' _ .. � . . .Y� ` � , � . . .
<br /> .� . . ._ .»,. .. «. -+�:•�. _ At' .
<br /> T10E OF D�ED.RE�TRICTIA�IS: ,The:understgn�ct�.understands.Fi.�t;ti�t�;p�rrnf�::r�nay..:be,:,sub�ect: ° * ��`+''.'� . .. ,,_
<br /> � . #o;.dee�d res#��c,fi�`�s,=,�` , Y
<br /> �; a>. ' .t. x � 3.�•n.oi;;,�F.N.�.,;.��..yr.^'°4�'�' t � �i '�?e t ... ,;r. ". ..
<br /> �ich may:be:.r�ore�xre'sttictive.�theii����inty+�g�ilatf�i�s�. Th��i�ndi�rslgned'�a�sumes.'resp�ri�iblltty for campltance with�.any`
<br /> . . .: .. , -
<br /> .. . ,.. . , �.,
<br /> �plfcable-tieed:re�trli:klona. E - e- - ' - - - - _ - ,v ., .
<br /> -��=r��:.�,..:�.�:�:�,�s:'�.,;•=.�x�
<br /> . _. _. ._._._. . ,. . _. ... . �.. .
<br /> ...._.
<br /> _ ....
<br /> �_ ,.., .�..
<br /> : ..
<br /> ,:..'. .: °,,. ���� ;�R^:
<br /> �i.ICEN,SED��CONTRAC'�ORS;:��AND �COMTRkCTOR� RES,P..�N�I�ILITt�S:.��-i��-�he:,;ouvn�c-�fii�s�hiretl':'����coritractor�•�ar f
<br /> � �e� 'rk =thei `e �.be:�re� "ired,;to:;-�e�;licen's�d�'in�iccordance._with=.st�te�:,and;local�.re ;u.I�allo:ns:a���if�tF�ie�-':�:::;��:.�Y�_
<br /> ntractors io.andertak wa ,. y'm, yk _ fiqu�. x��.9 ,
<br /> � ,.. ,... ,.,�� ,�.,:.,....,:-,�,., E._.�:.�;:.:{.,..,. .. _.,., :. . :
<br /> �tl�("dG�01'��;IB='ttOt':��68tt�@t�89"1'Bq�iIC@t�:�lyt IBiIN;:I?D�'i'`.��@ OWEi�T��t11�°:GDI'1�GtOF�tftBjt"�"G�I#�R�Ot`"�'°`fTt�St�@�1'f�aC10T�NIOI8t�0[1
<br /> ^ ,,, ., . e
<br /> �der state law. if the�owner or�tntended;�cori.'t'a�tor�:ere��uncerkalh.;a�'�to wh�t�Itcensing:requtre�nents��;may}rappiy_�drtlie��;:�.��~��-����°' -
<br /> , , � t � _ .,...,,_ .
<br /> ended iruark,'�tiiey�ar+e�advlsei!`ta"c�arit�ct the Pasco iCou�t��Bulfdin��lrisp,"'e'ctlo�;�Dhrlslo��--l.ti�n§fng�ectiori aE 72T�64.7- 's
<br /> �:��,�.��3:-.��:...
<br /> �08. �,urthemio"r"e;��if"tfie�ov�iner';;iias`�iilr�tl��a�:co�trector'o�ccir�tractors;`1ie Is aclvised to :tiave`;fhe^,con,ti�acto.r�s)fsi8n.,,,,; ;,..,.:;_ ;;
<br /> �rtlons of'ther,,."contrector Hl,ock"...of;tFil�,.appifcatlon,;tarwhlah.they.wllLbe:fesponslble.,:If.you;r,es fhe awn�rosign�as the �
<br /> t�trac#�ar;.`fFia#�iriay:�ie��ra lrid�catiori-`th�it,fie-ts'�rtoE-�:prcpe�tyr���iceris+sct and�'�s�''riot�ert�#led°to�pemilt�ing ptlulleges in Pasco,. _ ;,
<br /> �unty. - _ � . .._..:. :-,u _ .:..��:.._.. .;:. :sl� __ , a .
