� .,
<br /> ...._ _ _ -�--��--,y:.�.�_�.�.--s
<br /> . , - M1$
<br /> - - ,
<br /> :,
<br /> � .
<br /> ..�:�;,�:��. ,
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that;this,permit may be subject to uaeea"_�ESt�ICtIOC}S°.;;"„`1
<br /> ,. - „ .�. �.� , 4�.�. ,.;.
<br /> which_may;�:be��mar.e�r:estric#ive��than:Caurity regulations: �Ttie�undersigiied-assiimes=�esporisiblC�ty'€far compi�ance`inrrth ari}+.`.;�
<br /> applicable deed restrictions. .� ;,. �.c��:�°���
<br /> UNLICENSEQ. CC?N:T,-RACTORS AND CC?NTRACTOR RESP0�ISI�IG�1'��S: If-ttie�owrier��has�hired��a��contractor or
<br /> contractors to undertake work,'they,may,be,required;to be�licensed in.accardance with state and,lacal regulations:::If.'tt:iet.:.� :�
<br /> contractor is not.lioensed-as required by law, botli the ainrner:and'contractor-may=-be�-cited��for�a iimisdemeanor violation� _ ;�
<br /> under sfa#e 1aw. �If the owner or intended:.contractor are uncertain as fo what ticensing requirements�;may:�apply-for:�the�>��t;'-,�
<br /> intended work;..they are�advised to contact'`tlie`Pasco Caunty Building Inspection°`Division=Licensing Section at 727=$47- �;'�
<br /> 8009. Fur-therrnare, if the owner has tii�ed�-a� coritrac#or ar contractors, he rs aclvised fo �have #he contracfor,{s.)y sign J,,,�,}
<br /> portions of the "contractor Block"of this application..for which:they will.be responsible. <If:ybu, as`.fhe:-owner'sign;as'.tlie: �':;,�
<br /> contractoc, that may 6e an indication�that fie is nat prope�ljr licensed arid is not erititled�to permitting�privileges,,in Pasco:_µ,.�:�
<br /> Caunty. ., .. ,. . _ ,,t i.,;Y,t.�; j�
<br /> TRANSPORTATIQN IMPAC7/.UTILITIES�IMPACT AND RESOURCE RECOVERY FEES:-The undersigned understands _ '!�,
<br /> that Transpartation tmpact Fees and Recourse Recaveey Fee.s may,appty#o-the constructior�,of new:builclings, cli`an'ge;of�ha>:,;;�
<br /> use in exist3ng buildings, or?expansian�:of,::eiiisting buifdings, as specified in Pasca County Ordinance number 89=Q7_�and �"°;
<br /> 90-07, as amendecf. The�undersigned alsa;understancls, that such.fees,�as"may,b.e.due, will tae�identified'af�tlie�,tiiiierof=�'�:�"�
<br /> permitting. �It is further understaod thaf`Transportation linpact Fees and Resource�Recovery`.Fees must be paid'prior to ;"�
<br /> receiving-a"certificate of-accupancy." ar final;,power release. If the pr.oject does not involve.a certificate of accupancy`or:�-:=:�;
<br /> final power release,,-the:fees::must be�paid prior,to permit issuance. :Fur#hermore, if Pasco Counfy W..;_aterlSewer�;:lmpact°:�,�>�' `,'
<br /> fees are due, tliey,.mustLLae paid prior to p,ermit_issuance in accordance with applicable_:Pasco County ordinances. , '
<br /> CONSTRUGTION LIEN 1�A1iV�(Chapter 713;Ftarida Statutes,as amended}: If valuatian af wor'k is$2,50Q.00�o.r.,trtor,e;;l;,,.,•. �,
<br /> certify that 'I, the ,applicant,_�have -been-.provided with a copy..of the "Florida Constr.uction Lien..Law--Homeowner's$`E' �
<br /> Protection Guide" prepa�ed tiy ttie Flatida Department of Agriculture and Consumer Affairs. If the applicant is sorrteone.,,
<br /> �� .�.,.G.... r:
<br /> other than the"owner",;i,;certify,that I.:have obtained a copy of the above�d'escri6ed'document-and promise�in goo.d;faitii�to _,.,
<br /> deliver it to the..';owner":prior.'.tacommencement. � � ` �
<br /> GONTRACTt�R'SI4INNER'�AFFtdAV�T::,i.certify#hat ali the information in this application is accurate and'thaf alt�woric
<br /> will be done in compliance uvith all appl'icable�laws regulating construction, zoning-and land�development. Application.is
<br /> here6y made to-obtain..;a,permit to .do,�vtrork and installation .as indicated. I�certi#y that no=wark or:irtstalla€ian�has
<br /> commencetl prior to issiaance af a pe�mit and that all work will be performed ta.meet standards af all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations�in.:the jurisdiction. .�! also
<br /> certify tha# I understand fhat the regulations af other government agencies may apply to the intended work, and that i# is '
<br /> my responsibility to iden#ify wha#actions I must take to be in compliance. Such.agencies include but are not•.limited�to: �
<br /> - ,Depattrt3en# of EnvironmentaC Protectian-Cypress Baytieads, We#land Areas and Envlronmentally Sensitive �
<br /> Lands,WaterM/astewater Treatment.
