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<br /> NOTiCE OF DEED REST131CTIONS: The undersignedunde�tan,ds;th�t{this:.p�rmit�.may.be.sub�e�fi..to,_"d�ed°..restrlctlons°:�`;..,,},,_:,.�.,
<br /> which may�be=more rest�ictiv��the�n-County'`r+agulatfons.�The�unde'signed��as'sumes=resp�nsibiltty�for3eompilanceswith�any "�" ��"' �`
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<br /> app8cable deed-resMctions. _.<,,M:;:�:�:..:::. :.::.:: � _ �- :�• - .,�_ , -.
<br /> UNUCENSED�CONTRACTORS -AND CON�RN,ICTOR�RESPONSIBICITIES:=-��If=tFie°=owner�has•°�hired��a";aintractor or
<br /> contractors to undertake work,_they may,be:��eiquire`d�{to-;be.licensed�in.a�cord�nce.with,state;and�local;regulatl.on_s.��:If�the�� =` � �
<br /> contractor'ts=not itcensed�as'required:tiy law;-tioth��the owner and-cont�acto�ymay��be�-cited�for asmisdemeanor violatton
<br /> under state law. If the owner or Intendedrkcontractor;ere;�uncertain as to what Ilcensing:,requlrements;may�apply=�for�the= �J�-� _=���
<br /> intended work, they are advised to'aontact th'e'Paeco County_Bulldtng Inspection Dhiision--Ltcens.'ing Section at 727-847-
<br /> 8009. Furtfiermore, if the owner`fias'Nired a'contracfor"oP contractors. he is advised to have:the contractor(s),..rsignn._ r
<br /> portions.of the °contr�ctor Biock".vf this_application_for_which.:they wql:be....r.esp.onsibie:. If,you,,as,#he owne�°'sign�as`the`� ` �"��
<br /> _r _...._... _.�.�:.
<br /> contractor; tfiat�may�be an indication'that'fie"ts not':p�operly Iicensed�"and`Is~not"entitled to permitting privileges in Pasco. _ , ,,,
<br /> County. . ° ; � �,:��,;�,�:>;_.;-: .__<,
<br /> TRa4NSPORTATION-IMPACTIUTILITIES�IMPAC��ANb-RESOURCE RECOVERY�FEES:��The undersigned understands �
<br /> thatTransportation Impact Fees:and.Reco.ur�e.Recove.ry.Fees.may:�:apply�to�tt�e�`construction,of new_b,updings�:achange�of��`f�''='-�'��•'=�� I
<br /> use in existing bulldings,-or�,ezpansi�n��ofaexlsti�i�g'�buildings; as speclfled.ln Pasco County Ordtnance number 89-07 and:
<br /> 90-07, as amended...:The:underslgned alsorunderstands� th�t:�such fees;�as�may�:be•::.due;�wlll:.be Identtfied at thertime�of�-� Y=h�`T` �
<br /> t,.,y_
<br /> permitting. It Is turiher understood that Trai�sportatlon Impacf�Fees an�^Resource.°Recoveryrv�Fees.must be pald prlor to
<br /> receiving-a'certfflcate-of occupancy"��or�flnal�power>celease:��:lf�the.proJ�ct_;does�:not Involve��a�.certfficafe of occupancy.-or====�=�:"� `,-'
<br /> flnal power=release;>.tthe;feesnmti�t�be patd";pctor to.;permlt Issuance. Ft�rthermore;'�If:Pasco,,;County�WaterlSewec;lmpact .-�:��:�}
<br /> fees a�e due;.they must:be;pald pclor to permit�Issuance=ln:accocdance wltii��arppllcatile:Pasco'�.County�ordinances. •
<br /> CONSTRUCTION"L'IEN"LAW'(Chapter 713� Florld��tatute:,as amend�d�: If valuadon of work Is$2�500.00Tor more,:1��- �;. ._;_:��.�
