|
�_
<br /> - ... �;2, . „ 4 , . , , _._. _ .
<br /> .�. .-.,�,_.i.,.._. ,
<br /> OTiCE OF DEED RE�7RICTIO S: ,The:u dersi ned� �ndergta ds�f#h�t:thist. �`��`� `
<br /> Y II M"�•.��.�•.
<br /> N n g. .;.� n,u ;p ,rr.tiit:may:be sub)ect;tn;Mdeed7:.;resatctlons,,... ' �
<br /> - " :'�t,.r - -:`Y t�'.2�.. i"i-..:�a:�i�i�.a ii�il'�,rt`k�^�.�4:� _ Yw�t .t,��m.:`..�.'�� - :T., ;Ls�J.,.`�"-LL�!"-
<br /> _ � i I "•.y��^_ •..w.. .i^S:.s'it::. S�. MP'"`'"�. �"e._i Y5_;L.'BA.. r..l:.+.-,. N:. .
<br /> �hich mey::tie��more��re�th(ctive;�tF���t�County.r�g�iistfo►tis:�;.The`='dnda'signed�a��iurnes`^!resp�n�iblli�R#or°sompllance:�with,any ' -°"�
<br /> PPlicable..de'ed:rest'lctions. " ':�,. ��,;�-:i�ny��.�;�^�:.� � • � '_' �;"'_�.:`''. _ :,,.::..-
<br /> .;_ _ - ...f,._ ....:.a - - ____
<br /> (VLICENS D_ C:ONTRAC�OR$=-AND�'�CONTRACTOR;RESPdNSI�i�l1"1�5..-.�ifYthe;ovi►ne'';�has�`�hl' .-��;`
<br /> E _ . r red�`��';ci��+itractor or
<br /> �ntractocs to:undertake.wo�k ttie .�meV�be<re�/�' i�e��to:�•e�l�icerised:ln�:accardance.with;state�:�nd:_local::r��'uta{�ons.��-:if�tF�ie:.ti�::�°'��-��'
<br /> _ _ ':T 1 <��r�.�,7;•. 1:`1�.�F;;3s .� - ` .,t;i••_:1,:.-",r+}�=.,__:�..w.:.::....:'-='.e;..,..e+o_.,H....,,.�o�� ,�y-n.-...c-.��....��-�I,...t.
<br /> �ntractor.;�ts;not�:�.ltcensed�`as_requl�d;tiyTlaw;:tiotti��.fMe,ouicn�r andi�eontcactor�may�be�clted�:for����misd.eMe�no�violatlon
<br /> nder state law. If tFie ow�er or.Intended�+contia�tor�,ereeuncettalh'as:to•wNat��ltcensin r uicements:�ma. ��a ��fo��the,-�f$�k:�r����'� `.
<br /> , �:. ,. ,. ,.,,�,,z., �.,� - -�-��,., Y... �:F9; e4,�m,... . _ �.�. Y�..-Pp�-
<br /> tended}work;�they�are�advised�#o�contact'the;:Pasco�:Cou�ity;.Building'InspecNon"DI"v'Isioro:�l:icensln�;Sestion at 727=847
<br /> )09. FunFierriiore;�if`tli�e�`�'ovimer�F�ia"s"Fif�ed���cont�acto��or�co�ntra'ctors; he�'�is"��advisetl"to�"liave;.the ,contracto�s)„sign ;
<br /> I -,a<:r._;;�rt�i°_ -'g::,' 42" ''<.."`�'-�'_c:'�a; .
