i
<br /> � NO?10E OF DEED RESTRICTIONS: The undersigned understands�;th�t ihis:p�nn�t�nay.be.subJect to.°deed',resUictions°
<br /> which may be�more resUicttve than'Gounlq regulatfans:"rhe uride'ralgned'aseumes�responsftiility tor'compllarice witfi"any
<br /> applEcable deed restticf�ans. -
<br /> UNLICEN3ED CONTRACTORS AND CON'fRAC'FOR RESPONSI8IL-ItIES: If ttre owner has hlred a conhactor or
<br /> conUactors to undertake wark,they may be:cegulred�to be;licenaed ln accordance.with state.and:local_nsgulations. If the
<br /> cantractor is nat-!(censscf as requlted°by lew, both the awner artil.evntiaator•may#�c�ted�for a misdemeanor vEo#aBon
<br /> under state Isw. tf ihe owner or IMended:contra�Mn ere Eincerteln as to whst itceneing.requtremerrts inay�apply.�for�the
<br /> fntended wark,they are advised to contact tNe Pasco County Buliding Inspectlon Divlsion--L.Icensing SecUon at 727-847-
<br /> 8008. Furthermore, !f the owner has hired a cantracto�or contractors, he is ailvlsad to have the contractat{s} stgn
<br /> portlons of the°con#ractor 8locic of this appllcaUon for which they witl_be responsibte. if you,-as.the ouGrier`st�it`a`s tfie
<br /> canfractor,that may be an IndlcaUon thet he is not properiy Ilcensed and is'not endaed to permi�ing prfirlleges in Pasco
<br /> County.
<br /> TRANSPOltTATiBN IMAACTlUTIL1'FiES 1MPAGt'ANb RES4tlRCE RECOVERYfEES: 'fl�e underslgned understands
<br /> ihat Transportetlon Impact Fees:and.Recouree.Recove.ry.Fees may�;apply>tp tf�e constructlon,of new bulidings,.chanQe of
<br /> use In exisNng buqdings,or.expanslo�s of e�IsNn�`6uildings,as specHlad_in Pascq County Ordinance number 85-07 and
<br /> 90-07,as amended.. The undessigned aiso;undetstands,tha�t such tees,.as,ma}r be.dne,,wiit�tie identifted at the time oi
<br /> permilting. It is furtFier understood that Transpbrtadon Impect Fees and Reaource Recovery'Fees must be pald p�lor to
<br /> receiving a"certiftcate of occupancy"or Mehpower�-release. .It the proJec!_clees not.irnofvs:a cert�tcate of occupancy or
<br /> final powar retease,the fees mnst�be patd prlar to perrctt#issuan'ce. F�tthermare;iE.Pasco CouMy{NatetiSewar(mpact
<br /> fees are due,lhey�_must be pald prior to permit lss4ance°in accardance wlth appllcabFe Pasci��.County'o�illnances. •
<br /> CONSTRUCTION"CIEN LAW(C6eptei 713,Flortda Statute�,aa amended}: If vafuatlon ot work Is�2,500.OQ.or more,i
<br /> certify fhat 1, #he appitcant,.hsve been pmvldeif wtth a copy ot the °�lot�da Constiuction Llan Law—Etomeowner's
<br /> Protectlon Gulde"prepared by tFie Floiida Departme�C of Agriculture and ConsumerAffairs. If the applicant is someone
<br /> other than the`owner',I cerkify,that I have,tikltaf�ed`a i:opy:oi..the above.descrlbed�looument°and promise:in,gQod falth to
<br /> dei3ver(t to the'owne�`ptior#o�coinmencemen�� � - � - -
<br /> CQNTRACTOR'SlOWNER'S AFFIDAVIT: I certity:ttiat•all ths,informeilon;lmthis applicadon is accurate.and that all work
<br /> will'be done in compliance with all.appllcable laws reg�iladng consUucBon,zoning ancl:land davelopment. Appltcatlon is
<br /> hereby made to obte[n.a.permlt.to.do.was'i�,;and Installa�on as�tnd[�atedr :1 cettiFy that i�o work�or {nstallattd`n has
<br /> commenced p�lor to issuance of'a perti�ik and that:all work will ba pertormed to meet standarda of all laws regulaNng-
<br /> construcUon, Counly and Cily codes, zoning regulatinns, and land development regulatlons-In the Jurisdictton. ( al'so
<br /> cerEify that 1 etnde�s#and that fhe regulatlons of other govemment agenctes may apply�to the intended watk,and that it is
<br /> my responstblilty to Identlty.what.acUons 1 must�teke.to be<In:.campllance: S,uch agencles irtclude but are.not Ilmited to:
<br /> - Depa�#ment of Ernrironmental�Protectton-Gypre'ss.'BayHeads;Wedend Areas and Envlronmentally Sensfiive
<br /> l.arsds,WeterlUUaste�vater Treatment.
