. .
<br /> ;
<br /> d
<br /> NQTICE OF DEED RE3TRICTIONS: The unde�slgaed anderstands:th�t:thts:P�t�alf may.b�.sub�e�t t�"deed"�es�tc�ons"
<br /> which may be�mare�regtrictiv�.�th�n.Countya regulatlons. =The�undersigneid assurines responsi6ility°far complianc�with a�y �
<br /> app!#cahle deed restrlctlons. . .
<br /> UNUCENSEO CONTRACTt3RS AND CqNTRACTi�R RESPONSIB1i:ITiES: fif-the owr9er has�fiiced �a cantrac#or or
<br /> con#ractors�:to undertake'work, they may be�requ'i�edl:to be;llcensed In accordance.with state.and�local regulations: If�the
<br /> contractor ts not licensed as�t�equlred=t�y law, bath the owner and�contcac#orhrria�_be�c�#�d far-a��misdemeanar violation
<br /> under state law. If the owner or Intendedr.contractor. are_unce�tain as to what Iicensing.requirernents �may apply��far'the
<br /> intended work,they are advfsed to contact the Pasao Caunty Buili!ing��n"spectioti Dlvl�ion—l�lcensfng Section at 727-847-
<br /> SOU�. Fur#hermore, if the owner has hired a contractoT or contractots, he is aclvised ta have the contrac�or(s) sign
<br /> porkia�s af the "contractor Black" of this applicatlon far which they will:be responsible. . If you,-as#he owner �ign��a's tiie
<br /> con#�actor, that�may be an Ind�catlon that�Fie 1s,noY.prope�y Itc�nsed�and�ls not entltlecl�to pem�ilt#ing privi#egias in Fasco
<br /> County. '
<br /> TRANSPORTATION.IMPACTIUT!l:ITIES��CMPAGT•At�b-RE$�URCE R��QVERY�FEES: The undecslgned unders#ands
<br /> ihat Transpartatian impac�Fe�s and Recaurse Recove.ry.Fees may,.apply to:the cons#ruction of nerer buildings,.�change o� _
<br /> use in exi�ting bulldings, or�.expansion:.of�exis#in,g;'�buildings� as specffled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. .The undersigned aisa understands, thait�such fees�-:.as�mayr."be�dne,.:wili.be identitied at the<tiineaof -
<br /> permitting. It is turtfier understood that Transpo�tatfon Impact"Fees and'Resource Recodery�Fees mus# be pafd prior to
<br /> receiving a"certi#icate of accupancy"-or flna!-power.=release:-;I��the proj�ct doe�,not Involve:a_cetti�ieate of accupanc'y. o� '
<br /> finai power release; the fees mu�t�be paid pciar to,permR issua"n'ce. Fw�thermare,-�if Pasco,County�1NatedSewer��lmpact � � �
<br /> fees are due,theY•-mustbe-pald�prior to permlt�tssuance�ln accord_ance wltli appllcable►Rasco Coun#y�or�lrtances. -
<br /> CONSTRUCTION C�EN LAW(Cl�aptet T13, Flarlda Statutes,as amended): if vatuation of work is$2,500.00;or more, i x
<br /> certify tha# I, .�he. applicant, have.been provided wlth-a copy of the� "Florida-Constructlan.Uen .L'a�n�-Hameowner's
<br /> Protectlon Guide" prepared bythe Fior�da Depar#men#�of Agrfcult�re and Consumer�Affalrs. 1�#he appticant is someone ��
<br /> other than the tlowne�", I certify that.l h�ve:obtained�a�copy.af the:above..descri�ed dbcument:and:promise�In,good faith to
<br /> deliver ft to.the:"owne�'pdoc to>commencemerit:`�°'� .°.� .. � �
<br /> CONTRACTOR'S/OWNER'S AfFIDAVIT: 1_certify,:that�all.th�.,lnf.ormatiqn.in thls applicatlan is aacurate and that all work
<br /> will'be done in compliance with ail applicable'laws regulating construction, zonl�g and�land development. Applicatlon Is �
<br /> heceby made ta ob#aln .a pertnit ta do. worlc;,�nd :litstallation as Indi�afed:� `t ce�tity iti�at no wo�k ar I�stal{ation has
<br /> commenced p�lar to issuance of'a�permit'"and� that�all work will be perFormed to meet standards of.all laws regulating-
<br /> constructfon, Gounty and City codes, zoning feguE�tlQns, and.iand devetopment regulations�ln the jurisdtcfion. t also
<br /> cerEify tha# 1 understand that the regulations of other government agencies m�y�apply�to the intended work, and that it is
<br /> my responsibility to identify�what.actions!must t�ke to besln:.cont�llanca, S.uch agencles-fnclude but are..nat Ilmlted to:
<br /> - Depa�#men# of Et�viranmental�Proteotian-Gypress:'Bayheads, iNe�and Areas and Environmentally Sensitive
<br /> Lands,WateNWastewater Treatment. ,.