<br /> �rtlons of'the.:.�contractor Block°.of:this��ppllcation:_for:which:they,,wlll.;be::r.e.sp..o�aslhle.;:If..-;you;�Mas::the''own��:sfgn��as:tfie�` �;
<br /> . . ,.. . ._ .._. ...�, .. _ . � _..,_� .,-..__...�. _�..,;� rz °
<br /> mtractor;-tliat=�ri�iay�be'an indication°fii�t��he`is'notY properiy��licensed���and�is'"'not`"entitled=�to permifting'prlvileges'in Pasco. , . , �; �°
<br /> r , , :.;�:,;<,��.,.,,..�:...b,�.:.,, ;�: ,
<br /> I OU11h/. ,',,,, . � �_ .�..�. :..:........ ...�;.._ •`: ,•,. :,a ,,� 3 ;
<br /> r
<br />�I RANSPORTATION:::IMPACTNTIL�'IES��I�IM�A�'i'�ANb`=1�ESOU�CE�R�COVERY�FEE�:'Tlt��unders(�ned`�u�derstands . ;:� `
<br />, atTransportatfon Impact Fees�and.Reco.utse Recovery.Fees may�eppiy��#a:tt�e�constructton:,of:.new.b.uildings;�changerof�Y'j3�'�+P��-`l,'"� {�
<br />� ie in exisNng�tiuildings;k a���;eicpa�si�ii:;of=+��iBti.��bail�irigs;"as'�pecffled:in P�scq Coun@y Ordinance number 89-OT-and '; :
<br /> )-07. as amended:.,;.,�h�,undetsigned elso;understands, thalt:ysuokfees;-;as��may�`�e-du�;;,an►ilF37be-ideniiffed atthe�titr"ie�of�`��'��s���'��`��- `�`
<br />', �rmitting. It is furt�ie�'unders'tood that Tra�i�portation.IinpacFxFees and��Resour.ce`Recovery�Fees:,m.usti�be paid prior to �A '
<br />' ae�ving,a,�".certiflcate-of�vccupancy"-�or-flnat�.powerrelease:;�:if•the:proj��tf�does':not�tnvolve�a�.certiflcafe of occupaneyYor`r��:�=`���_::�:, � -
<br />� iat power�:celease�>the:.:fe.es��:mt��t�.°be�"'aidr���"�clor,#o'permR Issuance. :Ft�Xtkiermo�e;��ff:Pascm��County�Vllater/Sewernlm ackh-:°.��"��°` ,
<br /> _.�.�._... p p p
<br /> es are due,.they:must_ba�paidvpHor ta;permit_issyance in,accord'ance,wit�x:appll`ca6te:Pa�co County-ordin�nces.
<br />��i ONSTRUCTION'L"IEN'LAIf��(Cliapter713�Flodda Statute�,��m�rrded): �f valuatlos�aF�work is$2�600:OO�or more;l, �{�; >,s;>,.:
<br /> �rtify that_ I,,.th�_,:applicant,.:have.,be.en::.provldetl>vwith:.•a ycopy_:vt••.the=."Florida�-ConstFuction�=LteR::Lainr--Homeowner's
<br /> �otection Gutde" prep�retl.by the'Flocida:ReParbnent of Agricult�re and Consum.�r,Aifairs� If the appltcant Is.soMeone: , ..�=-,.��
<br /> her than the owne�', I certlfy th�t�l.hav.e..obt�itn���copy.of.the.abQve:.des�c�l�etl��cu�aentsand;pro�1`se�in;gQod;faittt to. , . , _
<br /> allve�It to:the,'owner":prio�s:toFcommenc�meri�t.'=-.r'Y. ����,`` , � ...:.,,-:�:,�..... _ . . _. ,:.�, -:� �•_ -.�. .`
<br /> DNTRACTOR'$/OWNER'S AFFIDAVIT:. I..:certl[y�wtkiat;:all::the�=:lnformatlon::l��th1�_appllcatlon Is accurat�:and that all work
<br />' ill'be done in compllance wlth.all.appllcable�laws��egulatlng construction� zoning and;.l�nd;:development. Appltcatlon is.
