|
Apr, t8. 2017 11:30AM - No. 2930 P. 8
<br /> NOTiCE OF DEED RESTRIC71oNs: The und�rsigned understands that this pennit may be subject to"deed"restrictians"
<br /> whiCh m2y be more resfiotive tRan Counry regulaUons. The undersigned assvmes rAsponsibitity for compliance with any
<br /> appticable deed resficbor�ss.
<br /> , ' UNUCEidSED CONTRACTORS AND �pNTRACTaR I�ESpONS1131LITiES: If the pwner has hired a contractor or
<br /> COntrdCtptS t0 undertake work,they may be required t0 b6 licenSed in accordanGe with Staf�d�d lOcal regulations. If the
<br /> coMractor is not liaensed as required by law,hoth the owner and cantractor may be cited for a misdemeanor violation
<br /> under sWte law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for tha
<br /> intended work,they are advised to c�ntact the Pasco Gounty Building]rtspection Division--Licensing Section at 727-847-
<br /> 8009. FuRhermore, if the owner has hired a contractor or conbractors, he is advised to have the contractor(s)s�qn
<br />' porGons of the"contractor Block"of this application for which they will be responsibl�. If you,as the oxmer sign as the
<br /> contractor,that may be an indication that he is not property iicensed and is not enUUed to permitting priviteges in t�asco
<br /> County.
<br /> TEtANSPqRTATIQN IMPACTNTII.lYIES IMPACT ANO RESQURCE RECQVERY FEES: The undersigned understands
<br /> that Trensportation Impact Fe6s and Recourse Recovery Fees may apply to the aonstrvction of new bui3dings,change of
<br /> use in e�656ng buildings,or expansion of existing buildtngs,as specified in PaSCo CountY Orclinanoe number 89-07 and
<br /> 90-07,as amended_ The undersigned also understands,that such fees,as may be due,will ba identified at the time of
<br /> permitting. 12 fs further understood that TranspoRation impact Fees and Resource Recovery Fees must be paid prior to
<br /> �eceiving a°certificate of oCcupancy'or final power release. If the project does not involve a certiTicate of occupancy or
<br /> final power release,the fees must be pa�d p�or ta pennit issuance. Furthermore,if Pasco Counfy Water/Sewet fmpact
<br /> fees are due,they mast be paid priorto permit issuance in accordanc�with applicable Pasco Courtty ordinances.
<br /> CQNSTRUCTION LIEN LAW(Chapter 713,Flo�ida Statutes,as amended): If valuation of work Is$2,600.00 or more,I
<br /> certiiy that I, the applicant, have been provided with a copy of the 'FloridA ConstNCtian Lien Law—HomeowneYs
<br />, protection Guide'prepared by the Florida Department of Agricu[ture and Gonsumer Affaits, If the appliC�nt is someone
<br /> other than the°owne�',I ce.�tify that!have obtained a copy of the abpve described dxument and promise in good faith to
<br /> �wlhiws i`w YMn ^� �•vi iv w�l�iiwii�iii�n.
<br /> .. � r.�
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the informatian in this appEication is accurate and that all worlc
<br /> wilf be done in Compiiance with all applicable laws regulating construction,zoning and land developm�rit Application is
<br /> hprAF�l mAlle tA Aht9ilf 7 nGYrtlif/A r1A uehr4 onrl inef�ll�finn �c inMireful I nu/ifii iM4 nn�.�nrL nr 7rrMelle47n+� 1._'
<br /> commenced prior io issuance of a permit ano inai aii work wiii be periortned i0 meet Sianciarcis oT ali iaws reguiating
<br /> consttuction, CounN and Ciiv codes, zoninp requlatlons, and land develoqment reoulations in the iurisdiction. i also
<br /> certify that I understanB fhat the regulations of other govemment agencies may appfy to th6 iMended woric,and that it is
<br /> rr��i ree�n�5!�I�1l±fn i�toe�r�fii u,ft24 B�MS I!!?L�gt,�40�?b�I�Mmr�Itg^ro. 5`'Sf.h 9��t:.^,7�£C•^•C!L��,�2L�:w.�.^..^.:�II::7:�tC'
<br /> - Department of F.nvironmentai Protection-Cypress BayheaCs, Wetiand Areas and EnvironmentaAy Sensitive
<br /> Lands,Water/Wastewater Treatmen� �
<br /> - Southwest Flortda Water Management DiStriCt-We116, Cypfess Bayheads, Wettand Areas, Altering I
<br /> Watercaurses.
<br /> _ e.»; ��...�..r e.. :..........�..��.,-.n� n....�w na.,a ..ti�.,�nrY�.,... . I
<br /> i r � ..a.......... ........ ..� ..., i a� v ..�.:�,jY.
<br /> - DeparOment of Health & Rehabilitative ServicsslEmriranmental Nealth Unit-Wells, Wastewate�Treatment,
<br /> Septic Tanks. �I
<br /> - US Enwronment�l Protection Agency-Asbestos abatement. ,
<br /> Federa�qviation Authorify-Runways. '�
<br /> I understand that the follow�ng restricbons apply to the use of fill: �,
<br /> - Use of fil is not anow�d in Ftood Zor+e"V"u»less expressly permittad,
<br /> - If the fill materiai is to be used in Flood Zone "A°, it is understoad that $ drainage plan addressing a
<br /> °Compens2ting vofume"will 6e submitted at fime of permitting which is prepdred by a professional engineer
<br /> licens�d by the State of Florida.
