_�
<br /> � �.
<br /> �
<br /> i
<br /> . t
<br /> , ' *.,._ .. ...,:-
<br /> N+D'�ICE�P DEED RESTRiCT'IC��IS: The undesslgned,under�tands.�,th�tfthl��.p��nit;maybe,sub}ect.ta.;°deed"restrlctions"..._.., , .,,,h !
<br /> which may-be=more.�restfictive:-th�n Courttys�reg�iat�on's:"The piidersigried a�siamea=�esprinsibility fo�compiiance�with-any� ` " ��
<br /> appllcable deed res!`rlcttons: .>.-.ye. .... . . - �_ ., .. _. �� . .��
<br /> UNl.tCENSED�CONTRACT�RS�AND CONTRACTOR RESPC�N31t3tL1T1ES: -�If�tiie-awner has��hlre d��a�'c�n#cactor or
<br /> cantractors to undertake work, they may.be;r,equ�ir:e.d;_tc.�be�licensed In accordance;with.state�.and�local,_regulatlons:-1f°�#he�= = � '-
<br /> contractor Is not lice�nsei!`as=requlred"6y law*.:bd#h the bwt�er and�conV�cto�°rnay be clted°for.a,misileineanor violation
<br /> under state law. If the owner ar Intended�,c±ontractar;ar��uncertaln as M wliaf ilcensing.requtrements�`may�appiy::ior�the- �� °�s``�
<br /> :
<br /> ._.._�i - ,. ...,,... ...
<br /> (nten�ed work,ttiey are`advlsed`to`�ontactYt!%e'Pasco County_Buliding,inspe_ction,Divislon--Llcensing Section at 7ZT-8 7-
<br /> 8009. FurtFietmore, if the owner'fias`'tilred`a ccin�r�ctirr�or contractcsts, Fie Is advised to have�the contraatar{s},,s3gn., ,.
<br /> . _...,,.,. - ;,..
<br /> portions of the "contractar„81ock".o.f.thls application..for.,which..the w10 be,_s;esp.onsible. �If.=you, as#he owner.;sign��'as the��
<br /> contraator, Ehat�rrtay.6e an indicatlon that'he=is not.propetiy�iic+�nsed'and�Es�e�ot entit�etl to permitting priu3leges tn Pasco-
<br /> Caunty. ,. . i , ;.:..,r..<_� �
<br /> T�ANSPARTATION..IMPiQ1CT/UTII:It�ES�(N�PAC'��AP1C1 I�ESOU�tCE RECOdERY�FEES: The unde�signed understands
<br /> thatTransportation Impac#Fees and.Reco.urse Reaove.rywFees.m'sy;s�pp�r��ta�the;,constructton af new.buildings,.change'`of`�° '` � ';H
<br /> use in existing buildings, or��expansi�n�of existin,g:`a�uildings,as speclfled.in Pasco County Ordinance number 89-07 and
<br /> 90-07. as amer►ded.;'�he undecsigned alsa�u�iderstands; that'�such fees,•<as may_��e��dae,::wlll:�6e identlfled at the,:tlme��of-`'� ��. �
<br /> permitting. It is fu'rttier understaod that Trat�sp'ortation Impacf Fees and'�R�source Recovery�Fees,.mii'st be patd prio� to
<br /> �ace�ving-a"ce�E�tcate=of��occ�p�ncy"orflnal•-pawer�.r,elease, ':!f`Elie praJ�ct�does;�tot.lnvolve<a�;cert�t+c�te o�'occupancy��a"ry°='.�.",:< <
<br /> flnal power_release; the-fees mu�t ti� paid.pclor to,.pecmi# issuance. Fu�t�iermore;��if:Pasco.CauntyNWatar!$ewer��lmpact �- . - �
<br /> fees are due,,they:.musk.be.;pald-.prlor�o.permlt�}Isst�ance�ln_accordance with�>�rppllcabie:Pasco'�County�ordlnances. •
<br /> �ONSTRUCTION�t:IEN�l.A�VV'(Cfiept+�r 715.F��r�da��atttte���s amena�a�c!}: If v�il�aatl�n�#work is$2�500.00;or=more,,!� .,
<br /> cerlify that I,-�he �applicant; have-been .provided �with-a=copy- of the�"�lorida� Constriuction: Lien:.Lavw-Homeowner`s
<br /> P�otectlon Gutde" prepa�ed by'ttie Flo�ida D.epa�tmenf of Agrlculture and Consumer:-Affaics. If the app[{cant ts somepne .
