|
i _ ..._ -
<br /> j .: • � OR BK ���� PG `t��
<br /> ' 2 of 2
<br /> NOTICE OF DEED RESTRICTIONS: 7he understgned understands that lhis permit may be subJect to'deed"restrictions"
<br /> ' whlch may be rttore restrictive than County regutations. 'fhe undersi�ned assumes responsihitiiy for compfiance with any
<br /> applicable deed restdcqons.
<br /> UNUCENSED CONTRACTQRS AND CONT12AGTOR RESPdNSIBiLITIES: II the owner has hired a coMractor or
<br /> coniraaiars to undetWke work,they may be required ta be fiCensed in actordance witn state�nd IoGaI reguiaiiona. tf the
<br /> contractor fs not licenaed as required by law,both the owner and contractor rnay be cited for a misdemeanor violation
<br /> urrder state taw !t the rnmer or Intended contractpr ere uncertain as to what ticensing requirements may appty for ihe
<br /> (ntended wQrk,they are advised to contect the Pasco Counly Building Inspectlon Oluislon—Licensing 5ectlo�at 727-847-
<br /> SOq9. Furthermore, it the owner has hired a wntraCtor or contractars, he 1s advised to have the contractor(s) sign
<br /> portions ot tha"contractor Block'flf this appOcatlan tor�which they wili 6e responsibfe. if you,as the flwner sEgn as the
<br /> contractor,ihat may be an indication lhat he Is not pro�erly Ilcensed and is not enlilted ta permitting privilegas in Pasco
<br /> Gounty.
<br /> TRANSPOFiTA710N IMpACT1UTILIT'IES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understends
<br /> that 7ransportation impact Fees and Recourse Recovery Fees may appy ta the cansiruciion oi new buiidings,change of
<br /> I use tn existing buitdfngs,or expanalon of extsitng buildings,as specitied!n Pasco Gouniy Qrdinance number 89-07 and
<br /> 90•07,as amended. Th0 unders(gned aiso understends,that such fees,as may be due,will be identified at the time of
<br /> perm!!ling. I!Is tuRher underafood tt�at Transportetion�Impact Fees and Resource ReGOVery Fees must 6e patd priar io
<br /> receiving a°certificate of oscupancy"or final power releese. I(the project does not fnvolve a certfficate ot occupancy or
<br /> flnai power release,the feea must be paid prior to perrn{t issuance. Furthermore,if Pasco Caunty Water/Sewer impact
<br /> ' fees are due,lhey musl be paid prior ta permit issuancelfn aCCOrdanca wilh applicabla Pasco County ordinances.
<br /> CON8fiRUG7tON EtEN Ll1W(Chapter 713,Florida 3tatutas,as emended): tf vafuation otwork is$2,500.00 or more,I
<br /> certify that I, ihe applicant, have been provided wittt a copy ot the "Florfda Construciion �ien law--Ftomeawner's
<br /> Proiectian Guide"prepared by ihe Ftorida Depa�tment of Agricuiture a�d Consumer AHairs, If the applicanl is someone
<br /> other than th8'aumer",t certify that!have obtatned a copy of the above described docume�k and pfamise in good taith to
<br /> deliver it to Ihe"awner"prfor to commencement.
<br /> CONTRACTOR'510WNER'S AFFtDAViT: i certify that aIt the information in this apptication is accurate and that ali work
<br /> wfll be done in ComplianCe with aU applicable laws reg�latinq conatrustion,zoning and tand development. Applfcation is
<br /> herEby rnade ta obtatn a perm+t ta do work and insteiiation as indicated, i certify that no work or installation has
<br /> commenced prior to issuance o!a permit and tha2 al!�work wil!be performed to meet standards ot a[3 lav+s regutating
<br /> construction, County and City cotles, zoning regulationa, and land develapment regulations in the jurisdiclion. I alsa
<br /> ( certity that!understand that the regufatEons ot othes ga�remment agencies may apply ta ihe intended work,and that it ts
<br /> my respansibility lo identlty what aclions I must leke to 6e in compliance. Such agencfea tnclude but are not limited lo:
<br /> • DepaRment oi Ersviranmentai Protec#ion-Gypress Bayheads,Wetiand Areas and Environmentatty Sensiiive
<br /> Lands,WaterlWastewaler Treatment.
