<br />OTlce. OF DEED' REStRICTIONS: The underaJgned und....tand. that th18 permit ma be Uject ~ '. n
<br />'h Ic.h may be more reatrIctIve than County regulation.. The undef'8igned a.aum.. ,...:Onalbllt)' for ~ deefrplla=~~ons
<br />pplicable deed restrictions. any
<br />NL.ICENSED CONTRACTORS AND CONTRACTOR RESPON8181UT1ES' If the
<br />:>ntractors to undertake wort<. they may be required to be IIoenHd. In ~ WIth owner ... hInKI a ~ctor or
<br />:>ntractor Is not 1.1cenMd .. required by law. both ~ owner and wOIdnIotor may be = ~a ~~io':t~~~
<br />nder state law. If the owner or Intended contractor... uncertaIn.. to what l/oen"ng requtrernentw ~ h
<br />Itended work, they ....1ldv1Hd to contact the P..oo County Building lnapeotlon DIVlalon.......uo.......1..:., -=~;~7~
<br />DO? Furthe":!,ore, If the owner has hIred a contractor or COt~, he Ia advIHd to ..,. wQw"4lOtof(a) sign
<br />ortlons of the oontrllGliClr Block" of thla applloatlon for whIoh they will be rwponaIlM. If~...'" owner elgn aa the
<br />ontractor, that may be an IndIcation that he la not properly lloeOHd and Ie not entitled to permitting prtYIIegea In Pasco
<br />.ounty.
<br />RANSPORTATlON IMPACTJUTlLITIES IMPACT AND aaOURCI RII~OWRY .....: The"~ ,,~,..tand.
<br />,at Transportation Impact F..a ancl Reoo\Itae Reoov<<Y ..... m-v ~ to the oonetI'UOCIGft or MW ~ ahan of
<br />se in existing bulldlnga. or expanalon of exlaUng bulldlnga.. a..peoIfted'ln Paaoo County OrdIMnoe number' 88-07~nd
<br />0-07, as amended. The underligned "ao underatanc:ta. that IUch feM, .. may be due, wUI be ~.afted at the tlm'e of
<br />ermitting. It la further undemood that Tranlportatlon Impact FH' and Reaauroe Recovery P... m.. be paid prior to
<br />=ceiving a "certlflcate of oooupanoy" or final power ........, If the proJeot doee not Involve a ~ of oooupancy or
<br />nal power releaae, the feea muat be paid prior to pennlt IHuanoe. Furthennoro, If Paaoo .County ~ Impact
<br />=es are due, they muat be paid prior to pennlt ....anoe In aooordanoe with applloable Paaoo County ord1n8l1C88.
<br />;ONSTRUCTION LII!N LAW (Chapter 71S. PlorIcIaatatutee," amended): If valuation of work .. $2.800.00 or more, I
<br />ertify that I, the .appllcant. have been provided WIth a CIOPY of the "Florida Conatruotlon Uen UM" Homeowner's
<br />>rotection Guide" preparecl by the Florida Oepartment of AgrtouIture and Consumer A1faIra. If the appIlowrt Ie someone
<br />,ther than the "owner". , oertJfy that I have obtained a oopy of the above deacribed dggument and proml..ln good faith to
<br />leliver it to the "owner" prtorto oommencement
<br />;ONTRACTOR'S/OWNER'S AFFIDAVIT: I certlfy that all the Information In this applloaUon .. aoourate and that all work
<br />viii be done In compliance with all applicable law. regulating oonatNotton. zoning and land development. APPlication Is
<br />lereby made to obtain a pennlt to do work and Installation aa Indloated. I certify that no work or InatatlatJon has
<br />:ommenced prior to lsauance of a pennlt and that all work will be performed to meet standarda of alllawa regulating
<br />:onstruction, County and City codes, zoning regulatlona, and land development regulations In the Juri8dlotion. I also
<br />;ertify that I understand that the regulation. of other government agencies may apply to the Intended WOf1(, and that it is
<br />llY responsibility to identify what actions I must take to be In oompllanoe. Such agenoles IndUde but.. not limited to:
<br />_ Department of Environmental proteottOn-Cyprea8 Bayheada, Wetland Areas and Environmentally Sensitive
<br />Lands, WaterlWastfNl8ter Treatment.
