|
` � W .
<br /> `�urM , 3
<br /> NQTiGE O�.DEED RE8TR1GTfi0�IS: Th�e'unde�sigaect.undergtan.dsfth�t�thls.p�rmlfmayt:be:sab�eat.to,"deed"�restric�o�is"',R(. '_ _.
<br /> .. , . ,� . . .
<br /> which may;be,Imor�=restiractive>�th���County-regr�tat�ons:''TNe�:underslgned��as`sumes responsitiifity;for co�npliance�ith any
<br /> appNcabie deed�re�Mc�(ons. ��: , • � • `4 ���.• �, .'��.,��'�•x _ � � a� � ...,� � ... . , _.�
<br /> � . .. .. , .n. - .:.. .
<br /> , .. , , , � _ ..
<br /> UNlICENSED��C�NTRACTORS>AP�D Ct1NTRACTOR RESPON8IBILITlES: �if-tt%e°owrier;ha$-fiired';a ;coratractar or
<br /> contraotors to undertake work, they may,be.:req�rlre,d,�to;be::.licensed,In;accardance.wiW�state.at��_�local.'egulatlon'.s: :If`the�� � ��
<br /> cantractor Is-nat�Itceiise� as requlrecf:tiy law, bott�#he ovmer ar�#scoitt�aatot�r�iay►.-bej-ctted�for a-�mtsdezneanor vlo�atton
<br /> under state law. If the awner or intended=;con#ra�tor;are:;uncertaln as to.what Ilcensing;requlrements�may�apply`_for:�the'�L,-: --�-�• �
<br /> intended°wark,they are,advlsetl to contact:tfie.Pasco-County Bullding`Inspectlon,Qivlslon--Llcensing Sectton at 727-847-
<br /> 8009. Fur#liermore, if the ovirner'tias tiired a�con�ac#or or can#ractors. he is aiivtsed to have fhe cantractor{s},,�ign,
<br /> -•.��'^..r r� , . , .
<br /> portions of the "cantractar Bloak° of..this..application,foc.,which.they, wlll.be responsible.$. It-yau, as-:#he owner sign"'as"tfie `
<br /> contractor, tha#�may�b�an indi�a#on`that'�ie 1s=iio#°:prope�jr Ilcensetlry�anc! Is rio#entiNed`tc� pertriltting prfulleg�s In Pasca
<br /> County. <;:;«��.,;.� .
<br /> ?ltANSPORTATItlN�lMFACTIUT!lITMES�I�YlPAG'�AP1�RESDURCE REC�VEltY��EES:��T�he undetslgned ur�derstands
<br /> that Transpartation Impact Fees,and.Recourse.Rec�VeryyFees may,appiy_;tv�the;construction,of new,buildings�?change Jofi��� ''��=� ��
<br /> use in existing bulldings,��'or:expansi�in��of-�exlsti�i��abuildings, as speclfled.in Pasco County Or"dinance number 89-07 and
<br /> 90-Ot� as ame�tied.�...The undet�slgned aisos:understands; th��.�sucl�fees;�,as�,�nay►�be::.dt�e,.�+ltl�be i�derit�led at the==time°of,�;; �,-� ` ;
<br /> permitting. It is iurtfier understood that Tra�sporkatlon Impecti�Fees and�Resour.i�e�Reco�e"ry�Fees.must be pald priar 40
<br /> fieceFving a"ce�#i#ica#e-of accu �n .... .. .
<br /> P �Y"°or final��power>;�elease. :IfVEhe prctj�ct:,does�not Invoive�a,cert�tcate of occup�ncy�or`.<.-�Y,,. '- �
<br /> final power retease�'tlie-fees mu�t tie�pald.ptlor to,;permlt issuance. F��thermore;If Pa�co�.Couniy`1Nater/Sewer�lmpact ;{���,��
<br /> fees are due,they must.be-:paid�prior,#o..permit�issyiance°:In.accord:ance.wltli�appllaabte:P�sco��County,;o�dlnances. • .
<br /> CONSTRUCTI�N�GEN'I.AW(Cheptsr 713,Flot�da St�tut�s;°��s°arr,�ertded):,if,,vialuatl,on oftwark.:is,,$2�SOO.O.O.�.ormore, l .,.
