|
. ... � � ' � � �
<br /> .� . .. .... !.
<br /> ' ' n:��:,, <,,:,:a'� .r_+:;y
<br /> N9T10E O��D�ED RES:T.RICTIOMS;. The.understgned;under�tandsµ�h�t�thls�.p,��ml�hrr�ay:be.subJec#�to"deed"-;restr"Ic#lons";,:: a�
<br /> y � .._.�:�4�., _.Rt.F'h,< Y♦ l :t. � - � �tex.'nf 2 4�:.^. ai.u.t3�w
<br /> '� ' , w.:.: ':� . i.�. ;i.�.. q....:.� rw.,—..i.F,�' .
<br /> which may�.tie=mo�e?'r.estr(ctlire;t#�a��Gou�i. �}i�egr�latfons�:•��TFie:underslgned assumes-�re�pon9�blltty�{far compilance:with any "
<br /> appltcs�ble.desd=r+astrlctfans: _.�:�,;,�.�;::;�„�r=,.;:.,.., ' • : - . - ..,_..�... �, .., _�
<br /> ,_.. ...„ _ _... �- . ... ;� ..�,..�:�
<br /> ��
<br /> �...._...,.�,__... .,�...r...._ry_.�.�
<br /> UNLtCENSED•��CONTRACTORS��AN.D CCINTRACTOR �ESP�N�IB1CiT1�S:��-�ff=t�t'eM�ouvner�`�has"hired a".ct��i#ractdr or
<br /> contractors.#o undertake work; tttey.mayibs�r�qu'Ir,ed.�taa�b�s�llcensed��ltt;;acc'airdance.with�„state�:andalacall`,r_egul�tia'�s��If�the'=-���'���n����
<br /> con#ractar=is`-riot�llicenseif=�as�irequii�ffid by liaiw, tioUr�#he�bwner arzd-cxiiattactor��r'riay�tie�cltedsfor a�ml�ifemeanor vlolatton
<br /> under state law. If the awner.ar Intended`:c�onha�3tor��ar,'e,;�unce�,ain as:to what Itcensing�requlreRnent9�;may�appij'r..��fiir�tFie'��:,�w,rs��,=���
<br /> w ...-.. ..,.
<br /> ,. ,�, .. �.�v.x< _ : _ ,._,.,:-..:a
<br /> � . . _ . �.,.;._.. _ . .. Y
<br /> Intended woi;k�_tfiey are:;advfset!_`to,coiitactpthe�P��`co�:County:.Bulldittg�inspectiori,�.Qfvlslon.k-!l,icens[ng Section at.727-847-
<br /> 8009. Fur#ftermare, it tttYe o�ivrier tias hiri�d a cohtracfor or coiitractors� he Ts advised to have,;the cantractor(s)�sign4.,,+„�� ::.�,�.
<br /> � portlans of.th.e.�"contcectar_Bloak'_of�.this�.appllcatlon fo�rtwhlch,:they, will,b.emresponslble.4.��lf��y_ou,-�as,s#he_6wne'�_ai��as�"t�he ry
<br /> contrac#or;tFiat�may�be an Ini3ic�tiori that'ii+a�-ts noE:properiy#Icensed antl�lsiiot"enE�ed ta permltting pri�lleges In Pasco
<br /> Counly. ^ :. • ; �t,;�:.�,w�..-,��<,�
<br /> TR�NSPORTATIt?N=lMPAGT/UTI1:lTNES�I�E�AC'�'��►�ib°ItE�0U1tCE REGQVERY�EES:"'f�te�untle�si��ie�understands
<br /> ihatTranspor#etion Impact Fe�asyand.,Reco.urse.Recarrery.Fee�rriay:apply�hitfie`�consbuction:of.nsw.b.uil.dings,�chan�er'of�N}t'`,`�=�•';'
<br /> use in exisNng buildings,'�or-,eii�par�sl��r�of=�eSriati��:,buildings, as specifled.In Pasc;o County Or'dinanee number 89-07 and
<br /> s+^r-• Yf'.?i>."<<:�,
<br /> 90-07, as amende,d,i:;;,Ttte undersigned also;understands; ttiat"such fees;;ass�maj�;b�zd�te,,��nrifl;=be.ider,ytl�Eed at the�time�of"•.: �u-r-:, `
<br /> .h....,,.-..-•,
<br /> permitting. It Is further understood that Tnansp�ortatlon Impacf'Fees an���Resourae.�Recoverya`Fees�,m.ust be paid priar to
<br /> fecef�ing.a"cecf�flcatero#-�occupa�cy".ar�flnal�powa,r��elease:"':i��the.pro�e�t,�loes�not lnvolvera�cettlt�cate af occupani�ytor�����s°����'
<br /> flnai pawer-relesse;;ihe��fees-�mus�k•�tie patd;p�ior#o;permit isstta�ce. F��Qrmare��1f�Fascc�,�Gounty�;lNaterJSewer=:Impact��;��:5�w:�
<br /> .�.�. �, • :..rt . C... . , r. ,t . . i
