I
<br /> Nt}310E OF.DEED RESTRICTIt?NS. The undersigned a�nder�tands°;Eh�t#hls:p�rmii=�.may.bersubJect,to,"cfeed",res#rlctions"
<br /> whlch may::be�more,r.est�icttve�than Caunty:regulatfons.'TFie�und"e�signed`�assumes.responsitiilt'ly�for compliance'witli'"any
<br /> applicable.deed restcictions. �
<br /> UN�iCENSED:CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:� �i#ttie owner has-�hired a cantracfor or
<br /> contractors to undertake work, they may.be:cequtred=;to.;b�<Itcensed in accardance.with state.and•local regulations. -If�the
<br /> contractor„Is:not:lfcensed as requlred'by law� botti the owner and contfactar-may be-clted-for amEsdemeanar ulotation
<br /> under state law. if the owner or Intended�,contractor��are;uncertain as to what iicensing.requlrements;may.apply:N�for�the �
<br /> (ntended work, they are advlsed to�contact ttie Pasco County Bulld}ng (nspection L11vlslon-Ltaensing Seotlon at 727-847-
<br /> 8009. Fu�thermare, tf the-awner tias-hiTed a contractor`or cantractars, he is advised to have the contractor(s), sign
<br /> portlons of the "contrector Block" of-thls application for.which they v�rill_be r.esponsible. Ifyouu,.as-.the owner`slgn�as the
<br /> contrac#or, tfiat�may�be�ari fridicat#an that�he ts no#.praperiy ticensed and�Is noY entiNed fo permitting privlleges in Pasco
<br /> County. - . � ;
<br /> TRANSPORTATION�lMPACTIU7ILITIES(MPAC�'�ANb RE30URCE I�ECfJ�ERY•FEES: The underslgned understands €
<br /> that Transportation Irrtpact Fees and.Reco.urse Recove.ry.Fees may�;appty-ta�the canstruc#ion af new buildings,;change=of ;
<br /> use in existing buildings;�or,expansion�.of`eiiistin�g��6uiltlings, as specifled.in Pascq�County Ordi�ance number 89-07 and �
<br /> 90-07, as amended. .The undecsigned atso:understands, th�t�such fees,.as,may_be�due�;wlll�:�e identified at tt►e��tirrie of ,
<br /> permitting. It Is iu'rtfier understoad that Transpo�katlon IMpact Fees and�Resource Reaa�ery��Fees.must be paid prtor to �
<br /> rece�ving a°certiflcate..of;occupancy" or finat-pawer�release. :If the pro�ect does.not tnvoivesa:.certtf�cat's of occupancy.or - t
<br /> final power-release;:the�fees mu�t•be paid prior ta permi# Issuance. Ft��Ehermore;�N.Pasco County Water/Sewer�lmpact � �
<br /> fees are due,_they.must.be�pald.prlor to permit�lssuance-In accordance with appllcable Pascv�County oidlnances. �
<br /> CONSTRUCTION-LIEN�I.AYII{Chapter T13,Fla�da Statutes,as amend�d); If vaivatlon of work is$2,500.00 ar more�, 1
<br /> certify that I, the applicant, ha�ve-been provided with a copy� of #he "Flarida Construction Lien' Lav�—Homeowner's
<br /> Protectlan Guide" prepared by the Fiorida Depa�tment of Agrfc.ulture and CansumerAtfairs. If#he appllcant ts someone
<br /> other than the"owne�', I certify that I h�ve.obtalned�a-.copy of the:above.descritied docuiri�ent°and.p.r.omise in,goqd faith�to
<br /> deliver It to the bwner".priar=to�commencement: � ' � ,
<br /> CONTRACT{�R'SIOWNER'S AFflDAVIT: 1 ce�tify that ail.the,{nformation.infthis applicatian is accurate and tha#atl wark
<br /> will'be done in compliance wfth all appl(cable laws regulating constructton, zoning and:land�development. Appltcation is
<br /> hereby made to obtaln .a perm€t to da. wor"k..and Installatlon as !nd[cafed:�;. °I certify #hat no wark=or tnstalla#ton has
<br /> cammenced prior ta Issuance of a permtt and that.all wark will be pertormed to meet standards of ail laws regulaxing-
<br /> canstnaatlort, Counky and Gity codes, zoning regulatinns� and land development regulatians�En the jurisdiction. 1 a1'so
<br /> certify that 1 uaders#and thaf the reguia#ions af other government agencies may�apply�to the intended work, and that it is
<br /> my responsibility ta ident6fy•whak.actfons I must take to be,In:.corrlpliance._Such agenctes include but-are.not Dmited to: :
<br /> - Depactment af Er�vironmental Pratec#ion-{;ypress.Bayheads; VNetland Areas and Environmentatty Sensitive ;
<br /> Lands,WaterNVastewater Treatment. �,
<br /> - Southwest Fiorida Water Management .DisUlc#-Wells, Gypress.,Bayheads; We#land Areas� Alter3ng �
<br /> Watercourses. °
<br /> - Army Corps af Engtneers-Seawalls} Docks,Navigable Waterways. ?`
<br /> - Department of Heal#h�`8 ReF�abllitati�re SenrtoeslEnvironmen#al Heatth Unit V1►eifs, Vllastewater Treatment,
<br /> Septic Tanks: _ -
<br /> - US Enviranmental Protectton Agency-Asbestos abatement.