<br /> - 5outhwest �torida Water Management� ..I�istrict Wells� Cypress. Bayheads; UVet#artd Areas, A1te�3ng
<br /> Watercourses.
<br /> - Army Corps af EnglneersrSeawalls� Docks,Navigable Waterways.
<br /> - Departmenk of Health`8 Ret�abititative ServiceslErrviranmentai Health Untt Welts� Wasteukater Treatment,
<br /> Septic Ta�lis: � ' .
<br /> - US Enviconmentai�Pcotection Agency-Asbesfos abatement�
<br /> Federal Aviativn_Authorlty-Runways. � -
<br /> 1 understand that ttte following:restrictions appiy ta the use of flll:-
<br /> � - Use af fill is not ailowed in Flogd,Zone"V"unless express{y permitted.
<br /> - If the flll material ts ta be used;ln Flood Zone, "A", it Is understaod #hat a drainage plan addressing a
<br /> "compensating volume"witl be submltted a##ime af permi#ting wrl�ich is prepared by a prafiassiona) engineer
<br /> Iicensed by�he�State of�dorida. '
<br /> - !f #h� fili material.fs-to,be c�sed in Flaod �iane °A" in�cannec�ion�w1th�a �ermttted bu11d1ng using stem waN
<br /> construction, l certify tha#fi)I�:uul�l::be used only.to.fill the.area within the stem wall.
<br /> !f fill material is to be used In any area� ! aertify that .use. of such f�tl wlll .not adversely affect ad�acent
<br /> t � properties. if use of fit! is found ta adversely,affect adjaEent praperties,.the ouvner may be cited for violaiing
<br /> the conditions of the building-permit issued under the attached .permit appllcation� far Iots less than one (1)
<br /> acrs whfctt�a�e elevated�by#�tl,an engineered dralnage pfan Is required. .
<br /> �f 1 am the AGENT FO�THE OWNER, I,�prnmise in good fai#h to infarm the owner of-the permitting condft{ons set farth in
<br /> this a�davtt'priar to commencing construction. I'understand thatna;.sepa�ate perrnit may be required for etect�iaal work,
<br /> piumbing, signs, wetls;poals; air conditioning, .g�s, or otitec instali�iNons not.specifically included�in.the appiication. .A
<br /> permit issued shall be constcued to be a�license to proceed wlth the work and not as authority to.-violate� cancel. alter, or
<br /> set asfde any provlslons of the techntcal c�odes; nor shall issuanc$�of a.p�rr�ait.pr.event the 8ulldi�ig O#ficlal from thereafter
<br /> requiring a correctio� af errors in plans, construction or violatians of any cades.,Every permlk Issued shall become invalid
<br /> unless fhe work authoeized:by such permik:�ls_co�nmsnced�withfn st�c�nonths af perml#Issuance, or i€work authortzed by
<br /> the permit is suspended or.abandoned for a periad of six�t8}months:after the time the�work is commenced. An extenslon
<br /> may be requested� In writ(ng; from 3he Building,Offlcial for a perlod.:not to exceed ninety(90) days and wilf demonstrate
<br /> r- �ustl�able cause for.the extensta�: Ef wark ceas��.for ninety{90}cansecu#ive:day.s,..the Job�is consfdeted aba�doned.
<br /> VifARNlNG TQ C?WNER: YCtUR.EAiLURE�TO.,RECCI�2D,A:NOTIGE OF�COMMENGE�it�E�t7' MAY�RESUI:T�N YC1UR
<br /> PA1rIMG TWiCE,�OR iMPROVEMENTS TO.YOI#R:PROPERTY: IF YQU�IN�END'TQ'OBT/�IId=FIN�AI�CING;'CON3ULT
<br /> WIT U E. DE AN.ATTO N � RE� CAl�� Fai=� ��9 '= � � 'O ' E E
<br /> FLORlC?A-JURA'�{f.S.117 3 - --_--_�`— — I. -
<br /> OWNER OR AQENT �'� COIdTRACTO
<br /> Subsc�1�ed rtd swo : �i e uqscrl6e,d�nd swom o�o rme � ef 'r i�-�'�= �
<br /> — 12-t�t� by ��L�._.:..�br_ ,,� �' ,�c�
<br /> Who is/are personally k owm to.me or has/have pro, . Who Is/ re ersonall kn ~ e oF has�haYe jlroduced
<br /> �;���'n s'rC�� a�ldenU�caUon. ��o St�^ 5 as lden8ficatton.
<br /> � �,._ ` ? �Notary Publlc , �� NOtary PubliC
<br /> Com Rort �"�s%',,,. JA Cnmmiss n. .o � ,•�"►vA•-.,, 3ACQUEf.1N BOGES
<br /> _�� :�: Commission#FF 150422 • : :': s�
<br /> �;� �4*: Ex i �°;, ��;: Explres December 12,2018
<br /> Name al`IVo ; r1#�+o� t� " Name of Notary typ cu '°Y �"°�
<br /> P � i��eaoaasrofs
<br /> _ � _ ��__�
<br />
|