_ .,. ..
<br /> (�OT1�E�F D�ED RIESYRIC'B'IOMS: The undersigned.under�tands��th�t.thi�;.p�rmit.nnay.be,subJect to,mdeed".reslr!�tlons�,.: ,. .__
<br /> which may be�more�restcicttve..th�n Coun���regulatlons: �The underslgn�d��ssumes-responsitiiltty for compllance irvvitli�ariy �
<br /> applicable deed_restrictions. , � - -
<br /> UNLICENSED CONTRACTOR� AND COtdTR�1CTOlt RESPQNSI�ILITIE�: -if-the owner�has �hired �a contractar or
<br /> contractors to undertake work, they may.be�rgquired��to:be-:Iicensed In accordance.with state.and�loca0;regulatlon.s.: if the
<br /> contractor Is-not Ilcensed��s�requlted�tiy I�iiv, bo4h•the owmer and-contracto���may be°c(fed for a�misdemeanor violatlon
<br /> und�r s¢ate law. If the own�r or intend�d,cvnt,r;a�tor:are,��ancertaln a� to what Ilcensing requirements�may�apply��for�the- -
<br /> Utended work, they are`adviged_to cmritaet tFie�Pasco�County�ullding`In�pectfon Divlslon--Llcensing�S�ction at 727-84Z-
<br /> 8009. Furttiermore, !f the owner�Fias��hlPe� a� con�rac'tor o� contractors, he is advised to have the contractor(s),-sign _
<br /> portions of�the "conttactor_�lock° of thls application..for.ubhich.they wrill be_�:esponsible..�If you; as.the owner`stgn`�as th�
<br /> contractor; that may be an Indication that he-is not properly'licensed�antl��is not'entttled to permitting privileges in Pasco
<br /> County. � - `
<br /> TRrAfd�POitTAT10N.IMPACTIUTILII'I�$�IMPAC'�ANb�RE��URCE REC01lERY:FEES: The und�rsigned understands
<br /> that TransporQ�tion Impact Fees and.Fd�co.urse Recove.ry.Fees mey��apply�:tc:tf�e`constniction:of new buildings,�change'�of"-- � � =
<br /> use in existing buildings,�or�,.expansi�n:•of.�ezist6n�:�buildings, �s speclfled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended.t,The und�tsigned �Iso:understands, that:such fees;.as�may�be.�due;��vulll:be Ide�iUfied at the•�time°of - �
<br /> permitt(ng. It is further understood that Tra�ispor�ation Impact'Fees ar�d�Resource:Resovery�Fees..must be p�id prlor to
<br /> r�c�iving a °cerf(�cate-of�occupancy" or�fiinal-�powe,r.-�elease: :if�the.proj�ct..does�.not Involve:a-.certfffcaf� of occupancy�or-���� �
<br /> fln�l power release;;�the;fees-mu�t"be p�id�prior to..permR lasuance. Ft��thermoce;•if:Pasco;County�UVater/Sewer;lmpact �
<br /> fees are due�_Ihey.�reust be>pald prlor to.perri�it�•Issuance�ln accordance-witfi.�appllcable Pasco�.County ordinances. �
<br /> CONSTItUCT10N"L"IEId"LA1N(Chapter 713, �lorlda�tatutes�as amended): If valuadon of work Is$2,500.00_or more,.I� ,
<br /> cerlify 4Fiat I, 1he applicant,� h�ve.been provided with--a-copy�of�the�"Florida� Coristruction� Lien.:Law=Horr�eowner's
<br /> Protectfon Guide" prepared by the�Flo�ida Dep�rtmenC of Agric.ulture and Consu�er-�.Affairs. if the applicant is someone: � � ,
<br /> other than the"own�r", I certify�.that.L.h�ve,obtained�a=copy,of.the;abovades.cribeddocument°and.proml�e�in,good.faith•to
<br /> deliver It to:the.`ownec"�prioe��toycornmenc�ment:' ' ' �� ' �
<br /> GONTE3ACTOR'SlO1NNER'�AFEIDAVIT: I.cei�Q6fy,:.that-all_,th�;inf.ormatimn:in thl.s �pplicatlon is accurat�and that all work
<br /> will'b� done in complfance with all appl(cable�laws regulating constructlon, zoning and�land�development. Applica4ton is
<br /> hereby made to obtain .a permit..4o_do�wotk;.;and 'installatlon as Indic�ted:.-°I certffy that no work':or Installation has
<br /> c�mmenced pr(or to Issuance of�a permit"and that.ali work will be pertormed�to meet standards of �II laws �egulating-
<br /> constructlon, County and City codes, zoning regulatio.n�, and land development tegulations�In-th� jurisdictlon. 1 al'so. _
<br /> certify tha# I u�derst�nd that the r�gulatlons of other government agencies �ay�apply�to the intended work, and that It is
<br /> my responsibilit�to id�ntify�what,�ct(ons I anust�take:to be,in:.cor�pliancs: Such.agencies include but-are.not Ilmited to: �
<br /> - Department of Erlvironmental=Protectlon-Cypress.'Bayhead�, WeNand Areas and Environmentally Sensitive
<br /> Lands,Wat�rNVastewater Treatment.
