r � .
<br /> NOTICE OF DEED RESTRICTIONS: The undersign�d understands��.th�t:t�i�..p�rmit:may.be,subJect tq_"deed"restricttons°
<br /> wh(ch may`be<more�rest�Icttveath�rr�Cou�ty�i�g�latlons:�'�fie�nderslgned sisaumes responsibllity for�complianr.e witf��any
<br /> applicable.deed,restrictions. ....-:._=. �.� �� � � '
<br /> UNLtCENSED� CONTItACI'ORS�AND CONTRACT�R-R@SPONSI�ILtT1E§:� If the owmer has-�hired��a��'contractor or
<br /> contractors to undertake work, they may:be=cequiced:to;be�llcensed in�ccordance.with state�.and•loca) reg.ulations. •If the�
<br /> contractor (s not�l(censed as required:by i�vtir� both�the owner and=�conVactor�may�'tie�cited�for�a`misdemeanor vtolatlon
<br /> under state I�w. -If the owner or intended}contr�ctor,are_�ancertaln as to what ticenaing.requiremerrts�may-.epplyior the
<br /> intended dvork,they are advised to con#act tti�.Paego County�u9fding'Inspectio�,Dhiislon-Ltcensing$ectton at 727-847-
<br /> 8009. Furthermore, if the owner has�Fiired^a contracfor o� cont�actor�, he 1s advised to have 'the contr�ctor(s).:sign _
<br /> portions of the�,"contractor.�lock°,of..this applleation..for_vvhich they will be�espon�Ible: ff you,�as..fhe owne��`sign'as`the
<br /> contrac6or, that�may ba �n indication�4hat'fie is not�.prope�{y licensed-and�is not en8ded to perroftting pri�tileges In Pasco
<br /> County.
<br /> ��4iP��PARTA'TION,iI�(PACTIIJTSL�'rIlES=111APA6t��ANb-I�E�O�RCE I�ECOVERY FEES:�T�he underslgned understands
<br /> that Transportation Impact Fees;and.Recourse Recobe.ry.Fees may�:apply�=to:the const�ctlon�of new building5��change°of � -
<br /> us� in existing buildings, or��expansio�r%��existi�i�'�6uildings� as specifled.in Pasco County O�dinance number 89-07 and
<br /> 90-07, as amended.,:.The undersigned also>understands; that�such fees.�as�.�nnay��e��due;::will:.be tdenttfied at the�time`of� '
<br /> permitting. It is furtfier underst�od th�t Trenspo�tatlon.Impact�Fees and�Resoutce Recovery:�Fees..must be paid prior to
<br /> Peceiding a.'cert�icate of�occupancy" or�finai-�.pouvee=��lease. :If�the.proJecQ�does•no�-Irnolv�:a:certiftcate of occupancy.�or�
<br /> final power release;the#ees.mu�t,tie patd:prior to;permit tssuanc�. Ft�lt�i�rmore;°I�.Pasc�_County'1Nater/$ewer Impact
<br /> �ees are due,.they.must be_paid-prior.to peemit-lssyance=ln,a�cordance witl"t:applicabie Pasco'County ordinances. •
<br /> CONSTI��CTIOPI LIEN�W�(Chap��r 713�Elortd�Statut�s�as amended): t�valuatlon of work is$2,500.00:or more�1 _.-.
<br /> certify 4hat t� the.-applicant,. have�been provided-�with-a�copy=of_the��"Florida��Construction� Llen_L'aw—Homeowrner's
<br /> Protection �uide" prepared by"the FloHda Dep�rtment�of Agrlc.ulture and Consum�r Affairs. If the appltcant is soineone _
<br /> other Qhan the°ov�mer�, I certify.that I�h�ve_.obhaJned�a=copy:of.the:above:des.c�bed�Jocu�ent-and:pr�mise��in,good_faith to
<br /> delider!t to the.'owne�"p�ioc to�commencement:'. - } � •
<br /> �Otd'�CTAI3'�/OWNER'�AFFIDAVIT: 1.ceitlfy�:ttiak.all.=the�Inf�rmallon-i��thi�.appltcation is accurate.and that ali work
<br /> will'be done in compliance with all.applicabie laws r�gulating constnaction, zoning and:•land�devefopment. Appltcatlon is
<br /> �er�by made to. obtain .a-permit<Co�do�work:and in�tallation as lndl�efed:�� �°I- certffy that no work�or tns�llation has
<br /> commenced prto� fo lssuance of�a permif and that.all work vutll be pertormed�to meet standards-of �II laws �egulaking�
<br /> construction, Coun� and City codes, �oning regulatians, and lar�d development regulattons-in the j�risdiction. I also
<br /> cerQify that I understarid that ih�regulations of other governm�nt ag�ncies may�apply�to the int�nded work, and that IQ is
<br /> my responsibility to identify�wh�t.actlons I must-t�ke;M be�in;.corrlpllance:..�uch agencles include but-are.not Ilmited to:
<br /> - Depar'tment of Erlvlronmental==Protection�ip�ess.�Bayhead�; WeNand A�eas and Environmentaliy Sensitt�e
<br /> Lands,WaterM/astewater Tre�tment.