<br /> fees�re due;..they:must:be��peld:prtor.to,.petmit�rlssyance�:ln.accorilance:wit�i:appllca�te�Pasco=Gaunty:anllnances. •
<br /> CONS�TRUG'flON"L"IEN�I�A'�[YV{Cliept�r 713� Fl�r�da Statutes,as am�ndsiif�: if vaiva�on of work is�2,50Q.00=ort more;�;l� �> :-��,r
<br /> CePtlfy fti8t ,Ir the..�.appllcant;:=hav.e..�been provlded wlth��.a.=ccaPY°;.of�4Me��"Flo�lda°�Consti�c.tton-'Llen�":'Law -Homeowner's
<br /> Proteatton Qutcle"prepared by;:#lie'F1oi��a Depaftme�t:of Agrlcul�re and Consum�r�-kt�ai�s. If the applicant Is someot�e:.,.. -{..�.-.�
<br /> ather than the`owrier", 1 certffy�thgt-l:=tiave:obta�ined"a}�t`�ipy,of:the�above:��des,erl�ed�ilocuri�,ent�-antl;pr.o�ils�„In�,goad;:falth:.to .. . . ,:a
<br /> deliver(t`to:.ttie t"ownei"�`p%ioT`ta�co�rite�cem�int."::.. � . , �, .., . .. . .. , . M_ : .. -- . . , -
<br /> CONTRACTAR'SIGWNER'S AFFIDAViT: I.cert�fy,�:ttia#=:a1{,Tthe:�l��rmation�;l�-tht�appltaatlon ts accurat�.and that alt wark
<br /> w(II'b� done in compllance wlth all.appllcable'law� regulating constructlon, zoning and;��land`�developm�nt,, App![catlon.!s
<br /> hereby made=:.#a�obtaici�a.per,mi#��ta,:�do�wt���;attd�=1�isteN$tlon as irid��efei�:�{1� certity #hat no work jor tns�attation ti�is" -
<br /> commenced�p�lo� to Issuance of'�.a permiCai�nd that'.all�work.wrlll be perta�rmed�to meet=standards�of:all I�ws regula�ing- ^
<br /> consMsctton, Co�nty and CI#y codes, zoning.regutatta!ns, and land deveCopmettt regttla�ons�1n-#�ie:Ju�isdfcfioti:k�°°1=Yal'sb.:
<br /> ce�lty that i u�der�tand that the rogulatlons of ather�government agencles may�apply:�ta.the.>Intended:work� and that tt Is '
<br /> my responslbl8ty#o Iden#ity�whe�E.acttans l,must-take.;#o.be,.tln<a�t�tpllatace�;,;Su�h;{agencles�lnclude'but�are:natllmlled to:...
<br /> - Depar#ment af E�vironmental}Riotection=Gypress"�Bayhead�� tlVefiand Areas and Envtronmentally Sensittve
<br /> Lands�WaterMlasteweter Tr�alment. ._ ' "'' �. �
<br /> - �authl�uvest Flarida Water MaRagerlteRt=:�?Is#�ct-Welts;''`Gypress:�Bay#�eait�;-'�Wetland= Areas, Aitertng
<br /> Watercourses. , _�a ..;,,����:,s� � � .. ... , ,,
<br /> - Army Carps af Englnee�s�Seaw�!!s.'.Dacks,M�vlga�le Waterways. `
<br /> - Depar�tment.,:of.,Health,��.,�Ret�abliitaflv±��;Seriice.slEnvitonmental�.F#ealth�Uintt Wetts;:�Wastev�tatec�Tre�tment; � �
<br /> Septtc�Tanks.:__. .. � ,.. - ' -�-' � .. - �-� �
<br /> - US Env�ronmental Proteatlon Agency_Asbestos abateme.nt: -
<br /> Federal A�lallon.Autho.Mty�f,tunways:` � '
<br /> I understand.that�the.:hilloinring:,i�estr#�tlons appty`fa ttie use af fl{1.•
<br /> - �Use of`fill is not aHowed inaFtood�Zone"V"unless expr.essly pennitted.
<br /> - If the-zfill�mate�fal"Is��to'be �used;�`In.:Flood�2one. "A", tt Is underetoad that=a dratnage plan address(�g a
<br /> "compe�sating votume",will be su�mttted a##tme of�permitting whlch i� prep�red by a professionai engineer�� �
<br /> Ilcenseid tiy�thie:State�'of'F�oi�da: . � -•; °:� , ,
<br /> - If�fh�•flfl�.material�Y.l's=to be,used tn FRood Zone 'A° In4 conn�tlon�vtr�th�a��ermltted bt�ltdtng ustng stem walt,.