<br />Southwest florida Water Management Olatrtct-Wella. Cypren Bayheade, Wetl8nd ArMa, Altering
<br />Wateroou......
<br />Army Corp. of Engineers-Seawalls. Cooks, Navigable WatMW8ys.
<br />Department of Health & Rehabilitative ServIoellEnvlronmental Health Unit-We"., wutewater Treatment,
<br />Septic Tanks.
<br />US Environmental Protection Agency-Aabeatos abatement.
<br />_ Federal Aviation Authority-Runways.
<br />I u nd erstand that the following restrictions apply to the u.. of fill:
<br />_ Use of fill .. not allowed In Flood Zone "Y" unl'" expre",y permitted.
<br />If the fill material 18 to be u.ed In FloOd Zone "A". It Is underatoocl that a drainage plan addressing a
<br />"compensaUng'volume" will be submitted at time of pennlttlng which Is prepared by a profeAlonal engineer
<br />licensed by the State of Aorlda. '
<br />If the fill material is to be used In Flood Zone "K' In connection with a pennitted building using stem wall
<br />construction I certify that fill wUl be uaed only to fill the ..... within the stem wall.
<br />If fill m~ Is to be used In any.... I certify that use of such fill will not ac:tvenseIY affect adjacent
<br />properties. If use of fill Is found to ac:tvenseIY affect adjaoent properties. the owner may be cited for violating
<br />the conditions of the building pennlt i8iued under the attached pennlt application, for lots leas than one (1)
<br />acre which .. elevated by fill. an englneenMS drainage plan Ia required.
<br />If I am the AGENT FOR tHE OWNER, I promlae In good faith to Infonn the owner of the permitting condItionS set forth in
<br />this affidavit prior to commencing construction. I underltand that a separate pennlt may be requinKI for eIectrkIa,l work,
<br />plumbing, signs. wells. pools. air conditioning. gas. or other InataUatlon8 not spectfIcaIIY Included In the application, A
<br />ermit issued shall be cOnstrued to be a llcenM to proceed with the work and not as authority to violate. cancel. alter, or
<br />~et aside any provlslon8 of the technical codes, nor shalllnU8008 of a permit prevent the Building 0ft1GIaI from the~eaft~r
<br />requiring a correctiOn of errors In plans, construction or violations of any cod... Every pennlt iHUed ahaIl beCOme, invalid
<br />unless the work authorlz8d by such pennlt I. commenced within six months of permit 1aaUanC8. or If work authoriZed .by
<br />, . nded or abandoned for a period of six (6) months after the time the wort is commenoed. An extension
<br />the pebrmlt IS sutedspe In' u-'ng &....._ the Building 0ftIcIaI for a ~ not to exceed ninety (90) days and will demonstrate
<br />may e reques , WltW . lIV1" .....OW. job Ie ..:.---......-... aband oed
<br />justifiable cause for the extension. If work .ce.... for ninety (90) coneecutIve days, the ~~- O.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING lWlCE FOR IMPROVEMENTS TO YOUR PROPER1Y. IF YOU INTEND TO OBTAIN FINANCING. CONSULT
<br />WITH YOUR LENDm OR AN ATTORNEY BPPORI! ~DlNG YOUR NOTICE OF ...~NT.
<br />FLORIDA JURAT (F.S.117.03)
<br />
<br />OWNER OR AGENT .
<br />Subscribed andb~~~lr~~ thia
<br />IfI}hO is/are personally IcnOWn to me or~
<br />
<br />. CONTRACTOIl .
<br />~-~e~~
<br />Cf:~~
<br />
<br />
<br />eommlsllon
<br />
<br />
<br />NotarY Public
<br />
<br />...... d
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