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<br /> NCIT10E;t�F.DEED RI�STRICTIQNS:-TFie undersigned understands.that;thisrpermit rnay,be,subject,.#o-.�e.ed�. re�f�icfiofns.,��=;,
<br /> � �t•<--.. • � �.�..:;�:�. 1 • - � ....�.,r:.;,w:. � 6��,,,K.,.
<br /> � which:.may�be.moce.restcictive=#han�County.reguia#ions.:�The�undersigne�.=assumes�-r.esponsibii'i.ty`�forcampliance�withany:_"�'�
<br /> applicable deed�festrictiorts: . . . - ' �` .: • � ;' :°a�:t�=°'"��-;.;��`.',°=°�`;
<br /> l3NLIGENS'ED�CONTRACTORS AND� GONTRAGTQR RESPONSlBIL:1�'lES: �If�the�own`er�µkia5�h'i'red'•°a��contractor or-. :�
<br /> contractors ta undertake work, they.may�be°required to be.licensed''in accordarice�with state.�and'�local£;regulations:�:�if�tiie����w�:
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<br /> contractor is nat.licensed-as required'''tiy`law,v�`�oth��the ovirner��and=contractor;may��beY�cited`�for;,:a:misdemeano�`violati9n;;v_v�'
<br /> under state�law.� If the owner or intended�contractoc are'uncertain as.to what.licensing requireme.ntsarnay��apply,:for::;th�;e;k,;�T:i
<br /> y . F:.�;°: ..��rv.n.�
<br /> �ntend�d work,they�are aduised to contact�ihe"Pasco County'Buifcling Trispection Dfv'r'sioii-=Liceiising Section at�?27'847 �;
<br /> 8Q09. Furthermore, if the o�nrner fias hired"�a' cantractor or cont�actai�s, he is ativisecl '#o�ihave the,contractor{s};;s,ign�r,:,�
<br /> ,;,,.,_„>;�>�::.�:>.,,� :,. .,� � ..
<br /> portions of the ucontractar Block°pf this application fo�which�they wi!!-.be.cespons�ble:;_�lf;you,,asj`ftie'�own`e� s�gn.as-;the;�;�',,
<br /> contractoc, that may 6e an indication that he�is�nat properly�licensed;and�is,nat�-erititled to�.permitting privileges;In Pasco� �
<br /> County. , . a . , ` _' .. . _ . , . - .. . . • .. . ���.. .,�ya.,:
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<br /> � P .F ... .. rY � Y PP Y , . .. � ,.: �_ 9 g ; ,R x.ands..�;��:;
<br /> TRANSPORTATtON-�IMPAC7LIJTIC:iT1ES_tMPACT AND RES�URCE RECOVERY FEES:The'undersi�ned undecst
<br /> uset-n exist n�bu'!d n" .s,cor e�ns oR o#ex tiR�bu Idin se as sa cfed �n�Pasca Co nctr O di ance n'udrnber 89_07�`�fj�;t�;;i�
<br /> 9� 9 P 9 9 pe tY and: ;
<br /> ,,,
<br /> 90-07, as amended. 7he�undersigned alsa understands, that such,�fees, as-may:.b.e<due, will�;be.identified��a�'�ttieytiiiae�of=�::a°`�
<br /> permitting. -1t is further understaod that"Transportation Impact Fees and ResourceFRecovery Fees rnust be-paid.pr,ior"to.;��:;.�;` +
<br /> receiving a "certificate of occupancy° or final:power release. 1f the project does not involve`a"ce`�tificate of occupancyaoc��:��,�,
<br /> final pawer reiease, the fees�must be�.paid prior ta p,ermit issuance,,=Furtfiermore, if�Pasco:County Water/,Sewer;-iFtqpact��.�R>;s;
<br /> fees are due,they mus't be paid prtor to=permit issuance in accor�aricc�with applicatile.Pasco.County ordinances. ::�,
<br /> CONSTRUGTfON-L`:1EN�I:aW{Ghapter,T13,�Flarida�tatutes,,as ar�r�ended}::If valuaticin;of wark is$2,50Q.00.or.more,;,lr;,�4?
<br /> cerkify that,'l, the applicant,. ha`ve been provided with"a cbpy_'of,•ttie "Florida� Ciinstr`,uction. f:ien.�.Lav�-Horneowner's � �
<br /> Protection Guiden prepared by the Flarida Department of Agriculture and Cansumer Affairs. If the applicant�is.someone:fi�; _�
<br /> ather than the"awner", t�certify#hat l:.have obtained a copy of the aboVe descri6ed`document;and promise��in,goo.dtfaith�t9:�:,�;-.�;
<br /> de(iver.it.tofthe`�owner,"�.prior..:tb.corrimen�eement: � � � � �
<br /> CONTRACT�R'StQWNER'S AFFiDAViT:=-_l�.certify that_a(i the infarrnation in th'rs�.application is accurate and that�ali'work �
<br /> wif! be done in compl�ance with all applicable�(aws regulating construction, zaning-and land deveiopment. Applicatian�is :;
<br /> hereby made ta obtain ,a .permit to .do..work and installation.,as��indicated. E aertify that no work or insta{latiaii�has '
<br /> commencecJ priar,ta issuance of a p.e�rriit and that all work will be performed.to meet•standards af all laws regulating �
<br /> constructian, County and City codes, zoning regulations, a�d land development`regulations�iri'°the jurisdic#ion. ��l:also .,-�
<br /> certify that t understand that the reguiations of other government agencies may apply to the intended work, and that it is
<br /> my respansibility to identify what actions 1 must#ake to be in compliance. Such.agencies include.but are not limited�,to: '
<br /> - ,,Departmen# of Env�ronmental- Protectian-Cypress�Baytieads, Wetland Areas and Environmentally Sensitive �'
<br /> Lands,WaterM(astewater Treatment. �j
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Attering �
<br /> Watercaurses. �
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Departmenf af Health & Rehabilitative Services/Environmental .Health Unit Wells, Wastewater Treatment,. ;
<br /> Sepxic Tanks. � ' .