<br /> - Southwest Florida 1�I�ter Management:17isMct llVelis, Cypress.r B�y.heads, �Wetland Are�s, Altering
<br /> UNatercourses. � - _
<br /> - Army Corps of Engine�rs�eawails,Docks�Navlgatile Waterways.
<br /> - Department of.�-Heaith,:b; ReMabilitative .ServiceslEnvironmental:Health Unit Well.s�.11�ast�water Treatment,
<br /> Sep4lcTanks. - _ � � �-�� -
<br /> - US Environmental Protection la►gency Asbestos abat�ment.__
<br /> _ Federal Adietion_Authority_:Rurn�ays:
<br /> 1 understand tFiat.the following�restrlctlons apply to ttie us�of fill:�
<br /> - U5�of�ill is not allowed in Flood�Zone"V"unless expressly permttted.
<br /> - If the =fiil mateNal. is to be used:.in :flood Zone. �A", iE. is understood that��a drainage plan addressing a
<br /> °compeFl�ating volume"will be submiited at#)me of permitting which ts prepared by a professional �ngineer.
<br /> Iicensed by#fi�:State�of'flo�ida: . � �- � �
<br /> - If th� flil°mate�tal�.is�to be used In Flood Zone 'A� in���connec�ion�with�a��ermitted building using stem vuall
<br /> ' constructfon, I certify that fill wlll:b.e tased only.to.flll the__area-within�the-stern�wall.
<br /> - � If fili material 1s-to be used-in=any a�a;-f=aertlfy that .use. of such fill will not adversely affect adjacent
<br /> properties. If use�of fill-,is:found to adversely::�ffect�adJaEent�pcoperties�.th�owrner may be clted for.vloCating
<br /> the condilions,�of:th� b�ilding:permit iss�ed�undee the�attacfied.�ermit applicatlon� for._lots=less than:one (1)
<br /> acr�whtch er�eled�ted�6y flll;,ac�engineersd dr�inage plan is r�qulred: • •�
<br /> tfi 1 am the�GEN7'FOR TH��OMlNER; I;.promise In_good faith ta inform the�owner of-the�permitttng conditio�s set forth fn
<br /> this affid�vft`p�ior to connmer�cing con�huctlon. I undersfai�d Qhat�a?s�parate permlt may be requtred for elecMcal work.
<br /> plumbtng, signs, w�01s,.pools;..air condttioning,•.gas,.or.otMe� tnstail�flons no�.spec�flcal�y inclusied-in.the�application. �A
<br /> permft issued shall be constcued to.be a�llcense'to�proceed evith"tFie wo�k and not as.authority_to..violste,cancel, alter, or
<br /> set aside amr provistons of tlie.technlcal-codes;�nor shall i§suance�of a.permit.pcevent the Bulidtrig Offictal from thereafter
<br /> Pequ6ring a correction af errors in.plans;�consfructfortorviolations of-any�codes:- �very�pe�rnit issued shall become°indalid
<br /> unies� the work authorized.by such permit-is-commenced•vuith(n s6�,months of-permlt Issuance, or tf work authorized by
<br /> Qhe p�rmit is suspended•or:abandoneddfor:a;period;of�six_f8)�monffis:after the tlr�e_the�wo�k�ds connmenced. An extension -
<br /> may be requested,.tn writirig;.f�om tfie_Buliding.Official for a p�r(od-not.to.exceed nlnety�(90)�days a�d-will demonstrate
<br /> justifi�ble cause for�the extenslon. If uvork ceases:for ninety.(90)cons.ecutive:days,..th�job�as.considered aba�doned.
<br /> �/A�NlIRlG TO OF�lNER: YOUR-F/11LWItE��Tb..RE.COt2Q.A;I�OTIGI�:QF�°COMMENCEMEMT�.INAY�RESULT IM YOUR
<br /> ��4VIMG TWICE:FOR�IMPROVEMENt�'S�.T��f�UEi:PRt�PE1�TY.-1�°YA.U;IN��EKID:�TO`'OBTAiN•�FIN�A�lE�NG;�CONSUL,T
<br /> . . - � -
<br /> �fIT�B Y U!t E D �O API���TORNEI� FO.E_ -O ��I f��1lOU ' ° .'C :(1F'. .� E , �
<br /> FLORIDAJURA��(F:S:t1�.03} " •- . .
<br /> �wNE�oR noenoT , _ cot�cTo �
<br /> Subscribed end ewom ta(or affirmed)before me ihis Subsaibed�arsd'suvam�to(ot"afiirme �befote me�ttiis .
<br /> by .by... , . ..
<br /> Who Islara personaliy known to.me or�haslhave produced_ Who.l�/are p.ersonallyacrtown�to ma or haslhave�produced •
<br /> as Id"enBfli�Npn, as IdentlHcaOon.
<br /> fdotary Pubilc _ Notary Public _
<br /> Commisslon No.� � Comr�isslon Mo.
<br /> Name of Plotary lyped,printed or stamped Name of Plolery typed,pdnted or stamped
<br />
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