. � .�-;,
<br /> � Y �'Y..�
<br /> ld4T10E.OF DEED RESTR1C710NS: The understgned.under�tands=:th�t:this.,p�rmlf.may.bs,subject fo,"deed"res#ricttons" � t
<br /> which may�be°mare�.r.estcictive,th��County�'feguiatlans:�The-`uridersigned'°a`s`sume§;re�ponsihilify°far�compiianart��wlth'sny�
<br /> app8cable deed rest�ictions. , � - � ' ��
<br /> UNF.ICENSED CONTRACTCIRS.AND-CClNTRACTOR RESPONSlBIi:1TtES: If#tie�owner�has�hired� a��cort#rac#or ar
<br /> oon#ractors to undertake work,.#hey may be:cequ'ired-:ta be_Ilcensed in.accardanae:writh state.and•Iacal�regulaHons: ,If'the- °
<br /> contractor fs not:licens�d.as�requlred=Eiy ta�nr, Eioth�the owner and=coiitcactoT�may be�ctted 1`or�a misdemeanar v1olation
<br /> under state law. if the awner ar (n#ended=contractor�ace�uncertaln as ta what ilcensing._requirements'may=a�pty:`�or.yttie �
<br />� intended work, they are advised to contact the Pasao Coun'ty Bullding lnspectlon Dlvislan—Licensing Sectlon at 727-847-
<br /> 8009. Futt�thhermore; if the owr�er has hire�i a contracfor oc conti^actors� he Is advlsecl #o have the contractor{s): sign,
<br /> portfans of the "cantractor Black" of thia appiication for which they wlll be.cespansible. If you,:as..�he owne�"si�n as`the �
<br /> contractor, t#ist�may be an Indicat#on that�he�is nat�.praperly liaensed and'°Is not entitled to�petmitt#ng�piEvileges fn Pasco
<br /> County. ' �
<br /> TRANSPORTATIQN":IMPACT1lITt41TlES•IMPAC"�AN�I�RESOURCE RECOVERY FEES: The underslgned unde�stands
<br /> that Transpor#ation Impact�ees and.Reco.ut�se Recave.ry Fees may�apply,#o�the constrvc�tian af new.,,bulidings�:chan�e-of`� = � =
<br /> use in existir�g buildings, or:.expansi�in=:of��existin�g'�6uildings, as speclfled in Pasco County Ordinance number 89-07 and
<br /> 90-OT, as amended. The undecslgned also;understands, #trat�such#eest;as�may�be�due;�wfll�,be tdeiitifEed at tiie=,time�of=� .
<br /> permitting. It is iur"the�understood that Transportation Impact Fees an.d'Resource Reco�ery'`Fees..mu"st'be paid prlar to
<br /> receEving a "aerflficate-of�occupancy"or final-power.:reiease. :4f the project�,does r�o�involve.a.certl�tcate af occupancy or'-°`'• "
<br /> final power retease,.the:fees-mu�ts be paid pcior.#a permit is�uance. Fur#hermare,��tf Pasco County WaterJSewec impact r
<br /> fees are due, they must.be�pald pNor to permit-Issuance�in accordance witlf applicable.Pasco��County ordinances.
<br /> CONSTRUCTtON CIEN"�.AW{Cliapter 713,Florlda�tatute�sr.as amend+�d}: if val�ta�on of work is$2�500.00;ar mpt,e, 1=� ,, -
<br /> certify that I, the„applicant, have.been provided wtth a capy of--the "Florida~ConstrucNan Lien Law—Homeowner's
<br /> Protectto� Guide"-prepared by the��loilda Departmer�t�of Agrlcu[ture and Consumer Afialrs. if the apptEcant Is someone ,
<br /> other than#he"owner", I certify that:i.have,obfained-a=copy of.the:above..described docur`iaent°and.promise;in,gaad'faith to ..
<br /> deliver it ta#he°owner"prior=to>commencement:=�� ' ' � """'` � '
<br /> CflN't'RACTOR'S10WNER'S APFIDAVIT: 1.cer';tify.that�atl the,lt�fo�matton.,in:thi�application is accurate and that ai1 work
<br /> wili'be done in comptiance with all.applicable laws regulatingmconstruction, zoning and��land develapment. Applicatian is
<br /> hereby made to abtain .a permit Ca do, wortc.:and installatlon as tndt�ated�� 1�certifjr #hat no wotk�or tnstai[ation has
<br /> commenced p�tor to.issuance of'a permit and that�all work will be petformed�to meet standards of.all laws regulaking-
<br /> �onstructlon, Cotanqr and City codes� zonfng regulafions, and land development regalatlons�in the juclsdiction. ( a#so
<br /> cet�fy that 1 u�derstand #hat the reguiafions of other govemment agencies may�apply�#o the intended wark, and that it is
<br /> my responsibility to iden#ify�what.actions I must•take to be,in:.camplla�ce: S,uch agencies include buk are.nat Iimited ta:
<br /> - � Depa�#men# of E�vironmental�Protection-Cypress.'Bayhead�, Vtfe�ar►d Areas and E�vlranmentalEy Sensitive
<br /> Lands,Water/Was#ewater Treatment.
