� h:r.--�.
<br /> I ' . .. _ .. ,-''�.,;;.
<br /> NOTiCE OF DEED RE�Ti31CTIONS: The undecsigned;undergtands�;th�t,lhls:permit�.may;be;sub)ect;to°aeea"re5trictions"�:.._,_ ,.z�_:
<br /> which may�`be>more�-rest�icttve-th��-Counly��riagulatfons:�=The.underslg�ned�-assumes~�esponsibility=�for"compllance`with'any " Y 1j�
<br />, aPPUcable deed restrictions. � . . � , � . :� - � �•`�;`"=
<br /> -.. �... ., : . . ._ - _ .. _ . .<..:._. _.. .P.. . ,,.
<br /> UNLICENSED� CONTRAC7'ORS .AND CONTRACTOR�R@SPONSIBILITIES: �•If-the��owner-has�;hiretl��a"cantcactor or
<br /> contractors to undertake work,,they may b.e;r�quired:to.,be;licensed In.accordance.withwstate.and�local,cegulations:�<Ifthe� ��`� ���-'�='
<br /> contractor ts-nof ltcensed°as'required.'tiy�law,�both the owner.and�-=contractor°�rriay�tie��cited�for�a�misdemeanor vtolation
<br /> under state law. If the owner or Intended�contra�tor;are::uncertaln as�to what licensing;requirements;may�:appty:.for=tfie--:�� � • ~"
<br /> ,. : - ,._....... ,- ,....,, ,.., . _._s
<br /> intended work, they are adviseii�to aontact.tfie,Pasco County,Bullding;Inspection,Dhrlslon-Llaensing Section at 727-847-
<br /> 8009. Furthermore, If the oviiner'iias�'hired��a�con�racto�'o� contractors, he Is advised to have the contractor(s),Jsign._: .� .
<br /> portions of the"contractor Block� of this,application_for.which they, will.be-.r.esponsible:.;If:you,�as,#he oviiner`stgn�'a§'the ` '�` �'��"���
<br /> contractor, that may�be an indication thaf'he=ts,not�properly�Iicensed�and��is`not entitled�to permitting�p�ivileges In Pasco
<br /> County. - , : �,._,;..,_ . _.
<br /> TRANSPORTATION.IMPACTIUTILITIES YMPACY ANb�tESOURCE RECOVERY�FEES: 'The�undersigned uriderstands
<br /> that Transport�tion Impact Fees and.Reco.urse.R�cove.ry.Fees,may,apply:to�tF�e_constructton of new_bulldings,:change�of����`=•� �_
<br /> use in existing bulldings,�or�.expansi�n>of�ezi�tingy'�buildings, as specffied.in Pasco County O�dinance number 89-07 and
<br /> 90-07, as amended.,,.;,,The undersigned also:understands, that:`such fees;-�as��may_`�e::due;;;will.��e identified at the�time�'�ofr���" •��` LL`�
<br /> permitting. It Is furtFier understood that Transportation Impacf Fees and"�Resource�Reco�ery�Fees�.must be paid prlor to
<br /> receiving a.°certiflcate-of�occupancy" or flnal�.power=release.• ;If�the.proJ�ct�::does..no�Involve�aa�certificate of occupancyfo���{=���'����
<br /> final power-release;the-�:fees mu�t�be paid�p�1or to,permR issuance. F��tk�ermore;ff Pasco,_C;ounty`Water/Sewer:;lmpact� �-,. -,.
<br /> . , �,. .. �
<br /> fees are due,.ihey_must.be:paid-pr:,lor to_permit�•issuance�ln accordance with.�appNcatife_Pasco�.County ordinances. • -
<br /> CONSTRUCTION�LIEN'LAIIV(Chapt�r 713� Florlcla$tatutes�as am�nded): .if valuatlon of work Is$2,500.00;ormore, I �; >���.
<br /> certify that I, �he �applicant;-have-been provl.detl��with-a~copy��of the�"Florida Constructton� Lien;Law�—Homeowner's
<br /> Protection Guide" prepared by,the Flo�lda Department�of Agriculture and ConsumerAffairs. If the appl(cant is so'meone � �.,. .
<br /> other than the'owner", I certify.that�l;have,ob..ta.ined�a�eopy.of:#he,abave�.described.docurt�entand�pror�ise:in,good',faith to . � �.:
<br /> deUver It to-the.'.owner�'=prior=to•cornmencement:' � � - - ' - . �
<br /> CONTR�ICTOR'S10WNER'S AFFIDAVIT: I.ceitlfy�;ttiet>all�the,lnformatltm In•thls appllcatlon is accurate and that all work
<br /> will'be done in com lia ce with all. �Ilcable laws re ul t1 � s
<br /> n a a n con tructlon zonln and�land develo en.
<br /> P pp 9 9 � . g _ _ pm t Appllcatlon is
<br /> hereby made to obtaln .a .pecmit,:to do._wor'k.;,and�Installatlon as Indl�ated:.t- I• certi�i that no work�:or Installa#Ion Fias
<br /> commenced prlor to Issuance of�a permtt-and that.all work vvlll be pertormed�to meet�standards-of all laws regulating•
<br /> constructlon, County and City codes, zoning regulations, and land development regulatlons�in the:jurtsdtctlon.�� (�°al'so. . _
<br /> certlfy that I uaderstand that the regulatlons of other government agencles may�apply to the.lntended,work, and that it is
<br /> my responslbility to Identify�what.act(ons I must•take:to be:l,n:.corrl�llance. Such.agencles Include but=are.not Ilmlted to: �
<br /> - Department of Ehv(ronmental=�Protection=Cyp"ress:'Bayh'aad�;-wea'and Areas and Envlronmentally Senslttve
<br /> Lands�Water/Wastewater Treatment. ""
<br /> - Southwest Florida Water Ma�agement.District-Wells;'�Cypress.r~Bayheads;� Wetland` Areas, Altering
<br /> Watercourses. - � . � �
<br /> - Army Corps of Englneers=Seawalls;'Docks, tVavlgatile Waterways.
