NOTICE OF DEED RESTRICTIONS: The un`decsigned,understands that this permit-may be subject to"deed"restrictions"
<br /> which.may-:be•:more;restrictive�than:County regulations. The undersignedrassumes=responsibility r,,complian with.;any
<br /> applicable deed restrictions;
<br /> :U.NGiCEN:SED Ctrtit TR=ACC FORS ►NDr,-CONrtRAC ORl..REsPoNsid[it71ES 1tf=flte��°otivWr i6s`n#red`a cohftdtor or
<br /> contractors to undertake work,;.tfeyanay,be,E.required to be licensed in_accordance..vkithatate.vand,._local;regulations: °If the
<br /> contrac#or is:not-licensed;as required bylaw, both the�owner.ant# co6ti, violation
<br /> under state law. If the owner,:,or,,;irateraded;con#ractor are uncertain,as,:to what:.licensing requjrements may a"d #yfor'the
<br /> -v#ntendedwork,-they-are-advised to contact the Pasc6-County-Building=lnspectiorn"DivisioipL�4Licensing Section at'727-847-
<br /> 8009. Furthermore, if the owner has hire-O,.p contractor or,contractors,,:he is advis.:ed,_to. have the contractor(s) sign
<br /> portions-of.•the.."contractor:Block°,of.this.application for.w.hich..#hey will:be;responsible.,,,If you, as the owner sign as the
<br /> contractor;that-May be an indication that he is not properly licensed--and Is not entitled.*-to-permitfing privileges In Pasco
<br /> -TRANSPORTATION IMPACTIUTiLITIES'IMPACT AND R-ESOURCE'RECOVERY,FEES: The undersigned.,understtands
<br /> that Transportation�,impact:.Fees,andRecourse..Recovery;Fees ntay=apply to..,the--construction,;ofnew buildings,!'c ;i a of
<br /> ....._. ,
<br /> use in=existing=tiuildin'J&"or expansion:of-exlsti% wildings, as speclh d:in Pasco County Ordinance-number 89-0.7,and
<br /> 90-07,, as.amended...The..unde6igned,_aiso_unders#an d5 -that)su"eh fees,-.as-imay.be,due, w.iii bei.:td6ntifiied oaf"thy#i Yie of
<br /> permitting. It is'further-understdidifith�i"t��'fir"iisportation.Impact-Fees.and Resource Recovery. Fees must be paid,prior to
<br /> receiving,,an"cerklfica#e a€.occupancy"for eh l:power.rOtlease.�,iif=fife project=do",;not'invoJvesa certMcate 6*-'6ccit'pai cjrr or
<br /> r.. .....
<br /> final_power release, the fees.must be paid prior to permit i'ssughbe. �-l' if&urtherr i 'PaseorCounty Water/Sewer Impact
<br /> lees are:due;they:must,tie_paldwpr onto pe it:#ss,4 in accord ance,v.ith applicable Pasc,o County.ordinancesµ
<br /> CONSTRUCTIONifLIEN LAVI/{Chapter 7r ;fFlotida.S#a#utes;as{amefic:ed}: ,#€ aFuatlar`afinrorkiisw$ ;SQO:OO.or:•rsnore, #
<br /> certify:#hate=i;:=tile: applicant; have4 a iz-3provided:�wlth.a .copy-of#ttie-"Ftorida Construction Lien Lave-Homeowner's
<br /> Protection Guide" prepared by the Flarlda:D:epartment of Agriculture,and Consumer A€fairs.;:#f the applicant�,is-.sorfteona
<br /> �,.:�_..
<br /> other-than,' -;J-,•ce',tify'#hat f�dVe ld ainedwa-copj�of ffYe��atiove�tlescrlbe docwhiehf and-promise in good faith to
<br /> deliver It to the°owner'":prior to commenpe ;ent.
<br /> ..'. �.. 4...
<br /> C:ONTRACTOR'.S/QiiIIN R'S l► ii A1(R�• ycertify.that; ill,.tl e�'�rtfor�atp�ort,in Whisk=, licatioe.is:aec rete3and:that,,aJLwork
<br /> vVilt'be tlone-in compliance with all applicable laws regulating construct#on zoning and fanddevelopmenrt:. Application is
<br /> hereby made to obtain a permit to o work nd insta#latao' as thdicated. I certify that no work or installation has
<br /> commenced,prior to issuance of a.permit;:andAhat all work will,be,performed to..meet,: tandards of all laws regulating
<br /> ct�ristruction; Gou y ono:Cif 'cotl`` , zon,ng„regulations,,-:9 c!'�•tleve#opmen# reg+ lations in the'jurisclictlon;. # also
<br /> certify that I understand:that the'regulations of other:government agenciesannay apply4o-theintended work, and:that it is
<br /> my responsibility.,to identify what actions:f-must take.to:bwin compliance. Such agencies incline but are>natRfirriited to:
<br /> Department of Environmental Protection-Cypress Bayheads,:Wetland:Areas and Environmentally Sensitive
<br /> Lands,Water/WasteVee �tatptent.,;.. .
<br /> Southwest .Florida Wafer, management DlstrictVells, Cypress•..Bayheads, (Wetland Areas, 'Altering
<br /> Watercourses:
<br /> Army Corps of Engineers»Seawalls;- ocks,�Nav#gabld,Waterways'.
