-- ��.-��.
<br /> -- , �,���-�-rs:���c:-w-_a.-�:.�z°�-,�..:;�r
<br /> � .�'
<br /> NOTICE:OF.DEED RESTRICTIONS: The undersigned understands..that.this:permitmay be:subject,to;"deed",restrictioas""�t
<br /> which;inay.�be;mo�e�estrictive�:than-�County.cegulations:=-:Ttie�uridecs�gneii�assrirries`.�espansitiiihty°far°.compliance with any:`.'"
<br /> applicable.deed restrictions. " 4.,,. _. ,,,_ � �
<br /> UAi�iGENSE�.,CONTRACTORS ANR GON'fR�1CTQR RESPONSIBI�ITlES: If tlie�owrier-has�Fiiretd-a�-contractor or ^
<br /> contractors#a undertake work, #hey may be.required to be�licensed in accordance with state and.local:.regulations::-'-if-#fie-.�
<br /> contractor is not licensed=,as:required by law, both''the au(rner�and==contractor-.rr'iay�rfie�-cited�for�:a-misderrteanor violation �
<br /> under state law. If the awner or intended,eontractor are uncertain as to what ticensing reguirements..mayt,�appl,y.for�t�ie;---'" .,
<br /> intend�d work; they are advised to contact"tlie Pasco County Buildinglnspection"Divisian=Licensing Section at?27=847=
<br /> 8009. Furthermore, i€ the ouvner has hired' a -contractor or canftactots, he 'is advised #o.�have the contractar{s} sign,.t.i ,
<br /> portions of the "con#ractar Block" of this application,Mfor which #hey.will.-be responsible. <Ifyouu, as�thie�owne��sign as-=the {'` -
<br /> contractor, that may be an�indication ihat he is not properiy licensed and`is not erititle8 to permifting privileges in_Pasca . �
<br /> County. _ . . _ .. . . _... ._ _ _, �`'`� ,
<br /> TRANSP.ORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The uncJersigned undecstands _
<br /> tha#Teanspo�tatian lmpact Fees and Recaurse Recovery Fees,:may.;appfy'to the aonstntctian of.new buil,cSings, cl=range'of�-:�`. '
<br /> use in existing buildings, or expansion;of;existing �uildings, as specified in Pasco County Ordinance number 89,-07 and ;
<br /> 9Q-Q7, as amended. The undersignec! alsa understands, that such;fees, as�rnay�b.e:tltae, will';be idenfi�ed af��the��tiine:o€°--� �
<br /> permitting. (t is further understaod that Transportation Impact Fees and ResourceszRecovery,Fees must be paid prior ta
<br /> receiving a "certificate of accupancy°�or final,.power release. !f the praject�doss not involve a ceitificate of occupaney:.or,�-��r
<br /> final power release; the fees must be paid prior ta permit�issuance. Furtfiermore, if,Pasca County Waterl$ewer;tmpaet:„�
<br /> fees are due, tfiey must be paid prior to permit issuance in accordance witli'applicable Pasco.County ordinances. ' I
<br /> CONSTRUCTION LtEM l:AW{Chap#er 713;Florida Statute�,as amendeci}; if valuatian of work is$2,50.0:OO..or mor.e,,�t.w:-;_,
<br /> aertify that I, the applicant,, have been. provided.with a copy_ of�the "Florida Cons#ruction. Lien Law-="Homeawner's
<br /> Protection Guide" prepared by the-Fforida Depar#ment of Agricul#ure and Consumer Affairs. ff ihe appiicant is someoner,
<br /> other fhan the"owner", { certify that i have obtained a copy of the above descri6ed'document and pramise�in,good'.faitli�';#o'
<br /> deliver it-to�the-°owner"prior to commencement. ' � , -
<br /> �ONTRACTOI�'SIt3WNER'S AFFIDAVlT:�.I.certify:fhat.ali�the infarmatian in this application is accurate and thaf alt work
<br /> will be done in compliance with all applicable laws regulating aanstruction, xoning and land-development. Application is
<br /> hereby made ta obtain a permit ta.:do,wark and �nstallation as��indicated. '1 certify thaf no�work or.ins#alfatiori-.has
<br /> commenced prior to issuance af a permit.and that all wark will be performed ta meet standards of all laws regulating
<br /> construation, County and Gity codes, zoning regula#ians, and land development regulaiions iii the jurisdict�on: 1°also
<br /> certify that I unders#and fhat the regu(ations af ofher government agencies may apply to the intended work, and #hat it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: .
