� y � ' :�"'.A ,•r_:i_.a.,y..:
<br /> NOTICE OF DEED.RESTRICTIONS: The understgned undergtands�:.th�t�this;°��rm,it�.maysbeYsub)ecfi to,,:deed_re5trictions.._...�. ...�,�..
<br /> which may-tie�more`rest�ictive-th�i�Cou�ity regulatfons �TFie undersigned��assumes-'�esponslbillty for"compliance with any ' "`� '�
<br /> applicable deed resMctlons. ,, ' � . - . ,�_
<br /> UNLICENSED-CONTRACTORS -AND CONTRACTOR RESPONSIBILITIES: �-1f�the�owner has"`hired"a":contractar or
<br /> contractors to undertake work, tFrey may;be;r,e�quired.<to.be,pcensed ln accordance.with_state.and,local:regulattons: �If the� =� � °=�
<br /> contractor Is not licen§ed'as�re�qulred°6y law, tioth-the owner arid-conGacto��may�beyclted�for a�misdemeanor violatton
<br /> under state law. If the owner or Intended=,co..n;,tractor;�:ere,,uncertaln as to what Iicenaing.requlrements-;may��applyt.��forr�the'� = �Y��'�
<br /> intended work, they a�e'adi►ised fo contact the�Pasco County Building'Inspectlon�pivlslon-.-Licensing Section at 727-847-
<br /> 8009. Furttiermore, If the owrier Fias'�NIrei1��a con�acto� �o�contractors�. he 1s advised to have .the contractor(s),,sign ,,. ;,;:,.,.
<br /> portions of the:°contractor Block" of.thla_application..for,which.they will::be...responslble.-.. If.=you;:as•:#he oviine�'sign`�'as�'tFie "
<br /> contractor, that�rnay�be an Indication that he°is not�properiy`Ilcerised`anii�is'not'entiNed to peririifting priiilleges In Pasco
<br /> County. --. , ._ �:: _,, . .
<br /> TRANSPORTATION�IMPACTNTILITIE$�IMPAC'-1=�ANb-ItESOU�tCE RECOVERY�FEES: The�undersigned"understands '
<br /> that Transportatton Impact Fees and.Reco.urse Recove.ry,Fees may�apply�to�th�_construct[on of new_buildtngs,�change of"°" = -
<br /> use in existing buildings,-or�:.expar�sioirYof��ezisti�i,g`=buildings, as speclfled.in Pasco County Ordinance number 89-07 and„
<br /> 90-07, as amended.,�wThe undersigned alsoa�understands, that"such fees,�as,may�be<.due;;.w,ill;�tie Idenfified at the�.time-of`r -� � '
<br /> permitting. It Is furtlie�understood that Transportatlon Impact Fees and,Resource._Reco�ery�Fees.must be paid prior to
<br /> recelving a "cerfificate�of occupancy"�or�flnal��.power>.Gelease. ':If�Ehe.project.:does�:not Involve��a;.certfficate of occupancy°o�i��'•"��" �•
<br /> flnal power-release;..,the-#ees.mu�t"tie�paid;p�lor to,.permit Issuance. Ft��thermor:e;H Pasco:�C,ounty�INatedSewer�lmpact ��:, {•�.
<br /> fees are due,..they��must.be=pald�prior.�o_permit_�Issuance°�n,accordance.:wlth:appllcabFe=Pasco��County'oi�iiinances. •
<br /> CONSTRUCTION'LIEN�LAW"(Ctiepter T13� Flortda$tatutea,as amended): Ifivaluaaon of work is$2,500.00z.oc more,3.l�� ��� _��.�:� �
<br /> certify that I, the.,appiicant;-have�:been provided=with-a-copy of�the,".Florida� Constructlon�_Llen�Lav�--Homeowner's
<br /> Protectfon Gu(de" prepared bythe Flo�da Department�of Agriculture and Consumec-Affa(rs. If the appltcant Is someone. ,. _
<br /> ; •-;
<br /> . . ..., , .. ...a :,,.,
<br /> otherthanthe'owner", Icertify_that:l=ha�e.ob.tained-acopy.of..the.abcve..rles,critied�docur�ent;and,:p.r_,.orxiise�:tn,good:faith�fo .,
<br /> deliver It to the�'ownec"'.p�ior to-commencement:`�`� ` � � : = -
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.cectlfy.-�;th:at-ail�.the;information;,l�:thi�applicatlon is accurate.and that all work
<br /> will'be done in compliance with ail.appilcable laws regulating construction, zoning and_land�development. Appitcation is
<br /> hereby made to cbtatm.a .pecmit>to-do_:wor,'k;�and;Installation as indi�ated:.::..�1. certifji that no work��or tnstallatton Fias
<br /> commenced p�lor 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, zoNng regulations, and land development regitlations�in`the:jurisdtction. 1-al's'o� _ .
