r 1 .�_ "_ : A. "
<br /> NOTICE OF DEED RESTRICTIONS:- The undersigned.understands-thSt-this ppo�nit fnay.b®,sub ect to,.d®ed,.•restrictlons
<br /> which may be more''restrfictive=that Caianty':rieigitlattons:ill ndersiongd,nssumes respOnslblilty`for:compliatice inrith'aiiy
<br /> appficable,deed-restrictions. .COI_TR-
<br /> UF�t.iCENSED--CON'fRACTORl��ANlO- � AGTAR-RESPONSIBILMES:� -1f the owner,has--hired'.a..contractor or
<br /> contractors to undertake work,they ntay.be;requited•:to.be iicensed In accordance.with.state•and.- calTggutations: :if'the =
<br /> contractor is not-ilcensed`.as�required by law,:both:the owner and:cont:actor.=iiiay b® cited fora misdemeanor violation
<br /> under state law. If the owner or intended�;contm.btor:.are-uncerteln as to what licensing,requirements;may apply 1br,the
<br /> Intended work;they are advised to-contact the.Paeco County Buliding;lnspeotion.Uivlslon--Licensing Section at 727-8 7-
<br /> 8009. Furthermore, if the"owner'has""hired'a aai�teac#or or contractors. he is advised to have the con tractor(s) sign
<br /> portions of the-'contractor.Block° of.this-application
<br /> for mhlch they,will.be.responslbte:.•If>you,:as.the owner s lgn'as ttte
<br /> contractor, that rrtay be an indication tltat't a is not prop
<br /> County. rind is not entitled to-permlttfng privi leges in Pasco
<br /> County.
<br /> TRANSPORTATION-IMPACTIUTIUtiE'IMPAG'I`AN'DR �UIZCt RECOVER
<br /> FEES: The'undersigned understands .
<br /> that Transportation impact Fees:and.Recourse Recovery,Fees maj appV-to:the;construction,of now-buildings,°change cif
<br /> use in existing buildings,:or•_expansionfof ezlstiiig'bu11 Ings, as specified.in Pasco County Ordinance number 89-O7.an'
<br /> go-u7, as amended.-,,The undersigned also:understands;that'such fees;•,as;tnakb#due .wAl;be Identified at thwfln.)t3°df
<br /> permitting. It Is further understood that Transportation impact'F®es and..,Rd8ource.:Reoovsry'Fees.must be paid prior to
<br /> receiving a"certlficate:of-occupancy"or--final�power-release. :I he.projsct.does�ridt-Involve-wvertificate of occupancy,.o >
<br /> final power release'..-the-fees-must be paid-,prior to.permit Issuance. Furthermore;.ii•.Pasco;County:WaterlSewer Impact
<br /> fees are due,,they.must be paid:p lor,to„permit-lbsuant eln accordance witti'appilcable.Pasco'-Caunty onlinances.
<br /> CONSTRJU&ION-LIEN LAW(6140er 713,Elort+ a Statutes,as amended): If valuation of work is$2,500.00;or more, I
<br /> certify that I, the,applicant,. have-been pmyided•with:a�,ciopyof:the- Florida• Constructlow-Lion..Lain -Homeowner's
<br /> Protection Guide°prepared by the Florida Department of Agriculture and Consumer.Affairs.- If the applicant is someone
<br /> other than the"owner', I certify.that Fhave obtainetl a capyof•the,above::describedd666* ent;and:proMise in;good#atkh to
<br /> deliver it tathe:'owner",pror tocomrriencement
<br /> COMTRACTOWS/OWNER'S AFFIDAVIT: t ce t.115 at.all..tho.,Information:in-this application Is accurate.and that all work
<br /> will'be done in compliance with all.applicable laws regulating construction, zoning and•land-development. Application is
<br /> hereby made_to obtain-:a.permit=-to::do:woi-.'and installation as Indloa#iada= 'I• certify that no work-'-!or Installation hat%
<br /> commenced prior to lssuance of a permlt'and tha' 1l-work will be performed•to meet standards-of all laws regulating--
<br /> construction, County and City codes, zoning regulations, and land development regulations•in the jurisdiction. - 1 also
<br /> certify that I understand that the regulations of other-government agencies may gpply.to the intended work, and that it is
<br /> my responsibility to identify:what.acdons I must,take:to.be.ln compliance;.-Such agencies include but-are-not limited to:
<br /> Department of Environmental"Ftotectiiirai s:•Sayheada '!l4 Iind Areas and-Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> Southwest Florida Water Management• Dlstrfdt.Welis, Cypress.r"Bay_heads&, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls;Docks,Navigable Waterways.