<br /> - Federal Avlatlon:Authority-Runways.
<br /> 1 understand that the following:restrleNons apply ta the use of flIL�
<br /> - tlse af fi{i is not allowed in Fload Zone�VV"unless expressty permitted.
<br /> - If the fiil materfal 1s to be used. in. Flood Zone. °A", It. Is understood that�a drainage plan addresstng a
<br /> �compensaEing volume"wiil be submltted at time of permitting wh�ch Is prepared by a professianal engineer. _
<br /> licensed�by�#he-State-of�Flarida:
<br /> - 1#the fiil materia#�is-to be used fn Flood Zone "A" !n�conneation=wlth.a permitted buiiding using stem waN
<br /> canstructio�, I certifiy that fiil:wall�b.e used only.to fiti the area withtn the�s#em�walt. , ,
<br /> - If fill matertal is to��qe used fn any area, I certify that .use. of,suchi"fil! wiA not adversely affect adjacent
<br /> properties. #f use of fltl is#ountF to advetsety,�ffect ad�a�ent�properties,.the awner rrtay be ci#ed for violating
<br /> the conditions af the'building:permit Issued•under the attached permit applicatfon, for lats less than one (1) '
<br /> acr�a whtch are elevated�by flli,a�t engineer�ed dralnage ptan€s regulreci. .
<br /> if 1 am the AGENT FOR THE O'iMNER,° I4�promise in good faith#a inform the•awnerof�the permitting.condit(ons set forth In '�
<br /> this affidavit-pr#or to aommencing constructlon. 7 unde[s#and that ars�parate permit may be requtred for elect�ical work, ��
<br /> plutnbing, signs, wells, paots; air conditloning, .g$s, o�o#hec instaliations not.spea�ically included in #he appiication. •A , •
<br /> pe�mit Issued`shall be consttued to be°a'�Iicense to p�oceed with the'work and not as�authortty to.vialate,cancel, alte�, ar
<br /> set aslde any pcovfsions of the#echnfcal.codes;�nor shall issuance$af a pecmit.prevent the Bulldl�ig C?#ftc[af from the�ea#ter
<br /> requir(ng a carrectfon nf errors ln plans, consfruction or vlola�ons of any codes:. Every pemtit(ssued shail become invalid ;
<br /> unless the work authorized.by such perm(t-�Is-commenced�wtth(n sl�c�nonths of permit issuance� or !F wark authorized by �'
<br /> the permlt is suspended or.�bandoned far.a:period,of:six(8)mantfis.:after'the time tfie�work is commenced..An extension ��
<br /> may be requested, tn wrlting, fram the Building,Officfal for a period.not to exceed'Nnety�(90) days and will�demonstrate i�
<br /> �usti�able cause for.the extensian. If worlc ceases:for nlnety{90)cons.ecutive daysr_#h�jab-is.conslde�ed aba�doned.'� #;
<br /> ,. (;
<br /> WARNING TQ OWNfR: YQUR.FAIl:URE�TU�R�C:O�tCl,A-:Nt3TIGE�QF�COMM�NGEMEN'� MAY�RESC!!.T IN YflllR ;;
<br /> PAYiNG TWiCE.FOR iMPROVEMENT3 TO XOUR.;PROPER'f,Y. :IF�YOU�It�TEND�'T��iJBTAiN�•F1N�ANCING;�CONSUL.7
<br /> WI7H�UUR.LEND�R:OR AN A�'TORNEY B�FO�E�,R�GAR�IWG:YOUR�NATICE'OF C�OA.;�ENCEINENT: _ �.
<br /> FLORIDA JURA�'{F.S:1'lT.03} � — -- - —-
<br /> � �_�,,,/ n
<br /> DWNER OR A�EN � z _ R"�~ . _ CONTRACTORT� �I��„�.
<br /> 3u scribed and swo to{o anad}beiore me thts Subactlt�ed' nd' m- (ot aflirrrted)�before me't#il�
<br /> _„��'i 9-1 h bY I�i k c'�. I ln 2n/EY;' 3� � •� n!4„�FL i,.e;✓�2
<br /> Nho is/�e pe ana y knav� to-me or haslt�ave produced Who.ls/ pe allyknown•to me or haslhave�produced •
<br /> 1%'L,. fGrl,�uGt-��B�-as tden�llcetlort. as tdenBEicaBon.
<br /> �,.
<br /> >� ' � ' blic �'�jc'"�- Notary Pubtic
<br /> :ommissi o. Q•,,,:°Y�i°,, JAC(1UE E B�G��4=� .t,�Y>'°,,,
<br /> . . Commisslon: .�o. s� �
<br /> . ::: . :
<br /> ' :;: Expires December 12,2018 ="� ;�: Commission#FF C r��7
<br /> �:7 ��Q;p 'y7' :Ot` �ilO�LG
<br /> �lame ot Notety Name of Plotery ° te���t���ntasu,ansaEt'0-3@'a-)OI9
<br />
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