, �
<br /> �
<br /> NO71CC OF DEED RESTRICTIONS: Tho undersigned underslands lhat lhis permil may be subjecl to°deed"restriclions"
<br /> wliich rney he more reslrictive lhan Counly regulaUons. The underslgned assumes responsibilily(or compliance wilh any
<br /> applicable deed restriclions,
<br /> UNLICENSED CONTRACTORS-AND CONTRACTOR RESP�NSIBILITIE9: If Ihe owner has hired a conlraclor or
<br /> contraclors to underlalce wori<,Ihey may be required lo be Iicen�sed in accordance with slale and local regulations. If lhe
<br /> conlraclor is not Iicensed as requlred by law, bolh lhe owner�nd conlraclor may be cited for a misdemeanor violalion
<br /> under stale law. If tlie owner or inlended conlractor are unce ain as to what licensing requiremenls may apply for Ihe
<br /> inlended worlc,lhey are advised to conlact the Pasco Counly B�ildinp Inspeclion Division—Licensing Section al 727-847-
<br /> 800�J. Furihermore, if lhe owner has hired a conlraclor or c�nlractors, he is advised lo have lhe contraclor(s) sign
<br /> porlions of the"conlraotor Dlock"of lhis appiicaUon for wl�ich Ihey will be responsible. If you,as llie owner sign as lhe
<br /> conlractor,lhal may bo an ind(callon lhat he is nol properly Oc�nsed and is not enliUed lo permilling privileges in Pasco
<br /> Counly. �
<br /> TRAfVSPOR7ATIQN IMPACTlUTILITIES IMPACT AfVD RESO�RCE RECOVERY FEES: The undersigned underslands
<br /> lhat Transportatlon Impacl Fees end Recourse Recavery Fees ay apply to Ihe construclion of new buildings,change of
<br /> use in existing buildfngs,or expansion of exisling buildings,as specified in Pasco County Ordinance number 89•07 and
<br /> 90-07,as amended. The undersigned aiso understan�s,lhat�ucli fees,as may be due,will be i�enli�ed al lhe lime of
<br /> pemiitling. Il is(urther understood tliat Transportaqon Impacl ees and Resource Re�overy Fees must be paid prior lo
<br /> receiving a"certificale of occupancy"or final power release. If�he projecl does nol involve a certificale of o�cupancy or
<br /> Flnel power release,lhe tees musl be paid prior lo permit issu�nce. Furthermore,iF Pasco County WaleqSewer Impacl
<br /> fees are due,lhey musl be paid prior lo permit issuance in acco dance wilh applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 7�13,F�orida Stafutes,(as amended): If vaivalion of work is$2,500.00 or more,I
<br /> certify lhat I, lhe applicanl, have been provided wilh a copiy of lhe "Florida Conslruclion Lien Law—Homeowners
<br /> Proleclion Guide"prepered by Ihe Florida Departmenl of Agriqulture and Consumer AHairs. If lhe applicanl is someone
<br /> olher Ilian lhe"owner',I certify lhet I heve abtained a copy of lihe ebove described document and promise in good failii lo
<br /> delfver il to the"owner"prlor lo commencemenl,
<br /> COIV7RACTOR'SfOWNER'S AFFIDAVIT; I certify lhal ail tlto infomielion in this epplicatlon is accurate and lhal all worlc
<br /> will be done in complfance wilh all appllcablo laws regulaling�onstruction,zoning and land developmenl. Applicalion is
<br /> heteby made to oblain a permit to do worlc and installatior� as Indicaled, I ceriify that no worlc or inslallation has
<br /> commenced prior to issuance of a permil and Ihal all woric ill be performed lo meel slandards of all laws regulaling
<br /> construcllon, Counly and Cily codes, zoning regulations, an�land development regulalions in the Jurisdiction. I also
<br /> certify that I understand lhal lhe regulaUons of olher govermm �l agencies may apply to lhe(nlended worlc,and Ihal il is
<br /> my responsibility to Idenlify what actions I must take lo be in.co pliance. Such agencies include bul are not limiled lo:
<br /> - Deparintent.of Environmenlal Prolection-Cypress eayheads,Wetland Areas and Environmentally Sensilive
<br /> Lands,Water/WastewaterTreatment.
<br /> - Soulhwest Florida Waler Managemenl Dislri t-Wells, Cypress Bayheads, Welland Areas, Altering
<br /> Walercourses.
<br /> - Amty Corps of Engineers-Seawalls,Docics,Navigable Walerways.
<br /> - Department o(Heallh 8 Rehabilitalive ServiceslEnvironmental Heallh Unit•Welis, Wastewaler Trealment,
<br /> Septic Tanks.
