. ' o-., - .
<br /> ' , ' . . : ;.�.T. ...E ��� "!�j�,..s' �.,.... �.�.._. .."j��...,,`
<br /> MQTICE OF DEEQ RESTRICTItiNS. Ttie underslgned,under�tands-;th�t.#hls.: 8.rmi�*m ,,_,be,sub e.ct..tar"deed",restrt ' "° _.
<br /> • c#tons,,.:.,_,.�«.�.�
<br /> which may°besmore�r.estt:icttve=th���ounty��regulat�ons. �The underslgned�a�ssumes're`sponsiblltty�for`compllancu'witHYany��}�` ����'�'"��
<br /> appliceble deed•-restrictbns. ;.vr :, ... . . ,..,. � '. • � , .. ,._. � .. , , .� . ,.,
<br /> UNLICENSED CONTRACTORS �AND CONTRJ�.C70R R@�PONSIBI�6?iES: -1f-tlie��owner=hasµ�hiced"a�"contractar or �
<br /> oontraotors#o undertake work, they may:bs:krequ:ire,d:to;be:pcensed�lnsaccardance.with.state.and.�local tiregulati.ans:,�if�the-� n'� }r n'= '
<br /> cantractor�ts�-riat��llcer`tseif��as'requlrod`tiy lauv� b0#�1`th8 qVYRB!'8�d'�GOt�#fBC�OP;ni�t be•clted°for•��rnisdemeanor violation
<br /> under state law. if the owner or intended-�con�actor ere,:unaectaln as to what Ii+censing;requlrements�mayrapply�ior.=tFie��=._ . 4-��'
<br /> , , . ._,_.,.....v-�.,.,.,_.._.._..._ .. n. . .
<br /> intended�i�iorkE ttiey afe=aefvlse�f�caritact t!%e.Pasco County-Bu11d1ng�fnspectlon,D�rislon-.-l:Icen.s_!ng Sectton at 727-847-
<br /> 8009. Fur#liermore, tf the owrier iias�hl�eii a conhacto��o�contractors, he is advised to hsve �the conhac#ar(s),;sign_ .n
<br /> ,,.,:�,.w..,.��,..,,�,,. ., _
<br /> ,r..,., : , .s.,.
<br /> portions of the °contractar Block'° of this,_appilcation_for�which.they,will:be.r.esp.onsible:- If you,,;as�the bwner's,ign'�'as�tlie"' � '�
<br /> contraatvr; that�m�r'be an 1nd�ca�on#ha#�`fie�=ls ito#':�rope��Ilcerised antl"Is�tiot erit�#ed ta petinitting pritiiileges In Pasco
<br /> CoU11ky. ' , :,w.a:;;::°r.... ,..,..
<br /> TRANSPORTATICIN�IMP/4GT/l�Tit�i'T�ES-l�tIRAC'1'�ANb ltE�C1URCE RECQVEEtY�FEES,-�The understgned"unde�#ands
<br /> thatTrerisportation Impact fees and.Reco.urse Recovery.Fees may°.apply:#c�t�e:consUuctton of new„bulidings,?change�of�`� �`'=�'`�`4
<br /> use In existing bulldings, or.�expar�si�nrof=�izlsti�i��,bulldings,`as speclfled.in Pasco County Ord(nance number 89-07 and,
<br /> 90-�T� as amende,d.,t.,The undetsigned aisa:urtderstands, fha�t:�suct�fe.es,-,as��nay:tie�_due;�wttl.�be i�ent�Eed at ti�e�time�of��§- .°:°:,.�1°
<br /> � ,.w_
<br /> permitting. It Is iurther understood that Tra�sportatlon ImpactTFees ancf°�Ftesour'.ce�,Recoi►eryx�Fees,_mu�t be pa�ld priar to
<br /> rece�ving�a"ce�f�tcateraf�accupancy"�or#inal�power.;(elease; :lf�fhe,proJ�ct.:doess:not Involvewa'cert�ic�te of occupat��t°or�;�;}�.':�:�.