<br /> certify that 1 u�derstand that the regulations of other government agencies may�apply�to the.:intended work, and that it is
<br /> my responsibility to identify�what.actions I must•take:to,be.,in:.conlpllancs,..S.uch,agencies include but-are.not limited to: �
<br /> - Department of E�lvironmental-�Protection=Cyip�ess.`Bayhead�� VVetland Areas and Environmentally Sensittve
<br /> Lands,WatedVllastewater Treatment. -
<br /> - Southwest Florida Water Management�:District-Wells, Cypress.' Beyheads; Wetland Areas, Altering
<br /> Watercourses. � �
<br /> - Army Corps of Engineers-Seawalls, Docks, ldavigatile Waterways.
<br /> - DepaMment of,Health�',8. ReY�abllitative ,Servtces/Environmental-Health Unit-Well.s� WasteHtater Treatment� •
<br /> Septla Tanks:..' � � � , - �- ,
<br /> - US Environmental Protection Agency-Asbestos abatement... • J
<br /> - Federal Av.latlon Aulhority,=Runways;N �
<br /> I understand that.the.folloviiing.-restcictlons apply�to the use of flll:�
<br /> - Use of fill is not allowed in':Flood,:Zone"V"unless expressly permltted. �
<br /> - If the-fill material` is to=b.e�used.�In:.:flood Zone. "A", i� Is under"stood that a drainage plan addresstng a
<br /> "compeFlsating volume"will be subm(lted at#ime of:permittUg which Is prepared by a professional engtneer
<br /> Ilcensed by the 5tate of Flo�tda: � � . �
<br /> - If ih� flll material is-to��be�used in Flood �one "A" Im connection�with:a��ermitted building us(ng stem wall
<br /> � constructton, I certify;that fill.wlll=b.e-used only.to fill the area within�the�stem�wall: '
<br /> - if fill mate�lal-is to be used 'In anjr area� I certify that .use of such flll will not adversely affect ad)acent
<br /> p�operties. If use of flll is founc#to adversely.,�ffect adJacent�propertfes,.the owner may be cited for violating
<br /> the condlilons_of the buildtng;permit Is"sued�under the°at�ached�ermit �ppllcatbn,�for:lots-less than.one (1)
<br /> acre whicfi a�e elevated��byr flil;a�engineered dralnage plan is required. , . '
<br /> If I am the AGENT FOR THE OYVNER; I;promise in.good.fatth to inform the owner of the permitting conditlons set forth In
<br /> this affidavft prlor to commencing constructlon. "I understand that�,a=separate permlt may be requlred for elecMcal work,
<br /> plumbing, signs, wells�,pools;. air,conditioning,.gas, or..other Install�tions not,spec�ical�y included�in.the application. .A
<br /> permit issued shall be constcued to'be�a'license'to���proceed with''tFie work and•not-as�authoHty_to..violate;'cancel, alter, or
<br /> set aside anjr provisions of the techntcal codes;:nor shall issuance•of a.permlt.prevent the Buildirig Offtclal fronn thereafter
<br /> . _.._.. .
<br /> requiring a correction af eRors_in.plans; construction..or vlolatlons of any codes:_Every�permit-Issued`sfiall-become�invalid
<br /> unless the work authorized.by such permit:�ls-commenced�wlth(n sGc..months of permlt Issuance, or if work authorized by
<br /> the permtt is suspended�or.aba�doned:for.a�:period:of�six(�)�monfiis...after the'.tirt�e the�work��s commen�ed. An extension
<br /> may be �equested� In writing;:from tNe;Building,Off'icial for a period:not=to-exceed;nlnety�(90)�-days and-viiitl demonstrate
<br /> justi�able cause for.�the extens(on�. If work ceas�s:for ninety,(90)cons.ecutive.days...th�Job�ts.considered aba�doned. ,
<br /> _. , . , . ,
<br /> WARNING TO OWNER: YOUR..FAILURE>TCl.,R�EC.ORQ,A>,NOT�CE•:OF�COMMENCEMEMT�.MAY�ItESULT IN YOUR
<br /> PAYING 71APICE;FOR�IMl�ROVEMEN�'S;TO�YOUE�.:PRL�PER�7Y:=�IF°.YO.tJ;1�V��EKID�'T���0�1'AIN�-FIIiFAt�E�NG;'C:ONSULT
<br /> WIT U D O AN TTO N � FO'R�A.�-ECOR� G� OU :. : �C `p r ��. � E �E . '
<br /> FLORIDA JURA��(F.S:t17.n3) - -- - . . ,�:; - �- ...: - - __- - - -- - -... — - -
<br /> OWNER OEt AOENT �. CONTRAGTOR' • �
<br /> Subscribed and swom ta(or aRirtned)before me this Subscribed'and'swom=to(or afflrmed)�befcre me ttii�
<br /> by •-
<br /> 1Mio Islare personally knovm to.me.or hes/have.produced Who.is/a rsonelty own•to m.e..or#tas/have•produced
<br /> ' as Id'enUflcatlon. es Identlftca0on.
<br /> - �
<br /> Notery Public _ 6CR.. Notary Publlc
<br /> Commisalon No: Com .Nc�'�,:, '" ' ,,
<br /> f, ,� � ¢,, ,
<br /> �`�� � := Commission#FF 150422
<br /> Name of Notary typed,printed or stamped Name oi Note ,tj+pr ., �t '
<br /> ,.�eF � Bontlad ru ro Inaw2ilea800385•7019
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