— t--Y-�..�,..Y•���a-�-�};
<br /> : . ._ -_ '
<br /> NOTiCE OF DEED RESTRtCTIONS: The undersigned„understands:tha$this;permit may be.;subject to y"deed";restrictionws":�'�.j;�,
<br /> which�may:be.mare:restrictive:�than�County�regutations:�?�Theundersigned�assumes���espohsibiiitjr'for=com'pirance�rrv�fh�any !
<br /> applicatile deed testrictians.- .. _; ��;.�-s,.:��:<,��;��.�_:°.::
<br /> UNLlCENSED CONTRAGTQRS AND CQNTRACTCJR RESPONS18fLlTlES:�� 7f�-•ttie`�=owr�er.tias tiired-a��contractor ar '`
<br /> contractors ta underkake work, they may::be requir�ed to be licensed�in accordance with state,,and��local;.r,egula#ion's:'.If;tfie�:��'�;:�
<br /> contractor is not licensedr as requi�ed 6`y`law; botYi-the owner:and`contraefbr,may<-be�`cited�-forNa��rnisdemeanor violatian� ;�����
<br /> under state law. Ifi the owner or intended.cantrac#or are uncertain as ta what.ticensing requirements:irnay�:fapply=foc��the,-;��`'�-;;
<br /> .,. :�a,-{cts .� ....,-..,..,r:. � _ r>., ':�;�
<br /> intendecf wor:k,..they are�advised to contacf tlie'Pasco Couri#y�Buitding trispection`Division=Licensmg Section•af 727=847� .,
<br /> _ .. -. - � �
<br /> 8Q49. Further�ttore, if the awner has Fiired`a conttactar or cantr�actars, he is acivised to ihave ttie contraetor(s}�:sign,.;,,`;;:;
<br /> . ; ;,,... � _:
<br /> portions of the "contractor Block"of this-application.far which they.will be resp.onsible::If,you, as ft�e`.owrter'sign.as�'.tkie �<-,�
<br /> contractoc, that may be an indication that he is not prope�ly�licensed arid is not entitled to permitting priVileges inn Pasco;,N j:.�
<br /> jCounty. _ _ - -- -, ; .: ::-..:�.:_:.� .,.: `.. ,
<br /> TRANSPORTATtON iMPACT/.U'TtLiTtES tMPACT AND RESOURCE RECaVERY FEES:�The undersigned under:stands ;,;;,:�
<br /> that Transportation Impact Fees and Recourse Recovery Fe.es„may:app(y ta the construction af new;buiiciings,•cFiange�of;=`:'=}>,;i
<br /> use �n ex�st�ng buitdings,,cir=expansion=of;.:exlst�rig buildings, as specified in Pasco County Ordinance number 89=07 and "`.' '
<br /> 90-07, as amended. The undersigned also understands, that such�fees, as�rrtay<;b.e:tlue, wilf be=identi�ed�at�#he_time-of,=�-�`;;
<br /> permitting. It is further understood tfiat Transportation Impact�Fees and Resource tRecovery Fees must be.paid.prior.to '�
<br /> receiving a "certificate of accupancy" or.finai.,power release. If the-project does not involve a certificate of occupaney:or."�'<��;�:�
<br /> final power release,.the fees.must°be:paid prior#o permit issuance. .:FurtFiermare,,.if Pasco;Gounty W,ater/S.ewer,vimpact;a.>-r ;,
<br /> fees are due,ttiey mus�be�paid prior to-permit'issuance„in accord`ance with:applicable,Pasco�Caunty ordinances. � 4 � ;�
<br /> CONSTRUCTlON-�IEN:LAtt1f{Ghapter 713, Florida$tatutes,as amended}: if valuation of work is$2,.500.00„ar.moce;�;il.;�;� ;
<br /> certify that I, the applicant, have .been•.pravided with-a -copy...of ihe "Florida �Canstruction'�Lien Law—�Hameowne�s � �
<br /> Pro#ec#ion Guide" prepa�ed by�the Florida Department of Agriculture and Consumer-Affairs. !f the applicant�is someqne,,.,-.-
<br /> t. . ....... .:.: .
