� .
<br /> ` - .;.;
<br /> NOTiCE QF_DEEQ REST.RiCT1aNS: The underslgried undsr�#ands,;th�t:#h1s<��emlfkmay,.be,subJecfi to."deed"restrlc#ions" .. ,_. ..__.
<br /> which may�:be�more'-r.estir:ictive�thz�n County�reg�ilat(ons: The�-undersigned�assumes°responsibllttyi for'compllance witht ariy� " �
<br /> app#Icabie.deed restrlctlons, -.... :. ,: - :� : � _ ;� �.. ~
<br /> UNLICENSED��CONTRACTORS AND CONTRACTOR RESPON8tBIL1TMES: �-!f-#iie ornrner has��htced��a �contracfor or
<br /> cantractors to undertake wark; they may.b.e:ce�qulred:=.to-�b�-;Itcens'ed In.accordance.wtth state.and.�local:regulatlons:;�if�the==� �
<br /> cantractor Is not Ilcen'sed as��eqttlred=by Isw,�bo#ti'#he awner atid=cont�aQtcitzmay be�clted�for�a�Rntsdemeanor violatlan
<br /> under state Iaw. If the owner or Intended;.co,ntra�tor.are;wncertaln as to what Itcensing.requlrements�;may�;epp(y��for�tiae�- �� -
<br /> ..,, .. , .
<br /> ....
<br /> ... ..
<br /> Entended work�they are silvlsed#o contact_ttie Pasca.County_Buliding;{nspe4tton Dlvlsloit-l:icensing Sectton at 727-847-
<br /> I 8009. Furttiermore, tf the ovimer has'tilred a con'ltactoi af confractors, he is advised to have�the contractar(s},.sign
<br /> parttons of the "conkrector.,8lock" nf thle apRllcatlon*for..which�they,_will.be:.�esponsible. i#:you,.as-.the.own'er sign°�as"the � '
<br /> contractar, tt�at�m�r,:be an indlcation thaf°#ie`#s rtot.propei3'y 11cet�"s`e��antl�ls✓rio#enti�ed`to permlt�ng privileges In Pasca
<br /> County., - . , . ' . .. , 4-, , .. . �
<br /> TRANSPORTATION�IMPACT/UT!!ITlES�lMPAC'�ANb-RESOU�tCE RECO'VERY�FEES;�The�under�lgned understands
<br /> that Trensportation Impact Fees�and.Reco.utse.Recovery.Fees ntiey�apply;to�ti�e_c+anstruatipn.of naw�bultdings,:�change��af`�°''' '='� °:� ��
<br /> use in existing buildings,�or�_expar�sian;�of��exisN�i�:�bulldings, as speclfled.in Pasco County Ordinance number 89-07 and
<br /> SO-o�. as amended,,w,The undersigned also;understands� t1i�t�such faes;;as;may�-tie:<due;;will�:�e tdentifled at thegtime�of;- �s.� ,'�
<br /> permitting. It is iurthier understood that Tra�sportatlon impact Fees and Resaucce:Recd�ery-�ees;must be paid prlor to �
<br /> �ece�ving a°ce�icate of occupancy"-or flnal�powe.r,~;�elease. :4f-Ehe.pra�ect.does:.not lrnoive4 a:�cert�Ec;ate of occuparicy ar��--�;..�:- � �
<br /> flnal power release;�the-.fees mu�r#6e paid,p�1ar to,,;permit issuance. F;��tk�ermore;�tf.Pasco;C,ounty�Water/Sewer-,Impaat� - .. r
<br /> fees are due�.lhey must.be:paid;prior#o.permit�issyance=ln�accordance witti�appltcable Pasco'County ardinances. • ;
<br /> CKfNSTRUCTI�N�CIEN'�LAW jCiiapter 713� Florlda Statutea�as�m�nded): if valua�on:of wark is$2,5DO.OD or more, !� - �t�
<br /> certify tHat I, �he �appllcant;��have•been proylded �with-�a�copy�of the:�"Florida� Canstructton� Llen,:.L'aw Homeawner's
<br /> Pratectlon Gaide° prepared by,tFie Floi�da Departmenf of AgrlcuEfure and Cons�mer-Affalrs. if the appllcant 1s someane . � � :
<br /> other than th�"ovmer", I certifjr:th�t.l-h�ve:.o�tained;a"copy;of..the�above�.des,cribed.tiocuiiient:and.:p.r.omise::in,good;faithto _. .