<br /> Department:oU Hesith-,&..Rehabilitative-,Services/Environmental:Health Uhit Wells, Wastewater_.Treatment,
<br /> Septic:Tanks:..
<br /> US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation_Authodly Runways.
<br /> I understand that the following�restrictlons apply to"the use of fill:-
<br /> Use of fill Is not allowed In Fidod-Zone"V°unless expressly.permitted.
<br /> If the.fill material: is to•be used_In, Flood Zone. W, it. is understood"that a drainage plan addressing a
<br /> "compensating volume°:will be submitted at time of--permitting wE lch Is prepared by a professional engineer
<br /> licensed by th®.$tate of,Florida
<br /> If tho fill-material_is:to be used in Flood Zone 'A" Im-connecbbn-with'-if-permitted building using stem wall
<br /> construction;I certify that fi11-4 ll.beused only.to..flll the:area-within'the-sternwall.
<br /> if fill materiel Is to be used.in .any area; T'_-certlfy that .use. of.such fill will.not adversely affect adjacent
<br /> properties. if.use:of fill Is-found to adversely-affectadjacent properties,.the owner may be cited form ofating-
<br /> the conditions of ihe:bollding permit issued'under thiijttached,permit application, for._•Iots--less than:one (1)
<br /> acre which"are'elevated.by fil;>an engineered drainage plan Is required:.
<br /> If t am the AGENT FOR•THE,OWNER, I�Orortilse in-good.faith to inform the owner of-the-permitting conditions set forth in
<br /> this affidaVlt`prior to commencing construction. I understhnd that-a=aeparate;permit may be required for electrical work,
<br /> plumbing, signs, wells, pools;.air.condiffoning,-:gas;,or:.other Ins talts0 ins not.specifically Included-In.the-application. :A
<br /> permit issued shall be construed to W`tf licenwto proceed with tf®;work.and not as.-authority..to.violate,:cancel, alter, or
<br /> set aside any proVislons of the.techril6l.codes; nor shall Issuance,af e.permit.prevent the Bulldirig Official from thereafter
<br /> requiring a correction of errors.1n;•plans;-constructbn.or.vioiations of any codes: Every•permit Issued shall become invalid
<br /> unless the work authorized:by such permitis_commenced•withIn atK months bf-permit issuance, or if work authorized by
<br /> the permit is suspended-or:abandoned-for-a':period.cif=sbc;(S)-tnonttis:.a r the time thwwork�fs commenced. An extension.
<br /> may be requested, In writingJrom the.'Building.Official for a period noi.to exceed::ninety(g0) days and-will demonstrate
<br /> justifiable'cause fot the extension: If work ceases:for nlrtety(90}consecutive.days,the job4s.considered abandoned.
<br /> WARNING TO OWNER. YOUR-,FAILURE':TO,RE0.9RD..A:.NOTIM...OF COMMENCEMENTIMAY-RESULTIN-YOUR
<br /> BAYING TWICE.FORIMPROVEMENTS;Tt .Y�,DUR•<iaROPERTY.`-:IF.YG.U4it4TENWDTO-OBTAiN�FINANCING CONSULT
<br /> WITH Y UR L U :O AN ATTO N FOREx ORIdI ts' �tr ,O
<br /> -~FL-t1RIDA,JURAT�:(F.S:-11x.031___
<br /> �L
<br /> OWNER OR AGENT co t3E107ron_ : —-- - - -'---
<br /> subscribed and awom to(or affirmed)before me this S6bw Abed'and'swom•to(ot afiirmadybefore rrte'thls'�—
<br /> by .by... . . . . --
<br /> Who Islare personally known to.me or;has/have produced. Who.ls/are personally known•to me;or hoslhave-pmduced
<br /> as isientlficaticn. ` as Identification.
<br /> Notary Public Notary Pubt{a
<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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