._ ._ � �>...--��;�.�w�
<br /> �a
<br /> i
<br /> NOTICE OF DEED RESTRiCTtt3NS: The undersigned understands.that this;permit may be�subject,to,"deed°,.re'�trictio�,s":�:�:j;';,,;
<br /> which;may.b.e.�,mace�cestcietive�tiian=County�cegulationsj•'�TheKundersigned��assuriies`��esponsibfl�ty�for compiiance�w�fh.any ';}
<br /> appticable deed�estrictians.. . • . '` <�r.°`Y=.`>.. ;;'�''�''^.,y=:
<br /> UNLICENSED:�CONTRACTORS AND CC?N'TRACTOR RESP.ONSIBIL!'TIES: `If�#he=owrier w�ias��l�iired���a�'con#r•actor or ��
<br /> contractors to undertake work; they may;:be tequired to b�+licensed in accordance with.state�and`loe_al�regul.atians.:�<'If:�ttie��-=��:
<br /> contractor is not.licensed.as�required�'�y`'favir, batfi'`the owner.and'conf�acfa�=may�=:6e-cited�foc�,�a��misdeiTieanorviolation° ,<,��;
<br /> under state law. if the owner or intended cantractor. are uncertain as to what.iicensing:requir.ements;,rmay;.apply;:fo,r:n`tlie:.:��`;�
<br /> :..ry...rF:., . ..,.,<.., t
<br /> intended.wock,they are-advised ta contact ttie'Pasco Caunty"Builcting`Inspecfiori`D"ivision,=Cicensing Section.at 727=847- ;�
<br /> 8Q09. Fur�l�ermare, �if the owner`has" hired`a coritractor-or contracto�s, he'is advised to��'haveT tfie,contractor(s}..sign,..,�,;;<<..
<br /> �s�•.�,...,-�<::�r.;�+ :�°:�;. ,,,. ,
<br /> portions of the "contractor Black"of this application far.which.they-wil!_be responsible�-,_lf;you, as�'ttie�.owner s�gn~as<ttae"°'��r;
<br /> contractor, that_may 6e an-indication fhat he�is not praperly licensed�and�is no�t entitled.to permitting privileges inz Pasco:y,,.,��;i;�,
<br /> Caunty. - __ _ � . .:.:,,.:ti._;.,�..�......
<br /> �_`
<br /> TRANSPORTATtON-iMPACT/UTILITIES�IMPACT AND RESOURCE RECOVERY FEES:��The unde�signed under.stands - ,_;;;
<br />�'i that Transpar#ation impact Fees and Recoucse Recovery Fees�may,appfy to.the construction of:rrew,bui.i,dings,�change=of"=�y�`.;;�°
<br /> I use in existing buildings,.��r-.expansiori�;of.:exisfing�buildings, as specified in Fasco County�Ordlnance number 89=07�and,.' �,;;�;
<br /> � 90-07, as amended. The�undersigned alsa.understands,�that such fees,�as,rnay:;b.e,due, wifi`be�identifisd��.afi�the}.tim'e>:of��'=�`��:�`
<br /> permitting. -1t is further�understood tliat Tcansportation.Impact Eees-and Resource:�Recovery Fees must be paid prioc:to ;��
<br /> receiving a "ce�tificate of occupancy"•-or final,;power re�ease. If the,project does not=involve;a certificate of occupancq�or-:�s4s���,
<br /> � final power release;the;,fees:must�be=paid prior to permit'issuance. �Furtiiecmare, if Pasco Goun#y Water/Sewer,�lm_pact:.;--� ,�
<br /> ', fees are due,ttiey must be,paid priar ta.,permit issuance�_in accardance with'applioable.Pasco�County+o'rdinances. ';
<br /> GQNSTRUCTION-�UEN-LAtf1T(Chapter 743;Fb�ida Statutes,as amended}: If valuation of wor.k is$2,50Q.00..oc more;$�1:,.,4, ;,
<br /> certify that 'l, the .applicant, have. besn.-provided with-a copy;�of��#he� °Florida�Construc#ion Lien.,Lavv-Homeownec's
<br /> � Protection Guide" pr�pared'�by'ttie Florida Department of Agriculture and ConsumerAffairs. If the apPlicant�is s.omeone.,a, .