<br /> ather than the"owner", I certify�;that:,I h�ve.obtained�a=copy.of..the,;aba�ve:.rlescrlbed�docur�ent;and.p.r.amise�.tn,good:;faith to. .
<br /> delivet tt to:the,`owrie�';pi:9or='to�commencemerit:, :. ,- , .. ,,-,:r ���� _ i .
<br /> CONTRACTOR'SlC1WNER'S AFF!!?AVlT: 1 ce�tity��:fhat>aH;;the�,Informati�R�,ii�-th1�applfcatlan is accurate.and fhat ell wark
<br /> will'be done in compliance with all applicabie laws regulating construction,�zoning and:�land°development. Application, is
<br /> hereby made ta obtain..a perm�t�,to:do-work:.,and a:lnstaElatlon as IndEc.�tetl:•�.:-# certifji fhat no wark�or Instaliation has`
<br /> commenced p�lor ta Issuance of a permif`and thafi.all�work will be performed�to mee# standards�of all laws �egufa�ing-
<br /> construction, County and City codes, zoning cegulatiQns, and land develapmertt regulatlons�tn the jurtsdtction. l al'so-
<br /> certify that I understand that the regulatlons of other�govemment agencies may�apply�to#he intended wotk, and that it is
<br /> my responsibility to ldentify.what.actEor�s 1 must.take:to be;in;.corripllancs;.,S.uch.agencles�lnclude but��are.nat Iimited.to:. �
<br /> - Department of E�vironmental=�Protectiati=Cyptess.'8ayhead��`i e�and Ar�as and EnvEronmentafly Sensitive
<br /> l�ands,Water/91Vastewater Treatment.
<br /> - S41ftF1W&St Ftor�da Water Management-`:�?is#r1ct:We!!s; `Cypress.�"Bay_#�eads; Wetland Arees, Alte�ing
<br /> Vllatercourses. � '
<br /> - Army Cn�ps of Engineers=Seawalls;`Docks, Navigable Waterways.
<br /> - Department,of_Heal#,h;:;8.aRehabllltative..ServiceslEnviranmental�Heai#h Unit Well.s��Wastewater�Trea#ment, �
<br /> S'sptloTank`s..�'-°. �. .. "' . .__ - :
<br /> - US Env�ronmentai Pr�t��tion Agency-Asbes#os abatem,e.nt... �
<br /> Federal.Aviatton�Authorfty=Runways.� � � ` . _
<br /> 1 undetstand that.the followt�ig:��eslrlctlons apply to the use of.fllir i
<br /> - Use of fill is not aHawed in:Ftood,Zope"V"unless expressly permitted.
<br /> - if the.:fill mate�lal�'is ta b.e used:`ln �Flood Zone. "A"� Ik. Is untlerstoad that�a drainage plan addressing a
<br /> "compe�tsating volume"w�N bs subr�ltted a#t�me af.perm!#ting�wiilch Is prepared by a professional engineer
<br /> -iieen3ed by#t�e_5ts�e°qf�FM6rida. - _ .v_ ___.__ _._ - -.� ._� -. - -- -— - , —_. _ - - _
<br /> - !f th� f9{I materlaf_!s to be used in Flood �bne `A" tn�cannectian�w1Eh�a��ermitted bnfiding as(ng stem wa!!
<br /> cansiruction, t certify:#hat fili.watl.b.e used onty.to fiifi the a�ea�within�the�stern-wali:
<br /> - If flll material is�to be used`in any area;�l"`certity that .use. bf`such flll will not adversely affect adjacent
<br /> properties. if use oi fill is tor�nd�to adve�se4y.:�fect ad�a�ecet�pte�pe�ties..the owner may be cf�ed far vialattng
<br /> the condFiions of the building:perniit is'sued�under tFie attached_�ermit application,.foc..lats�less�than.one (1)
<br /> aare whlah are eievated�tiy f�11;a�t engineered dralnage plan is rec}uired, �
<br /> If I am the AGENT�OR-THE-OYMNER; I;�promise tn good faith#o infarm the�owner of�the.permltting condft�ans set forth in
<br /> thls affidavlt'prior to comine�acing construction. I und.erstand thafi a.separate pettnit may be required for electriaaf wark, .