<br /> aertify that I� .�he-applicant;-have.been pravided �wlth~�=copy of th��".Florida� �onstructton Uen °Law Homeowr�er's •
<br /> Protectlon Gafde" prepared by'tfie Fiocida Dep�rtme�t�of Agrtcutt�re and C�nsum�r:AfFairs. #f#he app[tcant Is someone � � . .. �
<br /> KY� � ; ' � PY: . � • :.7.�
<br /> . ..r
<br /> ather than the°owner", i cert #hat,,l:have,obtained"a�co of.tt�e.abQva.des.cclbe.d:�iocu�ent:,and'rp.r.omise�.ln;good:faithto . :
<br /> deliver It to.the.�:owne�"p'rior�to'�comritericement�''� ' ' - ' .
<br /> CANTRACTOR'SI�WN�R'S AFFIDAVIT: 1.ceit�iy,;tiiat:all..the�ai�ormetion:,in�thia apptication is accurate.and that all waric
<br /> will�be done in compliance w(th all.applicabie`law� regulating constnt�ctlon� zoning and.land��development. Appllcatlon (s
<br /> hereby made to obtaln.a.perin�t=,#o,do:woik�:and r•Installatlon as lodt�efed:�..=:1� ceittfjr that no work t:oa� tnstaita#ton tias
<br /> commenced p�lor to i's"suance of�a�p�rmit and that`.all work wlll be p�rtormed�to meet-standards-of all I�ws regulating-
<br /> cor�s#rttctlon, County and City ccdes, zoning regulationst and land devetop�ettt cegtata�ons��in the �uelsdictbn. 1 a#'so �
<br /> certify#hat I uadersfand that the regutations of other government agencles may�appiy�ta the.intended work� and that it is ,
<br /> my responsibility ta IdentN'y�what.act(an`s I must take:to;be.,in>oor�lp!lar�ce;,.S.uch agencles•Include but:are.not llmlted to: ��:
<br /> - Department of Et�vlronme�ital=�Protectton=Gypres�.'Bayliead�, We�and Areas and Ernrtrpnmentally Sensitive
<br /> Lands,Water/Was#ewater Treatment. "�" �
<br /> ,. .:
<br /> - Southwest Ftor�da WaEer Nianagement: :t�3s#rict-Wells� CCyptess. B�y.�ieails; �Wetland Ateas� A1te�ing
<br /> VVatercaurses. -. � � ;
<br /> - A�my Carps af Englneers-Seaw�Ils.Docks�Idavigable Wa►terw�ys. � �
<br /> - Depart,ment af:Heaith�.&.�.Refi�abliitat�►e;.Servlces/Ernironmental�Ne�ith l�nit Wetis� VNastewater Treatment, � �
<br /> Septic Tanks:, �� � � � - , ,y ,
<br /> - US Envlronment�l Protectlan Agency Asbes#os abatement�.:
<br /> Federal�►viatton.Authority,;Runways: .' r �
<br /> !ur�derstand.that the,foNowang��cestrfctlons apply'to the use of flMC• �
<br /> - Use of�ti is not attawed tn:Flood,;Zone"V"unless exprassty permitted. `
<br /> - If the:flll'mate�lal�1s to`b.e-usetl_1n:Flood 2one. "A", It is under`stood that a dra(nage plan addressing a
<br /> acompe�sating votume"witl be submltted at#me of penmitting vv�lch is prepared by a pTof��sional engineer
<br /> Iicensed by the State of Flofida: � - � , . �
<br /> - !f the fiii material�ts-to-be�used in Ftnod �one 'A° It�4 connec�ion�vfrlth�a..�rermitted 6uHdtng using s#em walt
<br /> � construction, l certify th.at.flll:i�rall:b.e used only to.flli the area withtn�the•s#em�wa11.
<br /> - (f flll mateNa) Is to be usei! in anjr area; 1�caKify t#�at .use of'such flll wlll no! adversely affect adjacent
<br /> pr�perties. tf use af fil! fis found,to:adver�ely<�ffect adJa�ent�ptoperties,.the ovmner may be cited for vioYa#ing �
<br /> the condEfions.of the building;permit.lssued�under tlie°�at�ached,permtt application;for,:lots�.less,than.one (1)
<br /> � aare whfch are elevated tiy flll,a�t�ngtneered dralneg�ptan Is required. .
