�
<br /> . � .y, �
<br /> NOTICE OF DEED RES'PRICTIONS: The undersigned-understands��th�t,.this:��rmit,may_be:subJect;to."deed",resVlctlons° ._._�_�_,��_.
<br /> which may be�ino�e�rest�ictive�»th�i�County�i�e8ulations:`°The`undersigned���ssumes'resp�nsibiltty for�compliance'with�ariy'" `�� `�
<br /> appflcable deed'rest�ictlons. -:��.._,���. ::::.: : : ,• • . ._ . �= � �
<br /> UNLICENSED CONTRACTORS�:AND CONTRACTOR R@SPONSIBILITIES:� �-If the�owner�has��htred�-a":contractcr or
<br /> contractors to undertake work;.they may:be.;c�quire.d_to.:be-,licensed in��ccordance.with state:.and�local;regulatlon.s.:=1f�the�� �- - _V
<br /> contractor ts riot ltcensed as requlred=tiy law,.tioth the owner and conUactor�mey be4cited=for�a0.misdemeanor violatlon
<br /> under state law. If the owner or intended;.contr,actor.are.uncertain as to what Ilcensing.requlrements;.may�apply�for:tlne=��� � �
<br /> . ,. - - .
<br /> intended"work, they_a�e advised to�coritact the.�Pasco County Building�Inspection�Dlvislon-Llcensing�Section at 727-847-
<br /> 8008. Furthermore, tf the owner`has�hired�a��conhactor o� contractors, he Is advised to have �the contractoKs),;sign. ,
<br /> poHlons of the."conttactor Block° of:this..appllcatlon-.forwhich they;will..be.:responsible.-� If:you,-as#he:owne��`§ign�a's'fhe "- �� �
<br /> contractor; that may be an indicatlon that'Fie is �iot.properly Ilcensed�a�tl��i"s`not entitied'to permitting privileges in Pasco , _
<br /> County. � " �`-� `' �
<br /> TRANSPORTATION�IMPACTIUTILITIE$�-1MRAC'��AN�RE�OUitCE RECOVERY�FEES: �The undersigned-�understands
<br /> that Transportatlon Impact Fees and.Recoucs� Recover.y.F�es may:�;apply_tm:tf�e;construction_of new.buildtngs;:.change�of��� "=-'-i
<br /> use fn existing buildings; or-:expar�sian�of�ezistin�g;`<buildings,as specffied.lr� Pascv County Ordinance number 89-07 and
<br /> 90-07, as amended.H.The undersigned also;understands, that:'such fees,;,asmay�_be�:due;;wili:�be identtfied at the�:timejof�-- -���''=' �
<br /> permitting. It is ftirtfier understood that Transportation Impact Fees and'�Resour.ce�Recovery�Fees�._must be pald prlor to
<br /> receivfng a°certiflcate:of occupanoy" or flnal-power:Eelease. :If the.proJ�ct.:does.not involve.a�:certfficate of occupancy..or���=�'� ` `
<br /> flnal powec release;tFie.fees�mu�it:'be paid:;prior to..permit issuance. F��thermore;�if:Pasco,;Countyr�Water/Sewer�impact �� :�� -�
<br /> fees are due,.lhey,must.be,pald prior to.permit-lssuanee=ln.accordance witFr�applfcatife�Pasco�County�ordinances. •
<br /> CONSTRUCTION'LIEN�LAV11�(Cli�pter 713� Florlda Statutes��amend�d); If valuadon of work is$2,500.00;or more,J�� � :.,...
<br /> certify that I, the applicant,.have.-•been provided•with-a copy of the "Florida� Constructton�`Lien .L'av�Homeowner's
<br /> Protection Guide" prepared by the Florida Department�of Agriculture and Consum�r:Aftairs. If the applicant is someone. .. .
<br /> other than the"owner", I certifj!.that-l�have.ob,tained�a=copy.of:the��above..described'�locu�ent:and:promise;:in,gootl:fatth.to
<br /> deliver it to:the"owne�':p�ior�to�commencement:' � � -� ,: ' ' - . _
<br /> CONTRACTOR'SIOWNER'3 AFFIDAVIT: I.certi�yR:th;at�all::thg�,lnformation:in-thi.s appl(cation is accurate.�nd that all work
<br /> will�be done in camptiance with all.appltcable�laws regulating construction, zontng and��land development. Appitcatlon,is
<br /> hereby made to obtain_.a permit,;to:do.,�work,�.and!:Installatlon as indtCafed.�3 °I certify that no work�or Installatlon has -
<br /> commenced P�lor to Issuance of'a-permit"and' that'.all�work will be pe�Formed�to meet standards-of all laws regulating-
<br /> construct(on, County and City codes; zoning regulations� and land development regulations�tn th'e ,Jurisdtctfon., I�ai'so .
<br /> certify that I u�derstand that the regulations of othe�government agencies may�apply�to the intended work; and that it is
<br /> my responsibility to identlfy�what.act(ons I must•t�ke,:to�be,in:.carr�pllancs:N.S.uch;agenclesinclude but�are.not iimited to: �
<br /> - Depadment of Er�vironmental=�Pintection=Cypress`'Bayhead�; Vlletland Areas and�Environmentally Sensitive
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Florida Water Managemerit�=:�istrict-lNells;�'Cyp�ess.c�Bayheads,- Wetland Areas, Altering
<br /> Watercourses. � �
<br /> - Army Corps of Engineers=Seawalls,-Docks,.Navigatile�Waterway�.