<br /> = �.. .:�
<br /> '� o#her than#he`bwner�, I,eertify.that I..have obtained a copy of the above"descri6ed'•document�and:pr.omise;in�goo,d;;fai#h°�to.._;
<br /> deliver.it.to.the;'bwne�;.:prio��;to='comi�nencement•. ' � � �
<br /> CONTRACTOR'SlOWNER`S AFFiDAV.IT::��,l.�.eertify that all�the infarmatian in this application is accurate and`tFiat ait�work
<br /> wili be done in compliance with a8 appli icable laws regulating construction, zaning and land�devefopment. Application.is
<br /> hereby made to obtain.,a.,permit to�do;.,work-and insta!latian as:�indicated. # certify that no=work or inst'alla#ion has
<br /> cammenced prior to issuance of a perrtiiit and��that a!I work will be perfarmed to�mee# standards of all laws regulating ��
<br /> ! construction, County and City codes, zoning regulations, and land development�regulations in :the jurfsdictian. I:also
<br /> certify that I understand that the regulations of other gavernment agencies may apply to the intended work, and that it is �
<br /> li my responsibiiity#a iden#ify what actions i must take to be in campliance. Such agertcies include but are not limi#ed,to: ;
<br /> � - .Depariment of Environmentaf::Pratection-Cypress Baytieads, Wetland Areas and Environmentally Sensitive
<br /> i Lands,WaterMfastewater Treatment, G
<br /> ', - Southwest Florida Water Management Dis#rict Wells, Cypress� Bayheads, Wetland Areas, Altering _
<br /> ' Watercourses. �
<br /> - Army Corps of Engineers-SeawaUs, Docks; Navigable Waterways. ,_
<br /> - n af Health 8� Rehabiiitative Services/Environmental. Hea(th Unit We((s Wastewater Treatment, �
<br /> De artme f . . ,
<br /> � p � •
<br /> Septic°Tanks. ,
<br /> - US Environmental Protec#ion Agency-Asbestos abatement. . .,
<br /> - Federal-Aviation Authority-Runways. •
<br /> I understand that�.the following`restricfions apply to the use af flll:
<br /> �, - Use of fil(is not allawed in Flood Zone"V" unless expressly permitted.
<br /> � - , If the fiii material is ta be used in Flaod Zane "A", it is understaod that a drainage pian addressing a
<br /> "compensating volume" wil! be submitted at time of permi�'rng which is pcepared by a prafessianal engineer �
<br /> licensed by the State of Florida. '
<br /> - If the fill material is ta be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill materiai is ta :be used in any area, I certify tha# use of such�fill will not adversely a�Fect adjacent
<br /> praperties. if use of fili is faund to adversely affect adjacent properties, the owner may be ci#ed for viala#ing
<br /> � the conditions of=�the buiEding.permit issued under the at�ached permit..appiicatian, for lots iess #han one (1}
<br /> '� acre wtiich are elevated by fill,an engineered drainage plan is requited. •
<br /> If I am the AGENT FOR THE OWAIER;-I promise in good faith to inform�the owner of.the permitting conditions se#forth in �
<br /> this affida�i# prior to commencin`g const�uction. �I understand that,a separate permit may be required for electrica! work,. ;
<br /> ptumbing, signs, weits, pools, air conditioning, .gas, o� otlier�ins#allations not specifically included in the application. A. , ;, ;;
<br /> permit issued shall°be cons#rued#o=be a licens,e=ta proceed with the work and not as authority.to vioia#e, cancel, alter, or
<br /> set aside any provisions of the"fechnicai codes, nor shall issuance of a permit prevent the Buitding t3fficial fram #her.eafter
<br /> requiring a correction of errors!n plans;�construction ac violations of any cades. �Every permit issusd shall �ecome invalid ,
<br /> unless the work authorized by such permit is commenced within six months of perrnit issuance, or if wark aufhorized by :
<br /> the permit is suspended or abandaned�for.a�period..of six(6�'months after the time the work is commenced. An e�ctension
<br /> may be requested, in writing, from the Buildirig Official for a periad not to"exceed ninety(90) days and will demonstrate �
<br /> justifiable cause for fhe extension. ,ff work ceases for ninety(9Q)consecutive days,the job is considered abandoned.
<br /> WARNlNG TO OWNER: YOUR FAILURE,.T,Q RECORD:,A_NOT(CE QF COMMENCEMENT MAY RESUl:T IN YOUR
<br /> � PAYING TWICE'FOR IMPROVEMENTS;TO YOUR:PROPERTY.. tF YOU:,INTEND TO�OBTAlN�FINANCING, CQNSULT
<br /> WITH YC1UR`CENDER OR AN+ATTORNEY BEFORE RECORDINGYOUR NQTICE OF�COMMENCEMENT.
<br /> � FLCiRtDAJUF2AT(P.S.117.03)
<br /> - - - __— - -. -
<br /> _- _ . _ _ -- - - - -
<br /> OWNEFt OR AGENT CONTRACTOR� C �L���"" "=_,.—
<br /> Subscribed and swam to{or afflrmed)before me this Subscribed and swo to(ar rtned} re e this -
<br /> !�y by rQ
<br /> Wha is/are personally known to me or has/have produced � Who is/are personally,kno. to me or has/Nave,produced
<br /> as iden�fica�an. �.+�I f/x7�S iC.J L��VSt� as identifica�on.
<br /> Notary Pubttc "GI.Q...�..Q. Notary Pub1Ec
<br /> Commissiori No. Cammission Fia. C.J �`�'��'
<br /> ��:�� �,9-/,� ���--r
<br /> Name of tVatary t}rped,printed or stamped Name �S
<br /> �„��,,,
<br /> o�x:;�,:[TEBRA�l.AINE Ri�FFEL�
<br /> ;? :,,:Commission#GG 048343
<br /> _.�,�,���s Ex ires tVovember7,2020
<br /> y;r, p .�
<br /> ••:,n;;;2"''� SondedThruTroyFainlnsurance80a38r�OS9
<br />
|