� � . ' �
<br /> i� �
<br /> NOTICE OF DEED RES'�RIGYIONS: The undersigned understands-;.th�t�thl�;.p�emit.may.be,subJect to"deed"„restrictions"
<br /> which may be�more.resti:ictive:.t#�e�n County��regulat(ons. �The undersignedas�umes-respon"sibiltty�for'compiiance viritfi any
<br /> applicable deed restrictions. . ,
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPORl�I�ILITIE�: If-the owner h�s �hlred a c�ntractar or
<br /> cmntracto�to undertake work, they may be.°requlce.d�to be-�Ilcensed in accordance.w(th state.and•local.regulations. If the
<br /> contractor ts not licensed as requlred=by law, bottr the owner �nd cont�actor�may be clted for a-misd�meanor violatlon
<br /> under state law. If the owner or Entended�contractor ere;unsertaln as to what Iicensing.require�nents may�:apply��for•�the
<br /> intended work, they are advised to contact the Pasco County�uilding lnspection Divislon—Licensing Sectton at 727-847-
<br /> 8009. Furth�rmore, if the owrner tias hlred � conVactor o� contractors. he Is advised to have the e:ontractor(s), s(gn
<br /> portfons of the "contractor Block° of thls appllcation for which they will be responsibie. . If you, as.#he owrier'sign'�as the
<br /> contractor, that may be an Indication Qhat�he ts not.properly Ilcensed and�(s not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRAldSPORTATION.IMPAGTIUTILITIES�OMPAC�'AND RE30UItCE RECOVERY�FEES: The�undersigned understands
<br /> th�t Transportation Impace Fees and.Recourse Recove.ry.Fees may��apply:40:tf�e construct(on of n�w buildings� change•of
<br /> use in existing bulldings, or:expartsi�n�rof��ezisti�i,g.�buildfngs, �s speclfled.in Pasco County Ord(nance number 89-07 and
<br /> 90-07, as amended. 7he undersigned also understands, that�-such fees�•:as,may�b�•.due;;wIIF�tie identi�ied at the�fime`�of-
<br /> permitting. It is further understood that Transportatlon Impact Fees an�=Reaource.Recovery�Fees,must be p�id prlor to
<br /> rece�ving a "certificate.of occup�ncy" or flnal�power.rele�se. :If��Ehe projbct.do�s not-involve�.a certificate of occupancy o��
<br /> flnal power release, the fees onust be paid prior to permit issuance. Fulthermore;ff:Pascro C.ounty Water/Sewer (mpact
<br /> fees are due,.th�y_�nust be=pald.prior to permit-lssuance-in accordance with appllcabie Pasco'.Countjr�rdinances. •
<br /> CONSTRUCTIOR! LIEN"I.AW(Chepter 713� Flmrtda�Qatwtes��amended): !f valuatlon of work is$2,500.00�or more, I
<br /> certify that I, the. applicant, have-been .provi.ded with a copy of the�"Florida Constructlon L(en Lawr—Homeowner's
<br /> Protectfon Gulde" prepared by the Fio�ida Department�of Agric.ulture and ConsutnerAffairs. If the applicant is sorneone
<br /> other than the"owner", I certif�r that I�h�ve.obtalned�a�'copy.of.the_above.described docur�ent=and.promis�in,good faikh to
<br /> deliver it to the',ownec"�.prior torcommencement:
<br /> CONTRACTOR'S/OWNER'S IAFFIDAVIT: I.certify..th:�t�all..th�;lnformation In thi� applfcatlon is accurate�nd that all work
<br /> will'be done in comp0lance with all.applicable laws regulating constructlon, zoning and land development. Application is
<br /> hereby made to obta(n .a .permit to :do_work.,and installatlon as indicated: `I certify that no work or Installation has
<br /> commenced pr(or to issuance of a permit and that.all work will be pertormed�to meet standards of all laws regula�ing-
<br /> construction, County and City codes, zoning regulatians, and land development regulatlor�s-(n the jurisd(ctlon.- I aiso
<br /> certify that I u�derstand that the regulat6ons of other government agencies m�y�apply�to the intended work, and that it is
<br /> my responsibilily fo identify.wh�t.ac4lons I must take:to be,in:.c.on�pltance: �uch agencles include but-are.not limited to:
<br /> - Department of E�lvironmental�Protection-Cypr�ss.�Beyheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,VilaterNUastewater Treatment.
<br /> - Southwest Florida Water llAanagement .District Wells, Cypr�ss.��Bay.heads; Wetland Areas� Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers�Seawalls, Docks, Navigable W�terways.
