|
_ ---1
<br /> — --_ - — - a.t
<br /> - ^"^'3I:*.i�'^S.;.L,ti��i.T+3
<br /> ... +n -°<i .
<br /> ;�a;r. 1
<br /> NOTiCEAF DEED RESTRiCT18NS: The undersigned.under.s#ands.tha#.this,permit may.be;subject.to"deed" cest�ictioii's°`,:;
<br /> �:..� ��,� ���:t N,�, ���.�a..,v..,._� � `;
<br /> wfiich;may::be,more<r.estric#ive�thanCounty regulat�ons."The�urider"sigriec�'�,'assiimes�respansibil�ty;for�com�iiance°rivith�any
<br /> applica6le�deed restrictions. . ' _ .., .._ �, -�__.,�:<a�-_�<.�;�-=t.,�� .;
<br /> UNUCENSE�- CONTRACTORS AND CANTRAGTOR RESFONSlBlL:ITlES:�- �If--the•-owrier=hasrliired}°a��.contractor or
<br /> � contractors to undertake work, they,may�hbe,r.eguired to be�licensed in accordance with state,and�local,regulations:_=��lf;tti�e���'�-<�
<br /> contractor is not�licensed�as'rEquired;by iaw, bo#Fi the owner:and'confraa4or�may�-be�=cited far.a:'rnisdemeanor violation� ��;
<br /> under state law. If the owner or,irrtendecl.contFactor. are uncertain as to what.ticensing r.equirer,r�rents:;rnay°�apply'f.or;�#ii;e.�Y�'• ;;
<br /> .,ay<,�ttr�.,...•
<br /> intended wark, they are�advised to contact-tfie'Pascii Caurity Builtling fnspection�Divisiqii-=[_icensing_Section af 7'27=8.4�7-
<br /> 8009. Fur�hermore, if the owner tias"liired�a� coiit�actor or confractors, he is advised to ihave the�contractor{s,}esign,,,,�.,.�r;
<br /> � !r� e.. .�4�'.:.? X
<br /> portions of the "contractar Block°_of this application for which they will.be.responsible. ff you, as`�the�ovrrne� sign,as�=the�'��~:;��
<br /> contractoc, that may be an indication�that he is not properly licensed and is nat`entitied to�permitting privileges in.Pasco, .;,:,�?,
<br /> County. . ,�::�.. t��,a�,;•:. •.
<br /> �,�__ ���n.
<br /> Tl2ANSP4RTATtON-tMRAC7NTILtT1ES�IMPACT AND RESCIURCE RECt3VERY FEES:�The undersigned undecstands °�
<br /> that Transpartation impact Fees and Recaurse Recoverjr Fees.�may.apply to the consfructian of new.bui(dings,.ciiange5of'��'"'�
<br /> use in�existing buildings, ar�.expansion of,:existing�buiEd'ings, as speclfied in Pasco County Ordinance number 89=07�an;� =
<br /> 90-07, as.amended. The�undersigned also understands, that.such-fees, as4may.b.e�due, wi11"be�iclen#i�ed�at'�t#�e"'�;tirrie`�of�'s"���f
<br /> --.a permitting. 'It�is further understood that Transportation Impact Fees and Resource�-Recover'y:Fees must be paid prior to
<br /> receiving.a"certificate of occupancy" or�final,,pawer release. If the project does not�invoive,a'certificat� of occupancy,3:o�:��5-'-�`;
<br /> final_pawer reiease, fhe.-fees-must�be-.paid prior ta pecmit issuance. _Furtfiermore,.:if;Pasco Gounty Water/Sewer,-lmqact,-,r� ;
<br /> fees are due,tfiey,must be paid priar.ta permit�issuance-in accordance with'appiicable�Pasco.County aFdinances. "
<br /> CONSTRUC7lOM l�IEN�LAW(Chapter 713, Flarida Statutes,as amended): if valuat�on of wark is$2,500.OQ...or more;.�i;�pr� ,;
<br /> certify that 'I, the ,applicant; have beeri. .provided with' a copy,of Ehe "Florida Construetion:�l:ien Lav�-�Fiomeowner's �
<br /> Protection Guide" prepa�ed�by tfie F�la"rida Department of Agriculture and Consumer Affairs. If the applicant;is-someone,,.r,
<br /> athe�fhan the Nowner", (-eertify that.l_have obtained a copy af the.above`described'�document-and promise:�in goo.d=faitli;fo;,, .
<br /> de(iver.it.ta-the`;owner"�priorato=commenceinerit. � � - � �
<br /> CONTRACTOR'S%OWNER'S AFFtDAV11':,,:,{<certify that alt�the infanrnatian in this application is accurate and'that all�work T
<br /> will be done in compliance with ali applicable laws regulating construcfion, zoning�and (and�development. Appiication_is
<br /> hereby made to vbtain•_a�,permit�to,�clo;_wor•k"-�and insta!latian.ras �indicated. i�certify thaf noawork or instal{ation�=has
<br /> commenced priar- to issuance af a p.ermit and�that all work wi!! be perFormed to�meet-standards af a!! faws regulating
<br /> construction, County and'City codes, zoning �egulations, and land develapment�regulations"iri.the jurisdiction. I also
<br /> certify that i understand that fhe regulations af other government agencies may apply to the intended work, and that it is �'
<br /> my respansibitity to identify what actions I,must#ake to be in compliance. Such agencies include but are not Iimited,to: "
<br /> - s Department of Environri�ental�'Pr'otection-Cyp�ess Baytieads, Wetland Areas and Environmentatly Sensitive .