<br /> - US[nvfronmental Proteclion Agency-Asbeslos a alement.
<br /> Federal Aviation Authorily-Runways,
<br /> I undersland lhat lhe following restrictions apply lo the use of II:
<br /> - Usa oi fill is not allowed in Flood Zone"V"unless xpressly permitled.
<br /> - If lhe till malerial (s lo be used in Flood Zone "A", il is understoad that a drainage plan addressing a
<br /> "compensaling volume"wili lie submilted at time of pennilUng which is prepered by a professional engineer
<br /> licensed by lhe Slate of Florida,
<br /> - If lhe fill material is lo be used in Flood Zone"�"in conneclion with a permitted building usinc�slem wall
<br /> conslfuclforl,I certify that fill will 6e used only to fi,l the area wilhin Ihe stem wall.
<br /> - If fill ntatefial is lo be used in any area, I ce iFy lhat use of such flll will nol adversely affect adjacenl
<br /> propert(es. If use of fill is(ound lo adversely a(f cl adjacenl propertles,lhe owner may be ciled for violaling
<br /> the conditions of lhe building�ermil issued und r lhe allached perinil appiicaUon,for lols less than one(1}
<br /> acre which are elevaled by fill,en engineered dra nage plan is required.
<br /> IF i am the AGEfVT FOR TME OWNER,I prornlse in good fail i lo infarm lhe owner oF lhe permilling condilions set fo�ih in
<br /> lhis affidevil prior lo commendng construction. I understan 'thal a separale permil may be requlred for electrical work,
<br /> plumbinp,signs,wells,pools,alr condflioning,gas, or olhe InslellaUons nol specitically Included in lhe applicalfon. A
<br /> permil issued sliell be eonslrued to be o license lo proceed ilh lhe worlc and not as aulhorily lo violate,eancel,aller,or
<br /> set aside any provisions ot lhe lechnical codes,nor shall iss ance of e pennil prevenl lhe euilding Offlcial from lhereafler
<br /> requiting a correollon of errors in plens,conslrucllon or vlolat ons oF any codes. Every pemtit issued shall become Invalid
<br /> unless llie work aulhorized by such permlt fs commenced w lhin six monlhs of permit Issuance,or if work author{zed by
<br /> llie pemiil is suspended or abandoned for a period oi six(�) nonlhs a(ter lhe lfine Ihe work is commenced. An exlension
<br /> may be requested,In wrllinc�,from the Bufldinc�Otficial for a�period.nol lo exceed ninely(90)days and will demonslrale
<br /> juslifiable cause for lhe exlension. If woric ce�ses for ninely(I 0)consecutive days,lhe job is considered abandoned.
<br /> WARNING TO OWNER; YOUR FAILURC TO RECORD/�,NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING 11NICE FOR IMPROVEMENTS TO YOUR PROPE�iTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LEIVDER OR AN ATTORNEY BEFORE RECQRDING YOUR NOTIC6 OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03) ` 1
<br /> OWNERORA6EN � M�iL.F�L._C�11�1CC0 TRACTORwA�q�F- �SSouATCJ V�°�.
<br /> Subsctlbe ntl s�v 1 or ni(Ir d)betore e Ih S-Jif. S ib'pribe 1 o d bworq Ip fpn Iftt�m`e�)S faro 0 lhts �
<br /> • 1 by e P �.i �d. ` l0 y lr►-� � . �D R�t
<br /> Who islafo personally inown lo mn or heslhave producad Whq islaro personally knmvn lo mo or hasRiava pmduced
<br /> .�' es identi(icnllon. I as identificalion.
<br /> !\� I I
<br /> .��A.l.�l��L.-i -M_�l"""i Nolnry Public � Nolary Public
<br /> Cammission No. L� ti �"E�7 C'L Co misslon No. O b�'� `o�i y
<br /> �Z � !` �i 1�.i��L� �Y D M Prs (U,� �.a C.l G� �
<br /> � , �, ��- Nai o ol Nalary lyped,prinled oi stamped NoWry Pubile Sldto of Flo�dq
<br /> ��ry�P,,,�� ;��Thomas M LoC(cero
<br /> �.a� �s��.,� F�APII�LA GOUL� �� My Commisslan E[86464�
<br /> � '�a' o°� tVoQaty Public-S¢aQa o9 fflodda �or e�� Expfrna 01I1312�17
<br /> ��" °or;Mg Comm.Eupiroo May 94,20i6
<br /> �'�,�o���q4:`� Commisslon r:CE 9��300
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