PIOTICE OF DEED RESTRICTIQNS: The undersigned undecstandswthat.this;permit maybe subjectzto"deed",restricdoiis��„�
<br /> which�nay>.be inore.restrictive khen.Gounfy reguiations 'Fiie�undersigned�as�iiiir`���sponsib���foreompliatiee wntti a�yy
<br /> � ' appiicabte deed resttictions. ::__,:•a=...
<br /> UNCIGENSED CON.T;ltpCTORS ANC► GON'�!2/�CtOR RIESRfilNSIBtLITiES: if•tlie•ovrmer°has-h'irsd=a eon.tractar or -
<br /> contraotors ta uniJertake work,"they t�ay b�required�;to be ticensed in accordattce with state and:loeat:r.egulatio�s:��lf�the-�°�
<br /> ,,..,.< ;
<br /> contractar is�not.licensed as._requiireil tiy.law, tiottf the ouvr�er:and,cont�a�Eot�i�iay�be eited��of-a�ri�isdetn"e'anor vroia4ion,
<br /> under state law. !f the ownec or int�nded�cotttractor.are uncertain as ta.what.licensing req�i�ei�ents;.,rriay��pply�for=:tiie°�'� `
<br /> intended wods,.they.are advised to canta�rthe'Pasco County B�itding:tnspecfion`D'Nisivn-�Licensing Sectior�aE 727=847-
<br /> 8009: Furtherinore, 'rf the owner has hire8 a cori#raCtor or contrac#ors, he Is advised fo;haVe tkie,contracto,r(s�.sign e,.
<br /> p ` y1�....,♦ �.y�:i•F.;. � �
<br /> portions of fhe"contraetor Block of this applica�lon far which they.wil!be.resp.ansible, if you,a's�,ffie`oiwiie►�sign'as'the ° ,
<br /> , conkractor,fhat may 6e an indIeaSon that he-is not property licensed and is not enfi`Eled�to permitting pn',viteges in;Pasca,;
<br /> County. .. ;.. ._ .
<br /> TRANSPORTATtON iMPACTLUtILPfIES INtPACT AND RESOURCE RECQ1lERlf FEES: THe untl8rsigned understands. �
<br /> that l'ransportation Impac!Fees a�d Recourse Recovery Fees traay appty#o-the consfruction.of r�ew buitiiings,'c�iange�of��=+'=;
<br /> use in exlsting bui3iiings,..orexpapsion o#e�'st+ng buitdings,as specified in Pasco County Orcltnance nu�ber�89-07.asrd =
<br /> 90-07,as emetrded. The�undersigned aiso understands,:that suc�i,fees,as r�ay;be.due,wiH tie;�identified af';the=time"of�'��� '
<br /> permitiing. It is ftirther understoad thak TransportaUon linpact Fees and Resaurce�ftecovery Eees r�ust be patd pir'ior to
<br /> �eceiving.a°cer�ficate of occupaacy"or fln�i.power retease. ff fhe.proJectdoes not.involve a aertiflcate cif aceupa�cy'�or==- ,
<br /> finat pawer release;the.fees.must be�.paid prior to permit Issuance. FurtFtermore.if P�sco County W�ter.iSawrerF=[mpa�t:••
<br /> fees are due,they must,be.paid prior to permi#issuance in accordance with�applicable,Pasao County ordirtances.
<br /> CONSTRU6TlON l:fEN L-i411V{Chapt�r713;Ftortda Sta#ute�,as amended): lf valuation of work is$2,50.O.OQ.ot.mar,e„1,;
<br /> certify that 1, the appticant, have been_provided with a copy,of..the "Florida-Gonstrwctlon �:ien Lai+v-Flomeawner's
<br /> Protection Guide"prepared by khe flo�da Department of Agricukture and Consumer Affairs. If the appiicant is.someone:
<br /> other than the°owner",!cettit�that I hava abtai►ied a copy af the above desc'n6ed=tlocamer�t and pro�r►ise:ir�good,faith to:
<br /> deliver.it,to tq'e°owne�°�priorto cornmenc�ment.
<br /> CONTRACfOR'�IOWNER'S AFFIdAVIT: 1.certify that al!the inf'ormation in this appiication is eccurate and#hat altwork
<br /> will be dane In compliance with ali applicable'laws regulating construction,zaning and tand�devetopment. Appllcation_,is
<br /> hereby made to obtain,a.,perr�i#:to da;�work-and instaltation.as-indicated. l ce�iFy fhat no work or:in�ti�tla#iori has ,
<br /> commenced prior to issuari�ce of a permlt aniY that a!I work w!I! be per�armed to meet staodards af aii iaws regulating ,
<br /> consfructton, County and Gity codes, zoning regulations, and iartd devefopmerrt regulations Irr.the jurisdlction. 'l:�alsa
<br /> ceRify thati understand that the regula#or�s of other govemment agencies may apply to the intended work,and khat it is
<br /> my responsibility#o identify what actions 1 must take to be in cumpliance. Such,agencies incfude but are not tirtlitad.ta:.
<br /> � - ,Depactment of Enviranine�►taG'.Rr'�fe�tiori=Cyp'ress Bayfieads,Wetland Areas and EnvironmentaDy 3ensJtive
<br /> � Lands,WaterNUastewater Trea#ment.