<br /> certify tFiat I, �he •appllcant;:�have.�be.en .provlded�wlth,-a�=copy-of�:the-�"Florida��'Constivctlon� Llen:°.Lav�Homeoverner's
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<br /> Protectfon Gutde" prepared by�the'Flo�lda Department:of Agriculture and Consumer,.:Affair,s. If the appltcant Is sameone;;_.;;��_;���,_;
<br /> other than the°owner", I certlf'y,.that(:have:optained�a=e'opy.of..the;aboya:descrlbed��locument,and;;pmi�tse�ln,�ood'.falth�t'o. ..:._-..::,;
<br /> deliver It to�.tfie:"oVirnec"�p�o��to commencement:"=:., • � . ' " . -�:' . , • - -
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: 1.c.ectity.::th;at�,all:thg,lnf.ormation�ln�thl� appllcatlon i� accurate.�nd that all work
<br /> will'be done in compliance w(th all appllcable�laws regulating constructlon� zoning and�•land�'development. Appll,catton is
<br /> hereby made to obtaln-.a.permita..fo_;do.�worlc;�and�Installatlon as tndlCafed:��.-•'I. certf(y that no work�'or Installafion�•fias�
<br /> commenced prtor to Issuance of�a perrinit"and that�.all work wlll be�pe�Formed�to meet.standards-of all laws regula�ing-,
<br /> constructlon, County and City codes, zoning regulations, and tand development cegulatlons�in""tt�e jurlsdlctlon:' I�als;o.= �
<br /> certlfy that I unde�stand that the regulatlons of other government agencles may�apply:to the..lntended work, and that (t is
<br /> my responsibilily to Identify•what.acttons I must,take.to be.ln,.corr�plla�ce::.S.uch agencles Include but are.not Ilmited to:_.� i �= �
<br /> - Department of Er�vlronmental.�Protectton=Cypress."Bayhead�; WeHand Areas and Envlronmentally Sensitive
<br /> Lands,WaterlWastewater Treatment. � " � ��
<br /> - Southwest Florida Water Management::l�istrlct-Wells; Cypress.'�Bay�eads;- W�tland` Areas, Altering
<br /> Watercourses. - � , - � .
<br /> - Army Cocps of Englneer"s-Seawalls,Uocks,Navlgatile Waterways.
<br /> - Department,,of,.,Healthr;,8.,ReMabbitattve;;Servlces/Envitonmental.=Health-Untt Wells;-Wastewater�Treatment, � � �
<br /> Se�tic Tanks'::�..''._' � . . - � • _�.._ , . .- - ..
<br /> - US Envi�onmental Protectlon Agency-Asbestos abatement. � � -����
<br /> - FederaFAvlatlon�Authority�Runvvayst���-;�: � '� ���"�� , � _ ' -- •
<br /> I understand that.the�followtng:��estrictlons apply'fo tFie us`e of flIL••
<br /> - Use of flll Is not allowed`in::Flood;Zone"V"unless expressly,permltted. �
<br /> - If the=.flll �mate�fal4ls�to=b.e-used��In�<Flood Zone. "A". tt� Is understood that � dralnage plan address(ng a
<br /> "compensattng volume" wlll be submttted at time ofapermitting�n►hlch is prepared by a professional englneer� '�•_= -�-
<br /> Iicensed by`tF.ie State of'Flo�tda:�" `� : � << • . , . . ; � - �
<br /> - If ihe�flll materlal;is=to�be used In Flood �one 'A" im connec�ion�wlth�a�permitted building using stem wall. _.
