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<br /> NOTICE OE DEEt���S`TRICTiOf�S:; The underslgned;undergtands��th�t this:ppemif:;may.,be,,subJect to;"deed",restrictlons"``.'�� ���
<br /> which may��be�more�<restNctive-thali�Cour�ty:�r��ulafions �The u�ederslgn�d.��surrie`s'c�spi�nsibii(ty=fo�compliance with`any " "` '
<br /> appticable deed�restrictlons. _---___ _ - . .`,,., , : , ., . 4 _ ^ , - -,-
<br /> UldUCENSED��CONTR�IC'�ORS :AND CONTR//i1CT013 RESF��N�E�ILIYIES:- �If the�owner=h�s �htred��a":i�ntractor or
<br /> contractvrs to undertake work, they may-b,e,��e�qui�ed:_to:be.licensed-l�accordance.wlth:state.and�local�g�l�tlons: �,If-the�� �- -_~�'-
<br /> contractor ts-not Iicensed��as��requlred';tiy lain►, both:the oemer and�contractorsmay bewcited�for�a�rrrl�demeanor violation
<br /> under state law. If the owner or interided..contractor:are�uncertain as to�vh�t Iicensir�g,requlrements Vmay 4epplyz:���for':tiae' • �
<br /> intended"work,"they are�aa�igea�ta�onte�i tne�Fasco�County'Bulliling;ylrispection�Ivislon--Ltc�nsing Section at 727-847-
<br /> 8009.. Furthermore, If the owrier`fias'hired a contractor'6r contractors, he is advised to have the contractor(s),.sign
<br /> � .�s^¢.::, k k' '"'..Rt� .i. :
<br /> portions of the:,"contracter Biock" of this appllc�tlon.,for:onrhich..they:,.will. be=.r�sponsible.��If.:you;as-.#he owne�'sign��as'�fhe" '
<br /> contractor; that•may be an lndicatlon thaf fie'ls tiot:properly`Ilc�nsed�-�inif�'Is'�iot�ntltled to pem�iltt(ng'privlleges In Pasco
<br /> County. ' _ .. , .._. .: .. �..` , :s: ,
<br /> TFt�4NSPARTATION�IMPACTIUTILITIIE$=1�IPAC7�ANb�tESAU�tCE RECAVERY•FEES:�The underetgned understands
<br /> thatTransportatlon Impact Fees arid.�Recourse Recov�cy.Fees,may..�:apply:°t��tf�e;constructton of neH►.butldtngs��change''of"T�����'� .3'�
<br /> use In existing bulldings; or=expar�sttin��of�ezlstin�:�bull�iings, as speclfled.In PascQ Cvunty Ordlnance number 89-U7 and.
<br /> 90-07� as amended.,f:The und,etslgned also;-understands, that°�such fees;;:as��may_�e:e.due;�.wlll.�be Identfffed at the�time�=of-��= ��-°�� �'°
<br /> permitting. It Is further understood that Tra�sportatlon Impaot�Fees and�Resource�yRecoir.eryiFees.mu�t.be pald prlor to
<br /> receiving a 'certlflcate�of-occupancy"or flnal-�power;celease:':If�the.project�.:does ynot Involve%a;�.certfficate of o�cupancy.�o�:��'����a�'����
<br /> final power:release;�;tFie��,fees,mu�t`'be�pald;pclor to,permlt Issuance. F��thermore;°If:Pa�co;,County�lNater/Sewer:>Impact� � ; } �
<br /> f�es are due�.they;must.befpald:p�lot�o.permit;l§su�nge�ln..accordance wltfr�appllcable%Pasco�-.Couniji.•orilinances. • _
<br /> CONSTRUCTIOM LIEN'LAViI'(Cli�pt'��T13� Florlda Statutes�as amended): If valuatlon of work Is$2�500.00..or more,::l�� ;,. =,:;A s-��
<br /> certify that I, .the. appllcant;=have�:been provlded�witfi=a=copy<vf`the°�"Flor(da-=Constnictton�:Llen.:Lavv—Homeowner's
<br /> Protectlo� Gulde" prepared by tfie Flo�lda Department�of Agriculture and ConsumerAffalr's. I�the appltcant Is someon�.-- , .,• >;.
