, �
<br /> PlQT1C�OF DEED RESTitlCTll?NS: The�ndersigned under�tands that this,p�rmlf{may_be.subJect.to"deed"restrictions"
<br /> which m�y be more r.estcictive-#hs�n C+ounty��r"eguiatlons: �Ttie�undersigned as�umes responsibiiity far compiianae with�any
<br /> applicable deed restrictions. . �
<br /> UNLICEMSED CC►I�TRACTORS AND CUNTR�CTOR ItE��"ONSIBELITiES: -If the awner has��hfred a cantractor or
<br /> contractors to undertake work, #hey may.be;requlred.:to:be�licensed In accardance w(th state.and•lacal regulattons. If°the
<br /> contractor is not llcensed as required`by leinr� both the owner and contcactor�may be clted-far a misdemeanor vlofatton
<br /> under state law. If the awner ar intended�contraetor are�unceetatn as to what licensing.requtreenenfs'rr�ay apply�for the
<br /> intended wark, they are advised to contact the Pas�o County 8uilding Inspection Division—L•laensing Section at 727-847-
<br /> 8009. Furthermare� If th� owner has"hired a coiifcactcir�or contractors, he is advEsed to have the cantractor{s) sign
<br /> portfons of the "cantractor Block" of this applicatfon for which they will be tesponsible. If yau, as.the ovuner sign as the
<br /> coniractor, that may be an Indicatlon that�he is not.p�operly licensed and ls not ent4tled�to permitting privileges !n Pasco
<br /> Coun#y.
<br /> TitANSPORTATION IMPACTfUTILITIES-IfiA�AC'�AND RESCMURCE RE�tdVERY��FEES:�The undersigned understands
<br /> that Transpar#atlor� Impact Fees�nd.Recourse Recove.ry.F�s may���pply:to°t#re cons#ructtan of new buildings, change�of
<br /> use in exisNng bulldings, or-expansion�_of�existin�`.�uildings, as speclfled in Pasco County Or`dinance number 89-07 and
<br /> 90-07, as amended. The undetsigned also understands, tha�t:suclt fees, as;may:be:due;..wiEi be ldent�fied at the time oF
<br /> permitting. It is further understood that Transportation impact Fees and Resource Recovsry=Fees.mus# be pald priar to
<br /> receiving a °certiflcate_of accupancy° or flnal power�.release. :If the project,doss not involve:a:certificafe of occupancy or
<br /> fina! power retease; th�.fees must be pald prlor to permi4 6ssuance, Fu�therenore;tf Pascm County VNaterJSewer-impact
<br /> fees are due, they�must_be-pald prlor ta permit�Issuance�in accordance witfi applicable Pa�sco County ordlna�ces.
<br /> CONSTRUCTtQN l.IEN t;AV{f(Chapter 713, Elor�da Statutes�a�amend�d}: If valuatian of work Is�2,500.OQ or more, 1
<br /> certify that I, 4he applic�nt, ,have been pravided uvith a copy of the "1=lortda Constructian Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Flortda Department of Agrtc.ulture and Gonsumer Affatrs. if the appllcant {s someone
<br /> other#han the°owne�', t certify that i have xibtained a capy;of the abQve..des.cribed document°and.pramise in,good fai#h to
<br /> deliver It to the°owne�"f prior M>commencement: ' '
<br /> CflNTf�►�TOR'SIOVVtdER'S A�Fl=�DAYIT: 1 aert�fy.that atl.the,6nformatlon�On:thls applicatl�n is accurate ae�d that a11 worlt
<br /> will�be done in compliance with all applicable laws regulating construction, zoning and land development. Applicattan is
<br /> hereby made to obtatn .a permik C� do work and instaflation as tndlcafed:. 1 certlfjr that no work or Instaitatton has
<br /> commenced prior to issuance of`a permit and that.all work will be pertormed #o meet standards of alt �aws reguta�ing�
<br /> construction, County and City codes, zoning regulations, and tand development regulattonsLLin 4he jurlsdlction. ( al'so
<br /> certify that 1 unders#and #hat th�regulations �f other governme��agencies may�appiy�#o#he intended work, and that it is
<br /> my responsibility to identiiy�wha�.acttons I must take to bedn:.cortlpliance: Such agenc(es tnclude but�are.nat Iimited to:
<br /> - Depattaa�ent of E�vironmental�Protecttan-Cypr�s�.'Bayheads, 1Metland Areas and Enviranmentally Sensitive
<br /> L.ands,Wa4er/Wastewater Tre�tment.
<br /> - Sauthwest Flarida Water Management Distrtct-Wells, Cypress. `Bayheads, Wetland Areas, Aitering
<br /> Watarcourses.
<br /> - Army Corps of Engine�rs�-Seawalls, Docks, Navigatile Watenways.
