� 1 .
<br /> NOT9CE�F DEED RESTRICTIONS: The undersigned und�r.�tands:,th�t this;p�rmit:maybe.subJect to"deed"restrictlons"
<br /> whlch may be�ri�or��.restNctive than County:�regulatlons. �TNe undersigned'assumes responslbility for`compliance witFi ai�y
<br /> applicabl�deed reatrlctlons. �
<br /> IJNLICEPISED. CQPITRACTORS J4idD CAWTRI�CTOR RI�SP�NSI8ILITIES: -If the owner has hired a� contractor or
<br /> contractors to undertake work, they.may.be,;eequired,�to,be;llcensed In accordance.with state.and•local r�gulatlons. if the
<br /> contractoP•is not Ilcensed as requlred by law, both the owmer and contractor•�m�y be�clfed-for a�misde�n�anor diolatton
<br /> under staiQe law. N`the owner or Intended r�ntractor are uncertain as to wh�t Ilcensing.requlrements may apply:�for�the
<br /> intended udork, the��are advised to cot�tact'tFie Pasco Cotanty Bullding"Inspectlore Dlvl�lon—Licensing Sectlon at?27-847-
<br /> 800J. Furth�rmore, �f Qhe owner has�hlred a coratractor o�contractors. he is advfsed to have the contractor(s) slgn
<br /> portions of the "coiitractor Block" of thls appllcatlo� for whlch they wlll be r�sponsfble. If you,-as-.#he owne"r sign�as the
<br /> contractor, that may lie an Indicatlon that he Is not.properly licensed and-Is not'entltled to perniitting privileges In Pasco t
<br /> County.
<br /> TFt�4NSPORTA'�I�N,II�IPACT/UTILI'6'IES�INfPAC7'•APIb-RESOURC@ RECOVERYfEES:�The under�(gned understands � �
<br /> that�'ransportatlon Impact Fees and.Reco.urse Recove.ry.Fees may applyCo the construction of new,bulldi�gs,:change-of �
<br /> use in �xist6ng buildings;�or�expansion:of�ezistiri�g���buildings, as �peclfl�d.ln Pasc�County Ordinance number 89-07 and
<br /> 90-07, as amendeii. The unders(gned alsa understands, that such fees..as�may_tie�due;::wtfll�:be identified at the time�of-
<br /> permitting. I# I� further'understood that Transportatlon Impact Fees and R�source Recove"ry�Fees.must be pafd prlor to
<br /> receiving a �certificate of.occupan�y" or flnal�powec-release. :If 4he project does.not Involve.a;certiffcate of occupancy o� '
<br /> final power�release�, the�,fees must be patd prior to perrral4 f§suance. Fur:therrv�ore;If Pasco County 1Nater/Sewer-Irr�pact �
<br /> fees are due,_Qhey�_must be-pald.prlor to permlt-Issuance-In accordance wtth appllcable Pasco�County o�dinances.
<br /> CON�TF3UCTION�ILIEPI"LA9AV(Chapt�r T13� Flor�d��tat�at�s, �s �mendedp: Ef valuatlon of�rork is$2,500.00�or more, I
<br /> certify that 9, the applicant, have-been provlded with a copy of the "-Florida Constructlon Lien Lavv:Homeowrner's
<br /> Protection Guide" �repared by the Florida Departmenf of Agrlc.ulture and ConsumerAffairs. If the appllc�nt Is someone
<br /> other than the�owner", I certiPjr that 0 have.obtained a copy of the above..descrlbed document�and p.r.omise ln,good falth to
<br /> deliver It to the="ownec'°�prior•to�coPnmencerr�ent: �
<br /> CONTFtAeCTOR°S/�OWN�R'� e4��ID�+VIT: I cecfify.that all the Information.ln this appllcatlon is accurate and that all vvork
<br /> will�be don� in con�pllance with all appllcable laws regul�ting constructlon, zoning and:land d�velopment. Appltcatlon Is
<br /> hereby made to abtain .a permit t� do. work. and Installatlon as lndicated:-�. `I certify-that no wrork°or (nstallation has
<br /> commenced prior Qo issuanc� of a permlt and that.all work will be pertormed to meet_standards of all laws regulating�
<br /> construction, Cou�tty and City codes, zoning regulatiQns, and land development tegulations-In the jurisdtction. I aEso
<br /> certify that ! u�der�tand that Qhe regul�tions of other gov�rnment agencles may apply�to the intended work, and that it is
<br /> my responsibility to identify�what:actions I must take:to be,ln..compllance. S.uch agencles-Include but-are.not Ilmited 40:
<br /> - Department o� ��lvironmental Protectibn=Cypres"s. Bayheads; lNetland Areas and Envlronmentally Sensitive
<br /> Lands, Water/Wastewat�c Treatm�nt.
