J i.
<br /> N�T�CE OF DEED RESi'RICTIt��S: The under�igned under�tands°�tl�t thi�.pprmi#.may be,sub�ect to"deed"restrictions°
<br /> which may be�more�rest�ictive th�n Gounty�regulatians. �The undersigned�"assumes responsibillty ior campli�nce with any
<br />, appiicable deed restricttons. , . .
<br /> i UNLICENSED CONTRACTOItS AND'.CONTRACTOR RESPCyNSIBILITIE$: -If the awner has hired��� contractar ar
<br /> contractors ta undertake work, they may be;reguired:.to.;be:llcensed In accordance.with state.and•Iocal regulations. If the
<br />�� contractor is not licensed��as requlred'6y law, bottr the owner an�=cont`sactor:.msy be clted-foc �-misdemeanor vio#afian
<br />' under skate law. If the owner or Intended contractar<ere.wncert�iln as to what Iicensing.require�nents may,apply��for the �
<br />�' intended work,they are advised#o coritact the Pasco County 8uliding(nspectlon Cltvislon—Ltcensfng Section at 727-847-
<br />� 8009. Furthermore, if the ovrmer�has'hlred a con#racto� or cantractors, he is advised to have the contractor(s}. sign .
<br />� portfona of'the "conkractor Block° of thls application for which they,will be tesponslble. . If you�-as..ihe ovvner�stgn�as the
<br /> co�tractor, tfiat�rtay be an indication that�he�is�not.properly Ilcensed and Is not entttled to pertnit�ing prhrlle�es En Pasco
<br /> County, `
<br />, TRANSPORTATtON iMPACTNTILiTlES�lMPAGT AND RES�tJRGE RECOYERY�FEE3: The undersigned unders#ands
<br /> that Transportation Impact Fees and.Recours�e Recove.ry.Fees may:appiy�•ta°the canstruc#ion of new bufildin�s,°change of -
<br />, use in existing buildfngs,-or,expansion>of�exi"stin,g,'�buildings� as specified.in Pasco County Ordinance numb�er 89-07 and �
<br /> 80-07, as amended..'�he undecsigned also.understands, that.such fees,.as;may:�e�.due;�w111:.6e ideritified �t the�tiirie of
<br /> permitting. I# is fu�thier understaod that T�ansportatbn lmpacf Fees and Resource Reco�ery�'Fees must be paid prior,to
<br /> rece6ving a°certi�cate-af acsupancy°ar flnat�pawer-.release: _I��the pro�ecE does not involve�a:certificate af+�ccupancy ci�
<br />', final power release;�the�fees mu�t be paid pcior to'permit Issuan`ce. F��thermore�if Pasco Caunty'1Nater/Sewer impact
<br />' fees are due,they�musk be-pald prior to permit�lssuance=ln accordance with appltcable Pasco County`o�dinan�es.
<br />� CUN�TiZUCT10N LIEN�LAVN(Cha�ater T13, Flartda Statutes,as amendedj: if vatuafion of wark is$2,500.00 or more� 1
<br />�, certify that I, the applicant,_ have been provided wtth. a copy� of the°"Florida Construction� Lien:.L;av�Fiomeowner's
<br />' Protectton Guide" prepa�ed by the Florlda Departmenf of Agrtculture and Consumer-Affaics. If the appltcant Is someone.
<br /> other#han the°owner", I certify that,l_have,obtainetlRa copy;of the above..desarlbed tlocurr�ent°and.p.r.nmise�ln,good faith to
<br /> deliver it to the"owner"prior to�commencemen#:` �
<br />� CONTRACTAR'S/OWNER'S AFF1DAViT: i aecfity�.th�t aii th�.lroformation in this appticatlon is accurate and that ail wark
<br />' will be done in compliance with all applicable�laws regulating construadon. zoning and land development. �4ppiication (s
<br /> hereby rnade to ob#aln .a permit to do,wot'Ic�and installatian as Indtcefed� °1 certlfy that no work or in�tallatian has
<br /> camm�nced pr(or ta fssuance of�a�permit and that:all work wlll be perFormed to meet standards of all law►s regulating�
<br /> constructian, Caunty and City codes, zontng regulations, and land development r.egutattons-In the Jurlsdt�tEon. ! ai'so
<br /> certify that I uaderstand that the regulations of other government agencies may apply�to the intended work, and that it is
<br /> my respansibility to identify what.�cttons I must take:to be�in<.coitlpNance. Such agenctes include but are.nak Ilmited to:
<br /> - Department at E�viranmenta{�Protectian-Cypress.'Bayheacfs� WeNand Areas ar�d Ernrironment�ity Sensitive
<br /> Lands, WatedVVastewater Treatment.
<br /> - South�rest Fior�da Water Managemen#� :l��strtct-Wells, Cypr�ss. 8ayheads; Wetland Ateas, Atfering
<br /> Watercourses.