<br /> ,g Department ohMeglft abilita'tive ,Services/Ehvaronmenfai Health Unit=Wells Wastewater�Treatment,
<br /> Septic Tanks
<br /> USrEnvirotar»erital l'a#ect#afis gency.=Asbestos:=abatement::
<br /> - Federai'Ailfation A"iifCiorit =l7unways '
<br /> !understand that_the#o#louuing:resmptioos, ply�to the userofofill:
<br /> UseFofiilllls.not ali�oWe°d`in°l'tood Qrre"V"uiiiss'expressly permitted,-
<br /> - If"the #III:mafiai'ial;;is•.to be used in Flood-gone "i ", it 1s understood that a drainage plan addressing a
<br /> compensating uoluiFn '' r�i;hie�sul r»tzed atffime of perml#tin ;which.is preparedxby. .profe_sslonsi engineer
<br /> licensed by the State of f=lo ida.
<br /> :tfA.the.f#li;:materia#;�is;;ta,benysed'dn bRoodd 2phe':"i'..1n-ct�nnection with a permitted bui#d#ng using st�atn<:uvali:
<br /> g .,_ .r . rt,.>,,r, �..
<br /> construction, I;cettifji°that OIf,uVi fla,eused only.;.tb flhttie,;ar5ea witllllrr::tlrWstetn;walF:; •._..
<br /> if-fill material is W.be._used•in..any area, 1'=certify that use.of such.fill°will not adversely affect,,,adjacent
<br /> perJperties: #Buse=of` Il is,:ound to..adverse#y affect adjaCerit fi zope -ties ,tlier.oviitieru:may.be cited for violating
<br /> the conditions of the building permit issued..und.,er,:,the-atfached permit application;for lots-less than one;.-(1).,
<br /> acre nrhicl�<are,�eteva#e I l�yH:fi#ll an engineered:%it a1doge plan Is required.
<br /> If I am #he.AG£NT4"l;*•OR:T:H.E 01I kA,'f poor ii'ise in good faith tio.i6form�the,,owner:ot:the permitting'conditions set forth in
<br /> thjs._aff'idavit.prior.to commending.,construction. I undersiand.that a separate.permit.maybe required for electrical,work,
<br /> plumbing;..signs;.we#is;f,pools -air-condifioning;�gas,.or other installations-not specifca!ly ihclUdbds h4herwapplication. A
<br /> permit issued'shall be construed,to be a.license to proceed,.with-ithe-work.and not as authority to•violate, cancel;;Ailter,;;tor;..
<br /> set aside any proyisions-af the teehihka#600esr,nor shall;.issuance of a permit°prevent_the,:Building Offcpat from-thereafter:`::-
<br /> requiring.:a catrection�of errors"in plans, construction or wiolations-oftany codes: EVery°permitrissued°shall taecome-invalid
<br /> uriiess.the work,attthorized;bysucla:+permit #s commenced within-six months.af perm#t•tssuar�ce,,or..If.workuthorixe`%iby
<br /> the-permit°is suspended or•abandoned'�fora'period of,.six(ti}months after the time the:wvark is commenced 'An extension
<br /> maybe•requested,>In writing,#ram.•the;Building.Official form period not to exceed ninety(90) days and willdemonst2�Ce`.
<br /> ;�.....
<br /> justifiable,cause for tl e;extenslon:==lf work:
<br /> .ceases for ninety(JO)`consedutiue;�#ays,the:jab�is�consideredabandoneil
<br /> WARN NG;TO OWNER -YOUR'F.AI?'URE•TO-.RECORD-iA�,NOTIC1,ggGFaCOMMENCEMENT,;MAX;RES;tl.6T-IN..Y-bUR 4
<br /> PAYIN�G4'fWiCEr C1tt lMPROVEMENTS�C'_O'YQuUR6PitOPEi�1'Y iF{11`6i �1N1'lilt}1'O O TAi1N"EIMAI�CiIVG,CQ1 $itLT ;
<br /> fAllTM:.YO.URaIFINDER:�:OR���ANxA'=TTORN�Y'°EEEOFIE°�I21rCOl't©,i IN_,,,G.YC1U„�O'�;IC�'OF`GOINIiiIENCEMENT. `-
<br /> _ -_-- _ FLoRlDi4''Jt`1RAT`(fS:_1'17:83}_�__ _ -_ _ _. _• •• '�_ - .- .•
<br /> OWNER-OR-AGENT :C0NTRAdf0R - - '`-- - --
<br /> Sutssshbei!}and�sworil:tol(or-.41#ie iY46f0r m0'ttils_- '`Subsiri6ed and'swi$ffi-o> iriietlj°ties re me=ails
<br /> Who Is/are personally known to me or has/have produced Who is/are perso ' Ily.known The o rha"O,Bove:produced•'? "
<br /> as Identification. :r asidehtifie8hori.
<br /> Notary Public Nota y Publice
<br /> Commission No. Comml i a.
<br /> Name of Notary typed,printed or stamped .Name;of;Notary :�typ --- S
<br /> ommission i#GG 276457
<br /> :a.
<br /> - * .....0 4; Expires DMmber.12,2022 .
<br /> °.`.``•' BondedThnrTto
<br /> r Fain Irmmn casoaassaoos
<br />
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