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8i3480=0'02'0 • Ci Of�Ze `hy�hillsr Permit.A ' licatioii Fax-81;3;y80?QU2;i;+;
<br /> ' p Y- PR
<br /> BOIldingZopartment
<br /> 'DEED RESTRICTIONS:The;undeWgn`'ed understands that``this�pdrmIt maybe sutijeci'to"'de;&"ies6ki"s"wliicli ......more restrictive
<br /> than CountyreguiaUi k.-TAe-6nder§igngd assumesresponsibility.�fo_r,.compliance with any applicable deed,restrictions.
<br /> UNLICENSED''CONTRACTORS=AhD`'.CONTRACTOR RESPONSIBILITIES::If the,owner has hind a.contractor•or.contractors-to•undertake work;they
<br /> may be required,.tolbe licensed in accordance.with state,and local regulations.If the contractor is not Itcensed:asTegutred by law;;tiotli'the owner and
<br /> contractor.niay be W1 cited;for.a Ynisdemeanor violation'unde."'r sta6w;lfthe owner or contractor are uncertain
<br /> intended contracton as;to what licensing-regyi[ements<
<br /> may apply for the Intended'work,they aIre!advised to contact the Pasco County BuOding•Inspechon Di4ision—Licenstng•Seaie 72VIM7=ti009.
<br /> Furthermore,1f the owner has hired a contractor;or,contractors,,he.is;advised-to have the contractors)sign,ppitlans.of the'"contractor Block"of this;
<br /> application:for which.they wtll'be•responsible.*tf you;as.the owner'slgn as the cori"ctor;.thatmay=be an tndlcation-that he isinot propei(yi llcenseil'and is ' "`
<br /> not entitled'to'pemiittirig privileges in Pasco County.. ....
<br /> TRANSPORTATION IMPACT/UTILITIES;IMPACT AND;RESOURCE RECOVERY FEES:The undersigned;,understands,,
<br /> that Transportation Impact Fees`and Recourse'Recovery;Fees;may;apply:to'theconstruction of new§utldin'gs;-cliange°of..use(n eitistirig`tiuildin s,or
<br /> expansion of eAsting buildings,as specified in Pasco County Ordinance number 69-07 and'gM7.,=as amended:The undo[signed"also understands;.that
<br /> such:fees,-as•may.bedue;Wll;be identified atthe_time of.permitting.;Itlsfiilt erunderstood thatTransportation ImpactFees`and Resource Recovery,„.._•
<br /> Fees;rnustbe paid prior to receiving a-"cerfificate of'occupanW-,orfinal;power release.If the project,does=riotlnvolve.a,c-d' licate of;occupancy,or,finaF
<br /> power release,the fees must be paid.prior to permit issuance.Furthermore;;if.-Pasco:County.Watee/Sewer Impact fees are due;they must betpaid.prior
<br /> to permit issuance,In-accor.. 6idance;with applicable Pasco;County:ordinances;'
<br /> CONSTRUCTION LIEN,LAW(C ter'7'13;Florida Statutes;as amended):lf.valuation of.workis$2;500.00,or.mo*I certtty.that;'the.appllcant,
<br /> have,been provided.wIth.a cwpy?of'the"Florida Construction;Lien Law'='Norrreowneets Protection:Guide",,prepared.;bk the"Mode'Department of,- ;
<br /> Agriculture and:Consumer Affairs.If the applicant is someone other tii'an'the"owner:,,,l.cert(fythat'I have obt'6rj'a'copy,of.the above described
<br /> do curnentand,prom Ise 4n•good faith to deiiverdt.to.the"owner."prior to,00mmencement.
<br /> CONTRACTOR'S/OWNER'S:AFFIDAVIT:'.Ccertify<that all tFtie tnformatiori'In'this apblication is"accurate and the all work;wiil!be.done in compltance,with
<br /> alfapplloalile'laws•regulating'constru'c0 ,Toning:and"land;development(Application Is,hei6by:M646 to obtalKe permit to:do`work'ind,,Installation as ., .
<br /> f"
<br /> indicated::I:certify that:no-work:or.installation,has;cot>imenced prior to issuance of a permit and that ail work'Mll.be,performed`to meetstaridatds of all`
<br /> :.. ,
<br /> Iaws.,regulating construction,County and City codes,zoning regulations,'and land developmght;' gula$ons'fit'the jurisdldfioh't also.;cetfify"that l
<br /> understand aat.the,regul. - of other government:agencies may apply,to the Intended Work,and that it is my responsibility to identifjrwhatactions,.l.
<br /> must take to be in compliance.Such,agencles'fndude but are not lim(tedto: • =- u _._
<br /> Department of Environmental Protection-Cypress Bayheads,;.Wetland Areas and Environmentaly:Sensitive -
<br /> Lands;Water/1Nastewatet-Xtdatment.