<br /> defiver It to..ihe..'owrset�''piioc=toacommericemerit;�. ` , . . . r .
<br /> COIVTRACTCIR'S/AWNER'S AFFIDAVIT: t.c.ectify:;th,et�all.the�,informatit�n:.i�t�thi�applica#ton is accurate.and that ali work
<br /> wil)�be done in campliance with all.appltcable�I`aws regulating constructlon, zpning and:land development. Application is
<br /> hereby made ta obtein.a.perm#t.toR:do.w��,_and£I�iatsllation �,s indE�efed::.:..:1� ce`rttfy that na wark=°or [nstatia#Eon has .
<br /> c�ammenced prior ta I'ssuance of a permif"and that':all work will be pertormed to meet.standards of all laws regulating- J ' ',
<br /> construc#lan� County a�nd C�ty cades, zoNng regulatlans, and fand development r.egula�ons�in the Jurtsdlctlon.--! al'so
<br /> certtfy that I unders#and that the�egula#ions of othe�government agencles mey�apply�to the lntended work, and fhat it is
<br /> my responsibllity to ldentlfy•what.�cttons I must�take.M be�l�>com�pliance�.S.uch.agencies include but are.not limtted to; � �
<br /> - Clepartment ai E�tvironmental�Protectiori=Cypress Bayhead'�, WeNand Areas and Environmentalty Sensittve ;
<br /> Lands,WaterlWastewater Treatment. � �
<br /> ,. .
<br /> - Sauti�west Ftor�da V1►�ter Managemen� :E�isMct Well'sy Gypress. 8sy�eads,� Vltefiand" Areas, Alte�ng t
<br /> VII'atercaurses.
<br /> , - Army Corps af Eng(neers-5eawa#Is,Dacks, Navigable Waterways. ;
<br /> - Department af Hea{th;::&. Ret�abiil#ative,,ServlcesJEr�vironrnenfal,�F�ealth Unit:Well.s� Wasteurtater�Treafinent, � i
<br /> Septic Tanks. ` �� ' � ,
<br /> - US Envi�onmentai Protectian Agency-Asbestas aba#einent.
<br /> Federal Avlation�:Authority,;.Rurn�ays,. :
<br /> � !understand that the.foliowing:rest�tctlons apply t6 the use af flll: t
<br /> - Use of flil is not attowed in;Flood:2one"V"unless expressiy permitted.
<br /> - If the:�II matarial �is �to��be used:ln:-:flood Zone. "A", tt. is understood��that a dralnage plan addre�si�g a
<br /> °compensating valume"wll) be subr�ttted at#ime afspermitting wlilch is prepared by a professional engineer
<br /> Iicensed by the�State of Flafida:.- " ' "� � - - � .
<br /> - 1f th� flll material-is=to�bet used In Ffood �one 'A" in}connec�ion�w3th�a-�erirtitted bu11d1ng us3ng sfem wali,
<br /> � constructfon, i certify;.that flA�.tiraii=b.e used only.to.fill the area within the�s#em wall:
<br /> - If fl!! materla! Is to be used in�any area} 1 certify t#�at .use. of such flll wil) nat adversely afFect adJacent
<br /> ' praperties. If use of filt Is found,to adversely.,�ffect ad)acent�•pra�perNes�,the awner may be cltad for vlatating ,
<br /> the cond�ions.of the b�liding'.permit Is"sued�under the attaciied permit appltcation, foe:lots less.than.one (1) ,
<br /> acre wi�ich ere elevated=�y flit,a�t engMeered dralreag��piar�is requlred. � . ..