<br /> plumbing,_signs, wells,.poots,. atr canditloning,�.gas,.,or�atFter irtstalt�tioiis naE,spec�#Ic�tl#,y inciuded�in.fhe appltcation. .A
<br /> permit Issued shall be const�ued to�6e��a'1lcense to proceed wikt�"'tNe'work.and�not�as�authoHty:to:vlolate;,cancel, alter, or ,
<br /> set aside any provislons c�f the tectinlcat,c,�des; nor shall issuance�af a.pecmlt.pr.eve�the Bulldirig Officla!firom the�ea�ter
<br /> requiring a correctlan af enors in;pians; cons#iuctton or vtolattons of-any�codes: Every=�piarmtt�tssued shail become•invalid
<br /> unlsss the work sutt�or(zed.by such pe�mit�{s-commenced�withln sfic;mor�ths of pennit issuanae, or if work authortzed by
<br /> #he permit fs suspended or:abandoned•for:a;period ofis�C.,f 6}moritiis:afteF;the#ime the�wark�is comm�nced. An e�ctensian
<br /> may be requested�,in writing;-from.the�Bullding,Official for a period-.nnt�.to�exceed=ninety�(90) days and-will'denianstrate
<br /> justi�able cause for:the e�ensiot� If work-cea�+ss:for nlnety.�90}cons.exccutive�d�y.�,..th`�ab�Ps considered aba�do�e�.
<br /> .. ;j,� .
<br /> UVARNING TQ OWNER: YOUR_�AlLURE,T�}.=R�E�O#tD.A::,Mt?TIGE,OF.��COMMENGEMEPtT�.MAY RESULT IN�YOUR
<br /> PAYING TWiCE;FOR iMPROVEMEi!t'i`S:T�,YOUi�:PRDPER�TY:`�tF°Y�.U�I�V'�EWD:Tf���'JBTAIN�FiNi�t�1E1NG;�G.C�NgU1.T
<br /> ---
<br /> IT U D O AN� O N FC�. ��. _OR� G:� pV :� ;'� :°a :' `,.• E - , .
<br /> F�a�tox,�uw►�r.��.s:��=.ost_ - _ _ _ ,..._ _,.� �u_ ._,, . . .._ �.,_. . ._ - - _ - _ n_ _ - - -
<br /> ���- __���.- , - - - .
<br /> ClWtd�R OR AOENT � � �'�'� CON7'FtACTO �i L
<br /> 5 bscxlb and sw�o�rt�o,ar af� ed)b re mp�thls Su s ed'snd'sv+,��}� {gt filrm �befot�s'm�'ttii� !�
<br /> '��aY;X..1, �.r j�� /(1Jn�I�Q�� � �/7 ...byl�.-� ( �,�t`� � � -�I'�l
<br /> �Is/ar/�personally knovm to.me.or_has/have produced , Who.�/ate p.erson�wn td me or hes/have�produced
<br /> ,Q�L,J2��r�:�� as Idaritl���pn. J�-�'�� ! as tdenBflcaUon,
<br /> � �
<br /> 1`�' Notery Publtc _ � �'� Notary Pub11c,
<br /> Go mi Ro _o: � Co sio o, .) .
<br /> ;�,*�:.euo.�: E B06ES � ,,,��„
<br /> � :•: :+•= Commission#FF 1504 ::���4`''��yg';•., �ACQUELINE BOG
<br /> tVame of IYofary '�r ti4p cember 92,2098. Name ot Natsry :: ecl� n FF 150422
<br /> '.vd�;°,.`� 8andadih�uTroyFvnMsurance8W385�76f9 �%++. �°; xp�res December 12,2Q�8
<br /> �R�„f��` BondadThrutroyFainlnsurance80p.385�7018
<br /> I
<br /> � I
<br />
|