<br /> If I am the AGENT F�R THE OWNER, I;pramise In good fa(th to Infarm-the�awner of-the permitting condft�ons set forth In
<br /> thts affidavit"prtQc to,comr�eracing cons�ctlor�� t.an�lteratand th�ta-�s�parate permlt may be requlred�for electrical work, _
<br /> plumbing, signs;wef�s,.p+aofis;.air.conilitioi�ii��,:gais;`.or�o�i�er install�tions not.spec�tcally inctuded-�in.the.:appiication. .A . �,
<br /> permit Issued shail be constcued to be�a�lice►nse��to�proceed with`ttie work eniJ:not�as:authority�.to.vialate,�cancel, alter, ar
<br /> set aslde any�provlslons•.af:;tfte,tech�tEca!cade�;�nor shalt tssuance�of a.perrnit.pr.event#he eufldirig O#f�cial from theceafter '
<br /> . ,..�.... ,.
<br /> requlrin.g a cor�ectton df e,'rro�s In�,ptans,cvnsfivctidn or vialations of,eny codes. �very.p�rmlt lssued�sfiall become invalid
<br /> unless the work authorized.by such pe�mit:�ls.commenced�wltl�tn sf�c�moroths of perm4# i�suanas, or t#�nrork suthorized by
<br /> #he permit is suspended or,abar�doned,-for a;period;of s�C:f8)moriti�s:�fter,tiae;tin�e#he�wo�"1c>is commenced. An eactenslon
<br /> may be requested� In wrttirig,_ftom the;Building,OTflolal for a period�_not:to exceed�ninety�(90)days a�d will demonstrate
<br /> jus#�iable ca�ase for•#he extenslot�. 1#w+�rk.ceas�es:for nlnefy.{90}consecutive:day.s,..the Ja6��s.consldered abac�donei�:
<br /> WARNING TO OWNEi�; YOUI�.�AIl.t�RE.�TQ.[�E.GQEtD.A.MQT�IGE:QF.�CQMMENCEMEMT.�VFAY�RESt�LT IN'Y{}llR -
<br /> PAYiNG TWICE,FOR,II�IPRO,VEMEN`�S Tfl YOUR�:PR�PERT.Y.�i�°YOU,t�t'FEND�T�'C1BTAIN��FIPtA►wE�NG;'C.ONSUL.'f
<br /> WIT U . D Ald TTO O'.E,,, �p G;' pU ' ; �
<br /> - F�.��t��A-,�u�tt�'ed� .. .. . .,._ . . ; .. - _.._
<br /> ..- .
<br /> -----__�._ _— . .. . , .. .� - -
<br /> __--.._ .--- .�-- - - - --- ,_ _ . _ _ _ ., ___-- —��-- . --
<br /> ,.�= ,
<br /> OWNER QR AOE �„ CONTRACTOR- .
<br /> 5ubscrlbed and sNrom ta( mned}beiore me thls Subscrlbed and`sworn�ta(cf afllrmedpbss�� �
<br /> ey .by... -� -
<br /> IMio Is/are parsonelly knavm to.me or.has/have produced 1Nho.ls/are p.ersonally�cnown tu me or haslhave-produced - •
<br /> � s tdentlftcaBor�. as tdentl�catton.
<br /> t` , .
<br /> Notery Public Ndfary Pubflc
<br /> Co�n !o . "`" �••�a t�oinmi�s! . .
<br /> ,.���`';A�Al;a��; dOEI E.$ACON '� `��;`�,':4ygGc. JOEL E.BACON �
<br /> :.• .: Commission#FF 137073
<br /> Name at " i►tf�ei�ard� 18 Neme Natary �; �Ac�r�29,2018
<br /> �`'.�p i c�°%� 8ortded Tiuu Troy Fain Inswanca 860385 70f9 �•�',Pi�.��'�' BnMad Tlw Troy Fain iniwance BUa385�7018�
<br />
|