<br /> - Department of Environmen#al Pratec#ion=Cypress Bayheads, We#land Areas and Environmentally Sensitive
<br /> Lands,WaterM/astewater Treatment. .
<br /> ', - Southwest Florida Wa#er Management District We11s, Cyptess 8ayheads, Wetland Areas, Altering
<br /> Watercaurses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - DeparEment af Health 8� ReFtabilitative Services/Environmental .Health Unit:Weits,�Wastewa#er Treatment;
<br /> Septic:Tanks. �
<br /> - US Environmental Rrotection Agency-Asbestos abatement. .
<br /> - Federal;Aviation Authority.-Runways.
<br /> !understand that tli'e follawing restr��tions apply to the use af fill:
<br /> - Use of fili is not a0owed in F1ood Zone"V"uniess expressly permifted.
<br /> - If the-fill material is to be used in. Flood Zane "A", 'it is understoad that a drainage plan addressing a
<br /> "compensating valumeA wi11 be submi#ted a#time of�permitting which is prepared by a professianal engirieer �
<br /> liaensed by the State of Flarida.
<br /> - I€ the f11 material is to be used in Flood Zone "R° ir� connectRan with a permitted building using stem wall
<br /> canstruction, I certify that.fiil will be used only to fill the area within the.stem wall.
<br /> - If fiU material is to :be used in .any area, ! certify that use of such fill wil! not adversely affect adjacent
<br /> prape�ties. If use of fiH is found ta adversely affect adjacent properties, the awner may be cited for violating
<br /> the conditions of theYbuilding permit issued under�the'attached permit application, for lots less than one (1)
<br /> acre wrliich are elevated by filE,an engineered drainage plan is required.
<br /> If I am #he AGENT FOR THE OWNER; I�promise in good faith to-inform the awner af the permitking conditions set forth in
<br /> this affidavit prior to eommencing constraction. 7_understand that a separate permit may be required for efec#rical work,
<br /> p(umbing, signs, uvells, paols, air conditioning, gas, or�other�instatiatians nat specificaliy included in the application. A
<br /> permit issued shall;be construed to be a license to:proceed`writh the work and not•as authority to�violate, cancel, alter, ar
<br /> set aside any provisians of#i5e technical codes, nar shall issuance of a permit prevent the Building Officiat from thereafter �
<br /> requiring a correction of ercors in,plans,�construction or vialations of any�codes. Every�permit issued�shall become invalid �
<br /> unless the work authorized by such permit is commenced within six months af permit issuance, ar if work authorized by '
<br /> the permit is suspended.or abandaned�for a period.of six(6).montFis after the time the wark is"�cammenced. An ex#ension
<br /> may be requested, in writing, from the Building=0fficial far a;period nat to�-exceed•ninety(90) tlays and will demonstrate �
<br /> jus#ifiable cause for the exfension. If work ceases for nine#y{90}consecutive days,the job is considered abandoned.
<br /> I
<br /> � WARNING TC} QWN�R: YOUR FAI�URE.�Tt��_REGORD A NC?TICE O� C.t}MMENCEMENT MAY RESUI�T IN YOUR '
<br /> PAYING TWICE:FOR,IMPRQVEMENTS.TO�YOUR,:RROPERTY..,1F YOU.�IN7EN �TO,OBTAIN SFINANCING;'CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE.°REGUR�ING YOU ' t? � ' OMMENCEMENT. '
<br /> —FCORIDA JURAZ.{F.S._917.03)-.--- - - - - ---- -- - - - - - -- - - - - -
<br /> OWNER QR AGENT CONTRACTOR
<br /> Subscribed an bswom to{or affirtned}before me thls bs��d d sw t rrned}before me this
<br /> Y M w'
<br /> Who is/are personally known to me or has/have produced �' o tslare p onally�kno to,me or has/have produced
<br /> as Iden#ification. .,.� as IdentlBcation.
<br /> Notary Public hv Notary Public
<br /> Commtsslon No. � C m ssio
<br /> ,,•i�P;,,P�6�fr� JACQ!JELIfvE BOG�S
<br /> CVame af Notary typed,prin#ed or sfamped Name of Natary _ , nE� x i ,�mbar 12,2018
<br /> � :.: �o, p
<br /> '% 0.� Bonded Thru Troy F�in insurance B00-385d019
<br /> • '�P,i�i„��rr���+�+��' �
<br />
|