<br /> , _ . .. ,;.,.�
<br /> other than the°owner", I certlfjr,that,;l h�v.e;obta(ned�a=copy;of:#h�:atiove..rfes,c�lbed-ifocui�ent:and,p.r.omise;ln;good:falth.to :. ��-.�,
<br /> deliver It to the:,bwner"�p�ioc��to coinmencement:'-'• � � �' � ' � � . � -
<br /> CONTRACTOR'SlOWNER'S AFFIDAVIT: I.cectlfy-:th:at�.all:.the,Informallon°:,In•thl.s appllcatlon is accurate and that all work
<br /> will�be done in compliance wlth all appllcable+I"aws regula4ing eonstructlon� zoning and�land�development. Appllcatlon is
<br /> hereby made_to obtain..� permit;,fo:do. w.ork;;and ilnstallatlon as Indf�afed:��.::`I� ceitify that no work�'or Installatton Fias ; � �
<br /> commenced prlo� to Issuance of�a permif�"and thaf'all work wlll be�performed to meet.standards-of all laws regula�ing� � , ;
<br /> constructlon, County and City codes, zoning regulations, and land development regulattons�ln�the Jurlsdlctlon:- I:also. _ . , ;�
<br /> certlf that I understand that th� re ulatlons of other ov�rnment a encfes ma �a I ;to the_Intended.work, an�that it is ` ``��
<br /> Y 9 9 8 Y .PP.Y .
<br /> my responslbllity to Identify•what.acttons 1 must take;M,be.,In:.campllar�ce,.,.S.uch,agencles lnclude but�-are.not Ilmtte.d to: � - �
<br /> - Departm�nt of Ertv(ronmental:FProtection=Cypre`ss``Bayhead�, 1'Iffetland Areas and Envlronmentally Sensitive
<br /> Lands;WaterMlast�water Treatment. - �
<br /> - Southwest Florida 1�later Managementr<:I�istrlct:Wells; Cypress.c�Bayheads; Wetland Areas, Altering
<br /> Watercourses. � . • � :§- . � -
<br /> - ►4rmy Corps of Englneers�Seawalls�`Docks,Navlgable Waterways.
<br /> - Department of.Health.:_�.�ReMabllltative;Servlces,l,Environmen�al�,Health Unit-Wells, VVastevkater�Treatment, ' -°
<br /> � SeptlaTanks:.�v .. � _. .. .._ , :
<br /> - . __U.�Envlr.onrnental Prot��t!en��s�y-�lsb�st�s ab�te�ro�t:.,-- —':-,�-. __ �_ -- -- - --- _ -_ -
<br /> - Federal Avlatton-:Authorlty=ftunways.- ' � � . -- � ��
<br /> -I understand that,the:following>restrlctlons apply`to the use of fllt: - . ,
<br /> - Us�qf fl!I ss not allow�d In�Flood:Zone"V"unless expressly permltted:. • `
<br /> - If the,:flll materlal-Is to-b.e used:�In.:Flood Zone. "A�. It. Is undersfood�4hat � dratnage plan addresstng a
<br /> °compeFlsating volume" will be submltted at time of�permftting whlch ts peepared by a professional engineer
<br /> Ilcensed by�tie State of:Flo�lda. � � � _ .. -.. r. . . �
<br /> - If th� flll materlalY.ls to be used In Flood Zone 'A" in��connec�ion�wlth�a pe�mitted�buildlrtg using stem wall.
