�.,
<br /> ; ;, .,. :
<br /> NOTICE OF DEED RE�TROCTIONS: The,u�dersignect-.undergtands�:th�t.this;_p�rm[f;may;,be,subJect,.to_°deed",restrictlons° y
<br /> which may�bepmore��r.est�ictive�th�rt�Gounty�regulat(ons. rThe�und`"ersigned��as`sume's�;re`sponsitiillty`for`coreipliance`with�any ��
<br /> applicable dsed�rest�ictions. , _ • ., _ � .. .- -- •
<br /> UNLICENSED"-:C:ONTRACTORS :AND �CONTRACTOR RESPONSIBILITIES:� Ylf•-tfie ovunec�has`-htred��a"contractor or
<br /> contractors to undettake wo�k, they may;�.be_.cequire.d�to;be;licensed_In_.accordance_with_state.and�lbcai regulations::•:If�the �" �•'
<br /> contractor:.(s not�J(censed`as�:requlred�tiy law; tiotFi�the owner andLconUacto�°may-beYcited�for a�"misdeineanor violatlon
<br /> under state law. If the owner or intendedf�contractor•.;are.:uncertaln as to what Itcensing.requlrements�may-:appiy.�for;:tlie- �� • �
<br /> intended work, they are.advised to contact tlie-Pasco:.Gounty Building'Inspection�DivlslonY-L•icensfng Sectlon at 727=847-
<br /> �.,...,. ..
<br /> 8009. Furthermore,'�If the ov+ine� has°lilred a cont"ractor"o�"�contractors. he is advised to haye�the contractor(s),sign, ,. , ..�
<br /> portions of the "contrector Block" of::this application for,which they will.,be:r.esponsihle. -.If-you,-as:.the owne�sign�as'flie' � '
<br /> contractor, tfiat inay be�an indication�fhaf he�is'not'�.properiy licensed-and�'is°not`�entiHed�to perriiittfng priitileges in Pasco
<br /> County. ' ��� - �
<br /> TRANSPORTATION=IMPACTJUTILITI�S�MPAC'�ANb�RESAU�tCE RECOVERY�FEES:'The undersigned�understands -
<br /> that Tran��onat0oa� Impact Fsss:�nai.Re�.�rse Recnvery.Fees may>.apply�:to�tf�e,construction:of.new buildtngs;:changeryof - -
<br /> use in existing buildings;�or-:expar�sibinof-.�existin�g=6uildings, a's speclfled.in P�sco County Ordinance number 89-OT and
<br /> 90-07, as amended..,,The undersigned also�.understaods, that:�such fee�;-;as�may�`be:�.due;:,wIII.�De iderittfied at theetir'rie�of" �� ���
<br /> permitting. It is iurfHer understood that Transportatlon Impact Fees and��Resource Reco�ery��Fees-,.musC be paid prior to
<br /> receiving a "certiflcate�of occupancy"�or flnal�power�release. :If the project.,.does:not involve:a:cert�icate of occupancy o��= ' ��• �'
<br /> flnal power release;_the.fees-rr�u�k-be paid=pctor to permit Issuance. F��thermor`e;,�if Pascd;�,County Water/Sewer-:Impact� - •
<br /> fees are due, they.must.be-paid�pMor to_permit>issuence��n accordance witfi_appllcatile Pasca'County ordinances.
<br /> CONSTRUCTION`GEN'LAW�(Chapter 713� Florlda Stak�tea,�aa�imended): If valuation of�nrork!s$2,500.00:.or more; i ..
<br /> certify that I, #he applicant, have--been,provided�with a-copy- of. the°�°Florida-Constructlon� Llen�L'aw—Homeowne�'s
<br /> Protectfon Gutde° prepared by tFie Florida Department�of Agric.ulture and ConsumerAifairs. If the appllcant Is.someone
<br /> other than the°owner", I certffy,that.l�have.obtained�a copy„of the:above descrl�ed�docun�ent�and;p_romise�:in,good fa(th._to
<br /> deliver It to.the.'owner"�prior'to-cammencement:�° ' " ' ' � � � � ` - � •
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I ceitify:that all.the.lnformatlon.in�this application is accurate�nd that all work
<br /> will'be done in compliance wlth all applicable�laws.regulating construction� zoning and°�land�development. Appltcation is
<br /> hereby made to obtaU .a permit:to�do.work,;and Installatlon as indicated:-�.�I cerlffy tfiat no work'�or installation'has
<br /> commenced prior to Issuance of a permit and that'all work will be pertormed to meet.standards-of ali laws regulaking-
<br /> construction, County and City codes, zoning regulations, and land development regulations-In�tfie'juNsdtction:: 1�al'so �
<br /> certify that I understand that the regulatlons of other government agencies may�apply�to the,intended work, and that it is
<br /> my responsibility to identify•what.act(ons I must�take:to be,in:.compliar�cs: Such agencles include but�are.not Iimited to: ,
<br /> - Departmen! of Ehvironmental'�Prctection-Cypress.Bayhead'�,�Well�and.Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment. ,
<br /> �.. ,
<br /> - Southwest Florida Water Management� .l�istrict-Wells, Cypress• .Bayfi�ead"s; Wetland Areas, Altering `
<br /> Watercourses. - , ,
<br /> - Army Corps of Engineers-Seawalls,Docks, Navigatile Waterways.