<br /> I - Southwest Florida Water Management District Wells; Gypress .Bayheads, Wetiand Areas, A(tering
<br /> ' Watercourses. N
<br /> - Army Corps of Eng9riaers-Seawalls,Dacks;Nariigabie 1Naterways.
<br /> i - DeparEment.,of Hea(th 8 Rehaqilitative $erviceslEnvironmental Health Urtit Wells, Wast�v,rater Treatment,
<br /> Sepfic:Tai�k`s. "
<br /> ' - US Envlronmental Protection 1�qency-Asbestos abatement.
<br /> - Federai Aviettdn:Avthari,ty-Rnnways.
<br /> t understand that�.#he foilowing:restric6ons apply fo the use oFftO:
<br /> '� - Use of fill is no#a!lowed in F�ood Zone`V°unless expressfy permitked.
<br /> i - if the fill.[natedal#s to be used in Ffood Zone "A, it is unders#oad that a drainage plan addressing a
<br /> , "compensating volume"wili be submifted at time of permitting which Es prepared by a professionat engineer
<br /> � ticensed by.the State�of Florlda. "
<br /> - If the fill material is ta be used in Flood Zone°A"in connection with a permitEed building using stem wall
<br /> � canstrvcttan,i certifiy that:fiil will be used only to fill the area within the Stem waU.
<br /> - ff fitF inaferial is to be used in any area, 1 cert�fy that use of such�fiH wit! not adversely a�ecf adjacenf
<br /> properties. !f use of fl(k Es found to adversefy affect adjacent properties,the ouvner may be cited far violating
<br /> the canditions of.:ttie b�iidirtg:permit.issue.d under the attached permit appRcatian,for.lots less than one(1)
<br /> acra whicfi are etevated by fiit,an engineered drainage plan is requiied. a
<br /> tf I am the AGENT FdR TH�OWNER;I�promtse in.good faith to inforrii the owner of the permitting conditions set forth in '
<br /> this a�ilavit prior to commencing consfrzicUi3n. i undersfand that a separate permit may be-required for eleetrical work,
<br /> piumbing, signs,wet(s,,pools, air.,conditioning, �a�, o�ott�e�'installations nok specificaliy inciudetf in the application: A.
<br /> - pertni#issued�shal(�be coristFueil to�ie a!(censs'to.proceed with ftie work and not as authority.to viotate,.ca�cel,alter,or �
<br /> set aside any provisions of thei'technical codes,nor shal)issuanae of a permit prevent the Bu�iding Offtc�al from thereafter :;
<br /> � requiring a correction of errors irn plans,�;construction or.violations af any.codes. Every permit issued shal!bac;ome inva(id :
<br /> , untess the work authorixed by such permit 1s commenced within six rs�onths of permit issuance�or if wortc authorized by
<br /> , the permit is suspended or�bandoned far a pedod.of s�x{6)months after the time the work is commenced. M eactension
<br /> may be requeste8,in.writing,from the 8uitding Officiai for a period.nof to exceed ni�►ety(9(})i]ays and wilk deri�anstrate `
<br /> Justifiabte cause for.tlie extension. if,work ceases for ninety(90}consecutive days,the Job is considered abandaned.
<br /> WARNIt�G Tb qWNER;_ YOUR.�AIl:,URE,TO.R�CQRD A NOTtCE OF G0�IRMENCEMEMI3°MJIX�tESULT!N YmUR ''
<br /> PAYIN�:TWlGE.',E..O,ft,l{ulp6iOVEMENTS;''C.A.YO't)tt:-PROPEI�TIR..IF�IOEl1iM�`END=TOCl�TAINFiNAi+IGIMG,CONSULT �
<br /> WITH 1COtlit'LEf3DE��t1R AFI=ATTdRNEY B�EO E��t�C.ORDlN YOtJR � 7'IGE7DFtGQM EPIGEARERIT. -
<br /> FLORIDA JURFIT(F.S.117.03} � . ,
<br /> BWNER OR AGENT CONTEtACTOR � � •�i��
<br /> �� Subsaibed and swam to{or aflirmed)6efore me thls Sups�xibed and swam (ar affirmed}6 re me ts -
<br /> bY (�5.��"'-!
<br /> Who fs/are personapy known to me or has/have produced Who is/are p onaliy kn to me or fiasJhave produced
<br /> as Identlflcaflbn. as tdentiflcallon.
<br /> � r
<br /> Noterjt Public �..
<br /> Comm�ss�on No. Com tssto O. o`ii}S:�°ys''�, JACC�UEtiNE BOGES
<br /> =,; ',.__ qmmission 422
<br /> - r12 201$
<br /> Name of Notary typed,printed or stamped Name o#Notary iyped,pdnted or ,�o?,� 3a5aots
<br /> Y1�11��
<br /> -'°:�"'4'�': 045343.,
<br /> ^? Com ion#G
<br /> '•;�,r'�,:Exp'ss No er 7.2020
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<br /> ----- -:..,_."_. ._-. --.. ... �"''� ,=_ __-�. _. .. . _. -;.:'A ;,-------,-:-�--�-:-;_:. _ .._��_.r , ..., --
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