<br /> - Southwest Fforida Water Management� Distrlct Wells, Cypress`' Bayheads;� We#land Areas, Attering
<br /> Waterr,ourses.
<br /> - Army Gorps of Englneers-Seawalls, Docks,Navtgatile Waterways.
<br /> - Depart�er�t of Heatth�8 Ret�abllitative ServicestEmrironmental Hea�lth Unit Wells, :Wastewater�Treatment,
<br /> Septiic Tanks. � �
<br /> - US Environmentat Protection Agency-Asbestos abatemen�. �
<br /> - Federat Aviation Authority-i�unways. -
<br /> I understand that the follaw�ng.restNctlons apply ta�the use of flll:
<br /> - Use of fill is not altowed in Flood�Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used_,In Flood Zone "A", It is understood that�a drainage plan addressing a
<br /> ucompensaEing volume"wlil be submttted at tfine of permittfng whlch is prepared by a pro#ess�onal engineer
<br /> Ilcensed by-�he State-of°Florida. '
<br /> - !f the f1A materla!.Is to ba used i� Flood �one °A" !n�cannec�Eon�wlth:a p�rmltted bullding using stem wali
<br /> '� � construction, t certify that fiii.wlii:be used onty to.fill the area withtn the stem wail.
<br /> � - If flll materlal is ta 6e used in any area, I certify that .use. of such flll will not adversely affect adjacent
<br /> properEtes, 1#use of ffll ls fgund td adversely,affect adJa�ent��propertfes,.the owner may be cited for ulotating
<br /> , the cond(tions of the`buiiding:permit Issued under the..at�ached permit applicatian, for�lots less than one (1)
<br /> acre whlch are elevated�by fllt,�n engfneer�ed d�alnage pisn is requlred, .
<br /> if i am the AGENT POR THE CiWNER, I;:promise In good falfh to inform the owner of#he permitting.condi#tons set forth in
<br /> this affidavit`prtor to commencing construction. f undersfand that a-separate permlt may be required for elect�ica! wark.
<br /> plumbing� signs, weNs� poals;. air condttior�in9,.9ats� �or ather, Enstallz�tlons not spec�icalEy inclu�ed�in.#he application. .A
<br /> I permlt Issued shalf be construed to be a Iicense to proceed wlth the work�nd not as:authority to.violate;�cancel, alter, or
<br /> set aside any provisions of the technica!-codes; nor shaRt lssuance�of a_permit.pr.event the Bultdlrig C?�iclel from thefeafter
<br /> requiring a conection.af errors ln•plans, cansiruc#ian or viotations of any cades. Every permit Issued sha1F become invalid
<br /> unless the avork authorized.by such permit�s.commenced•withln sGc months of permlt lssuance. or !f wark authorized by
<br /> the permiE is susperided or.a6andoned for a period af�si�c f8)monf�s.aftec#he time the�wortk ts carnmenced. An extension
<br /> � may be requested, In wr(ting, from the Building,Official for a period.not#a exceed nin,ety(9p) days and�will�demons#rate
<br /> justl�able cause for.the extenston: Ef work ceases:for ni�et}t�90}cons.ecutive:days,..tk�e�ob�s.cansldered aba�done�,
<br /> WARNING TO OWNER: YOUR.FAIl.URE�TO.,ItE.C.ORQ;A..NOTIGE OF=�GQMMENCEMEMT,MAY-RESCfLT tN-YCtUR
<br /> PAYING TWICE.FOR IMPROVEMENT$Tt�YO.UR�;PR4PEi�TY.�;I��YOU�IN�E�l,D�TQ�OB�AIN��F1td�ANCING;�CONSULT
<br /> WIT -- -UR-6� edd2 -Cb �A�-e4�'��l1 N���B E�1!. E�-E����E��2 �=1f�!! �� � �E`� u' E � �: — -_- _
<br /> FL4R10A.4URA'��F.S.117.03)
<br /> � �.... ,�„. f /��--.�
<br /> OWNER OR AtiENT - �U�.-E:-�--~~-'� CONTRACTO ^�:-��-^�"'l `...Q/'���' '""`�'-
<br /> Snbscrib d and swo n afllrrned}before me thls ' Subscrlbed and Yo{or afflrmed)'betate me'th§i n
<br /> 0
<br /> °2-t � �y � 2-1,�-1.6 �b
<br /> �is/ �e persqnally novm ta.me or haslF�aye produced W�I�s/ar�.pe o ly.�npwn M me,or haslhave�produced �
<br /> t°cH�L•l�f-5 Gr`c.�,r�S�Q._ as IdenUflcaHpn. ' 9�' � �-�ta�f.,�tL>ri.� as identl�catton.
<br /> �;
<br /> ��-�� Notery Pubtic . � Notary Pubilc
<br /> Go slon N .. Gomm r�No.
<br /> Name af Notary typed,pdnted or stamped Name at Natary typed,printed or stamped
<br />
|