<br /> - Department of,Health:'8.,RehabllltaHv,.e.Ser,vlces/Envitonmental:.F�ealth Un1t-Well.s; Wastewater�Treatment;
<br /> Septic Tanks.. - ` � � � • - _- -
<br /> - US Envlronmental Protectlon Agency-Asbestos abatement.
<br /> - Federel Avlat vn_Autt�orl -.Runwa s.- �
<br /> t . . ,h! _ Y ,
<br /> I understand.that the.following;restrlctfons apply to the use of flIL••
<br />, - Use of fill Is not allowed In Flood,Zo,ne"V"unless expressly permltted.
<br /> - If the�filf materlal=1s to be used.`In :Flood Zone "A°� It. Is understood that a dratnage plan addressing a
<br /> °compensating volume" will be submltted at time of�perm�ting whlch Is prepared by a profess(onal englneer "
<br /> Ilcensed by the�tate of Fiorlda: - � -
<br /> - If ihe flll materlal�.ls to be used In Flood Zone "A" in�connection�wlth�a���ermltted building using stem wall
<br /> � construction� I certify that flll:walt-b.e used only.to.fill the area wtthln�the�stem�walL �
<br /> - If flll material Is tv be used In any area, I �certlfy that .use. of such flll wlll not adversely affect ad)acent
<br /> propertles. If use of flll Is found.to adversely:�ffect adJaeent�-propertles,.the owner may be'clted for vloCating _
<br /> the condlllons_of the bi�llding;permit Issued-under the"attached,permit appllcatlon;for�lots�.less•than one (1)
<br /> acre whlcFi are elevated��6y flll,an englneered dralnage plan Is requlred. . •�
<br /> If I am the AGENT FOR THE OWNER;_I�promise In_good falth to I�form the owner of-the permltting condftlons set forth In
<br /> this affidavlt�pNor to commer�cing constructlon. I understsmd that,a-separate permlt may be requlred for elecMcaf work� ..
<br /> plumbing, signs, wells,:pools; alr condltiontng,.gas,.or.otMec Ins#all�tlons not•speclflcally'Included�in.the application. .A ,
<br /> permit Issued shall be conshued to be a Ncense'to�proceed wlth tNe_viiork and not.as:authoNty to,vlolate,�'cancel, alter, or
<br /> set aslde any provistons of ihe technlcal.codes; nor shall Issuance�of a.permlt.prevent the Bulldirig Of�lclal from thereafter
<br /> requlring a correction af ercors in.plans; constivc8on or vlolattons of any codes. Every p'ermlt�lssued sfialF�become invalld
<br /> unless the work authorized.by such permlt>is-commenced•wlthln sUc months of�permlt Issuance, or If work'authorized by
<br /> the permlt ts suspended or.aba�doned-for e;period„of�slx{B)�montfis:after the.tlrne the�work�ls corremenced. An extenslon
<br /> may be requested, In writing� from tlie Bullding,Offlclal for a perlod-not.to exceed'�nlnety-(90)�days a�d wlll'demonstrate
<br /> justlfiable cause for.the extensior�. If work ceas�es:for ninety.(90)cons.ecutive days,..th�Job�is consldered aba�doned. � "
<br /> WARNING TO OWNER: YOUR.FAILWRE�TO.REC.O�tQ A..I�OTIGE:OF�COMMENCEMEMT,MAY-RESULT IN�YOUR
<br /> PAYING TWICE;FORiMPROVEMEN.TS�Tfl:X�OUi�:PROPERTY. .I�°.YO.U�I�1�'EKID:T�'�OBTAIN��FINAI�CING;'C.ONSULT
<br /> - WITH YOUR CENDi�R�R���Pi�►7T�Ft(VEY�F0�3�RE�S�l3�IRI��=X0�1���'FICE'OF}C�NAl11rENC�EIIMENT'_ '
<br /> FLORIDA JURA�(F.S . 7.03) � ,� .� . . . - �. _ . -- --- ---`——_-
<br /> OWNER OR AOENT �,gh, CONTRAGTO �
<br /> Subscrl�dandswom (orafflrmed es e Is S�sc be`dand� = (oraAirtn �b �� :�il��
<br /> i .
<br /> IMio Isfa ersonally kn me or haslhave produced Who.lelare onallyknown• .nte or heslhave-produced •
<br /> as Identlflcatlun, as Identlflcaflon.
<br /> ` �""y Notery Publtc
<br /> � - Notary Publlc
<br /> Com sslon misslon No. •
<br /> +�����,�''.,� YLYiA.A.CIiN�PeEI! , •
<br /> a %••. o r P 1 ..��"'i"�••, 8YLVlA.A.CAINPBE
<br /> Name oI No FIb1y�1AlRipHlpires Jul 19,2017 : Name oi Motary typed, eilofary Pubtic•State o1 Flarida
<br /> �`= Commfsslon�FF 034230 =• •: My Comm..Explre5 Jul 19,2017� .
<br /> ���''�����`�d, 8bnded�hroupq Natioflal flot�iy As�n: ��, �,.�: Commission A�FF 034230
<br /> , . �'"y°���'" BDnded'fhrOuQh N�ttOn7t Nohry•Assn;
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