-- � d�K.v�^r.�.:x*»''�'�.x....�;�
<br /> 9VOTICE OF DEED,RESTRICTIQNS: The undersigned.unders#ands.that-this;permit.may be,supject.ta"deed"r.estrictions":'�"
<br /> which.:inay:be=more,�r,estrictive thaia Counfy:regulations: TFie..ut�dersigned�a"ssuraies°��espo�sitiil�ty,#or�cornpliancei`i+vith any`"�`
<br /> applicable;deed restrictions. . , �- -.- • - �. -_-�
<br /> UNUCFNSED-.CONTREICTOR� AND CON'TRAGTOR RESPON�I�I�:ITtES: if ttie�awiier.�has=�iireci°�a�r-cantractor or
<br />' contractors`tb undertake work;Fthey.may be,required to be`licensed in accardance with state and,.local,r,egulations.'�if��the=�.�y- '
<br /> _.�_ .� . _..
<br /> _. . ",. .
<br /> I contractor is not:_licensed.as cequired`by.°law, both"�the ovirner=�and°:corit�acCor-.rrtay��betcited�°for�:a misdemeanor violation- �
<br />' under st�te iaw. If the awner or intended,:contractor are uncertain as to what licensing requireinents::may:.appiy f.or;:the��=". ,;
<br /> ,,., �,.,, ,, ....,.
<br />' intended�work, they are-advised to contacf�'tlie Pasco Caunty Building"Inspection'pivision�=Licensing Section at 727=847=
<br />� 8009. Furthermare, if the owner has hired`a ctiiitractor or contractors, tie is advised tot�have the.,cc►ntracfor(s} sign,,,,, "
<br />� portions of the "contractar Block" of this application for which they.wiU..be_.cesponsible:�=If-you,_as`�the`owne��"sign as=ttr�e ' � g
<br />�I contiactor,fhaf may be an indication that he is not'properiy licensed and`is nof entittet!'to permitting privileges,,in_Pasco:..,; -
<br /> Caunty. _. _. . . ..- , . .,. . ��..�,,,..,�..,::�,:�, .,s
<br /> TRANSPORTATION-IMPACT/UTILITI'ES IMPACT�AND-RESOURCE RECOVERY FEES: Thie'unde�signed under,stands -
<br /> #hat Transpackatsan {mpact Fees and Recourse Recovery Fees=may:�apply to the cgnstructiari.af,newr,.buildings,�cFt'arige>of�°'�_ �`:
<br /> use in existing buildings, ar expansion ofi;existing buildings, as specified in Pasca County Ordinance number 89�07 and ':
<br /> 90-07, as amencled. 'The undersigned also understands, that suct�fees, as may,�be;due, wilt'be=identified�at�:tF�e'�#ime:'of='�:' ``�
<br /> permitting. It is�further understood that Transportation lmpact Fees•and Resource-tRecavery,Fees must be paid prior#o -
<br /> receiving a "certificate of occupancy" or final„power release. If#he projectdo.es not involve a ceitificate of occupancy;or._�'
<br /> final power release, the fees-must be paid prior#a permit�issuance. Furtfieirmare,;,if.Pasco Caunty Water/Sewe�.�+tmpact-�;�-:� �
<br /> fees are due,,they must be paid prior to permif issuance in accordance witli applicable,.P'asco.County ardinances�.
<br /> CONSTRUGTION L:tEN LA1t�(Chapter 713; Florida Statutes,as amendedj: If valuation of�orlc is$2,50Q.00�qr.rrtare,;1-�;;=
<br /> certify that I, the applicant, have been. provided with a copy_ of the "Flarida Cons#ruction;::Lien..Law_"�Homeowner's�
<br /> Peotection Guide" prepared by�the Flarida Department of Agr'iculture and Cansumer�Affairs. If the appl�cant is someone:;
<br /> ,.. . .,. ..
<br />' other than the"owner�, I certify tfiat(,have obtained a copy of the.abave descri6ed'`document and pramise�in good.,faitli.to, ;
<br /> deliver it�to the"owner"prior to commencement. ' ' � � " _ - �
<br /> GONTRACTt3R'SIOWN�R'S AFFIdAVIT:�I.certify#hat all the infarma#ian in#his application is accurate and that alt worii
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land=development. Application is
<br /> hereby made to obtain a permit:ta do work and installation as-indieated. t ce�tify tha# na��ivork or-iris#allatiori�.Ftas
<br /> commenced prior ta issuance of a permit and that all work will be performed ta meet standards of all laws regulating
<br />, cpnstruction, County and City codes, zoning regutations, and land develapment�regufatiaris in the jurisdiction: !�afso
<br /> certify that I understand that#he regu(ations of ather government agencies may apply to the in#ended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include�but are not limited;to:
<br /> - pepa�tment of Environmental Pratectiori=Cypress Bayheads, VlCetland Areas and Eiiviranmentall�r 5ensitive
<br /> Lands,WaterNVastewater Tteatment. �
<br /> - Southwest Ffarida Water 1�lanagement District Wells, Cypress �ayheads, Wetland Areas, Altering
<br /> Watercaurses. ,
<br /> - Army Corps af Engineers-5eawalls, Docks,'Navigable Waterv�rays.