<br /> � , conatruction, I,certifjr,that fitl:wall:b.e�used only.to#111 the area wlthln�the�stem�wall: '
<br /> - If flll materlal`is�to�be used ln any area, 1 �certlfy that .uae. of such'flll w111 not adversely affect adJacent
<br /> propertles. If use;of flll Is found�to adversely,�ffect adJacent�prc�perties�.the owner may be clted for vlofating, �
<br /> the�condl#ions.�of_the bulldtng°.permlt Issued�under the'attaohed,�ermit �ppllcatlon;_for:_lots�.less;#han.one (1)
<br /> acre wHlcfi�are�elevated`tiy flll;a�t engtneered dralnage plan Is requlred. . •� 1
<br /> If I am the AGENT FOR THE OWNER, I;promise In good falth to tnform the owner ofithe perrriltt(ng condition§set forth In
<br /> this affidavtt�prior to coriiinenoing constructlon. f undersfand thafi a�separate permlt may be requtred for elecMcaP work, :- _ ,
<br /> plumbing,�signs, wells,.pvols;. alr.condltioning,..gas,..o,r..other Install�tlons noE.spec�lcally Included�tn.tMe application. .A
<br /> permlt Issued shall be constcued to be��a'llcense'-to';p�oceed w1th�the work_and-not�as:authoHty::to;vlolate;�cancel, alter, or
<br /> set aslde any'provlstons of tFie.technlcal codes;;nor shall Issuance�of a.permlt.prevent the Bulldirig Offlctalfrom thereafter �
<br /> requirin.g a correctlon af.errors.ln�;plans;�const'uctlon,.ocvlolatlons of•any�codes:� Every��p�ermlt�lssued=sfiall•become�invalld
<br /> unless Qhe work authorized.by such permlt:�Is.coFnmenced�wlthfn sGc;months of permlt,I�suance� or if work authorized liy
<br /> the permlt Is suspended or:aba�doned,�for_.a;period;of.six,f6)montf�s,:afte�.the;tlme the�work�ls commenced. An extenslon
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<br /> may be requested, In wrltlrig;::.from..'tFie.Buildtng,Offlclal°for a perlod:not-to-exceed'�nlnefy(90)days and-wlll�demonstrate
<br /> justl6iable cause for.�the extension�. If work.ceas��-for nlnety,(90)cgnsecutive:days;..the)ob_is considered abac�doned. ?
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<br /> WARPIIIVG TO OW�IER: XOUR.FAILL�RE;,.TQ.R�EC.ORD;A:,;MOTICE::OF=�COMMENCEMEMT;NFAY�ttESULT IN°YOUR �
<br /> PAYING TINICE.,F.OR�IMPROVEMEN�3-T0:>YOU�-:P�RORER'f'aY:<�IF�.YO.U�INTEKlD:TO'n�TA1N•�FiNAP1EliVGo�:ONSULT
<br /> WIT • U O. ANF�TTORN , OR��,� :.OR�d ��� O �. :_C� � ; . E �E . T.. :�'
<br /> � .-:1.... ..: .::. .. -- ..,• .:, _ .., .;.. . .:.
<br /> FLORIDA JURA��(F.S:1.17.03) -, - - ' -•� �
<br /> - -, -- _-- - - -- - - - -- . ,. ,
<br /> OWNER OR AOENT . CONTRAGTO �-- ---- — — - - _ _--_-_y,--. -_ ,__,
<br /> Subscxlbed an bawom to(or atflrmed)before me thls Su� r,l�ed,'snd.bY =�(S afll�ed �fo ' �fh���
<br /> L C.
<br /> VYFio Is/are personally knovm to.me or haslhave.produced Whe. ee,p, o al known•to.me:or.haslheve�produced • - � .
<br /> _ c d �a, r� I�
<br /> ae Identlflcatlon. - �(/hc��:tLL as IdentlBcatlon. _
<br /> Notery Publlc . �� ~ Nolary Publlc
<br /> Commisslon No: Com Iss N ,
<br /> ,����", •JA�Q� FF'150422 .
<br /> ,.•;�`:.:Ya%•-, ission# p18
<br /> Name oI Notary typed,printed or stamped Name of Notary typed,p . t�p�i�es e �-i0
<br /> i;9�� 0.��0,� gondedThNi��`7F�^InsurenceB003
<br /> . �'%�,ftt,�t�`
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