<br /> - Army Corps of Englneers�Seawalls,Doaks� Navigable Waterways.
<br /> - Department af Heaith 8 Ret�abllitative Services/Environment�l He�t#h Uitit V11ell.s, Wastewater�Treatment, `
<br /> Septtc Tanks: � � � _ '
<br /> - �DS fnvironmenE�l Protec#iat�Agency Asb�s#a�aba#�an�c�t.
<br /> Federal Avlation Authority-Runways.
<br /> 1 understand that the follow#ng:restrictlons apply to#he use of flll:• '
<br /> - Use af fiti is no#aliowed in Flood Zone"V"unless expressty permitted.
<br /> - If the flll makerial Is to be used.,in:Flood Zone "A", (t Is understoad that a drainage plan a�dd�essing a
<br /> "compe�sating volumeA wilt be submltted at#ime of perm[tting wl�lch ts prepared by a professlonal englneer
<br /> licensed by the State of Florida.
<br /> - !f the fili materiai is:ta ba used in Ftaad �one �A" In�connec�ion=uviEh.a`�ermitted bufiding using stem wali
<br /> � canstruc#ion, 1 aertify that fiil�wlll:b.e used only.to fill the area withtn the s#em M►all.
<br /> - If fill materlal ls to be used in any area� I �certify that .use. of such ftll wAI not adversely aff�ect adJacent
<br /> propertles. #f use af fitl is found #o advetsely,�ffect ad�a�ent�properties,.the owner may be cited far vtolating
<br /> the condilions of the building:permit issued•under the�attaohed permik appiication, for�lats less than.one (1�
<br /> acr$whlch are elevated by�I1tt a�t engEneered dralnage plan fs tequlred. � I
<br /> If i am the AGENT�OR THE 01f1�NER, I,�promise in good faith#a inform the�awner af-the permit#ing canditlans set.forth in
<br /> this a�davit'prior to commencing constructiort: "! undersfani! that a-separate permlt may be requtred#or el�cMca# work,
<br /> plumbing, signs� wells, poats; air condlt€�Nng,.gas, or other installattons not�spac�icaliy included in.the application. .A
<br /> permit issued shall be constcued to be a Iicense to proceed with the�work and not as.-authortty to.vialate,carucel, alte�, ar
<br /> set aslde any provisions of ttte#echnl�al c�des; nor shall issuance�af a.permit.prevent th�Bulldlrig Q#flciel from thereaf#er
<br /> requiring a correction.nf errnrs In.plans, cons#ruction or vialatlons of any codes. Every permit Issued shall�be�ome invalid
<br /> unless the work authorized.by such permit�is.commenced•wtthtn sIX months of permit tssuance, or if work avthorized by �
<br /> the permit is suspended ar.abandoned for a period af six f 8)mont�s.after the time the�watk is cammen�ed. An extensian
<br /> may be requested� in writing, fram the Building.Offlcial for a period.not to exceed nfnety�(90) days and�will d'emonstrate
<br /> �usti�able cause for�the extension. 6f work ceases for nlnety{90}cons.ecutive:day.-s,#he�ob�s considered aba�daned.
<br /> WARNlNG TO OWNf R: YOUR.FAlLURE-7Q..RECQRD A-MQTIGE.OF CQMMENGEMENT MAY RESUl�T IN Y011R
<br /> PAYtNG TWIGE.FOR iMPROVEMEN.TS TO YOUit•PROPERTY.��IF�YO.U�iNTE�D`TO'OBTAIN�FIPF�`►I�C1NG,'CONSUi.T___ _ _
<br /> — - - - _. _.,___________ __ _ � -
<br /> 4EVI7 Y� �UR�i!iD�O AN _ O_ �1(8 FOti�< .-E�CO1t�D G��C1U ���� �`O ' - E CE
<br /> FLd3R10A JURA'�{f:S.1.1 T.03 -
<br /> DWNER OR AOENT �- � � .. �:?� COWTRACTO c�� I
<br /> 5ubsc�ibed and swam (or affirmed)beiore m fs Subsc�bed and'swam ta{or afllrme before ma'tti1�
<br /> by I
<br /> JVlio Is/are personally knowm to.me or hasfhave produced , Who Is/are onallyam Vm to me or has/have�produced
<br /> as Iden�Bc�tlon, es iden�ficatlon. �
<br /> Notery Pubitc . +G'�X-t Natary Public
<br /> �ammisslan No. Comm n N
<br /> :��°�'�"p�°'•- J ommission#FF�150A22
<br /> Uame ot Notary typed,Rdnted or stamped Name of of� �
<br /> . . �.�aotis
<br /> �:�.•.. o:� BondedThHTsa1��'^
<br /> Pi��`,
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