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<br /> NOT�CE OF DEED RESTRICTIONS: The undersigned;undergtands�:,th�t,thi�,,p�rmif;may_,b,e:subJect.to:"deed"restrlctions".,:.w_�„�,,�-�:s
<br /> which may�be�more��r.e`st�tctivesth���County��riegr�latfons:�`�The�under`slgnea assume's-�responsltiility:for`comphance witFi any�` � Y
<br /> applicable.deed rest�ictions. :::. �..,:;._�::: : . . � -.:.. _. .: .::-.... � _. . ,:::. .. �. �
<br /> UNLICENSED�CONTRACTORS •A(�D CON3RACTOR RESPONSIBICITIES:� �If°the°�owner�has'hired�"a�`:contractor or
<br /> contractors io undertake work, they may:be:re�quire.d:tto.:�be;ifcensed:tn:accordance.with:state.and�•local;regulatlons:�-1f=the=�� � � -
<br /> contractor t§-not Itcensed:�as�re�qulred':tiy law, both the owner and con'tractorinay�be�=cite'd for a�misdemeanor violatlon
<br /> under state lauv. If the ouvner or Intended;,contractor,�are;:uncertaln as to Hrhat Iicenaing;requireRnents;may-lapply�:��for-�-'the'4-�== :: °.,";
<br /> intended work, tney a�e aa�igea to co�taci ti;e�P�asco�County,Bull,ding;inspectlon,Dhiisio�rn-Ltcensing�Section at 727-847-
<br /> 8009. Furthermo�e, 1f the oinrrier tias�hired�aTcontractor or coritraotors. he is advised to have the contractor(s);:sign :_,_, ,,�
<br /> �-,�>s�-,,,� ,;::,�.w.. ,
<br /> portlons of the__"contractor Block" of,this_application,.for,v�rhlch they.wlll b.e..r.es,ponsible:- if:you,:as-.fhe oiivner;sign as�the'` ` '
<br /> contractor, thet tnay�be an indication that'Fie=1s riot.properly Ilcensed�and�'is`not entitled fo permitting pri�lleges In Pasco . _
<br /> TRA SPARTATION:IMPACTIUTILITIES'rMPAC'��ANb ItESOURCE RECOVERY�FEES:���7he undersigned�understan^d',i{z . :.iyY`
<br /> s
<br /> that Transportation Impact Fees and.Reco.urse Recove.ry:Fees may.�:applya�to�the;constructton.:of new,_bulldtngs�:change�'of'���'`�'�' '`'
<br /> use In existing bulidings, or�ezpar�si��a���,of�existin�,buildings� as specffied.in Pasco County Ordinance number 89-07 and.,
<br /> 90-07, as amended,_;The undetsigned also;�understa�ds, tFiat:'"such fe.es;°,as•.�may"be�<due;�w(Il,�be identified at the���time�of=� �L�� ��
<br /> permitting. It is fiirtFier understood that Transp'ortatlon impac�`�Fees and��Resource,�Reco�ery�Fees.must be paid prior to
<br /> receivtng:a'certificate=of-�occupancy°�or flnal�.power;release:�:If>Eh�proJect:.does;�not involve�a:�.certfficate of occupancy<<o���"��"��==�� "`�
<br /> flnal power.-releaseA.,�_the;;fees�:must�6e"paid;p�ior to,permft tssuance. Fti�tt�ermore;if:Pasco:C,ounty�lNater/Sewer-�lmpact � .. .
<br /> fees a�e due�,they,must:be>paid;prior#o._permit_,Iss,4ance.'In.accordance..witF�.applicabte Pasco�:Countji�ordinances. -
<br /> CONSTRUCTION`LIEN'�L�►1N"(Cfi�pter 713� FlorJda Statutes��s amended�: Ifi valuatfon of work is$2,500.00tor more�:l~ � .���;� �
<br /> certify that I, 1he.�applicant;-have�:been provided-�with.-a-copy-of the°�-"Florida�-'Construction;-Lien .Law=Homeowner's
<br /> Protectfon Guide" prepared bytFie Florlda Depertment�of Agriculture and Consumer.;Affair�. If the appltcant is someone;.. •, ,
<br /> ....�,.,
<br /> , _ . .....$ ,,,� ,
<br /> ,..�..,
<br /> other than the`owner", I certifjc-that..i=h�v_e..,obtain�d�a copy.of.the;above.desc"ribed�tlocument�and:.p.r.or�ise.in,good,failh-t'o �- .;
<br /> deliver it to'the.�'owne�':p�ior to commencemeht:"�� .- ', . .� � ,_. , .. �
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.cert(iy;;tli;at:alLth��lnformatit�n:in+thl�appltcation is accurate and that all work
<br /> fM'�
<br /> wiil'be done in compliance with all applicable IaWs regulating constructlon, zoning and4landpdevelopment. Applicatlon is
<br /> hereby made to obtain .a permit�:to.;do__.woric.>;and :Installatlon. as indi�afed:��=.>i: certiFy that no work=:or Installation hes' -
<br /> commenced p�lor to I'ssuance of'a perrriit"and that`:all wark vulll be perFormed to meet..standards-of all laws regulating-
<br /> construction, County and City codes� zoning regulatians, and land development regulattons�in tHe�jurtsdtction.• I�al's'o= .