<br /> final power-release,�:,the;fees•:mu�t�be paid,p��or#o..permit Is'suance. F��thermore,�°if Pasco,.County'°Water/Sewet-;Imp�cF � =���•.-�
<br /> feesaredue,.they�must.be;pald.pi4otto_permlt;lss�uanca=ln.ai;cordance.witl�:appltca6fe:Pasco�:County'onllna�ces. •
<br /> CONSTRUCTtON`LIEN"t:�CV11(Ciiapter 713� Fiot�kla Statttte�sM as�mend�dj: tf valuation of work Is$2,5q0.80;or more�-1 �-,t�
<br /> aertify,tFiat I� the-.applicent;-have:.been providetl��vvith.-a=capy�of the "Flor(da� Constructton�-Lien..Law Homeowner's
<br /> Protectbn Guide" prepared by�tlie Flar�da Depa�finent�of Agricut#�re and Consum�r::Afifaics. 1�#he applicant is someone ,r :_., ,
<br /> othecthan the°owner", I certifjt�.that,,lri.have:obtained�a�aopy.of..the;abova:des.crlbed�docu�ent;a�d.pr.amise,in,goa��,faith.to . >'a
<br /> del�ver it to.the='owrie�`..:or� .. - ' � � �� : . .
<br /> pri �#o�coi�imericeritent:'�
<br /> CONTRACTOR'S/OWNER'S AFFIDAViT: 1.cer#I�y.�.th;at,.aii:the�;,lnf.ormatlon:.���thl�appltcatlon is accurate�nd that�il�wark
<br /> witl'be done in compp�nce wlth all.�pplicable laws regulating constructlon+ zoning and�-land�deyelopment. Appllaatlon is
<br /> hereby made to obta€n .�.permit,,to...do.-workz.and;lris#�Ilation as tndtcated:�:>.3'1. certity #hat no work°or Instailation has
<br /> cammenced p�lo�to i`ssuance of'a permtE"'and that.all work will be pe�farmed�ta meet standards-af all laws regula�ing�
<br /> construc�ian� Coun�r and C��y codes, zoning �egwlatians, and la�d devetopmer�t regtsla�ons�Iri ttie JurisdtctEon.= I:;al'so ,. _
<br /> certify that I understand that the regulations of other gavernment agencles may�apply�to the.intended work, and that it is
<br /> my responsibllEty t+o ldentliy�what.actions!must teke,to be,lnt.corrlMlance.4.S.uch,a�encfes�ln�lude b�t�are.not Ifmited to:, � �<
<br /> - Depa"rtment of Et�vironmental>�Pratec'tion=�yptess.`'�Ba3rheads;j 1IVeHand Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment. ,y
<br /> - Southwest Fiorlda Water Management�`::Distric#-We1Cs;- �Cypress. Bay#�eads;- "Wettand Areas� Atterliig
<br /> Watercaurses. - -� - �
<br /> � Army Corps of Engfneers=Seawalts��Docks,Navlgable Watervirays.
<br /> - Department,of.Heaith:,��;Re�aabilltafiye.�,Services/Environmental�.Health Ui�tt We4.s, Wasteu�rater�Tnaatment,
<br /> Se�tic Tanks:.�:. _`: ,_' . ' ,_ . - . ;_
<br /> - US Enviranmental Pratectlan Agency-Asbestas abat�ment._ °
<br /> Federal�Av,lativn�Authori#y=Runuvays;� � , w _ .
<br /> 1 unders#and-.that.the.foliowlrig:iryas�rlcttons appiy`ta tfie use of flll: .
<br /> - Use af fil�is not a{tawed in!Flood,:Zone"V"unless expressly permitted.
<br /> - If the ;fllf material�-Is to� b.e used::�In :Flovd �one "A", �ft Is understood�that a drainage plan 'address(ng a
<br /> �compensating volume"will be submitted at�ime of rpermifting wh�ch is prepared by a prafessionat engineer
<br /> Ifcensed by lhe State of;Flotida. � - -� ..
<br /> - tf fi�e filt matertal..is�to be�used In Fload �one "A� Itt�conneci�on�w1th:a �ertnitted bultding using stem wall :
<br /> � conatruction, I certify,.that f[Il.wall:be-used only.to.fill#he area-within�the stem=wralL -
<br /> - it' fl!1 material Is=ta be used in any area, i aertlf�r that .use. of T such�tIH wlll not adversely affect adjacent
<br /> properties. If use_of fili is fonnc�to adversety:�ffect adJacent=�pr�perties,.the owner may be cited for viofa#ing.,
<br /> , _. <. .