<br /> - Southwest Florida Water �ulanagement: .�istrEct-Weils; Cypeess.� B�yh�ads; Wetland� Areas, Altering
<br /> Wat�rcourses. � �
<br /> - Army Cocps of Engineers-�eawalls,�ocks, (Vavigatile Waterways.
<br /> - Departm�nt of Health�'.� Rehabiiitative Services/Environment�l_ Health Unit VVells,.Wastewat�r�Treatrr��nt,
<br /> Septic Ta�ks.._ � - - - ;
<br /> - US Environm�nt�l Protection Agency-Asbestos abatement. �
<br /> Federal Av.latton_Authority=Run�nrays: � -
<br /> I understand that the following:�re9trictions apply to tiie use of flll:�
<br /> - Use of fill is not allowed in Flood:Zone"V"unless�xpre§sly permikted.
<br /> - If the :flil' m�4er9al is to�'�b.e used�in�:Flood -�one. �A", It is understood that a drainag� plan address�ng a
<br /> "compensating volumep will be submitted at lime of.peemitting which is prepared by a professional engineer
<br /> Iicensed by tlie St�te of'.FloHda.- �
<br /> - If ih� flll�material i's to be used fn Fiood Zon� "A" (n�conn�ction�wlth:a �permitted building using s4em wall
<br /> � construction, i certify tha4 titl<wall=b.e�used only.to#111 the are�wlthln the�stem•wall:
<br /> - If flll materlal is�to be used in any area� I �ertlfy that .use of such flll w611 not adversely a�f�ct adJacent .
<br /> prc�pertles. If use af flll is found to adversely�f�ect adJacent�prc�perties,.the owner may be cited for violating
<br /> the condffions...of the building:permit Issued�under the:attached..permit applicatfon, for lots�.less than one (1)
<br /> acre which are elevated�by flll, a�engineered draireage plan is required.
<br /> if I am the�►GENT FOR TH�AIMNER, I;promise In good faith to tnform the owner of the perrriitting condftions set forth in
<br /> this afPidavit�prtor to commencing conshvction. e understand that a�aeparate permit m�y be requtred for elect�ic�l work,
<br /> plumbing,�signs, wells, pools;. alr condltiontng, .gas,�or other Install�tlons not.spec�flc�l0y lncluded�in.the applic�tlon. .A
<br /> permit Issued shall be eonstrued Qo be�a�Oicense�to-proceed writh the woPk ar�d not�as:authoNty to.vBoi�te;�=cancel, alter, or
<br /> se4 aside any provisfons of Qhe t�chnleal codes;�nor shail is�uance�of a.permit.prevent the�ulldirig O�fic(al from therea�ter
<br /> requlrin.g a correction af errors in-plens, construcfilon.or violations of-�ny codes. Every�permlt Issued siiall become invalid
<br /> unless the work authorized.by such permit:�ls-commenced�within sUc_m.onths of permit issuance, or if work authorized by
<br /> the pe�mit ts suspended or:abae�doned�for:a;period,of six:f 8)months.afte�the.tlme the�wo�k fs commenced. An ext�nslon
<br /> may be requested, In wrlting;ftorr� the.Buflding,Official for a p�r(od.:not to-exceed ninety (90)-days �nd will demon§trate
<br /> justl�abl�cause focthe extension�. If work ceas�s.for ninety(90)consecutive:days,..the Job�is constder�d aba�doned. ;
<br /> ..� - - . , .� � -
<br /> WARNIWG TO OYVN�R: YOU�:FAILUitE�TO..REC.O,RD A iVOTICE:OF°COMMENCEIVI�MT:NFAY-RESULT IN YOUR
<br /> P�IYING TWIC:E•�OR�IMPROV@MEN.�S-.TO,rYOUR.:PRQPER;TY.;IF°YO.U;IN�END:T����BTAIN�FIPFAt��1WG;'CON�iULT
<br /> -9fr"I�fH YOIOFi L@P�DI�R OFt�APO��'TORPI�X���4�OR��P�����BN��'�OUR'6'd�41��"O���OV�19A1�ENCE�44'JEr�Y' "� -—
<br /> FLORIDA JURA�(F:3.1.17.0 .. ' . . .
<br /> OWNIER OR AOENT 1��� COfVT�CTO� �
<br /> S�upsc_rl�e��d sw�_m (ar afl9rreqed)before me thls S� scrl ed and'swom�o(o affirme befote me fFii�
<br /> -�by '1�. � L �Q�t cz�S�^�-� ��by-lX � L. �S c�a c S rr�—.
<br /> y�q�(are Dersonally b.me.or haslhave produced W�q I /a qperaonally1�qo�rn M me or hes/haee�praduced
<br /> �1K• L t�e�2-� ae I den tl flcatloti. _ d J g �C z�. -�`-' es Identlftcadon. _
<br /> � �'`. _
<br /> Notery Public t�2� � Notary Publlc
<br /> m sslo o:•�"'+"",,,, BOGES Com Issl .M
<br /> _,,;' '•;= Commission#FF 150422 •-'� •�;�: S
<br /> - ecember 12 2018 '•: ��= Commission#FF 150422
<br /> Name ot Mo �iHn aom�lasiepedurence 800•385-7019 Name ot fVote " � er 2,2018
<br /> �""' '•���������`� Bonded Thru Troy Fain Inwrance 800.385.7p1g
<br /> t-
<br />
|