<br /> certify that I u�derstand that the r�gulations of other�government agencies may�apply.;to the..tntended.work, and that it is
<br /> my responsibility to identify•what.acttons I must•take;to,be,in:.compl,lance;_,,S.uch;agencies-lnclude but=are.not Iimited to:_� �
<br /> - Department of E�vlronmental��Protection=`Cypress'Bayii�ead�;�lNe�and Areas and Ernlronmentally Sensitive
<br /> Lands,WateNWastewater Treatment. Y, -
<br /> - Southwest Florida Water Management�:District:lNells; Cypress. Bay�i�ads; Wetland Areas, Altering
<br /> Watercourses. �
<br /> - Army Cocps of Engtneers-Seawalls�Docks,Navtgatile Waterways.
<br /> - Depar#ment of.,Health:'.&. Rehabllltative, Servtc�s/Envitonmenfal:Health Unit Wells; 11Vastewater.Treatment,
<br /> Septic Tank§'_ � ' � - . - . -
<br /> - US Environmental Protectlon Agency-Asbestos abatement. �
<br /> Federal Adlatlun.Autk�orNy-Runways:� ; � � '
<br /> I understand that.the..followlqg:��estrictions appiy to the use of flll:• -
<br /> - Use of fill is not allowed in:Flood�Zone"V"unless expressly permitted. •
<br /> - If the fill"material Is to be useil:7n-:Flood Zone "A", if. is understood that a drainage plan addressing a
<br /> °compensating volume" will be submiited at tirrie of permittJng which Is prepared by a professional engtneer -
<br /> Iicensed by'�Fie State�of'Fiorida: ' - _ . .
<br /> - If ih�•fill material-.is to•be�used in Flood �one 'A" in�connection�wlth�a�permitted building using stem wall ..
<br /> ' construction, I certify that fill:vullf=be�used only.to.fill the area within�the�stem�walL '
<br /> - if flil material�is�to be used In any area, I �certif�r t#�at .use. of�such flll will not adversely affect adJacen4
<br /> properties. If use of flll,is,found to ativersely:�ffect adJaeent��pcoperties,.the owne� may be clted for v(olating
<br /> the condttions::,of_the building�.permit is"sued�u�der the�at�acfied,permit application;�for�lots�less:.than:one (1)
<br /> acre whtcli ere elevated'tiy f111;a�t engineered drainage plan is required. . �
<br /> If I am the AGENT FOIt THE OIMNER; I;.promise In,good.faith to inform the owner of�the permitting conditlons set forth in
<br /> this affidavit�prior�fo commeiacing constructlon. "I understand thefiaxseparate permlt may be requtred for electrical work, .
<br /> plumbing, signs, wells,,,pools;.alr conditioning,.gas., or other install�tlons noE spec�flcally included-tn.the application. .A �
<br /> permft issued shall be conshued to°be��a'license'to�proceed wlth�tFie,work and;not�as:authoNty_to:violate;'cancel, alter, or
<br /> set aside any`provisions of the.technical codes;�nor shall issuance�of a.permlt.prevent the Bulldirig Offictal from thereafter �
<br /> . � ., ..:......
<br /> requtring a correction af eRors in::plans:, constructlon,or violations of-any codes: Every�permit-lssued�sfiall become�invalid
<br /> unless the work authorized by such permit:ts-commenced•within,sGc;months of�permit lssuance, or if work authorized dy
<br /> the permit is suspended�or..abandoned:for:a:period;of�six:(�)�monttis.:after the;time the�work�is commenced. An extension
<br /> may be r�quested� tn writing,_from.tFie'�Building,Officlal for a period-not�to-exceed'�ninety�(90)��days and-wlll demonstrate
<br /> justi�able cause for.the extenslon�. If work ceases.tor ninety(90)cons.ecutive:day.s...the job�Ps.considered,aba�doned. '
<br /> WARNING TO OWW@R: YO,UR,.FAILIJRE,TO..REC.ORD;A��,NOTIGE;OF�,•CAMMENCEMENT:M'AY�RESULT IN�YOUR
<br /> PAYING TWI,C,E:FOR�IM,PRQVEMEN;TS:TO:YOUR::PRL�PER�'EY:.�IF°YO.U�IN�END�T�'�JB7'A ��FINAwE1NG-'CONSULT
<br /> WITH D O� AI��►� R FOR�+ �� °OR� G:'• OUR' � �C �O `� ,��:' � E .
<br /> FLORIDA JURA�:(F:S:11T. ) _ _� ,...: .. : ;_..=�<. -. . ... . :,.� .. .. ,
<br /> OWNER OR AOENT CONTPtACTO '�
<br /> Subscdbed and swo (or affl d) r e this Subsc�lbed and'swo w aRi ey�b Nil� �
<br /> i �by lu � � � .�/ G- I i-]a-f'� ..by� G� �� • �p G //lJ G- t ,
<br /> WFio Isfa personelly known to.me or;haslhave.produced Who.is/are personal owm•to me;or ha�lhave•'roduced •
<br /> �`.��I�la2.c5L-� e�rS� as Identlflc`atlori. -F'L�t�rCrlrQrs.C1�c�Cp as IdenBflcatlon.
<br /> �, : a _
<br /> Notery Public _ � Notary Publlc
<br /> Com Is on N :` Com sion. , ,,
<br /> ,.�:�:::"''• JACQUELIPIr ,� r �M `ti� '
<br /> Y AyB i� Y P��ii
<br /> Name ot No ' ,p�n�airmrria�m�ed�i;if�422 F' Name of Motary ty�ped,printed o s� ;k= Commissio �`S
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<br /> =� Q, Expires D �� be��1`2;2{118 ,�• .oP;' E Pire �1504 2
<br /> •'�oF�F;Qr`� BondedThru':,.7*3�nlr�sur�nceBDC•385-7019 P���i�� Bo eCgmberl �18
<br /> nded ihru Tro 2'Z
<br /> y sar:..K. . Y Fain Insurar,Ce BOp�gg.7019
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