<br /> - Depa�tmenf of Health & ReFtabilitative Senrices/Environmentai .Health Unit:Wells,,.�Vastewater Treatment;�
<br /> Septic�Tanks. � -
<br /> - US Environmental Pro#ection Agency-Asbestos abatement. ,
<br /> - Federal>Aviatian Authority-Runways. .
<br /> !understand that�tlYe'following'restrictions apply to#he use of fi!!:
<br /> - Use of filf is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill ma#erial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"will be submitted at#ime of permitting which is prepaced by a professional engirieer
<br /> � lic�nsed by the State of Florida. �
<br /> - If the fill materia!�is to be used�in Fiood Zone "A° in connection with a permitted building using stem wall
<br /> canstruction, I certify that.fill will be used only to fill the area writhin the stem wall.
<br /> - If-flll material is to�be used in.any area, ! certify that use of such fill wil! not adverse{y affect adjacent �
<br /> prop�rties. If use af fil[ is found ta adversely affect adjacent properties, the awner may be cited for violating
<br /> . the conditions`of tfie>building permit=:issued under�the attached permit application, for lots less than one (1')�
<br /> acre wliich are elevated�y fill, an engineered drainage plan is requiced.
<br /> If I am #he AGEIVT FOR,THE OWNER;rI�;promise in good faith tainform the owner af the permitting canditionsset forth in
<br /> this affidavit prior to commencing construGtibn. 1 understand that_a sepa�ate permit may be required for electrical„work, �
<br /> plumbing, signs, wetfs, poals, air conditioning, gas,�,or.�othe�'iristallations not specifically inctuded in the appiication. A _
<br /> permit issued shall.be construed to be a license to.proceed with the wark and no#as authority to violate,.cancel, alter, ar •
<br /> set aside any provisions of.tlie fechnical codes, nor sha11 issuance of a permi#prevent the Buitding Official from thereafter
<br /> requiring a correction of errars in.plans;�`construction or vialations of any codes. Every permit issued shall become invalid
<br /> unless the wrork authorized 6y such.permit is commenced withinNsix manths af permit issuance, ar if work au#horPzed b.y
<br /> the permit is susp�nded_or abandoned for.a p,eriod:.of six(6)montfis�after the time the work is fcammenced. An extension �` -
<br /> may be requested, in writing,.fram the 8uilding'Official far a:period not fo exceed�ninety (90) days and will demonstrate
<br /> justifiable cause far the ex#ension. Ef work ceases for ninety(90)consecufive days,the job is cansidered abandaned.
<br /> 1IVARNING TQ OWNER: YbUR EAILURE.:T,C?,REGO,RD A NOTIC� QF,COMMENCEMENT MAY RESU�T IN YOUR '
<br /> PAYING TWtCE.FOFZ IMPROVEMENTS.:TO,YOUR�PROF'ERTIf.-..IF YOU�.INTEND�TO,O�TAIN aFINANCING;CONSULT
<br /> _ _!!NI'�H-YA�R-�:�N��R OR-AN-A'!"T�R�lE-Y-��F�DR�-l4�C6)R�ENS9-Yt"DUR Id�'Fl�CE��=Ct'�IMl61!lENC�P+J!!�N'�` -- -
<br /> FLORIDA JURA7{F.S.197. 3} � � �
<br /> OWNER qR AGEN /�- -„���Z��` CONTltACTOR � ^���
<br /> Subscribed and swo to{or aifirmed}be#ofe me thts Subscr'rbed and swom to(ar affircned}betore me,this
<br /> by . __
<br /> Who islare pe ally k to me or has/have produced �� Who islare pe onally kn to me or haslhave produced
<br /> - as Iden#i�ca6on. as identification.
<br /> � ��.
<br /> � � �� �
<br /> � ��:,(Sf.��.- ary PUblic r � : '.�(�/ � Notary Public .
<br /> "�,
<br /> Cammiss'r n Co,�y sion N . '
<br /> .�e�'•"••`
<br /> �*� :,;_ �ACq�EL1N�g ,,;,��
<br /> r P���r
<br /> Name af " , ' 422 �ame af No E'l:�Y �i�A��jrRfs t n ES
<br /> FF 1504
<br /> '•����,"'' Bondsd ecember�z '�: .<' Ex ires 22
<br /> rn�,r ,2018 ''"� °' P December 12,
<br /> royFe�nlnsuranc '��o�;��•'`'� 8ondo�FhruT 2�:g
<br /> „���38,�10t9 �y FaG�Irrauranae 86p.395.70t9
<br /> i �,,`
<br />
|