, „' . , ',
<br /> NO'�iCE OF DEED REST�ICTIONS: 'The undersigned undergt�nds�:.th�t-thl�:.p�rre�it.may.be.subject to"deed"restrictions"
<br /> which may be�more'-restcictive�th��County�r+�gulatCons: �The unde�slgned'a�sumes�resp�nsltilitty for`compllance�rith any
<br /> applicable deed resf�ictions. -
<br /> UNLICENSED COPITRACTORS _AND CONTR�ICTOR RESPONSIBILI'fIES: If-the ovdner ha� hired a contractor or
<br /> contractors to undertake work, they may b�;requlred�.to-:be;licensed In accordance.with state.and�local regulations. If�the�
<br /> contractor t� not Ifcensed as requlced by law, both the owner and�cont��ator�inay be-cited�for a�misd�meanor violatlon
<br /> under state law. If the owner or Intended=con�raetor�are uncertain as to w►hat Itcansing.require�nents mayf::app(y.���for�the
<br /> intended work, th�y are advised to contact the Pasco County Building Inspect(on Divislon—Llcensing Sectton at 727-847-
<br /> 8009. Furthermore, tf the owner has hired a cont�actor o� contractors, he (s advised to have the contractor(s), sign
<br /> portlons of the "contractor Block" of this application for which they will be responsible. If..you, as.#he owner'sign`�a's the
<br /> contractor, that�may be an indication that�Fie is not.properly Iicensed and�is not entlti�d to permitting privil�ges in Pasco
<br /> County.
<br /> TRAN�PORTATION-IMPACTIlITIL:1�'IES��MPAC7 AWb RESO�RCE RL�OVERY FEES: 1'h�undersigned understands
<br /> that'Pr�nsportatlon Impact Fees and.Reco.urse 6tecove.ry.Fees may�:apply:40�the consQruction of new bulldtngs, change of
<br /> use in existing buildings, oe�expansi�nf of��ezisti�i,g`,buildings, as speclfled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The. undersigned also:understands, that_such fees�:as,may�be�due,�will:�tie identified at the=time°of.
<br /> permitt(ng. It Is further understood that Tra�sport�tlon impact Fees and,Resource Recovery;Fees must be pald pr(or to
<br /> receEving a "certiflcate of occupancy" or flnal powec:release. :If the.project..does not involve�a.certificate of occupancy or�
<br /> flnal power release, the fees mu�t be pald prior to perrroit Issuance. Ft�kthermore;�if:Pasco County Water/Sewer Impact
<br /> f�es a�e due,.they�must be-pald.,prior to permiE-lssuance°In accordance with�applicable Pasco'.County orc�inances. � '
<br /> CONSTRUCTIOPi L1E�d�LAIIV(Ch��Eer 713� �lorlda Sta@ut�s�a�amended): Yf valuadon of work is$2,500.00 or more, I
<br /> certiPy that I, the applicant, have-been provided with_ a copy of the �Florida Constructlon Lien Law—aiomeowner's ,
<br /> Protection Gu(de" prepared by the Flo�ida Department of Agric.ulture and ConsumerAffairs. If the applicant is someone '�
<br /> other than the"ow�er", I certify,that I�have.obtalned a'copy.of.the:above.described tlocutnent-and.p.r.omis�in,good falth to
<br /> deliver it to the°.owner"�p�ioc:Qo-commencement: ' ,
<br /> CON'PRACTOR'S/01NNER'S AFFIDAVIT: I.certt�y.that�01:the:Inf.ormatidn In•thi� appltcatlon is accurat�and that all work
<br /> will'be done in compliance with all.applicable lawrs regulating constructlon, zoning �nd land development.. Applicatlon is
<br /> hereby made to obtatn .a permit Co do_wor�k_,.and installation as IndlCated: 'I ce�tify that no work-or Installatton has
<br /> commenced prior to issuance of a permit and that.all work will be pertormed�to meet standards of all laws regulating-
<br /> construction, County and City codes, zoning regulations, and land development regulatlons-(n the jurisdfction. 1 also �
<br /> certify that I u�derst�nd that the �egulat(ons of other government agencles may�apply�to the intended work, and that it is ;
<br /> my responsibility to ident(fy�what.actions I must take.to be,in:.compliarrce: Such agencies.include but-are.nof IIrv�Oted to:
<br /> - Department of Ertv(ronmentai�Protection-Cypress.Bayhead�, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterNNastewater Treatment.
<br /> - SouthwesQ Florida Water Management .District-Weils, Cypress.���ay_heads; Wetland Areas, Altering
<br /> Wat�rcourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigatile Waterways. �
<br /> - Department of liealth'� Rehabllitative Senrices/Environmenfal Neaith U'trit-Wells, Wastewater�Treatment,
<br /> Septic Ta��Cs. .
