j
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned under lands the#!h€skpormitmay be.subject to_°deed".,restrictions°.
<br /> which maybe more-rec#rict(veNthanCounIy°n3guletCons. `The°�underslgn -assume ed s'respo lit n"sibi for'corrtpllance with any
<br /> applicable deed restrictions.
<br /> UNLiCENSEM'tONTRACTORS'.AND•CONTRACTOR RESPONSiBILiTIES:, =�ff fhe-owner°has-•hired--a"contractor or
<br /> contractors to undertake work, they maybe r.,equired.{to,beaicensed In accordance.with siate%and;.local yegulatlans
<br /> contractor€s riot tCcefise f°'as tequlred,g6y'Caw,=do#h the owner. nd�contractoi°may be°cited for af,misdemeanor violation
<br /> under state law. If the owner or'Intended�;contractor;.are:uncertain.as*to what licensing.requirements mayz�apply-.for'the=•
<br /> Intended work;they are`advlsed-to ccttitact the_P co-county_-Buildlng;;inspec#lon_Qlvislon--LCcensing Sectbn at 727-847-
<br /> eo09. Furthermore- If the owner• has"hi-hed'a convadior or-contractors, fie is advised to have the contrac#or(s),,sign
<br /> portions of the_"oontractor.BlocW...of this application-for-which.they willbe.responslble.., if:-you,-as:the d-4ner--°sign-as"th,6:-
<br /> contractor; #hat°tnay°be an Indication that'he is=not`propeey'C€cehsed slid (s riot'erititled'to per m-010li ib lidiiieges in Pasco,,
<br /> County. .
<br /> TRANSPORTATION-iMPACTIUTILITIES CMRI cy-AND RESOUItCE RECOVEM--FEES:"-The undersigned-understands- .
<br /> that Transportation Impact Fees:and,Recourse Recovery.Fees may,applyrto,the construction:of new,buildings,rchange of: '
<br /> use In exlsting buildings,-or},:expansion of eiiistinV?buildings, as specffied.in Pasco County Ordinance number 89-07 arid
<br /> 90-07, as amended:,..-The undersigned also understands, thatrsuch fees;;::as�-may;5e;due::wili:;be ldentif€ed at the.•tim&of.'
<br /> permitting. It Is further understood that Transportation Impact Fees and°Resource_Recovery`x`Fee&muM be paid prior to
<br /> receiving-a"certtficate:.of occupant`arfinalz,.power please: :ltthe.project::does::riot•Involve.a-certificate of occupancy=oc==«
<br /> final power:releass;::#he;fees`muat'b""paid'�prfor to,.permft Issuance. Fur-thermor'e;if.Pascv.Csunty-,Water/SSWGP:impact
<br /> fees are due*.they_,must.be=pall-prior to,.permitlssuanca'.ln.accor. ' ce with applicable-Pasco=County filinances.
<br /> CONSTRUCTION-LIEN"LAW'(Ch titer 713, Florida Statutes,as amended): if valuation of work Is$2,500,OQ.:.or morel 1°
<br /> certify that •l,L the.-:applicent'have..been .pmvide&,with-a~-copy,of:.the- 'Florida-borIstruction--Llen-_-Latin—Homeowner's
<br /> Protection Guide" prepared bilfid'Pi6ilidi Department'of Agriculture and Consumer,;Affarrs.• If the applicant is someone;
<br /> other than the owner", I cert(fy.thatl;have,obta)ned4copy;of..theiabove;rdescribed•�docu'rnentxand:prorrtisifln,gaodfaith to
<br /> deliver it ta..the,`owner"nptor#o commencement
<br /> CONTRACTOWSIOWN EMS AFFIDAVIT: i ced,11ythat�all thelnformattowin-this application is accurate•and that ail work
<br /> will•be done In compliance with all-appllcable'laws regulating construction, zoning andiand''development. Application Is
<br /> hereby made-to obtain .a.perm€t>to-do,_wot.k-and installation as Indlested:.>•11, certtry 'that no work or Installation has
<br /> commenced prior to Issuance of'a-permit"and that":"all work will be performed*to meet standards-of all laws regulating-
<br /> construction, County and City codes, zoning regulations, and land development regulatiors-In the jurisdiction. ;I also
<br /> certify that I understand that the regulations of other,government agencies may•apply to the-.Intended work, and that It Is
<br /> my responsibility to Identify•what.actlons i must•take.to,beiln compliance...Such agencies Include but-are.not limited to: .
