|
_ . �
<br /> � R!l3TICE OF DEED RES�TR1CTIqNS� The undersigned understands.that this.p�rmlt.may.be,subJeat to"deed"restrictions"
<br /> which may be mace r.estfictive:tFaan County�egulations. �The undersigned assumes respansibility for compitance with any
<br /> appiicabte deed rest�lcticros. � �
<br /> UNLICENSED CONTRIACTORS, AN[! CONTRACTCIR RESPl�NSIBILITlES: !f the owner has hired a contrac#or ar
<br /> cantractors to undertake work, they may.be=requtred,to.�ba;Itcensed In accordance.wikh state.and�lacal reguRaEEons. If the
<br /> cantractor is not Itcensed as required�by law, both the owner and ca�ntrackor�may be c(ted�for a misdemeanor vialation
<br /> under state law. tf the i�wner or intended=cantrac#or are uncertaln as to what Iicensing.requlrements may appiy-far the
<br /> ' intended work� they are�dwised to cantact the Pasca County 8utlding Inspection Division—Licensing Section at 72T-847-
<br /> 8008. Furthermore, 1f the owner has hlted.a contracto� or contractors. he �fs advlsed ta have the cont�actor{s) sign
<br /> pnrtions of the "contracto� Block" of thts.appltcation far vut�ich they will be responstble. !f you� as_the owner sign as the
<br /> contractor, that may be,,�n Indication,.tFiat:lie;is:nok..;properly Ilcensed and is not enNtled to permittfng pridileges In Pasco
<br /> Counky. �..a ''::_. :: r... :,,:;�,�Y:_;.a;,•,� . .. , ;
<br /> , .� ;. , ..,...
<br /> Ti�►NSPORTATION.IMI�ACTIUTIi:IT1ES�:IMPACT:�AND-RE�OtJRCE RECCIVERY FEES: The undersigned understands _
<br /> that Transportatlon Impact Fees and Re�ourseJ Re�ove.ry.Fees may'�apply ta�th'e constructiori of ne�nr buiidings� change of
<br /> use in existi�g bulldings, ar expansion�<of«existi��'�buildings, as spectfled in Pasco Gounty Ordinance number 89�47 and
<br /> 90-07, as amended. Th�e undersigned also::understands, thalt.such feesr as rriay be.due„wlll.be identlfisd at the time of
<br /> permitting: It is further u�nderstoad that:T�an"spo�tation lmpact Fees and Resource Recavery Fees must be paid prlor to
<br /> receiving a°certi�ica#e of occupancy,°.:or;.finaF�power�retease. :1f�he pr�jeot does not invotve a certificate,of occupancy or
<br /> finai pawer release. the ifees mu�t,tie:,.patd.;prlor�to°;permit issuance. F�rtherrriare, if Pasca County INater/Sewer Impact
<br /> fees a�e due�they�must k�e.pald prlor`to;permit tssuance-!n accordance with applicable Pasco'Caunty ordinances,
<br /> CON�TRUCTtON LIEN ILAW(Chapter 713� Elot�da Statutes��s am�ncled): ,If valuation af work Is$2�5QO.QQ or more� f
<br /> certify that i, the appHcant, have been provld�d with a capy of the� °Flortda Constfuctlon Uen Law—Homeowr�er's
<br /> Protectio� Guide" prepared by the Florlda Department of Agric.ulture and ConsumerAffairs. If the appltcant Is someone
<br /> other than the"awner", i�certify that t have.obtaineda copy,of.the.above..described�docurnent°and.p.r.omise in.good faith.to
<br /> tI@I4Y8T It tQ tIl@"owner"Pi�qr to•cammencement: �
<br /> C�?NTRACTOR'SlOWNEER'S AFFlDA!lIT: 1 cei�#�fy tbat$!i the!n#ormation M ti�is applicatlon is aacurate and that a1i work
<br /> wili�be done in compliani,e with all.appUcable laws regulating canstructian, xoning and�land devetopmer�t. Appttcatlan is
<br /> hereby made to obtain .a permik to do wotk.and installation as indicated:� 'I certify that no work or Installatlon has
<br /> commenced priar ta issuiance of a permit and that.all work wlii be performed to meet standards af aA laws regulating
<br /> constructlon, County ancl Cit}r codes, zoning reguiatio.ns, and land devetopment r.eguiations tn the jurisdiction. I al'so
<br /> certify that ! �r�ders#a�nd that the regutatEons of other government agencies may�appiy�to the intended wark, and that it is
<br /> my responsfbility ta ident((y.what:acttons 1 must t�ke to beYln:.camfptlar�ce: S.uch agencles Jnclude but are.not iimited to:
<br /> - Departme�# i�f E�vironmental Proteotion-Gypress.'Bayheads� Wetland Areas and Environmentaily Sensitiue
<br /> Lands,Water/Wastewater Treatment. ; ��
<br /> - Southwest F�lorida Water Management: .District Welis, Cypress. Bay.heads; Wetland Areas, Altering
<br /> Vltatercourse:,.
<br /> - Army Corps c�f Engineers-Seawaits, Docics�N�digable 1Naterways. �
<br /> � - Department i�f Health 8� Rehabilltative Servtces/EnvironmenEa# Health llnit Welis� Wastewater Treatment,
<br /> Septic Tanks. � _
<br /> � - US Environm�ental Proteotlan AgencyiAsbestos abatement.