<br /> � construction, I certify that fill�wlll-•b.e�used only.to fill the area wtthln�the�stem-�wall:
<br /> - If flll m�terlal Is to �be used In any e�ea; I°�certlfy that .use of Hsuch`flll�wlll not adversely affect adjacenf
<br /> propertles. If use of flll is found_to adversely,�ffect adJaEent_�proper4fes�.the owner may be ctted for vlolating
<br /> the condltions.of.the building;permlt issued=under tiie:'attached.,�ermlt applicatlon�rfor.:lots�.less;:than:=one (1)
<br /> acre whlcfi are elevated�by flll,art englneered dralnage�plan Is requlred. •�
<br />� If I�m Qhe AGENT FOR THE.OYMNER, I;:promise!n_good falth to Inform�the�owner.of the permltting condftlons set forth In �
<br /> this affidavtt�prlor to commencing constructlon. 1 under�tand thet a>separate permlt may be requtred for elecMcaf work, .
<br /> �.�.. . -
<br /> plumbing�,.signs, weUe,,pvols;. alr condltloning,.gas�:or�othe� Inst�ll�tlons noE�spec(flcally lnclu�ed�in.the application. .A . '
<br /> permiQ Issued shall be construed to be'a'llcens�`-to��proceed wlth'tlie�wo�k and not°as.;authority::to:.vlolate�:cancel, alter, or
<br /> set aslde any provislons of the teclinical.c+odes; nor shall Issuance�of a.permlt.pcevent the Bulldirig Oificlal from thereafter �
<br /> requlring a,correction a�f.errors In;pfans; constructlon or violattons of-any codes: -Every�permlt5lssued�sFiall�liecome Invalid
<br /> unless the work authoriied by�uch permlt:is-commenced•wlth(n sfx,;months of permlt Issuance, or if�nrork authorized by
<br /> the pe�mlf(s,suspanded=or�.abandoned_for:a�:perlod of slx f 8)montfis:aR�r the tlme the�work�ts commenced. An extension
<br /> may be requested, In writing;.:f�om the�Bullding.Offlcfal for � p�rtod=not to-exceed;niriety-(90) days a�d-wlll demonstrate
<br /> justlfiable cause for.�the extenslon�. If work ceases:tor nlnety(90)cons.ecutive days,..the Job�is consldered aba�doned.
<br /> _ , , .. _ . . _
<br /> IMARNING TO OYVNER: YOUR.,�AILURE�,�TO..R�EC.ARQ,A:.MOTIGE OF�COMMENCEINEMT:IIfFAY�RESULT IN°YOUR
<br /> PAYING TWICE;FOR-IMPROVEMEN�'S�Tfl YOUI�::PROPER=7Y:•�IF�.YO.U�IN�E�D'TQ��BTAIN�;FINApE�iNG;'CON�ULT
<br /> �YIT _ O. A TTO N •� FORE�� OR� G;; OU ' , �� �p ` °,.• . E , T• .,; -
<br /> FLORIDA JURA�:(F:S:117:03} . `. _.,, ,, . • '----_ ' . _ _ __.�:-:. .
<br /> OWNER O�t AOEN / COIdT1�GGT0 ''F � �
<br /> Subs bed and,s r fore e thl i Subscrlbed and's�riz ( �afflrm e th� �,
<br /> ��' ar� � � � ��- J
<br /> Who Isfa onally kn o.me or,h sR�eye produced Who.ls/a e"on me or hasfiave; roduced • -
<br /> ae IdentlBcatlon.�` � �s Identlfica0on. �
<br /> � Notery Publlc _ ' � � Notary Publlc
<br /> Commisslon No: Comrnlsslon.No.
<br /> Name o/No � �� - Name ot Notery typed,pdnted or stamped .
<br /> .�''""`@`� ROBERT J.MARTIN
<br /> � � MYCOMMISSION#FP934350 ' ��"'""`"� �gpBERT J.iViARTll�1 _
<br /> EXPIRFS:7anue�Y 24•� MY COMMISSION#FF934350
<br /> °F `'�, P .EXPIRES:January 24,2020
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