<br /> Department of EnvironmentalProt iAl8n=Cypress.'Bayiieade; Weiland Areas.and Environmentally Sensitive
<br /> Lands, WaterMastewater Treatment.
<br /> Southwest Florida Water Management :District Wells, Cypress.- Bayhead%; Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawaiis;•Docks,Navigable Waterways.
<br /> Department of.Health;:.8,Rplagbilitative.,Services/EnvI0onmentaL Health-Uhit:Wells;,Wastewater'Treatment;
<br /> ' -
<br /> US Environmental Protection Agency Asbestos abatement.:_
<br /> Federal:Avlation Authority-Runwaysr'-",,"
<br /> I understand.that:the.follawingsFestrictlans apply to the use of flit:
<br /> Use of fill is not allowed in floodrZone"V"unless expressly permitted. °
<br /> If the>fiil materior�-'le.to'be used:(n -Flood-Zone. W, It. Is understood #hat a drainage plan addressing a
<br /> "compensating volume°..will be submitted at time of-permitting which Is prepared by a professional engineer '
<br /> licensed by'the,State-of.Florida::.
<br /> If the•fill-matetlal-.ts=to:;be used'in Flood Zone "A" Irri connection with:a permitted building using stem wall
<br /> construction, I certify,that fill-:wdll be used only-to fill the area within.'the-stem=wall: '
<br /> if fill material-'Is--to' be used-Iri;:aiiy area; I -certify that .use of•such flri will-not adversely affect adjacent
<br /> properties., 'If use.of fill Is,found-to.adversely:affect adjot:ent properties,.the ownermay be cited for.violating
<br /> the,conditions sof.the-building.' ermit issued!under thi"attached„permit application;for<lats-.less:.than.one (1s)
<br /> acre whlclt ere elevated by till;art-engineered drainage plan Is requlred:. ;
<br /> If I am the AGENT.FOft.THE OWNER;,I promise In good faith to inform the owner of-the permitting conditions setforth in
<br /> this affidavit'prior to commencing construction. I understand that a3separate permit may be required fcr,electirical'work, .
<br /> plumbing;.signs,.waits,.:pools;, air.conditioning,.gas;.or other rnstalleNons not.specifically Included-in.the application. -A
<br /> permit issued shall be i '. 1 construed `6`4license'to`proceed with the:work and:not as:authoNty'ao,violate,•cancel,,.alter, or
<br /> set aside any'provlsions ofth6*,techhI6 .c9d.9s;-nor shall issuanceW a.permit.prevent the Bulldirig Official from thereafter
<br /> requiring a correction of.errors ln;pjans;_cons$uctlon.oc violations of anycodes Every•psrmit=issued shall become invalid
<br /> unless the work authorized:by such permit.is.commenced within stx.months of-permit issuance, or if work authorized by
<br /> the permit is suspended or:abandoned-for:a period of:sUc-($)-months,:'4,the time the,work is commenced. A- extension
<br /> may be requested, in writing,,from_tkie Building Official for a period;!not>to•exceed'-nlhety:(90)"days and-will-demonstrate
<br /> •justiflable-cause for.-the extension: if work.ceases:for ninety.(90)consecutive days,..the job:is.considered abandoned.
<br /> WARNING TO OWNER: YOUR. -OF:�COMMENCEMEN-T-:MAY-RESULT IN=YOUR
<br /> PAYING TW!Ipg.FOR-.IMP'ROVEMENTS:.Tb,YOUR.PKGPERTY -;IP.YO.U�lt TEND TO'08TAIN•,,FINANl 1NG;'CONSULT
<br /> WIT TONA + R1GO A O MK
<br /> ENQ
<br /> FLORIdA JURATI(M-1.17.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> subscribed and swam to(or affirmed)before me this Subscdbed'and omm-to(ot'aMrmed)'before methig
<br /> by by
<br /> Who Istare personally known to..me or haslhave produced. Whv iofere psrsanallyfutoM..to m®or haslhave.-produced
<br /> as identiftcadori. as Identification.
<br /> Notary Public Notary Public
<br /> Commission-No: Commisslon-No,
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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