<br /> Southwest. Florida Water Management Districtmells, Cypress.-t Bayhdods;>-Wetlah&,'Areas Altering-
<br /> Watercourses.
<br /> - , ArmyCorps of Engineers-Seawalls,.,Docks; Navigable Waterways.
<br /> Department'of'Heal'fh''&=iRehabilitaWe Services%Environmental Health Unit-Mlls,.-Wastewateri.Treatfnent,'
<br /> ... ,
<br /> Septic Tanks.
<br /> US Environmental Protection"Agency-Asbestos abatement.
<br /> Federal.Aviation Authority-Runways.
<br /> I understand that the following restrictions applyto,the use-of fill.
<br /> Use of fill is not allowed in Flood Zone"V"'unless'expressly permitted. ,
<br /> If the fill- material is to be-used in_:Flood:_'Zone "A", it is understood "ttiat`a drainage plan addressing a
<br /> "compensating volume" will:be submitted at:tim'e'ofipermitting Which!&s prepared by"a.professional'erigineer,
<br /> licensed by the State of Florida.
<br /> If the fill material is to be used Iii Flood Zone °A"'in connection..with..sippermitted building,using stem wall
<br /> co_nstruction;'I,certify:�that,:fill-.vtiill b.e,used=only:to;fill--,the,area.,.withinaliestem,:wall.,,;.:.;.:;,, ,..�:. ,
<br /> If fill material-is' to ,lie'used"in'"any area;.I--certify that use of such.-filhWill�not-;adversely-affect:,a'di cent
<br /> properties-If.use.of:fill.is_fqund to adveeselyaffect adjacerit properties,•the•owner-maybe cifed:for.violating ar.;
<br /> the conditions oFthe Building;per nit;,issued'un'der�`the'attached:permit.:application; for lots less than one (1)•;,,:
<br /> acre.which are elevated by fill;..an engineered dralnage•plan:is required.
<br /> if I am the AGENTTORTHE.O.WNER,l promise in,good,fatth to inform.the',owner.of the.permitting conditions.set.forth In this.affidavit priocto
<br /> commencing,cons.truction:'l'uiiderstand'thata separate permitmay be requlred,for electricalswok-,-plumtiingj*signs,-wells;:pools;,.aircondittoning,"gas,�or
<br /> other installations not=specifically included in the-application:-Apermit issued shall:be construed'to tie'a license to'proceed with-thewo and rotas
<br /> authority to'iriolate;'cancel,,alter;or set`aside any."provisions,ofructi the technical codes;-nor shall.issuance of a;permitprevent the Building;Offidaf fnorri "
<br /> thereafter,requiring,a`correctlon:oferrors in plans;,constdn•or vioiations'ofanycodes.Every permit•issued,shalLbecome;invalid unless�the_woik.: ' '_
<br /> authorized by such:permit'is cormhencedWthin slz months of.'permit issuance;or i#wo-Ir c•.autfioriz id'by'tt9e'peFrntt is susperided'or.abantlorted.for a
<br /> Y eq-:- T. .. .,
<br /> period:of-sik,(6)months'afterthe time.the work,ts'contmenced.An extenslon;ma ,be,r nested;in writing,.from tHe;Buildtng Official fora;period not to,;:•,
<br /> exceed ninety"'(90)`days arid willAtmorittrate•justifiable cause.for the extension.If work ceases for nlnety.Z90j conseautive:dajis;the dWis considered
<br /> abandoned.
<br /> WARNING TO:.OWNER:YO�UR'FAILURE"TO~RECORD''KW&ICErOF;.COMMEN.CEMENTnAY.,RES.ULIT IN"YO.UIR``'"'
<br /> PAYING'TWICE FOR IMPROVEM.,ENT&TO.YOUR'PROPERTY: IFYOU.'INTEND-TOO:BTAIN FINANCING;CONSULT
<br /> FLORIDA JURAT(F.S.117.03
<br /> �'5AA
<br /> pp-� f� - RACTOOWNER OR AGE CONT.
<br /> o(oraf ) ore Subscj` d.and Subscribed'and'swom,to"(or affifmed)b re e-thisE
<br /> Uyr�l4i b /nn.e Lczk byCAEL -9 (0 0 SA RA
<br /> Who is/are rs Ily known to me or hasli,ave roduced Who Is/are pe naliy'known�to�me'0 as/have�prodUced::.
<br /> as identification. �=Z as identification.
<br /> LA.
<br /> Notary Public taryftblic,_,
<br /> Commission N RI L BELLUSO Commission No. s�_" LUSO -
<br /> GERRI:L LIE
<br /> �- rotary Public-State o a� �!" , r-
<br /> ,�_ .'.'' Commission GG 169054 Commissior.#GG 169054
<br /> Name of Note dt7tste9tl ':Name of Notary,typedffftW oeed:hroughNaSo"a'NoaryAssn:`
<br /> Bcnded:hroagh Naiona'Naary Assn.
<br /> G
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