|
From 8772027120 1.877.202.7120 Wed Apr 19 13:59:21 2017 MDT Page 9 of 12
<br /> 04/19/2�17 13:58 6822337050 PAGE 09112
<br /> HOTICE OF GEEG RESTRICTION9: The ut�dersigrted undersfands Ihat Ihis petmit mey be aubJeet to"d�ed"roshfc3ions" I
<br /> whlch may be mare re9iric#ue than Counry regulatfm�s. The undersignetl assumBs responsibfllty 1br compllanoe with$nY
<br /> apRflcet�e degd reevictions.
<br /> 11NLICENSED CONTRA�TCRS ANp CbNTRAC7"OR RESPONSBII..1'iT�S= �the aHmer has hlrad a contractor or
<br /> contractors to undertak�work,th�y may he r�squlred ta be ficensed in sccoMance with s4ate and Iocal regu�a�Gn�. If th�
<br /> r.untractor ie nnt licarrsed as requlred 6y faw,bvkh dtie ew�r and contraetar may be�Ited fnr s miademeanor violatlan
<br /> undar state taw. If the ovmer or intend�d contractor are uncertaln ss io whai lioeneinq requlremants may appfy for the
<br /> Intanded work,they,are advisetl to Cc�tect t}►Q Pasco County BuRding IrtspeCtion dhrision--�Licensing Secdon�t 727-847-
<br /> 8Q09. Fur�►ermor�, if tlte own9r has hired a contractor or conha�torB, he i5�dvisad to have the con4actor(s) 91gri
<br /> porkfons of the'OOIKfBCbor BI4clt'of thls aRplfcaUon far which theyr WiN be re6p4nsibla. {i you,as the owner sign 8s the
<br /> contra�tor,th9t may he an indication that he is nat properly fice�sed pnd i�not er�titlad to permltting prlvlleges in PsscO
<br /> COunky.
<br /> TFLhNSPORTATIDN IMPACTfUTIL1T�ES IM�A�T AND RESOURCE RECDVERY FEES: The undersigned wltleret6nds
<br /> tliat Transpo►tatlon lmpard Fees and F�eoouraa Reoovary Feas may appy to the cor�structioa of new 6wld�lgs,d�ange of
<br /> use in e�osstiing buildingq,pr�xpansion arf exlstlng bulldings,as spedtied in Pasca Gounty ardinanca numher 99-Oi and
<br /> 80-07,as amendsd. The undersigned also undetstands,that gUCh leas,as may l�e due,will b�IdenBtied at the Ume oP
<br /> permltl{ng, It Is further underslood that Tr�naporl�tior+Impact Faes and Resauree Recovery Fees must be paid prfor to
<br /> necefving a"aetUficBte of oCcvpBnCy"ar final power release. It tt�e project does not im�olve�Certificgta of occupancy or
<br /> flnal power re�e88e,tne feea must bg paid prior to pertnit Issuance. Furthermqre,�P8800 Cauntlt Watar�Seinrar Impact
<br /> fees E�te due,they must ba pald prlor lo permlt Issuarrce fn accorda�tce with applir�ble Pe6ca County or+dlnanc.�s.
<br /> GONSTRUC710N LtEN LAW(Chapter 778,Florlda StatuMs,as amertded�: N v�fuation of wodc Is�2,500.00 ar mare,I
<br /> Certify thAt 1, th� applicartt, have b�en provlded wi(h a copy of dte 'Fbridfl Cpngbu�tion Lfan Law�iomeowners
<br /> ProteCtion Guide"prepared by the Flo�da�ep�4nent oi Agricultut'e 8nd�on9Urn�r Af(alrs. If th�appticant fs someone
<br /> other than the"ovmer',I cerflfy that I have abtained a copy ot ihe 8pova desCribed doeument and pramise fn good Talth to
<br /> dsliver It to tha°awn��'prlor to commen�nent,
<br /> CONTRACTaR'514WNER'3 AF'Fl[yAV{T: I C¢rrfy thaR all t1�informallan In thls applleadon Is acxurate and that a!I work
<br /> wlll be dona in Compti�riCg with�tl$�licable laws regulaling constraction,xoning and lar�d develapment, App�ce�tion i9
<br /> h�reby mads to ebtain a parmll to do wmtc artd InstallaUon as fndlcated, I cerdfy lhet na wertc ar in�pllatia� has
<br /> commanoad prior to fssuance of a permit and that al)work will b0 partamad to meat atandards of all laws regulating
<br /> oonshuctlon, Courlty and G�ty cad�e,annin� reguledans, end lartd development roguladans In the Jurlsdl�tlon. I also
<br /> o�r�ty thgt I underemnd thst ths regulaUons of othar grnremmsnt agencles may apply to the Intended work,and that i!i9
<br /> my responsihNlry m Idantl(y what ac.�ons 1 must take to be In c�mpllance. Such agendes tnpude but are not timited to:
<br /> - Departrnent ai Envlronmental Protectton�Cypress Hayhe9tla, Welland Ar�¢s and Envlronmentally Sanskiva
<br /> 6ands�WaterNJastew�ater Treatment.
