and not as authority to.violate,cancel, alter,.ar ` �
<br /> et aside any provistons of the technlcal.codes; nor shall issuance�af a.permtt.pceven#the Bulldlrig 0�lcta!from thereafter ,
<br /> �quirEng a carrection�#errors In plans,cans#t�uction ar viatatEons of any codes. Every permit issued shatl become invalid ; :
<br /> �nless the work authariied.by such permit-Is.co�nmencea��with(n sfx months of pe�rnit issuance, or if work authorized by ;.;
<br /> �re permtf is susper�dad or.abandoned far a.period of§�C{�}months.after the tlme.the�wot'k��s commenced. An eactens�on `
<br /> �ay be requested, in writing, from the Building.Official for a period:not to ex�eed ninety�(90) days and will°�demonstrate � ;
<br /> -��t��bie-caa���-f�r.the exk��asio�:-if work��ases:for n6ne 90 �on�ecu#Ive-d� -th���t��is-co�tside�ed-aba�doned:� _._� Y<_
<br /> �v�$ ) w�r.: � a
<br /> VARNING TO OWNER: YOUR.FAILURE�TO.�RECORD.A.NQTIGE O�•CC�MMBNCEMEMT MAY�RESULT IN YOUR
<br /> }A1tING TWICE FQR lMPR01%EMEMTS TO.YOU�;PR{�PER'iY. �1�°YOt1Y1N'fE�D'TQ'G1BTA�tN�Fit3tA`i[�CING;�CC#NSUI.T
<br /> VITH Y U ND IV�A OR ' • 8 FO. �� ECO � �� OU � _ �C `O ' °' C ' EN ' �
<br /> �.oR�oa auwar tF.s.��a � - . � . .
<br /> ►WNER 4R AOE G�YJ,�% CQNTRACTO �
<br /> ubscrlbed and to(or afli e � e#ore me this S�ibscrlbed sn swom-to(or tmtad efore me'ttils.
<br /> 5Y �Y
<br /> Jlia is/are personally knawn to.me or has/have produced Who.ls/are p.ersonallyknavm to me or has/have•produced •
<br /> as entlflcatlon. asidenBflcaUon.
<br /> / �ry Publtc . Notary PubSEc
<br /> �ammisslon o, mmisal o.
<br /> :''��`�'p�°"' Commissian#FF 137473 ,;�;:o�Byr YY JOEI. • #�F i37b73
<br /> =*: '"` 018 .�R Q. mission
<br /> lame of Notaty typed�P�ItltBd - ' F��nsurznce800.305•701(�J e of Nota ty'�ie y�{��e�ti ' �
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