<br /> - US Environmental Protectlon Agency-Asbestos�batement. �
<br /> Federal Avlatlon_Authorlty-Runways.
<br /> I understand that the following restrictlons apply to#he use of flll:•
<br />� - Use of flll is not allowed in Flood.Zone"V"unless expressly permitted. � �
<br />� - If the flll materfal i� to be used: In.�Flood 2one. "A", it. Is understaod that a drainage plan_addresstng a
<br /> °compensat(ng volume" wrill be submitted at#ime of pemnitt(ng vuhich fs prepared by a professfonal englneer
<br /> Ifcensed by the State of`Flo�ida.
<br />' - If the fill materlal is to be used (n Flood �one "A" Irr connection�with:a �ermitted building using stem wrall
<br /> ' constructlon, I certify that fUl:tidll=bs used only.4o#111 the ar�a wlthin�the�stem Mrali.
<br />' - If flll material is ta be used in any area, I �certify that .use. of such flli will not adversely affect adJacent
<br /> p�operties. Ef use of flll is found�to advecsely:�ff�ct ad)�Eent�properties,.the owner may be cited for violating
<br /> the conditDons of the building:permit issued under the.attach�d permit epplication, for lots less than one (1)
<br /> acr�which are�levated by flll, a�engineered drainage plan Is required. . �
<br /> If I am the AGENT FAR THE OWNER, I,�promise In good faith to Inform the owner of�the permitting cor�dit(ons set forth In
<br /> this affidavtt�prior to commencing construction. 'i undersfand thet,a<separate permit Pnay be requtred for elect�ic�l work,
<br /> plumbtng, signs, welis, pools;, air condltioning,.gas, or otMer install�t(ons no�,spec�ically Included-tn.fhe application. .A
<br /> permil Issued shall be consteued to be a Iicense to��proceed with the work and not as.authority to,violate,cancel, alter, or
<br /> set aside any provBstons of the technical caodes;�nor shall issuance�of a.permit pcevent the Bulldirig O#�ict�l from thereafter
<br /> requiring a conectton af enors in plans, construc#lon or vlolations of any codes. Every permlt issued shall become inval(d
<br /> unless the work authorized by such perm(t.�ls-commenced•withfn sfx months of�permlt lasuance, or if work authorized by
<br /> the permit!s susp�nded or.abandoned�for a:period of six�6)rnontiis.ait�r the tirne the�wo�k�is commenced. An extension
<br /> may be requested, In writing, ftom the Butlding,Offlcial for a perlod.not to exceed nineiy(90) days a�d-will demonstrate
<br /> )ustifi�ble cause for.the extension� If work cea�es.for ninety(90)cons.ecutive:day.s,..th�Job�is considered aba�doned.
<br /> WARNING TO OWNER: YOUR..FAILURE�TO„REC.ORD A MOTIGE�OF•COMMEi�CEMENtT�MAY RESULT IN YOUIt
<br /> PAYING TWICE.I�OR IMPROVEMEN.TS TO YOUR�.PROPER7Y. IF�YO.U�IN�gEND:�T�'i0BTA1N�=FIPFAt�E1NG;'CONSULT
<br /> WITH YAUR L�ND�R�OR�liV A'�TORNEY�BEFORE�RECO�IN�:�1�0UR�1�I�TiC�`OF`COMI111ENC�Ef4yENT'
<br /> FLORIpA JURA'�(F. . . .03} ` �' ' �._ � - �
<br /> �
<br /> OWNER OR AOENT ��- COiVYF�flCTO ���� �
<br /> Su�scrlbed and s (or affi ed) etor me this Subs�bed end'swo � (ot afflrmed)�befo �me thi�
<br /> / �S-� � r �sC� lo -�si7 ,2 G f�►Eg�,,.t��.�-
<br /> Who isfare arsonally known to me or hasihave produced Udho.is/are p. , onally kno •to me or haslhav�•produced •
<br /> ae IdentlBcatlpn. es IdentlBcaUon.
<br />� / ` C�
<br /> Notary Publlc , YVofary Publlc
<br /> Com sslon No:�' CVI VIA A.CAMPRELL _ C misslon No. I
<br /> ;�a�'. ,�= Notary Public-State of Florida .•'t�`'°�" • '
<br /> _. '�'•` ission q GG 112939 =?°. :�`: 'Notary Public-5tate nf Florida
<br /> Name oT Nolary typed, q, � p�Comm.Exptres Jul 19,2021 Name of Molery typed, i� r � omm.Ex Ires Jul 19,20�t
<br /> .,,OFFI,,. BondedthroughNadonalNotaryAssn, y p
<br /> ''.;�oF,F�:;�''� gondcdthroUghNellenelNotefyAssn,
<br />
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