<br /> - Department of Health�'� ReY�abiNtative ServlceslEnvironmental Health Uhit-Wells, Wastewater Tr�atment,
<br /> Septic Tanks. �
<br /> - US Environmentai Protectlon Agency-Asbestos abatem�nt.
<br /> - Fede�l Avlatlon.Authority-Runways.
<br /> I und�rstand that the following:restrlctions app0y to the use of flll:•
<br /> - Use of flll Is not allowed in Flood Zone"V"unless�xpressly permitted.
<br /> - If the fill material is to be used. In �Flood Zon� "A", it. Is understood that a drainage plan addr�sstng a
<br /> "compensating volume" will be submitt�d at t�me of p�rmifttng which is prepared by a professfonal engineer
<br /> Ilcensed by�he�tate of Florida.
<br /> - If the fill material Is to be used In Flood Zone °A" In�connect(on�with�a �permitted building using stem wall
<br /> construcQion, I certiry that flil�:�aall=b.e used only.to.flll the area w(thin the stem�wall.
<br /> - If fill material is to be used in any area, I �certffy that .use. of such flll will not adversely affect adjacent
<br /> propertles. if use of flll is faund to adv�reeEy:�ffect ad)acent�pcoperties, the owner may be clted for v(ofating
<br /> the condltions of the building:permit Issued under the attached�ermit application, for:lots less than.one (1)
<br /> acre whtch are elevated�by flll, �ct engineered dralnage plan is required. -
<br /> If I am th�AGENT FOR THE OWNER, I�promise in good faith to inform the owner of-the permitting conditions set forth in
<br /> thi� affidavtt�prior to commencirrg construction. I understarad thet�a-s�parate permit may be required for electrical work,
<br /> -�. ,r•.
<br /> plumbing, signs, wells,.pools;. alr conditioning, .gats, or othec Install�tlons not•speciflcally included-in.the applicatlon. .A
<br /> permit Issued shall be const�ed to be a�Iicense to�.proceed�nrith the work and not as.authoNty to,violate,.cancel, alter, or
<br /> set aside any provistons of the technical cod�s; nor shall Issuance�og a.permit.peevent the Bulld(rig OfFictal from thereafter �
<br /> requlring�correction af errors leo�plans�, consttuction or vlolatlons of any codes. Every piermlt Qssued shall become invalid
<br /> unless the work authonzed by such permit:�s.commenced�within sfx months of�permit Issuance� or If work authorized by
<br /> the permit is suspended or.abandoned�for.a:pertod of six���)monttis.after the tlme the�work�{s commenced. An extenslon
<br /> may be requested, In writing, from the Building,Offlcial for a per(od:�not to exceed-ninety(90) days a�d will demonstrate
<br /> justifi�ble cause for.the extension. If work ceases.for ninety.(90)cons.ecutive days,.-th�Job�Ps considered aba�doned.
<br /> WAitMING TO O{lVPIER: YOUR..FAILWRE�T�.,R�EC.ORQ A.NOTIGE OF-COMIIAEi�CEN1EMT Ma4Y�RESULT IN YOUR
<br /> PAYING TWIGE,FOR�IMPROVEMENTS TO YOUR�PROPERTY. IF°YO.U{IN�END�°TO�i0BTA1N��FIPFAI�EING;'C.ONSULT
<br /> WIT U D AP1 A• O N OR�t � C� � fs':� OU '. ° �C "O �� ��_'
<br /> FLORI�A JURA'� . 7.03) � _ . . �
<br /> OWNEPt Oft AQEN � COWYRACTO G�� �
<br /> $ubscxibed and swo (or_�iflr�ned)_b fore me thls S� sa�lbed ar.d'�° �to(ot a;"��d`� efio�r�i e tiiig- - - "
<br /> 1 a-a s��J �o �- 11 r 5e�;o rr /�,2.'S:i'T . �S�y►��-
<br /> Who Islare p rsonally kno to.me or has/have produced Who.is/are p.e n�lly kno •to me or hasJhave produced •
<br /> aa Identlficatlon. as Idendflca0on.
<br /> Notery Public �-� No�ary Public
<br /> Co ission No-` Commisslon�No.
<br /> '_��Y PU��:=: Notary Pu61(c-State of florida ;,.o���p��,: SYLVIA A.CAMPBELL
<br /> ;r, .�: Nota Publit-State of Florida
<br /> Name oI Notary type p ��anPo� m.Expires Jul 19,2021 Name of Notery typed,p U� Rfped Commission�GG 112939
<br /> ��'•;FOFF��•' 8ondedthroughNationalNotaryAssn. �i oP: MyComm.ExpIrE5JU119,2Q21
<br /> '•"�OFF��Q.`'�
<br /> Bonded through National Notary Assn.
<br />
|