<br /> - Department of .Health & ReMabllitativ.e Servtces/Environmental Flealth UniRWell.s, .Waste.water�Treatment, �
<br /> 3eptlo Tanks. � � � _
<br /> - US Environmental Protection Agency-Asbestos abatement. �
<br /> - Federal Aviatlon.AuthoMty-Runways.-
<br /> I understand that the following�restrictlons apply to the ase of flll:•
<br /> - Use of flil Is not allowed in F..lood Zone"V"unless expressly permitted.
<br /> - If the ffll material is to be used:-ln.�Flood Zone. °A", It. is understood that a drainage plan addressing a
<br /> "compensating volume"will be submitted at#ime of�permifting which is prepared by a professional engineer
<br /> Iicensed by.#he.:�tate-of Florida: ,
<br /> - If ihe flll materlal:is_to be used in Flood Zone 'A" in�connection•with:a���ecmitted building us(ng stem wall
<br /> construction, I certify thatflll:wall:b.e used only.to.fill the.area within�the�stem�wall. -
<br /> - If flll materlal Is to-be�used-in any area, I �certify that .use. of such'flll will not adversely affect adJacent
<br /> properties. If use�of fill is found to adversely_.�ifect adJacent��praperties�.the owner may be cited for violating .
<br /> the condilions:of..fhe��tiuilding�;permit issued•under the att�cfied�ermit �pplicatian, foe:lots less than.one (1)
<br /> acre whtch are elevated by:f�ll,��t engineered dralnage plan ls requlred. • .
<br /> If I am the AGENT FOR THE OWNER, I;promise In.good falth to Inform the-owner of�the permitting:condfttons set forth In �
<br /> this affidavit"prior to commencing construction. "i'understand thet,a�seQarate permtt may be required for elect�ical work, :
<br /> plumbing, signs, w�lls,.:pools; air conditioning,..gas, or�othec tnst�llat�ons nok speclflcally included�in.t�e application. .A ��
<br /> permit issued shall be constcued to be�a'Iicense=to�proceed with tNe work and not as�authoNty to.violate,cancel, alter, or �;
<br /> set aside any provisions of tfie.teclinical.cod�s;�nor shall issuance�of a.permit.prevent the Bulld(rig Offic(al from thereafter -�
<br /> requtring a correctton.af errors in pla�5; consfruction.or violat(ons of any codes. Every permit issued=shall become invalid
<br /> unless the work author'ized:by such permit.�ls-commenced�withtn sfx.,months�of permlt issuance, or If vvork authorized by
<br /> lhe permit is suspended or.abandoned•for:a.:period;of�six(8)montti§,;.after the time the�work�ts commenced. :An extenslo�
<br /> may be requested� in writing;.from'the`Building:Official for a pe�lotl:not to.exceed-ninety�(90� days and will�demonstrate i�
<br /> ustifiable cause for.the exfenslor�. If work ceas��:for ninety(90)cons.ecutive:days...th�Job�is_considered abandoned. ;
<br /> NARNIMG TO OWNfR: YOUR:FAILWRE TO..REC.ORD:;A;NOTICE_OF_COMMENEEMENT.�MAY��RESt1L'�' IId=Y011E3 -- :
<br /> aAY1POG-'4i6ItICE-FO�t'Ii�,P�OiIEAAEl�i7'�;T�.1G-0iJ�:PROPERTY:�.;l�°.YO.tJ�IMTE�i�D:"T�=�BTAIN��FIRFApE1NG;�CONSULT
<br /> NIT YOU ND� ��O� AM TTO N �.�B FORE� ECO � G`� ' �� ' � .' •' E C �
<br /> 'LORIDAJURA'�•(F . .1T.03) . • �• � ;, ., �' �
<br /> )WNER OR AOE CONTRAC70
<br /> iubscribed and swo {or a(flrme bef re me thls Subscribed and's =to(of aflirtned)�before me ttit�
<br /> by .b
<br /> Vho is/are personall �mown to.me or has/have produced Who�ls/are p.ersonallyknown•to me or has/have•produced • -
<br /> as IdentlBcatlon. - as IdenBflcatlon.
<br /> � ; �;•, �
<br /> Notery Public _ Notary Publlc
<br /> �ommisslon No:' Commission.No.
<br /> lame ot Notary typed,printed or stamped Name o(Notary typed,printed or stamped
<br />
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