� ' i�.r.;�'.,:�,,�..;�
<br /> NQTlCE OF DEED.RESTRICTIONS: The undersigng¢,understands,2ha;.k�ti�;permit may be:subJgct_tq°deed�restnetior�s,-.�;4,��,♦
<br /> • � which:may:be�morercestrictive�tt�an'Counky:r�igdtations:�'The=undeisigned�a"ssuines=resporisib�!"ityfor�cor�plfancevuithany"�. °,u
<br />� aPPlica6te deed�estrictions. .: , . � 1� "",y';"""`�'`�".
<br /> UNL'ICENSED CONT,RACT.ORS AND CON`ER/ICTOR RESPONSIBlLlTlES: !f•ths°bwner�fias�tiirect�a;:contractor or i
<br /> contractors�to uridertake work,they,,may,be_re,guired;to be�licenseit in accordartce with slate a�iif`local,teg�lations:�Flftli�'%:, I
<br /> contractor is.not.licensed.as:requi�ed,liy'law, botti ths owner and'eonfractor'�ina�=Ee-cifeif=for.'-.;a rriisderrieanor.yiolation Y
<br /> und'er state law. If the owner-or•(nte�ded_co,�t�actoc are:uncertain as to,what licensing requ[remenfs���ayFapR}y'for�tt���;4��
<br /> intended work,.they.are advised to cor�`tacY`�he Pasco Courity Buitclirlg lnspectt`on DiV'tston'-"�icensing,Section at 727=847- �
<br /> 8009: -Furxhermore, if the owner has"�hiFed'a cisiitractor ar conlractors; he�is acivlsed td+'have the_contractor(sJ.;signµ;�:�
<br /> r� y �.:5�.._�<.e.:.�i.u..;- a
<br /> i portions of the°contractor Block°of this appllcation.for which they will be�esponsible;if,you,eas,ttie';owrier s�gn`asvthe'�_�
<br /> � contractor,that may'be an indication Eh�f he�is not propeHy liceinsed;anB�Js no�t•enfiNed�to permitting pr+vilegesYinxPa`sco+.,±{�
<br /> � County. ' ` ,
<br /> � TRANSPORTATION IMPAC7(UTILTfIES•IMPAGT AND RESOURCE RECOVERY FEES: The untlersigned understands
<br /> � that Transportation impact Fees and Recourse Recovery Fees�may apply to the construction,of.new:bufldings,ctian'ge:of�;��;�
<br /> 1 use in existing buildings,;or�ezpapsioa-of s�asti�g buitdings,as specified in Pasco County Ordinance number 89-07 and �
<br /> 90-07,as amended. The•undersigned also understantls,that suchfees,as'may.:be,due,will"tie�ldent'rfied'at<thie=ti�ie�:i�f��'fF's
<br /> I permitting. 3f is further understood tFiat Transportation Impact Fees and Resource�Reeovery.Fees must ba paicl.prior;to ;
<br /> � ; receiving a°certificate of occupancy"�or finat;power release. if the.projecEdoes nat:involve a ce�tificate of oc�upariey;orE��:-;
<br /> � flnal.power releas.e,_the,fees�inus#be:,paid prior to permit issuance...FurtFiermore,,if Pasco County Water/Sewer,lm'�act•°: :
<br /> fees are d"ue,.tfiey..must_be paid prior to permit issuance in accordanc�with�applicable_P�sco Cau.nty o�dinances.�� '
<br /> � CONSTRUGTION EiEN�LAW(Ghapt�rT13,P(orida Statutes,as amended): If valuatfan of work is$2,50,O,OD..or moce,�;��- •:
<br /> ; certify that t, tfie appiicant; have been provided with a copy of.the "Florida Construetion.Lien.Lavu�Hameowne�'s
<br /> ' Protecfion Guide`prepared"by fhe Ftarida Department of Agricu�hire and Consume�.Affairs. If the applicant-is,someone,,.
<br /> ' other than the°owne�',I eertify that I:have a6tained a copy of the.above`'descritied"document•and promise�in.goo,d;fait!%to �`;
<br /> delivenit,tothe,"pwner°priocto-aommeneeinent � � �
<br /> ' CONTRACTQR'S/OWNER'S AFFIDAVIT:,;I.certify that all th�information in this application is accurate and that alCwork
<br /> � witt be done in camptiance with alt applicable�laws reguiating canstructian,zoning and land�development. Application Is
<br /> '� hereby made to obtain;a:.permit.#o:do,.work:and installatiort.as�indicated. I cerEify fh'af no work or.ins�altafiom has
<br /> , comrrienced prior td issaande of a pArm�t and-that all work wili be performed to-meet.standards of all laws regulating
<br /> ' consb�uction, Caunty and Cityr codes, zoning regutakions, and tand devetopment`regulatians"in:-the jurisdlction. k'also
<br /> certify that 1 undersfand that the regulations af other govemment agencies may apply to the intended work,and that it is �
<br /> my rasponsibitity ta(dentify what actions t must take,to be in cumpiiance. Such agencies include but are nqt limited.to:
<br /> , - ;Department of Environmenfal:Profectibn=Cypress BayFieads,Wetland Areas and Environmentally Sensitive ,
<br /> � Lands,VtlaterlVllasfewater Treatment. �
<br /> - Sau#hwest Ftorida Water Managemenf District-Wefls, Cypress� Bayheads, Wedand Areas, Altering
<br /> Watercaurses. �
<br /> - Army Corps af Engirieers-Seswatis,Docks,Navigable Waterways.