<br /> �reby made.,to. obtain•;a:pecmlt;;to:y,do.,;.wotl�;,tand,'=1i�stallatlon as ind[cafed::�::�`I:;certlfy"'t�iat no iivark�{or`. lnstallatton'has- '-
<br /> �mmenced`�p�lor to Issuance of a,permlt and that all�work wlll be perFonr�ed�to meet�:.�tandacds.:of<;�II laws regulating-
<br /> mstn�ctlon, County and Clty codes, zoning regul�i�tans� and land development�regtalattons��`in`tfi�eaJu�lsdlctlon:� wl��al'so �
<br /> �rtlfy that I uaderstand that�.the regulatlons of otl�er�govemment agencles may�apply�to the.lntended:work, and that it is �� �
<br /> y responstbllity to tdentlfy_•what.acttons.l.must�take:to be_.tln:.compllance:_S.uch.agencles�lncl�de but�are:not Ilm)ted.to: ;-: : '
<br /> - Department of E�lvironmental�`�PFote�stibn`=��Gypre�ss.�B�yliead�;�Vrletl'and`rA�eas and.EnvlronmentellX Senstttve -
<br /> Lands�WaterMlastewater'Preatment. -" � - � ''
<br /> - Southwest FIoNd� Water Managert�en�'S.:I�istNct Wells, �Cypress.��Beyh�ads�;�-��IMetlac�d Areas, Altering �'
<br /> Vllatercourses. _ . ..._. , .... . . ,;, .
<br /> �.,:,-.
<br /> - Army Corps of Englneefs=Seawall's;:.Docks,Navlgatile Waterwajrs.
<br /> - Department-of.,Health..Br;ReMabilltaftve,Senilces'/Envtronmental�Health -Unit�Wells; �-Waste.water�Treatment;
<br /> Septic�Tanks:,.� �,�: - :y..' "`� � .. .� . - . - _ : . ... ._
<br /> - US Environmental Protectlon Agency-Asbestos abatement:,.,� ..
<br /> - �..Federal.AvlaHon::AutMortty:Rur�weys:=,� - - " ,
<br /> nderstand that.the,..folloaring;�rest�tcttons-apply fo�iFie°use of flIL•• -
<br /> - Use of f(Il ls not allowed�1n'Flood.;Zone"V"unless expressly.permltted.
<br /> - If�the�:fills-mateMal��ls"�to.�be��used:�fn.:flood -Zone. 'A",-1t:�ls understood=that=a dralnage plan addresstng a
<br /> "compensating;volume"wllt.be submltted at�ime:of permlftJng w6tch Is prep�red by a professional englnee"r ' �
<br /> Ilcenaed=by:#kie;,'�tate�of'FloHda;-,; � . ,:� � � -_.� �v� � -
<br /> - If ih�-.flll:mate�lal>ts;_ta:be".used In �lood"�one 'A" lns connectior��wlth:a��ermitted building using stem wall
<br /> constnic8on;_I cerftfyth.at.flll;�iiall.ti.s_.t�sed only.to.f111.the..are.a:wtthln;the�-stem�w�ll.
<br /> - � ��If"flll maferlal�r`ts���to��tie��used'�In�any�area��1=�+certlfy that .use. of such'"flll�viilll not'adversely affect�adjacent
<br /> propertles. If,use:of f111_Is found:.to advetsely..t�ffect'�'adJa�ent��pr�pertles,.the awner may be'clted for vlolating. �
<br /> the condlllons'�;of=:t�e"b�iil�Ing�ip�rmlE IssuedE'u�der th��;at�acfied�ermit��appliciatlon; for:lots less�.than�one (1)
<br /> acre�whfch are�elevafecl�dy,fill;.�n englneer•ed dralnage�plan ls�equtred. �
<br /> • • ::;, ;
<br /> am the AGENT.FOR�THE:OIMNER;�I;>�romtse°>In good-falth to inform the own,ec�cf�the..permltting condltlons set forth In ,�:� :
<br /> s affidavtt p�lor'to��aommencing�constnictlon. "I"unde�stand.that ayae ,arate ermlt�ma be re utred for elecMcal work, 5 �
<br /> ��..:���_. ,;, �.,p=�-._ P Y 4
<br /> . _,r . , :
<br /> imbing, signs, wells� pools�,,�alt.co,ndttloning,_.gas�;.or�;otMer._lnstalja�lons not.spec�lcalty Included�in.the�appllcatlon. .A` ._ ..