<br /> - Southwest Florida Water Management District Wells, Cypress .Bayheads, Wetland Areas, Altering
<br /> ,
<br /> Watercourses. -
<br /> - Army C�rps af Engineers-Seamralls, Docks, Navigable Waterways. ;
<br /> - Departmen# ofi Health & Rehabilitative ServiceslEnvironmental Health Unit Wells, Wastewater Treatment,
<br /> Septic:Tanks. � ,
<br /> - US Environmerital Protection Agee�cy-Asbestas abatement. ' � _
<br /> - Federal Aviation-Authority-Runways.
<br /> I understand that.ttie follawing�restrictions apply to the use of fiU:
<br /> - Use of filt is not allowed in F[ood Zane uV"uniess expressly permitted. ;
<br /> - If the fill material is to be used in Fbod Zone °A", it is understood that a drainage plan addressing a
<br /> "compensating volume" urill be submitted at time af permi#ting which is prepared by a professional engineer �
<br /> licensed by the State of Florida. , ;
<br /> - If the �I! material is to be used in Flaod Zone "A" in connection with a permitted building using stein wall
<br /> construction, i certifythat:fiii;will b�used only to fitl..#he area within the stem watl.
<br /> - If fill--material is--to be used in�any area, I certify that use of such�fill will not adversely affect adjacent
<br /> properties. If use of fili is faund to adversely affec#adjacent properties, the awner may be cited for viotating
<br /> #he coriditions of the building;permif issued under the attached permit application, for lats-less#han ohe (1) �
<br /> acre v�rliich are elevated by fill, an engineered drainage plart is requi�ed, ;
<br /> lf I am the AGENT FOR THE OWNER; 1=pramise in good faith to infarm the owner of-the permitting conditians set forth in
<br /> this affidavit prior to commencing construction.-' I understand that a separate permit may be required for efectrical�work, . `
<br /> plumbing, signs, weils, poots,,air canditioning,�gas, or ather mstallations not specifica(ly inciuded in the applicafion: A, :
<br /> permit issued'shall'be�construed�to�be a license�ta�proceed with the work and not as authority to violate, cancel, alter, or �
<br /> set aside any provisions af"the`technical codes, nor shall Issuance af a permit prevent the Building t3fFicial from thereafter
<br /> requiring a correctian of errors�in plans;construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the wark authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended.ar abandoned for.a�period..of six(6}manths after the time the wark i�;commenced. An e�ctension "
<br /> may be requested, in'writing, from the Building�Official for a period not to exceed ninety {90) days and will demanstrate
<br /> just�able cause for the extension. ,If work ceases for ninety{90)consecutive days,the jab is considered abandoned:
<br /> , � �
<br /> WARNtNG Tt? QWNER: YOUR.FAI�URE,T�.RECO.RD;A NOTtCE OF G�MMENGEMEN'T MAY'RESULT [N'YOUR
<br /> PAYING TWICE�FCIR tMPROVEMENTS TO YO:UR:PROPERTY.. IF YOU;�INTEND°TO.OBTAIN FINANCING, CQN�UL.T '
<br /> WITH YOUR`L:ENDER OR AN ATTORNEY BEFORE RECORDING YQUR lVOTIC _Y �CQI+JlI�lER�CEl�lERl�`:-- - - - _
<br /> Fl.QR{JA Jti�RT�{f:S.-117:03)__�-'_-._---- --
<br /> OWNER OR AGENT CONTRACTO - �`^�`-'��' "''`.
<br /> Subscribed and swom to{or a�irsned}before me this Su ri e���d swo fo r affi ):befare me this � '
<br /> by 5�����.� by
<br /> Who is/are personally known to me or has/have produced ' Who is/are personally kno.wn to me or has�have produced �
<br /> as Identlfica8on. , as Iden�fication � `
<br /> , , . ,
<br /> Notary Public Notary Publlc
<br /> Commission No. C mEssion No.�t���J +�-� '
<br /> r � /�',� � �
<br /> Name of Notary typed,pr[nted or s#amped Nam , �Y���•.,,
<br /> .„ e�ue�ncu�u�C�da�,ru41PeP�oB ',�aa3 ; 1`•"•'�:,DE8i2AEtAiNERUFFELt
<br /> 6�Oli8E�009 f;e°••••• -Commission#GG 045343
<br /> � OZOZ'L��q�+enoN sa�idx��*�� :Q:Expires November 7,202Q
<br /> �. £tl£��D�`"a#uo�fiB�tt3Wa��, ,. ,g;i�°,'� 8ondedfiruTroyFein Insurance 80�385-7019
<br /> ,,. £ �..•
<br /> ll��df1�l�NI`d'19 HH'�IQ3Q ���„m ��
<br />
|