<br /> - Southweat Flarida W�ter Management:DlsRrict Wells, Cypress.`Bayheade; Wetland Areas, Altering
<br /> Watercaurses.
<br /> - Army Corps oF Eegtneers-Seawaiis,Dacks.Navlgabte Watervvays.
<br /> - Department of Heatth'� Rehabllitative SeniiceslEnvironmenYai Health Unit-Welfs, WastewaterTreatment,
<br /> Septic TanKs.
<br /> - US Envlronmenta!Frotec@ort Ageacy Asbeatos abeteme.n#.
<br /> Federal Avlation Aulhority-Runways.
<br /> I understand that the following.restrlctlona apply to the use af flll:•
<br /> - � Use of fitl Is not alfowed ln FEood:Zone"V'"unless e�ressty permttted.
<br /> - tf#he fitl matetial ts ta be used:�in.Flaod.Zane.'A', tt is underatood that a dralnage ptan addresstng a
<br /> ' °compe�saNng volume"will be submlkted at Ume of permitting whlch I's prepared by a professlonal englneer
<br /> Acensed by the State o!Flottda.
<br /> - If th�tilt materlat is'to be used in Ftaod Zone"A°fin�canneciion�wlth:a perntltted building using stem wall
<br /> conatrucNon,I certify that flll.wlll;be esed only.b.flll the area wlthln�ihe�skem wall.
<br /> - If A!! materla! Is to be usad�4n,any area, 1 c�stlty that asa of such fl11 ►vltl not adversely affect adJacent
<br /> propertles. If e�se�f fill ls found to adversety.af�ecE adjacent<prr�perties,,#ire awner may be aited for vtotating
<br /> lhe condlUons of the bulltling'permlt Issued�under tha�attached permlt appl�C.atlon,for lots less than.ane(1)
<br /> acre whfoh are ele'vated�by flll;�n englneered dralnage pfan Is requlred.
<br /> tf 1 am the A�EHT FOR TN�OWNER,I�promtse In good Eal#h to inform the owner of the permitting candftions set forth in
<br /> thls affidavlt�prlor ta commencing conatructlon. I understend thet a�aeparate permlt may be requlred for electrical work,
<br /> plumbing, stgns,wells,pools,alr condltloning,.ga�s,.or othec lnstall�lU6ns not.spec�flcally Induded•tn.the applfcatton. -A
<br /> permlt lssued shalt tie consMied ta be a I[aense to piaceed wtth ttie wark and not as suthotity ta vtala#e,cancel,atter,or
<br /> set aslde any provlslons of the.technlcal cades;nor shall Issuance�af a.permlt.prevent the Bulldlrig Ufflclal from thereafter
<br /> requlring a carrectlan af errors In.plans,wnsUuctlan or vlolaUons of aoy codea. �very permlt Issued shall become Invalfd
<br /> nnlsss#he wark suthortzed by such p�rmlt Is-co�menc�wlthln s�Gt.mon#hs af pertnit tssuance,or tt worlc autharized by
<br /> ihe permtt ls suspanded or.abandoned for a:period of'slx(6)mont[is efter lhe Nme the�work fa commenced. An extenslon
<br /> may be requested,In wrlting,irom the Bullding.Offlclal for a perlad not to exeeed•nlnety(90j days a�d wlll demonatrate
<br /> Just�iable cause for.the extenslot� If war}c tx�ases for nlnety.{�}cons.et�ttve days,.the�ob 1s_c�nstdered abandoned.
<br /> WARNING TO OWNER: YOUR.FAILURE•TO R�COEt�!A.NQ'f�CE:OF COMM6NCEMENT MAY•RES LT!M YOUR
<br /> PAYINGTWICE-EORlMP#tOVEMENlTSTC►YQUk�R�13PEit�'FY. 1FY01l�1�'FEIi1Gt�'fQ`�QFI'�A1I+l-F[ ' G,�CONSUl.T
<br /> W� • O 1�{ O O EC� fi �� OU
<br /> FL4RIDA JURAT(F.S,i17.03) " � "
<br /> OWNER OR AtiFFFT CONTRAGTQ • ,
<br /> Subsaibed emf swom da(or effimfsd)6eforo me thla S'6s ed' m or' befo e'fh16
<br /> 1Nho Islare personally Imrnm to.me or haslheve Pr4d�?ced �Isla��bna1'kno ta ms ar ttaathave prodt�ced
<br /> as tdenBitcaHqn. as tdentlflcatton.
<br /> Ptc�ry Pub1(c r+ NaTary Pabtic
<br /> Commisslon No:` Cammbalo N .
<br /> ,.1r;l::t;a�;., .��{�,Q
<br /> fi.
<br /> Name ot No1ary lyped,ptlnted or stemped Name of Nolary lyp �, r� <- �� res December 12,2018
<br /> �;h �o:
<br /> �'.y;n,��?:'�� Ba�ad Th�u 7ray Fein Inwrance 80Q385•7619
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