<br /> - US E�vironmental Protection Agency Asbestos abatement. ' ;�'F:. ;
<br /> - Federal Aviation'Authoritjr-Runways. _ - � � r • ;
<br /> t understand that�the following�restrictians apply to the use of fill: - { , .> � �.
<br /> . ��.Use af fiI(is,not al(owed in Flood 2one"V" unless expressfy permitted:� '�� � ' �' ` • � � ` �
<br /> � ' - ` !f the fi!! mater-ial is ta be used 'm Fload Zone °A", it is understood that a drainage plan addressing a
<br /> "compensating volume" wili be s�abmitted at time.of perrnifting which is prepared by a professianal engirieer
<br /> licensed by the State of Florida. � •
<br /> � - If the fill material is to be used in Flood Zone "R° in connection with a permit#ed building using stem wal!
<br /> canstruction, I certify that fill will be used only to fill the area within the.stem wall.
<br /> i - If fiil� material is to .be used in any area, 1 certify that use of such'�fill will not adversely affect adjacent •
<br /> proper�ies. If use af fii is found ta adverse(y affect adjacent praperties, fhe owner may be cited far violating. °
<br /> the conditions�of-the buifding permif issued under the attached,permit applicatian, for lots less than one (1.) '
<br /> acre which,are elevated by fll, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,_I promise in gaod faith ta inform the owner of-the permi#ting conditiorts set forth in ';°
<br /> this affidavit prior fo commencing construction. I understand that a separate permit may be required for elect�ical work,. „ ��,
<br /> plumbing, signs, wells, poals, air canditioning, gas, or�otfier�insta0atians nat specifically included in the application: A •
<br /> permit issued shalt°be construed to be a iicense to.praceed with fhe_work and not as.authority#o violate, cancel, alter, or � '
<br /> I set aside any provisions of tlie technicai codes, nor shall issuance of a srmit revent the Buitdin Off c
<br /> p p g i iat from thereafter
<br /> requiring a correction of errors in plans, construc#ion ar violations o€any codes. Every permi#issued sha(i�eeome invatid °
<br /> wnless the work authorized by such permit is commenced within six months of permit issuance, or if worit autharized by <
<br /> � the permit is suspended.or abandoned for a period-.of.six(6) months after the time the work i�'commenced. An eacterision `
<br /> may be requested, in'writing, from the Buildirig Officia( for a.period nat to�exceed ninety(90) days and will demanstrate
<br /> justifiabfe cause for the e�ctensiort. If,wark ceases for ninefy{90}consecutive days,the job is considered abandaned. '
<br /> WARNING TO OWNER: YOUR.FAILURE TQ RECORD.A NOTICE OF GOMMENCEMENT MAY RESULT IN YC1UR
<br /> PAYING TWIGE FOR IMPROVEMEN7'S,=7'O YO�UR..PROPERTI(.,.-!F YOU;INTENDfTO�OBTAIN�=EINANCING,CONSU�T
<br /> WiTH YC1UR`L'ENDER OR AN'ATTORNEY BEFORE:RECORDING,YOUR`NOTICE.'OE-GQA!!lU1El��EI�l1�E�lT: ___. __.��- ' _
<br /> ,__ F1.o�iaa.lu�r tF.s.-aa7.o3}----,----__--. __�__�� ; �
<br /> OWNER OR AGENT CONtRACTOR .✓t� ��. �"
<br /> Subscribed and swom to{or a{firmed)before me ttiis Subsc�bed and swom to(ar before me t is
<br /> by {-G.3-(7 by , G�,,.. .
<br /> Who is/are persona0y known to me or has/have produced ` Whg�s/are p on Ily known tq me or has/have produced
<br /> as ident�caUon. 1�"L. �f�r�r�", j� Cen� �s ldentlficaUon.
<br /> . �
<br /> Notary Publia -� � r.� No#ary Public
<br /> Commisslan No. Co �Ssion �
<br /> ??'}�=���''��'s
<br /> __.: :._ Commission#FF 150422
<br /> IVame of Notary typed,printed or stamped Name of tVota � �i�§ e� ,
<br /> '�,pd��`� � Honded ihm Troy Fain Insuranrs 84pJ85d019
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