|
� °�
<br /> .3 1 f t..;''„;�
<br /> PIOTiCE�OF' DEED RE�TRIC71qNSr:The�undersigned understands�;th�t this.permlt.may.be.subject to"deed"restrictlons"
<br /> whtcfi may be•more r.estnictive:fM�n Gounty r,egulattons. �The undersigned assumes responsibitity for compitance v�ith any
<br /> appiiaable deed restrtctions. °���� �����,� � • '
<br /> UNLtCENSED CQNTRMCTQRS, AN1?�CQNTRACTOR RESPANStBE#:ITt�S; If the awner-has hired a contractor ar
<br /> con#ractors to undertak�work, they may be'requlred_�to b�;l[censed In aacordance.with state.and�lacal regulatlons. !f the
<br /> contractor ts not Iicensed as requlred by law; bath the owrner and contractar may be clted�for a misdemeanor violatlan
<br /> under state law. if the ¢�wner or tntended?;contr�ctar �re�uncertaln as ta what Iicensing.requirements may apply�for the
<br /> intended work, they 2�re�dvised to,contact,,the�;Pasco County Building Inspection Division—t�.icensing Sectian at 727-847-
<br /> 8009. Furthetmore, !f the owner has hlred-a`contractor �r contractars, he ,fs advfsed to have the contraator(s) slgn
<br /> portians of the "aonkract�r Bloak° o#thls appllcatton for whlch they wlll. be cesponslble. If you, as.the ownec stgn as the
<br /> contractar, that may be �n indication that he is not.praperly I(censed and is not entitled to permftting priulleges In Pasco
<br /> Caunty.
<br /> ._ _'��N�PORT�TtUN�t�If�1��T1UTii.IT1ES iMPAC''t'ANI�_RESOU�tGE RECaVERY FEES: The undersigned understands
<br /> � that T�ansportatlan lmpact Fees and Recourse Recovery.Fees may��apply ta Etie cortstruction of new�6uitdings;change of � �
<br /> use in existing buildings, or.expar�sion��of�exlsti��g`6uildtngs� as spealfted in Pasco Caunty Ordinance number 89-0? and
<br /> 90-07, as amended. The undersigned also e�nderstands, that.such fees�.as�may i�e�.due,.wlll:be identified at the time af
<br /> permitting. It is further �snderstood that Transpo�ta#lon fmpact Fees and Resource Recovety �ees must be paid prlor to ,
<br /> receiving a "certificate of oecupancy" or final power.release. :If�#he project does not Involve a eertificate of ocoupancy or
<br /> final pawer reiease, the fiees must be paid ptior to permit issuance. Furthermore,�if Pasco Caunty Water/Sewer impact
<br /> fees are due,they must be pald prior to permlt fssuance-in accardance wtth appilaable Pasco'County ardinances.
<br /> CONSTRUCTlQN LlEN B.AVII(Chapter 713, I�lorlda Statutes.as amended�: If vaivat#on of work ls$2�5QO.OQ or more, #
<br /> certify that I, the appliaant, have been provlded with a copy of the "Flarida Construcklon Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Departmenk of Agric.ulture and ConsumerAffairs. If the appltcant!s svm�o�e
<br /> other than the°awner", i�ertify that I�have,obtained a copy,of.the.above.descrlbed document°and.promise in.gaod faith to
<br /> delive�it ta the°owner"priqr to-commencemert#:
<br /> CflNTR,ACTOR'StQWN�R'8 AFPICIAVIT: 1.ce�tlfy that�sll the fn#�rmatlon in thts applicatEon is aacurate and that a1i work
<br /> will�be done in compliance with al! applicabte laws regulating const�uctlon, zoning and�land devetopment. Appttcatbn is
<br /> hereby made to obtain .a permit to do work and tnstallatlon as Indtceted.� '! certify that no work ar 4nsta4latlon has
<br /> cammenced prior to issuance of a permlt and #hat.all work will be performed to meet standards af all laws regulating�
<br /> canstruction, County an� City cades, zaning.;rsgulations, and' land deveiopment teguiattans In ihe jurlsdlction. I al'so ��
<br /> certify that 1 u�derstand th�tt the regula#fons.of`�bther govemment agencies may�apply�to the intended work, and that it is
<br /> my responsibllity ta iden#f�y..whai�cttons'1�must#ake ta betfn:.corr�plfance: S.uch agencies-Include but are nat iimited ta:
<br /> - Depa�tment of�Environmental;�.Pfotection-�ypress.'Bayheads, Wetland Areas and E�vira�mentaily Sensitive
<br /> Lands�WateNWastewate�Treatment.� ��� � .
<br /> - Southwest Florida Water Management: .District-Wells, Cypress.� Bay.heads�� Wetland Areas* Altering
<br /> Watercourses. ,._^ ,{:
<br /> - Army Corps�f Engineers=$eawails;�Docks� Navigable Waterways. �
<br /> - Department �f Health & Retiabflitat�ve Services/Environmentat F�ealth Unit Welis, Wastewater Treatment,
<br /> Septic Tanks. , � • : �•-��E: ; _
<br /> �- ...lj=;�,... .;i.