<br /> If I am the AQENT�OR THE-OWNER, I;promise In.,good.fatth to Inforrn�the�awner of�the permitting conditlans set forth in
<br /> thls affidavtt'prlor to commeracing construotion. ! understeiid that.a-$�parate petmit may be requtred for eleotrlcal'work, _ o_
<br /> -��=3-�-
<br /> piumbing, signs, wells,.poats;. alr candifioning,�.gas� oc.other`. ins#ail�tions not,spec�icatty inciu�led�in.fhe�applfcation. ,A
<br /> permlt issued shall be construed to be��a�Hcense�to'piroceed wlth`tFie_virark anif�not-as:authoHty'to.vlolate,�cancel, alter, ar
<br /> set aslde any�ptovlslons of the technEcal cod�i�;�nor shall tssuance�of a.perml#.pcevent the Bultdirig C1�EIcla1 fi�om thereaftec
<br /> requlring a correction af,errors In,plans,constiuction,or vlolatlons of any codes. �very-p�etmit Issued"siiall become�invalid
<br /> unless the wark suthorized.by su+r.� permit:�s.co�nmenced wlth(n ssE�c�months of permlt (ssaance� or!f work autharized by
<br /> the permit is.suspended or,ebandoned�for:a:period;of�six-�)�inontFis:af#er the tlme the�work�is cammenced. An e�ctensian
<br /> . ... .
<br />__may_be_r.equested, Ir�writing, frorr�tfie�'Ruilding.Off_Icial for a period`not�to�exceed�ninety�(90) days a�d_vi►ill�demanstra e _._� __
<br /> �ustifiab4e cause for�the e�ension: If work ceases:for nlnety{9a}cons.�cu#ive day.sr..the�ob�is cc�nsEdered aba�tdoned:
<br /> WARNING TO OWNER; YOU .AILEIRE.Tt�,R�CQttD.A..MClTIGE:QF��COMMENCEME{�T:.MAY�RESULT�tN��YOUR
<br /> PAYING TWICE;FOR�IMPR � MENT3 TO.YOUF�:.PItt�PER-TY:�I��YO.U�ii�"�'El�lp�''�TQ��JHTAIN��FII�i�1f�E1NG;�C.ON�ULT
<br /> WIT D � 0 �. OR� �' taU '� - � '
<br /> FI.ORIQA JURA?'(F:S:i17. �„ ... ` � " �` .
<br /> OWNER pR AO�NT� j � CONTRAGTO �
<br /> 8ubscribed and swom ta(or a n» 6ef a me thts Sttbscribsd and'swom-#o{ f�rmed} efote me tti1�_t
<br /> by ,.ey... -
<br /> Wlio Islare personally knav�m to.me or;ha�lhave produced wlao.islare p.ersonalry�cnown to me.or nas/have�produced • -
<br /> aa id'en�RcaBon. as tden�Bcatton. �
<br /> 7 / 1— f
<br /> �� f/"'�" Nofe Publtc . � . P
<br /> �Y Ndtery ublfc
<br /> Gommi an Na."`' C 1�ston.Na.
<br /> ,,,,���.,,, ,;���,,, � •
<br /> `.xw•, JOELE.BACON ' � '••,
<br /> tVame af Notary typed, t�zlssion#FF 137Q73 Name af Na E}t: d;pr1 '
<br /> :H �o;; Expires June 29,20f8 ;� �o= Ex ires �37073
<br /> %�; �;,°.e` BondedTfwTroyFeinlnsuenceA00385�7019 �'�; kFqP•'• P June29,2018
<br /> � Rl rq„ � BondedTlw7ruyFanlnsurance6pp,qgg.74f9
<br />
|