<br /> � Federal Rviatiion Authority-Rurnvays:. ; �
<br /> !understand.that the fofio�nring restrlctions:apply�to the use af ffll:•
<br /> � - Use o#'fill Is ri�o�allowed�1n.Floadf2one"V"unless exptessiy permitted. .
<br /> � _ � '"��'If the fill ma�erlal';�Is� to b�,��sed;;in�:;Flood Zone. "A", It. is understoad that a �lrainage pian addressing a
<br /> ' "compensatin�g�voluine"'�will'bew sutiiiRilttetl at time of permlttin�which is prepared by a professional engineer
<br /> licensed by the Sfate of�iorida:�''=� -�'���-
<br /> - if the fift matE�tiaf�is ta be;used�ir��Fld:ad Zone "A" in�connection�with.a pecmitted building using stem wall
<br /> � cartstructfon� i ceitiiy that��ilt�:y�i�lt�-�ie�,used,onty.#o.fitl#he area wi#hin�the�stem�wati.
<br /> - !f flll materlaf Is to be used�-lt�'���ny,;area, i �certlfy 4hat .use. af such filf will nat adverseiy aifect adjacent
<br /> properties. If use af t1A::is.,found_to�.adversely:affect adJa�ent��properties,.the owner may be cited for violating
<br /> tFie conditions of the building'.perm(f,Iss�ied u�der the�attached�permtt appllcatlon, fot lots less th�n one {1}
<br /> acre whtah arES elevated by�f�lt;an engtneered drainage plan is required. _ .
<br /> tF 1 am fhe AGENT FC3R THE OWNER, i;:pramise in good faith to inform the awner of�#he permitting conditions set forth In
<br /> thES affidavit p�ior to comn�encing constt�uct�on. t understand tha� a s�parate permit may be requtred for electrical work,
<br /> plumbl�g, sigr�s. wells� pa�ols; aU candltloning,.gas; or othec install�tlons noE�speci#icatly inc#uded�i�.fhe apptication. .A
<br /> pe�mit issued shali be construed to be a��Iicense to proceed with the work and not as�authoriky to,-violate,canael, alte�, aar
<br /> set aside any provisions oiF ihe technical codes; nor shall Issuance�of�a.permit.pcevent the 8ullding OfFlcla!from thereafter
<br /> requfring a correction af errors in.p{ans, construction or vlolations of any codes. Every permit Issued shall became indalid
<br /> unless the wrork author�zeti.by such permi#�is-commer�ce�•within six months of perm{# issuance, or if wark authorized by
<br /> the permlt is suspended or.aba�doned for a.period of sl�(�)months.after the tfine the�work is commencecf. An ex#ension
<br /> may be requested, in writi�ng+ from the�8uilding.Officia! for a perlod not#o.exased-�nlcrety(90}d�ys a�d vulf! demonstrate
<br /> justlfiable cause for�the extension: If work ceases:for ninety(90�consecutive day'sr..th��ob is.considered abandoned.
<br /> WARNING TO OWNER; YaUR FAILURE�TO.REC.ORD A.NO►�'IGE,O� ��MMENCEMEMT MIAY RI�SUkT IN YOUIt
<br /> �AY1NG 7WlCE EQR iMi�iRt}VEMENTS TO YOUR�:P�OPERTY. tF YOU��INTEh1D�`�'Q OBTAtN��FMN�ANCING;'CONSULg
<br /> WITN YQUF�LEIy,D �AN A7'TORNEIR'=BEFQRE��EGOR�DING%�Yt'lUR=NOTIC��`C!F�OMNlENCEIiMENT�
<br /> FLORIDA JURA�(F.S. 17.0 �� � i
<br /> OWNER OR AC3EN 1 "�����i����� Ci�NTRAGi'OR � ''G^ ,,,�._.,, .
<br /> Subsc�ibed and swo or afflm ed)beto me lhis '� Suhscdbed and's to{ot aflirm )'be me'thls
<br /> s 3 by " . ' ' rnu.r� q I S S •bY__Lt�__I_h �• �v✓W.�,
<br /> � Wha slare ersonally known to.mis r has/have roduced Who islare p.etsone��me or hssthave produced
<br /> . C!!AD�i 111►MAIi ' � � `°y CNAQ$RYMAN
<br /> .
<br /> ,�}�;",�;_ .�•`�`
<br /> ' .« . Nolay#�1iia-1�t o1 F�rid� ; �.<'�T,:n, �"� Npt�ty Pubtk w SI�t!01 f1o�Nl�
<br /> RcnallHtb�I�#,-f�f919a7;._- �,,.�,�"��� � _• • .
<br /> i '` , .. N ry'Publtc � �:��� Co11t�n11 io M Na ry Public
<br /> ' :,':' --�', �� ` Y omm. xpres. ��.; �,: .>:g ,,_, ,,.. ',. �
<br /> Com ';,`f;,; °:,� �u N�Ccmm.Expir�:Jan 2i 19'
<br /> ,;��r,�i,�;.;', Commisslon.Mo.
<br /> �,_SeLSl�f�.s' �/�_�'".",...- � �,k..�..,rF,,,,* A!, S`
<br /> .��.,;.�,il.:;:-ir
<br /> KN
<br /> i Name ot No#ary typ d,printed or stamped -�� Name af Notary typed, nted or stamped
<br /> � _ 'CtfSR':; ,�.:g,1: . .
<br /> .. . ,,.:"s��_ •.A' `
<br /> _ �! � _ �l :i�r..t','��}eE' .
<br /> I 7 j `� ',�1c�(�i E�.�''�,�r?�' ,.��,
<br /> v •< �
<br />
|