<br /> - Southwest Ftoride Water Management Cisfrict-Weiis, Cypress Bayheads, Wetland Areas, Altering
<br /> watercourses. ��.. tu ` Y
<br /> - Army Corps ot Engineers-8eawalls,Oocks,Naviga6le Waterways. � �'U � a �
<br /> - Department of Heaith & Rehabilitative Seis+lcesiEfsvironmentai Heaittr Unit-Welis, Wastewater Treatment, ("j —' �� ��"'t11 �
<br /> Septic 7anks. I � ��p Q O �
<br /> - US Environmentat Protection Agency-Asbestos abatement. U �
<br /> Federa!Avietion Authorily-Rurnvays. ( � a Q z� �s � �
<br /> i understand that ihe totiowing restrictions appty to the u�5e of fiii: � w 0 F— w f-- w
<br /> • Use af fsil is not aeowed in FRood Zone'V untess expressty permitted. � � � � � �- O
<br /> • I f t he fi l l ma ter ia l is lo be use d in F b o d�2one 'A", i t is un ders tao d t ha t a dreinage p lan a d dressing a � O �� �
<br /> "compensating voturtte"wili be subm+tted a time of permitting which is prepared by a professionai engineer S—• W "- � C.7
<br /> Ifcensed by the State of Florida. � � = O � �
<br /> - Ef the 6II materiat is-tu be used in Fiood Zane"A"in connection with a permitted buiiding using stem waii � �-- y- l.L
<br /> consVucdan,I eertify that fiA wil!he used qn!!!�yyy to fiU the area within the stem wa11. � Q 0 � Q
<br /> • fi fiIi materiai is to be used in any erea,� certi(y lhat use oi such fill will not adversely afiect adjacent
<br /> propertfes. kf use of fiit is found to adverse y atfect ad}acer�t praper2ies,the owner may be cited tor vioiaGng ,�j-Z.. � �
<br /> the condilions of the buitding permit issued under the attached permit appiicalion, for lots Iess than ane(1) � >- U qp U
<br /> acre which sre elevated by fifi,an engineere�d drainage pian is required. �r � � � � �-�j _j
<br /> If I am the AGENT FOR THE QWNER,I promise tn good taith to inform the owner ot the permitting conditians set lorth in ,� � � � a„�
<br /> this affidavit prior to commencing construction, i understand ihat a separafe permit may be required for eieciricai work, ._,I w O � •'� 2'�
<br /> plumbing,signs,wells, pools, air conditioning,gas,or(olher installations not specifcaily inctuded in the appticalion. A �-�- C.? C_� � a O
<br /> permit issued shaU be construed tp be a Ilcense lo prooeed with the wark and not as authority to violate,cancel,aller,ar �-�- p p Q
<br /> set aside any provisions of the technlcai codes,nar sha�i iss>�ance of a permit prevent the Buiiding Otftciai from thereafter � �-- Z w Cr3
<br /> requiring a correClion of errors in plans,consWCGon or violations of any codes. Every permit Issued shall become invalid � � 4 � w
<br /> un3ess the wortc authorEzed by such permit is rAmmenced within siz months of perrnii issuance,or if work auihorized by � cq � Ii ,�,,,"�1 �
<br /> Ihe permit is suspended or abandor�ed for a perioA oi siz{6}months after the time the work is commenced. An extension f-- � � � r"� � Q �.
<br /> may be requested,in wriiing,from the Buiiding Oificia��for a period not to exceed ntnery(90)days and vrill demonstrate � I— h- O �. 0. �p
<br /> justifiable cause for the extension. If work ceases for n�i ety(9Q)conseculive days,the Job is consklered abandoned.
<br /> WAl2NiNG TO OWNER: YOUR fA1CURE TO RECORD A NOTIC6 OF COlNMENCEMENT MAY RESUl.T tN YOUR %p�
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO Q9TAIN FINANCING,CONSU�T �b� ":.B�� �i
<br /> Wl7Ft YQUR CENdfR AN ATTOR EY BEFORE RECdRDING YQUR NBTICE OF COMMENCEMENT. � a
<br /> FLORIDA JURA7(F.S,117 J) �� �
<br /> \
<br /> QWNER 0 OEN Y ✓ � CONTFHCTOR �` � � � �"�
<br /> �SubsCrtbed n to{r affim�ed bef�this� Subscri6ed aM�m to(ar atfumed)betme me shia '� ,� .(,,�� � m�
<br /> 2 7, � . . '..
<br /> lstar t me or haYhave prpduced Wtw tetara petsona6y knmm to me or harJhava producesf ,�. �
<br /> as klenGficat(on. a�ideNifiaalian. (� ��rs,, ''.� � w �,
<br /> . �s,y �� . t°r" 0�
<br /> 4 `� ' •' ,t„�'
<br /> ' �Wary Pubkc No�ary Pubiic �9 �,
<br /> Commiesian No,_, �,� ._,_ Commission No.
<br /> ' Uez `���° ,� ' �c �
<br /> Nartw of Nal ed, dnl Nsme of Notary typed.printetl or slampetl
<br /> �'"•'"� W61�DY RODRIGUEZ ,
<br /> �'" �
<br /> +��}` �.MYCOMM�SBION#FFt7�632
<br /> ' '''�►a.��� �Pi���
<br /> NoVe����8,20t8
<br /> (d47)388-0t63 F(4��.:..�Y'YI,N `��
<br /> . �"r. ..�� ••
<br />
|