<br /> , .:�.��.� p
<br /> ,.�..�
<br /> ,,...: ,{
<br /> tANSPORTATiON:IMI�ACTtUTl1:1*I�S��I�IRA�'�`AM��!`-�E�QlI�tGE RECOVERY��EES:=-Tti�=ari�er�'l�i�ed'uinderstands {;
<br /> at Tran�portation impact Feea;and.Recourse RecoV,ery>Fees_rin�y;appl�r�.#a.#he,�cons,trucdan;;of;new_,buildings;�change°vf"�����=,=ryT"`r'=` i:=
<br /> q in existfl7g bUildittgs,'C�1"expar�si�n ot'�I,sN�i����iltlt�igs;a`s'`�p�clfietl in P�sca Courity Ordin�nce number 89=0? and �'� :
<br /> "�h�.un�ersl ned �sa�unders#ands th��such fees �as��:ma '`���d�e„tw�fl:l�e iden�iffeci at the�time.of F;�.-�"�`�:- � �
<br /> w07, as amended.„n..4.; 9. . , . � r._.. �,...,.` :
<br /> 3 - ��.�.� �: .w. ��d �;
<br /> �rmitting. It Is furtFier underetood that Transportatlan�.lmpa'ct�Fees and�R�sour'ce,Recov:ery��Fees:mu�t be paid.prior ta
<br /> �e�uing a�"cerfi�cate-of,ocr�pancy"��rflna��.�raEwer,release:F-:1�-the pro��cfi:does:riot��tnvc�ve.�a�r.certi�icafe of accupaiicy.-or"°_a��`.�'" .
<br /> al power�release;:#he�:fees;=mu�t��'tie:pald�.prlor-to:per.`mit Issuance. �F�ittk�e�.more;��if=Pas�;�County;Vllater/S�.wer�lmpact�:;.•; i.���� . ,
<br /> as are duet 'they:tnust be�paid @`rlor to�perrnit,lssuance:`In.��cord'ance wit�r�aPPllcatile.Pasco'�County�ordlnanc�s.
<br /> �NSTRUCTtaN`ClEN LAYII(Chiept�r'113,FloNda Statu#e�,as��nrded); if vsivation+of work Is$2,500:OQ.;or�mare,<i� r;.� �:;._
<br /> �tify that I, :the_.applicanY,. have.�.,beenwrprovided:�ti►ith a.�.copy,-..,of��tt�e°;"Florida�•-�Const'uctlnn�.:Llen�`:Law.:Homeouaner's
<br /> otecflon Galde"prep��d by t�ie Elorl�a Dep�r�et�tiof l�gric�ltt�re'and Coflsum�at;�.;;Affatrr�: 1f the appiir.d�n#Is someone� . , �;,:t;: '
<br /> �er than the pov.mer"� I cert(fy th�t I have obtailned=a��copy;of.the�abQve riescFlbetl�tlaicuii�ent:an,d': romi,�a�.in;gQotic'faith�to,; ,_ �
<br /> �liver i t .t�ie. .�._.:�. x" . , .�. . , . . ,_ . ., :,-.:=� ,.4 „ ,'�R_^ _ -
<br /> t o� ="owrte�'�pi�o��taFcomme%icemei�t: .` �` ` ,
<br /> .,._. . ,.
<br /> . . . ..
<br /> �I�Tt�CTOR'�/OWNER'S AF�IDAViT: i.,ce,i�ti[y�t�i�at:afl:�th�::tnf.ormatl!cm::i��thi.s��ppiicatlan is accurat�;and that ail work
<br /> , ...� .
<br /> II'be dnne in compliance with all�appllcable'laws regulaNrtg constructlon� zontng and�land„development� Appllcatton!s
<br /> :reby made,ta ob#atn-:a�,:permi#;-ta=;�do;,�4�nd�jlr�stallatfan �s�indt�efet���,::1�,c�t�i�y�tFiat�'no vua�ic°�or in�tattation',has
<br /> �mmenced prlor to'is"suance ofi a'pernlitt�and thaf'.all �vork will be perfarmed�to meet-:standerds�of:�ll laws regulating�
<br /> }nstruct�on, County and City codes, xoning regu��tians, and land devebpmer�t:regulattons�in��tEie j Ju�3sdlctiai�.=�=.�.-1:a1'so .