<br /> - Southwest Florida Water Managem�t Distrii�h-Wepe, �ypr6�98 �ayheade, Watland Areab, AI�Derirtg
<br /> Watereaurses.
<br /> - Mny Corps of Engineers-SeBwalls.Docks,Navigabla Waterways-
<br /> - Dep6rtm�nt qf H�81tri & aAnabilita�va S�nricaslEnv}onmantal Naafth Unit-Wells, Wastewet�r Troatrnem,
<br /> Sapt�Tanks.
<br /> - US Envlronmental Pratectlon Agency�Flsbestos abat�nenl
<br /> - Feders�Avi96on Author�ky-Runw�ys,
<br /> I understand tl�at the followfng reetricGona apply to tha us�af f�l:
<br /> - llse of flll Is nat allowed In Flood Zone'V"unless expressly permttted.
<br /> � ff the fill matartal Is to be used in Flood zon� "A, it i6 tmderstood th8t e dreingg� p1�n 8ddrassing a
<br /> 'wmpenmatiting volume"wiii ba 9Upmitted 8�t 6mg of pemi�ting whirh is pnepar�l by a profe�lonsl englnaer
<br /> �icenaetl by tf�e State aF F�tla.
<br /> - If th2 fill mgkeriQl i8 tp be used in Flood Zone'A°in cortngction wiih a pettnittad 6ullding using slem wall '
<br /> cn�tion,I car6fy dtiet flll v�fill ba ueed only to fril the area vuithln tha et8m urall.
<br /> - If fill materisl is to he used in eny area, I certHy d�at use of such RII w111 not advara0ly atfect adjacent
<br /> pno�arUas. If ua0 cf flll ia found eo advatsaly affect adjacant prnperttas,tha owne�rr�y ba dtad for vlolatlng
<br /> the condRlons of tl��bullding pertnk Issued under the attached pem�it appllcatlon,br lots less fhen one(1)
<br /> aare whlch are elevated by BII,an englneered drafnage plan�s�aqufred.
<br /> If I$m the AG�NT FbR 7HE r]WN�tt,l protnige in good i8ith ta infnrm the oumer uF the Permitting condltlong ggt forth in
<br /> thls allldavft prior in commencirtg cortstn�ctlon. 1 understand that a separete petmlt mey 6e requlrod far electrlcal w�rk,
<br /> plumbing,sFgns,wells,pools,alr candltJoning,gas,or other Installations not speefflcally Induded In tfte appll�tlon. A
<br /> � pertnit issued shali be construed to be a lioense ta p�oceed with the w�ic and not as authority to vioiate.c8n�1,alter,or
<br /> 8�t 8gid�gny pta�i9i4ng Cf tF�B b9Chnir�l COdpg,nar ahau iesuance ot a permit prev�t tne BuitdFng+�a�nam tnereafter
<br /> requiNng s cerreCtlan of e►mrs in piane,canswction or vintstinr�of any cades. Every permi�ieaued shsB baccm�invslld
<br /> unless tha work authorized by such permit is comm�nced wdhin aix months of permit iaavance,ar if urorfc auihqri¢ad by
<br /> the permlt Is suspandad or abandoned for a pstlod o4 alx(8)months aRgr the dm�tha wark Is commenoed_ Arr e�ttanalon
<br /> may he roquested,ln wrlting,trom fhe Bullding OtNdal fo�a parlod not lo excaed nlnatyr(90)days and wtll demonslret�
<br /> jus�fiable cause for the extenslon, If work oeases far nfnety(90}con�cuUve days,tha Job is considered a6andon9d_
<br /> WARNtNG TO OWN�R. YOL1R FAII,U��T�R�CORp A NU77L`E OF CCMMEPiCEMEM iNAY RESULT IN YOUR
<br /> PAYINO TVYICE FOR IIIAPR01fE1lIENTS TO YOUR PRAPERTY. IF YOU 1NTEND TO QBTAIN FINANGING,C�ISU�t
<br /> Wl7t1 Y�UR L�T1�ER OR AN ATTORNEY BEFORE RECQR�I#1�YQUR N0T10E dF CO ME CEMENT
<br /> FLORIDA JlJRA1T(F.S.117.03)
<br /> OWNERoftAaENt ----.- - cnN7'RnGTax�Tl IC.� S ��*+��["�`�
<br /> Subaerlbad imd pwmn�o Iar eRlrtnedl befora me thla 3ubevlbed end ewom m(o�1[hntee)eetero ero thls
<br /> _ by
<br /> 1ANY018/ere p�rsw�alb known{v me or he�heve pmduced Whe INero persortey laoxm to me er haulmue pretlueetl
<br /> ax Itlpntiflc9lMn, �""'� ae IdMNflcetlort.
<br /> — - Notrny Publk ��� Notnry PUEIIe
<br /> Camm�elon Nv Cemmtraten Na �J
<br /> Nmneo(IVoterylypetl,ptlntndmMnmpad Nameot ury ypea, 6a�
<br /> """" STACY HOWAAD DAN���1-
<br /> Commis9ian�a037250
<br /> My Comm{sslon Expire9
<br /> Hovem�er 21.2���
<br /> �A��� .
<br />
|