<br /> Lands,WaterMfastewater Treatment, �
<br /> - Southwes# Florida Water Managemenf District-We1ls, Cypress .Bayheads, Wetland Areas, Aitering
<br /> Watercourses. w
<br /> - Army Corps of Engineers-Seawalls, Docks;Navigable 1Naterways.
<br /> - Departmen# af Hea(th & Rehabiiitative Services/Environmenta(.:Heal#h Unif-Wells, Wastewa#ec Treatment;
<br /> Septic=Tanks. ' ___- . _ -�- ___.___ - _ - - —
<br /> - , U� Environmenfal Protect�on Agency-Asbestos a�4��t�rr�en#. -•
<br /> - Federal AviationAuthority-Runways.
<br /> 1 understand that.the following r'estric#ions apply to the use of fill:
<br /> - Use of fill is nat allowed in Fto,od Zone"V" unless expressly permitted.
<br /> - If tlte fifi material is to be used in. Flood Zone "A°, it is understood #hat a drainage plan addressing a
<br /> "campensating valume" wiH be submitted at time of permitting which is prepared by a prafessional engineer �
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Fload Zone °A" in connectian with a permit#ed buiiding using stem uva!!
<br /> canstruction, I certify that fill will be used only to fill.the area within the stem wall.
<br /> - tf fill material is to be used in any area, 1 certify that use of such`�fill will nof adversely affect adjacent
<br /> propertfes. lf use af fill is found ta adverse(y affect adjacent properties, the awner may be cited for violating.
<br /> the conditions of��the bullding,per.mit issued under#he aftached permit..application,.far lots less than one-(1) '
<br /> acre which are elevated by fill,art engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER;�!�►romise in gvod faith to inform the-awner o#.the permitting:canditians set farth in �
<br /> this affidavit prior to commencing cbnstru'ction.��"I understand that a separate permit may be required for electrica! work,. '
<br /> plumbing, signs, weiis, pools, air conditioning,.gas, or ottier��installations nat specifically included in the application. A �
<br /> permi#issued shallbe construed�€o�be a Hcense�#o.proceed with"the work and not as authority.#o violate, cancel, alter, or
<br /> set aside any provisions of the'technical codes, nor shall issuance of a permit prevent the 8uilding Official from thereafter
<br /> requrring a corr.ection of errocs in plans,°construction ar violatEons of any codes. Every permit issued shaH become invatid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, ar if work authorized by :
<br /> the permit is suspended.or abandoned for a period..of six(6)months after the time the work is commenced. An eactension
<br /> may be requested, in'writing, from #iie Buiidirig C3fficial for a period,not ta�exceed ninety(90) days and will demonstrate
<br /> justifiabte cause for the extensian. ff work ceases far ninefy(90)consecutive days,the job is considered abandaned.
<br /> MlARNING TO OWNER: YOUR �AILURE=TO RECORD.A NOTICE OF COMMENCEMENT�MAY�RESULT !N YC}UR
<br /> PAYING TWICE'FOR IMPROVEMENTS_TO YOUR.PROPERTY.. IF YQU:INTEND�TO�OBTAlN�=FINANClNG, CONSULT
<br /> WiTH Yt3UR LENDER C1R AN�`ATT�RNEY BEFiDRE-RECORDING YOUR NOTICE'OF�C6MMENCEMENT
<br /> _ FLQRtDA JURAT F.$.1 :
<br /> (_ }�.._�__.._-,.__ _ . _ ,,-.
<br /> - -- - - - -__;,,.,s�_:���..-_�� '� ���� __._�
<br /> OWNER OR GEN rGZ,! CONTRACTOR�,,,"�_���,,.�'J'� �'-�-%. � > .n_...�— -
<br /> 3 b bed an ta or af�mt be o e is Subscribed and swom o(ar rmetl befiore me this �
<br /> _y���—hY��� � \ ����3� , i,
<br /> Who is/are personal y koown t� Qme or hasmave produced J Who isfare ersonally k wn t e or has/have praduced
<br /> as ldentificatlan. as identlficatlon.
<br /> � c� �^}�� +�� � :�a',�"'��1:�, E57liER F.MGCIINTOCK-8$RRV
<br /> _�-��`�1.J(�11 Notary Public .�: NY COMMISSlOM#FF ublic
<br /> ' •'�� ` �XplRES May 14,2020
<br /> '•�4;:::,,;
<br /> Comm ssfan No. Commissian No. ���)398•p153
<br /> �n�*Y::�'�i„ .IAWIIF�A �' U//� � ` C
<br /> (Vame aE Notary typed,pri star�{p�tj�{�{�gg�p����g��� hlame of Natary typ�ed,printed or stamped V
<br /> EXPIf3ES:Marclt 5,2418
<br /> �'`+n��,oP�°~ BondedlTuuBudgetNo�ryServlces
<br />
|