<br /> �rtify ihat t u�derstand that the regulatibns of ot�er�government agenctes may�apply�:to_the,.intended work, and that it ts ,
<br /> y respansiblNky to ldentify.what.acttoras:l must�t�ke:to be.sln..cor�p!l�ncs: S.uch-agett�les�incE�ideNbut�are:not Ilmited_.to:,�- , -
<br /> - Departmenf af Er�vironmentel�'P�o�tec��n=Cyp��s�8a�ihea8�;`Wieitland�Areas and Env(ronmentalty Sensitive . "
<br /> Lands�WaterNVastewaterTreatment. ;" ' " ' � _ � ,
<br /> - Southwes# Ftartda V1t�ter Managemen�r.-:�3is#r�ct:Welts� ��Cy�ress.�`.8ayti`�ads�;•`'�We�and Area�s. Altering' ' .
<br /> Watercourses. . .�" _ � ,';
<br /> , -, .
<br /> - Army Corps af Engfneers=Se�walls;flack's��tsvlgatile it4laterways.
<br /> - , , ealtfi;,&,.ReMabill#ati�eiSerriices/Ernrtronmen#ai�.He�it�.�Unit:Wells,;.Waste,water�Treatment; ° °
<br /> Department of;H .,. r., .,�
<br /> Septic Tanks:" � _ . _ -- . .� � - . `
<br /> - 11S Envlcanment�ii Protec�on Agency-Asbestos abatem�nE.;.
<br /> � .Federal Avlation:Authoriiy,=Runways: �-- �, � .' � -
<br /> �nderstand that the#altow��g;res�rictlons epp4y to`th�i�se of flll.� -
<br /> - Us�a o#�ii ls not allawed tn.Fiaod�Zone"V"unless expres�ty permittsrd.
<br /> - If�the flll;.�materlal:�.is:�td�be:�used:-:in�:flaod:-Zone..°A"f It is undetstood�that a'dralnage�plan �ddress[ng a
<br /> °compensating volume"witl.be submltt�d �t#ime af perm�t�r�g vutilch is prepared by a professional engineer ' -
<br /> Ilcensed-by��he;:�tate�qf FIoHtl�: " = . � � ..
<br /> - If tt��..fll#.ma#etlal�_i�-#a-:be-used�[n �taod`�brte "A" IttS cc�nnec�ori�Wlth:a"���errriitted b�tl�ing using stem�wall
<br /> � conat�vction, I.,certify that�fill=w�ll:be ased.a�nly�to�ill the�area:wtthln�the;ste�n_wail: . -�- • -
<br /> , _ , �_. ._ ., ._� ,
<br /> - If fllC=rtiaterlal�`�is��to��tie=�used.ln any area,`i`�cerilfy #hat .use. of such.fif!`�virilt no# adversely afiFeci�adjacent
<br /> � properties. if use of flli,is,found�ta echrere�ly�y�ecf�adJaEent��pr�perties�.fhe owner may be cited for violating
<br /> the condi�ons';.;of;tf�ie�"tii�iilding:�perrr�tt issued'under tfie=at�aclied_.�srmit_�ppltcation� for�lots less:than:one (1)
<br /> �whlcti�eie°ele}rafetl'tiy�;flli;_���er�gineer�sd clr�inage plan`t�requlred. ::
<br /> I am the AG�N.T.._FOR�THE<OWNER;;1=.�"r'i3mise�-In gaod,falth to�l�form the•owner:of^th�:permitting condit�ons.set farth In �;
<br /> s aifldavtt'prior�to comm'�rScfng consttucfl�n. "l�under�tadd�th�t a=separate permlt may be requtred for etactrEcaf wark, , `°' �
<br /> -� .� ;,.. �,;a
<br /> imbing, sig�s� welis,:poots,,.�ic..cwndi#tor�ing,,:gas,,-ar�:oti�ec,ins#e���'one no�.specJfiaaity inciuded�in.tMe appiicaHoh. .A :,.