<br /> the condltions�of the building':perniit t�"sued-under the��atEacfied permit-appllcatian;for lats�.less=than.one (1)
<br /> � acre wti}cti"are el�irated�bjr fll�;a�t engtneer�ed dratnag�plan is required. . .
<br /> If I am the AGENT FOR�THE OIMNER;,I;promise In good,faith to infarm the�owner of-the perniltting condi#la�s set forth in
<br /> thls affidavt!`prior ti�commeracing constructian.•i "uniletsfand that�a�separate permit may be requtred for etectrica# work, . .
<br /> �,,...�, .
<br /> ptumbing,_,signs, wells,..poots;, alr conditioning,.ge�s,.-oc.otMer installa�tions not.spec.fftcatiy included�tn.the applicatton. .A
<br /> permit Issued 5ha11 be construe.d to be`a�It�nse�ta�proceed wlth ttie work and not�as:authodty to.vlolate.�°cancel, alter, ar
<br /> set aslde eny provlsians'of t�ie.#echiilcal code�;�nor shall lssuartce3of a.permtt.preven#th�8ulldlrig t�#Flclal from tliereat�er.
<br /> requiring a.correctlon af,errors In:plans; constivctian.or violatlans of�any codes.� �very p�ermtt�issued"sfiall'beaume°inval(d
<br /> unles� the work aiathorized.by such permit��ls-coEnmenced•writhin si�cvmonths of�permit Issuance, ar iFwork autharizecf by
<br /> #he permi#is suspended or,.abar�doned,-for.a;perlod;of�sGc.(8}mnnf�ig.aftec:the;tlrne the�workas commenced. An extensian
<br /> may be requested� In writing,:f'rom„tHe.'Bullding.Otticial�far a period-nat.to�exceed�n(nety�(90)�days a�d-wili�demons#rate
<br /> �ustl�abie'cause for.�the e�enslon: ff work ceas�.for nlnefy{90}cons.�cutive day.s..the�ab�is considered abacrdoned.
<br /> 1NARNING TQ OWNfR; YQUR_FAIl.URE..TQ,R�ECORD,A:��QTlC.E.QF;�COMM6�lC�ME[�lT,�AY RE�UE:T 1N:YOUR
<br /> PAYING TWICE;FCIR IMPROVEMEN;fiS�.TU,YOUR:::PRC-1PERTY:`��I��YOU{IhITENi��TO��BT�AIN�=FINiAI�E1NG;'CONSUL.T
<br /> --= ��"- U ; � U � �il+l�' 1T0 R! •" �E�. -f3R�► �a; ;�V � : ;�. :d �. ,.� � � � � - .�.•`�_— ---
<br /> FIOR#DAdtlRAT�{F.S:1. _:. 3} ,� . . : ' . , _ � _ �� �
<br /> 4WNER OR AQLNT � ~ �'�'Y . ~��''+�' GCMTRACTO `.. �
<br /> �bs bed and swam io( aflicmed}b�fore me thts� S scxlbed and` �a ot attirmed�, me'ttii�=
<br /> - ,. ..
<br /> Who is/a ersanatl knrnm .me.or haslhave.produced Who.fs/�re�8�aonaliy knawn_ me•or basA►ave•produced- •
<br /> as Id'en�ftca8on. ° as tdentNication.
<br /> /�-`�=--�• Notery Public . � Notary Publlc
<br /> C tsslon No.` . � Go lon.No.
<br /> ,,"p�,µV�P�j�b, SYLVIAA.CAMPBELI ��"'�'P�-., SYLVIAA.CAMPBELL
<br /> Name ot IValarY tyP �, a u - a e o or a P18me of lJot�rY 1yP$d,A p °ary c-
<br /> _. « = mmission�GG 172934 ;.; Commission#GG i 12939
<br /> ="� or:` My Comm,Explres Jul 19,2021 's r- oPr My Comm.Expires Jul 79,�021
<br /> �'^•.;�oFF;:�`'' gondedthrou9fiNationafNotaryAsso. .,���,n�f;�O�� ' HondedthroughNationalNotaryAssn
<br />
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