<br /> � . can�tructlon, I certify.ti�:at till:�vall.b:e;used only.to flll the area�wltMn�the�stem=wall: � ,
<br /> - If fl!1 rrieteMaf:ls�to !ie usea�lrt any .anea; I �ce�tlt�r.lhat .use af�such�f111 witl r�at adversely afFect adjacent .,
<br /> propertles.,...lf use.of.fill is faqnd�:to-advetsety;,�fiect a�ja�er�t��prc�pertles�.the owner�may be cited tor viora#ing, -
<br /> the condl#lons::of�the:bullding�;pernitt•(s�ued�under tlie.�'s�tt�ctied:�ecmlt�applioatlon,°for�:lots��.less�:than:one (1�
<br /> acre wtilati are elevatect��tiy flll,a�.englne�r�ed dralnage plan Is roquired. �- ..
<br /> If I�m the A13ENT�OR•TM�OYMNER;;I�.promlae In�goo,d,falth#a�Infortr�•�the�awner of��the permitt(ng candltlons set forth In
<br /> thts affidavtt`prior fo"`comme�acing constrvctfon. �1 un.derstand tttet.e separate'permlt may be tequfred for etectrRcal'wotk, . ..
<br /> ptumbtng,.signs� weits,..poatsr-alr.condifianing;-.gas,�:or.a.,#Me� instalt�t�ins na1�spec�ficalty included�in.the•appiicatton. .A
<br /> permlt Issued shall be coiristrued to'be a`Ilcense^��to�piroceed wlkh'`fNe�.wo�k and.:not-as:�authoMty�b:vlblate;��cancel� alter, or
<br /> set aslde�i�y�provlslons oF�t�ie:technlcal c�ades;;nor sha11 tssuance�bf a.permit.pcevent th�e 8ulld#rig{3�lt�ati'rom theceafter �
<br /> requlring a coITectlon af;err;ors In:plans;.coni�tructlon..or vlolatlons of-any�codes:-.�very�p'ermtt�l.ssued��shalf tiecome�-lnvalid
<br /> unless the work au'thortzed_by such perrtaft:�ls.commenE+ad withlrt_s_t�c.,tttor�ths of�petmlt lssuance, ar Cf work autitarized by
<br /> � �r
<br /> the pennit is suspended�or;abaradoned.�for�.e;period�of::six��)�mnntiis�:.aRer`the time.the�wot�)r�ts commen�ed.. An eactenslan
<br /> �...
<br /> may be requested,.ln.,wdting�.f�om tFie;Bullding,�ffl+�lal for a perlod:�not.to.exceed'�ntriet�r=(90)�day§ a�id�vuill"demanstrate
<br /> �as#IFiable c�use�or�#he exfenstor� I�work ceas.�s.for nit�e#y.�90}con��cutive�day.s�..th�Job�1s consldered aba�adoned: .. . ,
<br /> WARI�ING TO O1N�tER; YOUI�.;EAIL.t�tRE>:TC��.R�ECLlRQ;A}MQTtGE�.QF.�Cf�MME�tC�ME#1';IM�AYSRESULT IN��YQUR �
<br /> <
<br /> PAYtNG TWICE;FOR��iMP�tO�/EM�MI'�,T;O��C�iUR�PR4�?ER�TY:�;�1�=:YO.U{i�l'€E�ID:TG��IHTAIN�FiNi�►pE1NG;.'CON3ULT
<br /> WIT D �O. A[V� O 0'. t. .�j �.. .,� . � � - -
<br /> , . _
<br /> -- -- ,. �.. ;._, , . ., �
<br /> M- FCo�it�Fi.9l1FtA'i'���:S:='!1 . _ ,, . . - - .. - .. _ „ _ . .,
<br /> OWNER C1R AaBNT •. - -• . CON1'RACTO °
<br /> E 8ub cr1 ed artd swom ttt �d)b me fhts Su s �tf atsd' t'af�I �tora me lti1�.
<br /> by / ,,by...,. ,/ -
<br /> Who I are persanell _ .me. ,, o.(sh�e p. onal me: •
<br /> _. asl�ediJ8ca3lpri:�' " as tdentiftcatian. _
<br /> � r .
<br /> �����������, Notery Pubitc . ������ � Natary Publfc
<br /> commtsst�n t�o: 5 �amn�tsaton.t�a,_ �=C�7"Ql�S� .
<br /> ��aP! F_'/../�/�/� �l��E�L. �,P.� �'.�i.NF ,k.'cJ�',�'.c.L.
<br /> Name oi Nolary typed�prtnted or atamped Name o1
<br /> �"'"'"'+�,, pEBRA EIAINE�RUF ELL.- . ���'1�r�,��'�_Commssionl#GG 045343
<br /> *�1�v�=Cammisston#GCa 4,45343 :,;�Q Fxpires Navember 7.2020 �
<br /> � s���o#E�cpiresNavembet7,2020 , �•''F°�f��4•� BondedTtwTroyFeinliuuranceBOD�385�7019 ' •
<br /> i ..� '�?or �:� BondediAruTroyFalnln�ura�60o-3�7Hs
<br /> � ��tio��
<br />
|