<br /> - US Environmental PratecNon A�ency'�,Qsbestos aba#ement. ,
<br /> - Federat Aviatton AutMoriCy=Runways: '
<br /> t understa�d thaf the fatiowing.reshl�tions apply to tite use af fiil:� '
<br /> - Use of fill!s not aliowed In Fiood Zone"V"unless expeessiy permitted. ,
<br /> - If the fili mat�rfa! Is to be used In. Flood Zane "A", !t. Is understoad that�a drainage plan addressing e 1
<br /> °compensating volume" w1A be subr�I.tted at�ime of permttting whiah is prepared by a professfona! englneer
<br /> Ilcensed by#h�.State of Fiorlda:
<br /> - If the fili material is #o be used in Flood Zone °A° ins connection�with.a permitted building using stem wall
<br /> cons#ruc#ion, I certifyr that filt�wiil:b.e used only.#a fiti the area within the s#em�waii.
<br /> - !f fill materfal is to be used in any a�es, 1 �certlfy that .use af sucti fitl wil) not adverseiy affect adjacent
<br /> prapenles. #f use of fl!! Is found to adversely:�ffect ad�acent�propectfes,.the owner may be cit�d#or u#olating
<br /> the conditions of the building.permit issued under the attached�permit appltcation, for {ots less than one (1)
<br /> acre which ar�elevated�by flli, an engtneer�d drainage plan is required.
<br /> if i am the AGENT PtaR T�#E t'�WNER, I,:promtse in good faith to inform the-awner of the permltting conditlons set forkh in
<br /> this affidavlt prlor ta comrraeractng cor►structian. 1 understand that a�separate permit may be required for etec#rical work,
<br /> plumbing, signs} wells, poc�ls; air cond4ttoriing,.gas� or othe� lnstalM�tbns not spea�#Ically inciuded-in.the appifcation. .A
<br /> permit issued shall be construed to be a�Ilaense ko proceed wlth the work and not as authority to,violate,cancel, aiter, ar '�
<br /> set aside any provislons of the.teahnlcal codes; nor shall Issuance�of a.permit.pr.event the Bulldirig O#1'ic(al from thereafter
<br /> requfiring a aor�ection Qf errors in.plans, const�uction or violattons of any codes. Every permlt Issued shall become invatid
<br /> uniess the wo�k authoriaed.by such permit:�is-commenced�within six months of permi#lssuance, ar if work authorized by
<br /> the permlk is suspended or.abandoned for a period of�slx�{H)-months after the#ime the�wo�`k is commenced. An extension
<br /> may be requested� in wrltin�, from the�8�ild(ng.Qf�clal for a perlod not�to exceed•�ntnety(90) days and wiit demanstrate
<br /> jusklfiable cause far.the extension. If wark ceases:#or ninety(90)cons.eautive days,..th`Job�is.considered abandoned.
<br /> ,u.a ;: ,:�.� ..
<br /> . ,
<br /> WARNtNG,TO OWNER: ;1(�UR.FAiLURE�TO.,REC.ORD A NClTIGE:OR COMMENCEMEMT MAY RESULT IN YQUR
<br /> 6�AY1NG TWICE�OR IMPROVEMENTS;Tt3 YOUR;�PROPERTY. IF�YQU�IN'�EKID�`TQ�08TAiN��FINANGING��CONSULT
<br /> 1NlTH YQUR E D ;O AN AT3C?RNEIf�B FC�RE� ECORD G:' UUR= �C `OF � � E CE� NT
<br /> FLORIpA JURA'�(F.S.11 .0 ';"'' "`."
<br /> „ .s: ;.. ��,
<br /> OWNERORAGEN - ,,,, CONTRAGTCIR � -
<br /> Who!�onal! knovm to�me�����-,.1�,'`',.:;�t�`�'=��`� 1 ; � me'���� �
<br /> Sut�scribed and swo r, i me fhis _ Sub tlbed d's M to(ot afflrmed� tors
<br /> �l 1�1 S b � . Ct �l� J� �•bY�'� � �- ... � attl.1.�., .�__�.�
<br /> P Y . o hasfiave-produc�! � Wha ts/are p.etsonelty knaum M me or aslhave prodiaced
<br /> as Identlflcatlon:.;, ' � as lden8flcatlon.
<br /> 1 , . .;�
<br /> G/,.. ,r,y • � ;
<br /> � r �
<br /> Notery Pubtic . Notary Publlc
<br /> i ' ' - v
<br /> Commission No. Commisslon.Plo. �
<br /> � � .
<br /> Name oC Notary typed u ke o Name of Notary typed,pdnted or stampe
<br /> , � '�?i�ii _ MOtMy h1111E,=�ttt#o!FlOiNla
<br /> �' , CNAO S RIfMAN � � CM�1lIp4e�i I FF�91la7 �
<br /> Mp�ry p�-.$tu�of Plorida M�t C0�lIli:Es�q JiMi 21.2019
<br /> �� " � CoRtaritrtfOn�►FF 191gd7� �..`���. :,";:
<br /> , %���fl,���a I�yt Comm:ExPlr#i Jtft 21,2499 _
<br /> A , � I
<br />
|