<br /> - w��1
<br /> :rmit Issued�shall be�:aoiinsitrued�to°'6�e��a'Ilcens��to�praceed with�the^vvork��nd not.�as�authaNty_to;violate, cancel;aiter. or
<br /> t aslde any provtslons�of�ttie#ectiNi�l�cades;�nor�haillssusnce�of�a.perml#.pr.euent the Bulldlrig O#ticl�al from therea�ter � ��::,
<br /> .. :. .,,
<br /> qui�ing�correctton af:errars�,in�,pla�s:,;yeonstructlon.or vlolatlons�of�any��codes.��Every,p�ermi#.Issued�sh�IFbecome invalid ;
<br /> �less the iivork autfio�t�ed�by"sucti'permlt:�-coEnrrienEed"wlttiln six.�nonths4af•p�rmlt lssuance, or tf w+ark au#tiortzed by -�'
<br /> , . �;�_,,,.. �,.. ,.�,
<br /> 3 permit is suepended;yor.abandoned:fo,r;,�a:�eriod-rof;six�f6);monftis..efter the time the�work��s commerced. An extenston . .- �,
<br /> ay be requested, In vi►clting;,:from'ttie`Biillding;OfflElal::for a perlod�norto:.exc�ied�n�ne�r{eo���a�s a�d w�ir`dem6n�tra�e �;�
<br /> �t�f�abie ceuse�foc�the e�e�sio�: If work,c�as.os:for nlne#y(90}corisecuttve:day:�...ttte�ob�ls tronsidered aba�doned. _ ;
<br /> ., . ���,. _. -. . _ - .;
<br /> �: �.�.-. ; . ,. _ ;, ,
<br /> 1�RNINC TQ't�WN�R:A�YC�UR:�Ail:t�RE=Tfl�,'I�E.C:QRQ:A:��?�'�tiE.:ClF�COM14116MEEMEIet'1',;�dtAY=RES�1:T=1N�YOtiR. � � . ;�;
<br /> 1YING 7"WtCE:FOR.;IMPROYEMEI��',�'t3`YQCIR�:P.�'APER�TY.> IF:Y0.41,I�f�E�1D°Tt���BT�A1N�<�IN�A�I�1iVG;�.ONSULT �`s
<br /> 1T OU A ATI'C�1 W ��8 .s. O � G�� �O� '" ��, " E . . :;`
<br /> ����A avaa�. . .oa} _ �_ �_ _: -- --.-- —-- -- . .< :�.y__ —_. ,- ¢ ----- __ __ -—- -
<br /> . -- __ _,,..�.-:.. ;;.,:._.�,
<br /> _�,�. _ , u� �.. ,.
<br /> .. i�- s,�. . . �c
<br /> ,Iw��A��O VOl'��Y�O�'-. .' . ' ^ '
<br /> �sat �d and m�r�rmed} ffi�m�thts " ` � ,���bs��' rid` {ot aflir►ned sfo., :me�,thi�� .
<br /> ,b. ..
<br /> o I personall _ own tii' e or has/have ptvdyced Who:l's./e on_ �Cnowtt�M tite�oc:lia�lhaxe;�rodpced •
<br /> �
<br /> as;lden8fli��on.�.. - , r�' '' _- _ _ � �a�'tifentl�c:atlon.
<br /> f� � - ,�
<br /> f � ` • �
<br /> •1�► oUary Pubtla . ` ` ��Z-Q- ' . � Nofary Publlc
<br /> ,•
<br /> ....d.�. ....�.r..�.. .
<br /> nmtssto ,,,,,Y=';�,, � �I,�1161E.130,C�..., m aton. o
<br /> :;,'�'' �;�: Commission#FF 150422 '"��--. ' .
<br /> � :�= �8 ,,;o::�:ey,aZ•,, JACQUELINEB
<br /> ne ai Natary typed�P i te :l�,,,, ed Thiv Tray Fain Inwranca&04,1&5d0i9 IV8t119 OT�DtB t�e �,; $t6l�fip�al�FF 15Qd22
<br /> =;�.�,F.P; e xPires pecember 12,2018
<br /> ,,,�i�`� ondsd Thru Tro
<br /> _ , y fain Ineurence 000�3&5.7Q�g
<br /> Y'�'���
<br /> .,,
<br />
|