<br /> - Departrtment,.of,Health;'B:,:ReMabllitative.ServtcesLEnvironmen#aI...Health Unit-Well.s� Wastev�ater�TreatmeM,
<br /> Se�tia Tanks:_. � � . .
<br /> - US Environmental Protection Agency-Asbestos abatement.:�-. ,
<br /> FederaFAvlatlon,Authority.:yRunways: "' . _ -
<br /> -I understand.that the:following�restrictions apply'to tfie use of flIL•� �
<br /> - Use of filf Is not allowed in'Flood:Zone�V"unless expressly penn6tted..
<br /> - If the flli tnaterial=ls fo�be used: In.:Flood Zone. "A°, �It is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at#ime of�.permifting whlch Is prepared by a professional engineer
<br /> Iicensed by��he State of Florida. - � . �
<br /> - If ih� flll�material-ts,to be used In Fiood Zone "A" in�connection�with�a-perm(tted`building using stem wali
<br /> � construction, I ce�tify that flll:wall=b.e�used only.to fill the area wlthln the�stem�wall: ,
<br /> - If fill material is to be used in any a�ea, 1��cenity that .use. of;such flll will not adversely affect adJacent
<br /> p�operties. if use of flll Is found_to adversely:�ftect adJacent�pra�perties,.the owner may be cited for violating
<br /> the condllions:of.the b�ildtng:permit issued�under tlie°attacFied.,permit application��for.=lots:less�than.=one (1)
<br /> aare whicfi are elevated�tiy flll.a�engineered dralnage plan is re�uired. �
<br /> If I am the AGENT FOR THE OWNER,_I;.promise In-good falth to inform the owner of the�permitting condit�ons set forth In
<br /> this affidavlt�prior"to commenoing constructlon. I understand that�a�separate pertntt may be requlred for elecMcal work, .
<br /> plumbing, signs,welis, pvols;. alr conditioning,.gas, or.othe� tnstall�tlons no��spec�ically included�in.the�application. .A , ,
<br /> permit issued shall be construed to�be~a'license'to`proceed wlth�tNe�wo�k and�not as:authodty:to:violate;::cancel, aiter, or
<br /> set aside any provtsions of the teclinlcal codes;�nor shall issuance�of a.permit.prevent the Bulldirig O�icial from thereafter �
<br /> requtring a cor�ect(on af.ercors in;plans; construction.or vlolations of�any codes: Every�p�ermit=dssued sfiall beaome inval(d
<br /> unless 4he work authorized.by such permit:�is.commenced�wlthln sfx.,months of permit Issuance, or If work authorized by
<br /> the permit is suspended or:abandoned��for.a;period:of six•.(8)�montF�s.:after the.tirne the�work�ts commenced. An extension
<br /> may be requested,.In wr(ting,,:f�om tFie�Building,Official for� period=not to exceed�ninety(90)�days a�d-viiilf demonstrate
<br /> justifiable cause tor.the extension�. If work ceas�s:for ninety(90)cons.ecutive�ays...the Job�is considered aba�doned. -
<br /> WARNING TO OIMNER: YOUR FAILURE�:TO.,REC.OltQ A.NOTIGE OF-�COMMENCEMENT:MAY-RESULTIN.YOUR
<br /> PAYING'TWICE�FOR.I.MPROVEMENTS�Tfl:YOUR:_PItOPER-lY:�41��YO.U�IN��END:TQ��OB�AIN�FINAwEtNG;�CONSULT
<br /> w�T �o: AN� TTO N � FOR���• OR� G:�. oU � ;C ,� . : . . E , .
<br /> � : t ,�., :-. . „ , . . . . ..
<br /> .. ___
<br /> FLORIDA JURA�:(F.S: .._, 3}_-- —.=' �� _ - --- - --- ��-=--- — -- - -- - — - -_ _ -
<br /> OWNER OR A�iEN7 , . �iJ'I CONTRACTO - �
<br /> Sub crtbed and swom to , a rmed)b to me this Subs�Ib and's to or aflirmed)�b' "re me ttii�
<br /> �/ /'{'I r er' �-` "" �. .. �
<br /> Who Isfa II known .me or has/have produced Who.is/a ersonallyknown me,or has/have•produced
<br /> ` "ae Identlflcatlon. - as IdentlRcaUon. �
<br /> Public . _ - Nofary Public
<br /> Co s •��N���ys%. S A A.CAMPBEtI� - •
<br /> :r� • ' �'i0111R1�9 ;��'ar n� � �L
<br /> ;•; ' •E M y C o m m.E x p i r e s J u l 1 9,2 0 1 7 r=o` ;��; N o t a r y P u b l i c-State ot Florida
<br /> �i Name of
<br /> Name ,,�� ���„ ` ��nded Through a onl Notary Assn. 9�,'r p� orti�n �FF 034230
<br /> , ���'�%°;�:°`� Bonded�hraugh Natianal Nolary Assn.
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