<br /> - Depa�fiment a�f Heal#h & Refiab111tative ServlceslEnvltanmec�fal FReal#h llnit Weil.s, Wastewater Treatment,
<br /> Septic Tanks. .
<br /> - US Environmentai Pro#ection Agenay-Asbestos abaEement.
<br /> - �ederai Avi�tton Authority-Runways.
<br /> I understand that the following:restrictitins apply#o the use of flll:�
<br /> - Use of fi111s not allowed 1n Flood Zane"V"unless expressly permitted.
<br /> - If the fill m�terial is to be used in Flood Zone. "A", (t Is understoad that a drainage plan address(ng a
<br /> °compensa#ing volume"will be submitted at 4ime af permitting wliiah !s prepared by a prof�ssianai englneer
<br /> Iicensed by#he Sta#e of Florida.
<br /> - !f ihe fi!! material is to be used In Flaoc! Zone °A" in�connec�ion with.a�permitted bullding using stem urall
<br /> � canstruction, l certify that fill:virilt:b.e used only.t�.fill the area uvi#hin the�s#em�wati.
<br /> - If flll materlal is to be used in any area, I cer#ify that use of such fill wiil not adversely affect adjacent
<br /> propertEes, If use of filt is fo�nd to �dversely:aifec#adjaeent propertfes, the �wner may be citer4 for v0o�attng
<br /> the conditions of the building-.permit issued under the attached permit applicatian, for lats less than one (1)
<br /> acre whlch are elevated�by flll,an engineered draittage pi�n!s requlred.
<br /> if 1 am the AGENT FOR THE OWMER, I,:promise fn gopd faith#o iniorm the owner of the permitting conditions set forth in
<br /> this a�davik�prior to commencing cvnstruction. I understand that a�separate permit may be required for electrical wark,
<br /> plurnbir�g, s�gns, wells, pools; air conditlaning..9a�s, or oth�r tnstatl�ittons not.speci�cally included�in the applicatlon. .A
<br /> permit Issued shall be canstrued to be� Ilcense to proceed wikh the�rork and not as authority to,vioiate,cancel, al4er, or
<br /> set aslde any provistans of the techntcal codes; nor shall lssuance�of a.perm�t pcevent the Bulldirig O#ficlat from therea#t+er
<br /> requiring a carrectian nf�rrors in plans, constructian or violatians of any codes. Every permit issued shatl become invaiid
<br /> unless the work authorized by such permit�is-commenced•withln sGc months of permit issuance, or if wack authorized by
<br /> fhe perrrtit is�uspended or.abandoned for a.perlod of six{6}months affer the time the�wark�ls cammencecf: An extensEo�
<br /> , may be requ�sted, in writing, from the Building.Official for a perlod.not to exceed nlnety(9p) days and will dert�onstrate
<br /> �usti�able ca�se for the extensla�: If work ceases:for nlnety(90)cor�s.ecutive d�y.s�..th 1�ab is consEdeted a�bandoned.
<br /> WARNIfdG T� 04VNER; YOUR FAILUR��TO.�RECO�tD�► N!?TIGE OF��AMMENGEME�T lIAAY RESUL'P IN YC1UR
<br /> Ps4YtNG TWICE.FC1R tMPROVEMEhlT�TCI YOUR�PRCtP@F�TY. tF°YO.U�tN�T�D`TQ'OBTAiN�Fit�tANCING��GONSU1l.T
<br /> WITH„�'OUR LENDERi�R AM A7TORNEY�EFORE RECOR�bING�YOUF�;':CfOT�,�E`Ol��AMNIENCEMEN'P'
<br /> FldRit7A JURAT{F.S.117.Q3} - - � --
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<br /> O{MNER OR/4,f3�N7_�o � ',����� CONTRACTOR,,,,_,1��_x-� � l/�'"�,v',��
<br /> Subscrlbed and swom (or aflirmed}before me fs Snbsctlbes!and'surom- (ot afft ed}�befcra me thls��
<br /> bY '�Y
<br /> Who Islare personally knowm to.me or haslhave produced Who Is/are per�onatlyknown•to me or has/have•produced
<br /> as IdenUflc�don. as tdenB�cation.
<br /> � Natary Pabltc � Nofary Pubttc
<br /> Comm! on No.�� Cammiss! .No.
<br /> ���Y���
<br /> LB��.
<br /> Name ot � :_,�df�}�g��� ���7� Name of tdotary . , p N
<br /> =«;� ':,� Cammissian#FF 137073
<br /> � o��,•- Expires June 29,2018 :r: " Ex pires J u n e 2 9,2 0 1 8
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<br /> �R;,�;�` B n n d e tl T h m Yroy Fain Ineurence 8o03B5•7018 ��•%,;;;�°�`'�`
<br /> �,. Bonded Thru Troy Fan Inswance 800385-7019
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