<br /> - Southwest Florida Water Management District-VVells, Cypress. Bayheads, Wetland Areas, Altering
<br /> Watercourses. .
<br /> - Army Gorps of Engineers-Se�walls, Docks, Navlgable WaQenways.
<br /> - DepartQnent of Health & ReMabllitativ.e Sen►lces/Envi�onmenfal Health Unit-Wells, Waste�►ater Treatment, '
<br /> Septic Tanks:
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> - F�deral Aviatlon_Authorl�r-Runways.
<br /> I understand that tFue followring�restrlct�ons apply to the use of flll:•
<br /> - Use of fill Is not�Ilowed in Flood Zone°V"unless expressiy permlQted.
<br /> - If the iFll material is to be usetl_ ln Flood Zone_ "A", It I� understood that�a drainage plan addressing a
<br /> °componsating volume" vvill be submltted at tirroe of permltting which is prepared by a professional engineer
<br /> Ilcensed by.#he Sgate-of Florlda.
<br /> - If ihe fill materlal.is.:.4o be used In Flood Zone °A" in�connection�wi#h.a pecmitted building u§ing stem wrall
<br /> constr�ction, I certify lhat fill�:wlll:be-used only.to.flll the area withln the stem wall.
<br /> - If fill rriatePlal is to-be'used in any area, I c��tlfy that .use of�such-iill will n�t adversely affec4 adjacenf
<br /> propertfes. 9fi use of f�ll Is found to adversely.�6fect adJacenQ�properties, the owner may be clt�d for violating
<br /> the coridltion� of the�buildfng:permit lssu�d�under Qhe atfacFied permit applicatfon, for�lots 9ess than one (1)
<br /> acre whlch are elevated�by flll, an engtneered dralnage plan is r�quired. ,
<br /> I' If I aen the AGENT FOR YHE 01MtdER;I,�promise In good fai4h Qo inform the owrner of the:permitting conditions set fort� fn
<br />, this affidavtt prlor tc� comrnencing constructton: I`uraderst�nd that a,sep�rate permlt may be required for elect�ical work, ,
<br /> plumbing, signs, w�lls, pools; alr cond(tioning, .gas, or-othec In'stallatfons not,specifically included-in.the application. .A
<br /> perm0t issued shall be eonstnaed to be a license.to-proceed writh the work and not as authortty to,violate,cancel, alter, or
<br /> set asld� any provi�ions of the technical codes; nor shall Issuance�of a.permit.prevent the Bulldlrig Offictal from thereafter ��
<br /> requiring a correctivn �fi errors In plans, consfructlora or vlolatlons of�ny codes. Every permlt Issued shall become invalid
<br /> unless the work authorized.by such permlt�s_comonenced�wlthln six months of permlt Issuance, or If work authorized by '
<br />� the permit is suspeiided or abandoned for a:period,of slx(�)months-after the tlme the�work Is coroimenced../An exten�ion
<br /> may be requ�sted, In writing, from the �uilding,Official for a perlbd-not to exceed�nlnety(90) days and will demonstrate ;�
<br /> �ustifiable cause for.the extension. If work ceases.for ninety(90)consecutEve days,..th�job is consider�d ab�ndoned. � �
<br /> �'
<br /> WARNING TO OIIV'fdER: Y�UR.FAILlJRE.TO,REC.O�tD �►:NO�1�� OF•COMWIENCEMENT wIIAY�RESULT IN YOUR �
<br /> PAYIIVC;'T�MICE F�R IIVAPROVEAAEN.T3 T�YOUE�;PltOP@R�(.,:IF°YO.t��IMTEI�D�'T0=0BT'AIIV�FIIetANCINC�'COR1SUfl.'T '
<br /> WITH YOl1R E. D� O �1�4 ATTORNEY�� FORE-RECOlt�� G`YOU = � �C 'OF" .•IiPf � E CE � EIdT:
<br /> FLOF2iUA J11�1Y(F.�.59�.�D3j - � - --- - -- -— - -�- - =-i' ——
<br /> DWtdER 018 AGEN7 CONTR6�CT0
<br /> 3ubscrtbed and swom to(or a�lrmed)before me thls Subscrlbed and'swam to r rmedpbe re me thts
<br />� bY %�-Z-/
<br /> Nho lslare personally knovm to.me or has/haye produced Who Is/are .ersonally own�to me or hasiheve•produced
<br /> es Identlflcatlon. as IdendRcatlon.
<br /> Not�ry PubOc ix � Notary Publtc
<br /> �ommisslon No. •- ______ ' Comml on.N .
<br /> ,� .
<br /> ;=g•• '�`�s
<br /> _*: ':.= Commission#FF�150422
<br /> Vame of Notary lyped,piinted or stamped Name of Nota 't �
<br /> �,,pp f�,� Bonded Thru Troy o n neuranae 000�385•7019
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