<br /> other than the"owner�,,I.certify�.that,IFhave obtained a copy of-the.above'describetl'�document and promise-in_good:fafth,to :,,,
<br /> deiiverit.ta.the';owner"piiarto:cammencement'� '' � � �
<br /> , CONTRACTOR'SIOWNER'S AFFIDAV,IT:;;,I:certify_that a11 the iriformation in this application is acaurate and"that all�work ;
<br /> wii! be done in compliance with ait appficable�laws regulating consfruction, zoning-and land development. Appiicationis
<br /> hereby made to obtain a permit_to do;:wark-and installatian:as=:indicated. t certify that no �rork or instaltatioit-has ,
<br /> commenced priar fa issuance of a pe�rriiit and that a!! wark will be performed to_meet.standards of al! laws regulating
<br /> construction, County and Ci#y codes, zoning regulatians, and land development'regulations`in.�the jurisdiction. �I�alsa f
<br /> certify that i understand that the regulations af other govemment agencies may apply to the intended work, and that it is
<br /> my responsibitity to idenfify what actians(must take to be in compliance. Such agencies include but are not�limited to: :
<br /> - �,Depa�finen# of Enviranmentaf:'Rrdtection-Cypress Bayiieads, Wefland Areas and Environment�fty Sensitive �
<br /> E.ands,WaterNVastewater Treatment. "
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Attering �
<br /> Watercourses. �y
<br /> - Army Carps of Engineers-Seawatis, Docks, Navigable Vl/aterways. ,
<br /> �� - Department of Heaith �& Rehabilita#ive Services/Environmental Heal#h Unit Weils, Wastewater Treatment,
<br /> Septic.Tanks. � '
<br /> �_____ __ -� US Environmentai Protection_Agencv Asbestos abaiement. -_ - v�___-_ m -_�.__ _.---_-- --- --- , : -
<br /> - Federa!Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of�II:
<br /> - Use of fi(I is not allowed in Flood Zone"V"uNess expressly permitted.
<br /> - If the fiii matecial: is to be used in Flood Zone "A", 'it is understood that a drainage plan addressing a
<br /> � . , "compensating volume°wil! be submitted at tirrte of permiiting which is prepared by a prafessionai engineer "
<br /> �, ' licensed by the State of Florida. �
<br /> - If the fill materia! is to be used in Fload Zone "A" in conne�#ion wi#h a permitted building using stem wal!
<br /> cons#ruation, I certify that.fill will be used only to fill the area within the.s#em waA.
<br /> - lf fill materiai is #o :be used in any area, t cerkify that use of such fill will not adversely affect adjacent
<br /> properties. if use of fii( is found ta adversely affect-adjacent proper�ies, the owner may be cited for violating
<br /> the conditions of the building permif issued und"er the attached permit.applicat�on, far (o#s iess than one t1) `
<br /> acre which are elevated by fil1,an engineered drainage plan is requi"red.
<br /> !f I am the AGENT FOR THE QWNER;-I�promise in good faith to inform the owner of.the perrnitting conditions se##orth in
<br /> this a�davit prior to commencing construction. I understa�d that a separate permit may be required for electrical work, `
<br /> plumbing, signs, wel(s, pools, air conditioning, gas, or�o#Fier'�installations not specifically included in the application: A ,
<br /> permit issued shalt`be canstrued to-be a license.to proceed with the work and not as.authority to violate, cancel, alter, or
<br /> set aside any provisions bf the technica# codes, nor shall issuance af a permit prevent the Buiiding Official fram thereafter `
<br /> requiring a correction of errors in plans;construc#ion or violations of any codes. Every permit issued shall become invat9d
<br /> unless the work authorized by such permit is commencsd within six months of permit issuance, or if work aufharized by
<br /> the permit is suspended or abandonedfor a,period-.qf six(6) months after the time the work is�cammenced. An e�ctension .
<br /> may be requested, in writing, f�om the Building iJfficial for a period not ta exceed ninety(90) days and will demonstrate * .
<br /> justi�abte cause for the extensian. 1f work ceases for ninety(90}consecutive days,the job is considered abandoned:
<br /> WARNlNG TO OWNER: YOUR FAILURE;1'Q RECORD.A NUTICE OF COMMENCEMENT MAY RESUCT IN Y4UR
<br /> PAYING TWICE FOR lMPROVEMENTS TO YOUR:PROPERTY. -!F YQU.INTEND�TO.OBTAfN�PINANCING,CONSULT___.. _
<br /> WITH YpUR`LENDER OR�AN A7TCIRNEY BEFOIt��REC��RDING-Y4UR-NOTOC��U�COIIflYiIiENCEflAENT. �
<br /> --FLOf2lDA JtlRAT�(F.S:tiT.03) . .
<br /> OWNER OR AGENT ,L`��� CQNTRACTOR 4`1J1l.I.ldi�f Y�GT�fi.J�C�!
<br /> 8ub cribed and sworrt�t ar affirmed) re me�,this -/ Subscribe and s omv�r fo or affi-�� efore�m this
<br /> y D by ����'Yf�. ��Ct1.Q�?�"'U � /D�1� by b�-Q(}Z -1,�'3�C.1�� •
<br /> W o is/are personally known to me or has/h produaed ` Who is/are personally known ta me or has produced
<br /> as iden88ca#on. as identification.
<br /> � (.,�t ra'/� Notary Pubfic ' 'Notary Pubtic
<br /> Commiss'son(Vo. ��� ��'S r � Com^�ission No. L� � ��
<br /> %�� ' �'� ( 1S �c,� � �i.� �.
<br /> Na N
<br /> �iY'w�•. DEBRA EfAINE RUFFELL , :'�:':�4�,.,, DEBRA ElA1NE RllFFFi.l.
<br /> :'� �,_Commissfon#6G Q45343 :'�r '�;�Commission#GG 045343
<br /> _"�,��o;:Expires November 7 2020 `.r' •'Expires November 7 2020 __
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