<br /> - If ltte fill materisl is to be used in Flood 2one•A° in cannection wiih a petmitked building using stem wa1l
<br />' rnnaM�dinn 1 r�fifv fhat fill witl hq i�caA nnly M ft1 tha ama witFdn fha ctam wa11
<br /> - If fill mdtCriEtl i5 f0 b6 USed in any area, ( Certify that use of such fill wifl not adversely affect adjacent
<br />� properties. If u5e of fill is faund t0 adversely affact adjacent properties,lhe owner may be cited for violating
<br />' fha rnn�litinn5 nf thp hp0�iin��wrmh ieetigrV pnrlpr tF}g pi��rhgr�Fe�(t onrlirstinn�fnr Inhc�occ ih�n nr�o(q?
<br /> acre whJch are efevated by fi11,an engineered dr8inaqe plan is required.
<br /> If I am the AGEN7 Ft7R 7H�OWNER,I promise in good faith to inform the owner of the pei'rnitting conditions set forth in
<br /> '{�:y M�{'.MMM" Itwn M w � fw.wLi.... � �..yr��nWl1Y YYy w :1 r 6� ' �14� 1�.�.!ul�.�,I�
<br /> r w w wiiii..�wiiy w�9uwuvu. uu ..�.. wfru,uiG NQ�`u u�uy v�.�bM1%liy V v� oiow���� rwn.
<br />, plumbing,signs,wells,pools,air Condi�oning,gas,or other installations not specifically included in ihe application. A
<br /> pemtit issued shall be consVued to be 8 I'rcense to proceed with the work and not as authority to violate,cancel,atter,or
<br /> .. i��:J���.��.�u��' � G�A�l��L��f��J�� � L�II[��..���� �L���+r1���..�y W�A..flJt��/�fSt�f��L��a6����L��
<br /> u'y.uu�u.,m�y M�vnu:v�w��u�a wvu�nw�wYoo�+wi u��an�ovuanva�i o ycunu po.om�nc wyi�wuy vuw�m�wui uic�cm�ct
<br /> rPrnriring a rnRPntion nf annrx in nl�n�,rnn�tn,l�tinn nr viotafinne nf an;r,.nciPc Fvgty�Rf171j�{$.C�fOfl�hall I]a�[1/�lP iStyall�
<br /> unless the work authorized by such permit is cammenced within six monffis pf permit issuanpe,or'rf woric 2uthorized by
<br /> �iro prtmit is susptlndeci vr auandvnaa i�r a petiaa oi six�o�manins aiier vie ume me worx is commenCeo, run ex�ension
<br /> m�F1A fA��fPRtP¢,in�nrritin��fTnm�a�iilrii�o Off,r,�lal fp�a�1P�f)fI nRY tfl PYlY-�.O('I I�11�Pr/;G��ria�rg an�i;ySI�r9o�y+nr��,r�afa
<br />' justifiable cause for the extension. 1f work ceases for ninety(90)consecutive days,the job is oortsiCered abandoned.
<br /> WARNING TO OWNER: YO
<br /> UR FAILURE TO RECORD A NOTICE OF COMMENCEMENY AAAY RESUL7 IN YOUR
<br /> OAYIR�Y'I111/1��CMD�MCCIv1V`N�MT�T�V�I�O OO�D`PT/ iC i�.�.v�:�:T��:.�.Tv vwT.A-.:U n�Iw�:vi�:w �v�:vv��T
<br /> WlTli YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT �V
<br /> F�natna.n iaar r�c +,�n� /�
<br /> Own1Ek CRAGENr�pu"��r'�( � CONTRAc7olt�lG K! El�t l��t lJ�
<br /> Su'osaibeo and swam ° or:ertumec i ceiore me fhts Suhr.criwari ard Awnm io(nr a�rmadl baJara mv Thic
<br /> �L��, �7r�r �n�'1 -L�— �. �:pcic ' ��'7-- --
<br /> � ,.—;p—.__,. _ �....... �..
<br /> �..�wu.qr,��.�,n.a����.01NiKVli�OiGV��N�W�V�.'Y via�a�oiec+3ir��au�y�iiw�i�i�iiicwiiai+iifivbM�vuwe�i
<br /> '��+ 9b idM�C&GO�. � »./ A5 jQfrl0�IC2G0fl,
<br /> I 1 I
<br /> (�/! l !f� 'J�� l ���,• �I�
<br /> 1V1�1 I�'�'`V�./(�.+� Plntarv Pnhllr. I/vl J/V�'U`I/I D Nixary Piihl�r
<br /> Ccm�iot��. Q7��� Co 1s�onNo.� 33a�sr
<br /> Neme of NOtary bped, r�ted or StampeC e Of N61ary ryped.p' tetl u stamped
<br /> +p�.!V4�, AIIRICIAKL�TE �prau PAIAICUtv,L�E
<br /> Ih'LO1.tMUSIQN4GG033Z65 ,.„..,� ���
<br /> i +� . F�REsS�ytenbmg.2020 + � pWg�FS;Sepl�mbe��
<br />� � �� wNdlt�ueerdt�ny9vk» �1�� ^._........_...'_.
<br /> *pr�r
<br /> I
<br />
|