<br /> - Department of Heatth 8 Rehabiiifative Senrices/Environmenfat Eieattfi Uhit Wells; Wastewater Treatment, '
<br /> Septic Tanks. � '
<br /> � - US Environmentat Pratection Agency-Asbestos abatement. ,
<br /> Federa!Aviation Authority=Runwa�ts. '
<br /> !understand that�tl�e following:reisfrlctions appiy to 4he use of fifl: �
<br /> - Use of fil!1s not altowed in Flood Zone°V°untess expressly permitted.
<br /> - 1f the fill materiat:is to be-used in Elood Zone "A, it is understaod that a drainage plan addressing a
<br /> °compensating volume"wUl be submitted at time of permitting which is prepared by a professional engineer "'
<br /> licensed by the State of Ftorida, 'i
<br /> - !f the flll materta! is ta be used in Ftood Zone"R° 3n connection with a pertnitted buitding using stem wail
<br /> co�stntction,I certify that fill wil!be�sed only ta fill the area within the stem rvatl. ;
<br /> - !f fill m�terial is to be used (n any area, ! certify that use of such filf wifl no# adverseiy a�fect adjacent
<br /> pruperties. !f use of fill is found fo advecsely affecE:adjacent propertles,the owner may be cifed far viola6ng
<br /> the co�t�ftiohs of:thei bu[lding.permif issued under t#ie attached permit-applicaGon,for.tots iess than ane(1.} '
<br /> acra which are elevated by fill,ao engineered drainage.plan�s requiied. '
<br /> If 1 am the AGENT FOR TNE.OWNER;I.promise in good faith to infarm ths owner of-the permitting conditions set forth in
<br /> this�davit prior to commenctng constructlon. I understand thaE a ssparate permit may be required far etectficaE wark; - .
<br /> plumb(ng, stgns,wells, pools, air condiHoning, gas, o'r ottier installatlons not speciFcally included in the application. A. . a
<br /> permit issued shall'be construed'to"be a license to proceed witti the work artd noE as autho[i;y to vibfate,.caAcel,altet,or;
<br /> set aside any provis'ions of the'fechnical codes,nor shall issuance of a permit prevent the Building Officfal from thereaffer,
<br /> requiring a corcection of errors in plans,�consVuction or violations of any cades. Every permi#issued stiall Decome tnvalid
<br /> unless the wark authortzed by such permit ts commenced with(n.siac months of perrnit issuance,or if work aufhorized by �
<br /> the permit is suspended or abandoned for a period.of six{6j months aftar the ttme the work i�'c:ommenced. An extensiosi- "
<br /> may be requested, in writing,from tFie Building Offioial for a period.not ta e�cceed ni�ety(90)days and will demonstrate
<br /> justifiabte cause for the extension. If,wark ceases far ninery(90)consecutive days,the Job is consldered abandoned. �
<br /> WARNtNG TO OWNER: YOUR FAtLUR�T,O RECO,RD.A NOTICE OF C.OMMENCEMENT MAY RESUL7 IN YOUR�
<br /> PAYING 7WICE'FOR IIVIPi�aCiEBVt�N7S3T0 YOUR PROFEBIY::-1F XOU�INTEND,TQ�OBTAIN FINANCtNG;COkSULT�
<br /> WITH YQi1R`L'ENDER.OR AN A`RORF(EY BEFf3RE�RECORDING YOUR NOT1�6 OF'COMMENGElNENT. �
<br /> FLORIDA JURAT(F.S.417,fJ3). ' : �
<br /> .l j/J
<br /> OWNER OR AGENT )� ' • � __��� CON7RACTOR��� ` � i
<br /> �5 scrlbed and sivom to(or nned et m fhls Su scrlbed and swom ( r aEfi d) re me thts '
<br /> �v� ''� �'"���� br.�° �'.,cr«r ���a T
<br /> !slare p an wn ta ma ar aslteave pmduced � Whg�i�re n�a�tty�kna�W me or haslhav praduced '
<br /> � � � G- w as dentlficatlon. ("�jL[C �JL as tdentfRpBon.
<br /> I � � � ���/ : . �
<br /> !� r .tlC.�,.!' � ��_��Notary Publtc i :'f% '�t�i Nofary Puhllc
<br /> � + missi ' \ � Com,�mJ slon
<br /> � ,,•::`�'^"y�,,, JACQUELINE t./ ;as.r�a•, JACQU '
<br /> , 2 =.�: •:�..' . .
<br /> , Ne e r 12 2Q18 Name of No ;t� :ay ��� �a cember 12,201 S
<br /> :,•_ xpires 1o�a
<br /> Fainlns+rc?o�aa�'3Ea' �� gondodTlwTroyfoinlnsurenca800385•7679
<br /> ';?tt v' BondedThruTroy d�4�
<br /> '.� F �Qa`� ����Qr,uN
<br /> � P�rt
<br /> i ' '
<br /> I '
<br /> i --.
<br />
|