<br /> ,_,�.,.;y��,�,� .. �;; ;
<br /> rmlt Issued shall tie consfcued to besa'=1lcense�:to pr�ceed wlth'the-�viroPk,and nok;as~authoHiy�to,ylolate;�cancel;°-alte�, or ;:r;
<br /> c aslde�ny provl'stons-of-ttie'teclinlcal.�codes;�noc shall Issuance�of a.pe�mtf:pcevent ttie Bulldlrig Ofttclal from thereaRer ;�
<br /> �ul�ln.g a canectlon ai ecrors-in;.plans-;�constructlon,.or vlolatlons�of-any.codes:,��very;p'ermlt:lssu�d��hall.become lnvalid �µ
<br /> less the ,work�authorized�:by sucti permlC:�ts-commenced�wlthln,s�c�months�of;permft Issuance. or If work authorized by -
<br /> �permtt Is suspended;or,eba�doned�f,gc�a,:��riod}of�,elx;(g)�mon�is;,sftek"the tlrn��the�worUrts commen�:ed. An extenston �
<br /> iy be requested, In wrltlhg; f�om:`the Billlding Offlclal:for�a per'lod not:to:;exceed�nlnety:�90)��ays-�and wllf demonstrate 'w;'! �
<br /> tlfiable cause tor:the exCenslon: If work cease��for nlnety(90)consecuttve:day.s...the job�ls�consldered aba�doned. '��� �
<br /> - . ,_ � '-�- - ,_ . _...__.:�.,: _ _ ;:- �
<br /> � " _. ' I.:,' •'F.,'_,: A.. z �- _
<br /> ._.._ . .. . , . . .
<br /> _ . _ ..-�-... �. . . � . �. .
<br /> :- ._' ..,... ; .
<br /> IRNtNG TO'�OWNEI�:`���YOUR::FAILWRE'��7tJ:r;REC`t��tQ�,A°�I�IOTlGE;'OF-;COMMEAICEMEI�T�NIAY.,RESULT=IN��YOUR.
<br /> YING TWICE FO. �IMPR�O\`/EMEN�'�T�?Y•OUI�P�;QPEI�T1f:K;l�°:YO.U�:1�'�E�ID:"T�:�B7?AIN3FINA�iEMIG;=CONSULT G�� {
<br /> r v � � - 4= �ro _ Fc� 4.. ._� �:� �,� .-:� -- -- - -—-- - _
<br /> �,. . . � : . � :
<br /> iRIDAJURA'i•(F. 4.7.03} •-� . - . ;. , . ..
<br /> . ;
<br /> NER OR AOENT ' , ��ZL"�"`. .CONTRk,� • � • ,
<br /> scdbed and s to(or a e fore m fhlg 3ubealtied'and' = (ot'afflrmedpbefore:ma 1ti1� - .
<br /> by '
<br /> i Is/are pe�so y known to-me or has/have prqduced Mlho:ls/erre p. �a kirown.to nie:or�has/�ave�p�oduced- • .
<br /> �: '�as�IdenBflc`a�on. - , __ � . '-'( " . . " `. 'a�-1d`,entlflcatlon. "
<br /> 6.. _ .. .,c_!
<br /> Notery Publlc . .�� 'Notary Publlc
<br /> imisslon No: ' ComrAl s o. ' „^",�„ �
<br /> `_"� ��= Comm�ELINE BpGES .
<br /> ie of Notary typed,printed or atampad Name`oi Notary e P,,' � o.��em6 2
<br /> Bondud ihiu e��2,2018 �
<br /> T�°Y Fpn Ineuranc�800.3g5-7018
<br /> 4d
<br />
|