|
1
<br /> , �: - '���
<br /> • M A :n�
<br /> �_E;..•.;."�.
<br /> NC?TICE QF QEEQ RES"�RICTIt?NS: The ut�derslgned.:ander:�tanads�:ttt�t�#l�ls���rrnit�:m,ay�b�►sub�ect���:�deed_„resU�Ectlor�,'s. . _ w. .
<br /> which mayrbearoiare°ri�st��ctl�e�tliac�'�Coui�ty�regalaflon�:�Ttie`�under�igne,d�'`�ssuines=°responalblilty�`for"compliarice witiii'any�� `�
<br /> appAcable deed restrictlons. ;W : :�.� _ . �. �:. . _ ,
<br /> UNE.tCENSFD=�CONTItACTt��S�AN� GON�RAC'�fJR•RESPONSI81Ci`I'��5: -°�€=�e�-awner has~'hlred•-`�`;contirKc#or or
<br /> contractors to undertake work, ttiey may.bfe;required_�to.be��lcenaed�in:.a�c�ordance.wlth.state�.and�local,:,r+�gulatlons:.��Fif�the����= � °�
<br /> . �..::.. ...... :�.-
<br /> contractor Is-not�llcensed�-as'�requi�ed,`tiy faiiv,.:both��the owner ariii�+i�nt�ai�tcT-�•may�l��°clted'far��°�i�lgdemeanor u1ol�flon
<br /> under state law. if the owner or intended;,ccntr;actvr;�ace.,uncertaln as to wrha�Iicen�ir�g.requirements:�mey-s��aplyr,for}the�w •� E�
<br /> intended wiork�they are adviseil to coritac#t1ie.Pasco County Bu1liding�lnspi�ctCon#DCv�slo�ir-t:icensing Seotion et 727-847-
<br /> 8009. Fur#hermore� if the awner t�as'htred�a coiiti�ecfar ot= contractors. Fie ts advised ta have�the cantractcr{s};ds19n .
<br /> �,.��.e5 ,' �.ti i �. �: ,.y.
<br /> portlans of the�"contrector 81ock° of tMie,�applicatlon.:fo.r.:whioh.they v�rlll..b�_�r.esp.onslble.-.,�If�yau;>as�:the.owriier'�ign�"as�t�e''' �-� �
<br /> contraator; that�r»ay°be an indfc�tlon that'tie�is not':�rvperly licensec!ant�'Is�riot eri�#teii to pemil�ing pririlleges in Pasco
<br /> Couniy. . .�:;��:;. �f .
<br /> TRANSPORTAT10N=1MPACTIUTIL{TIES�rMP/kC`C AN�?�RES�OURCE RECOVERY�FEES;��'he underslgnea unders#ands
<br /> that Transpar#ation lmpact�ees�and.Reco.ucse.Recovery.Fees rriay�:aPPty��fo:the_construc#ton,of new_bu�dings��chan�e��af°;,�-.` �:� ;4
<br /> use In existing buiidings, or.�expar�sldrr�of��eiiiaN�%g�:bulldtngs, as specified.In Pasco Caunly O�dinance number 89-0? and
<br /> 9o-OT, as amended,,_Th�und,ecsi�ned also=u�derstands; tliat:-snch fees;y�s��may�#�e•�dr�e;:�nrlil��be IdentiRed st the�timi�`a#�'° -.�� „
<br /> permitting. it Is further understood that Tra�§p'artatian impact'"Fees and��esou�ae:;Reco�sry�Fees��mus#be paid prlar to
<br /> recetving_a.'cerElflcate=af ocaupanay'"-orflnaF;pcwer;�eleass: :I�Ehe.proJ�ct.does�.r�ot I�vofve<a�certlficate of occupancy�orr::":-'.; `
<br /> flnet power.�release;.�the=:fees mt��t i�e-patd,pr�or to,per,mit Iss4�ance. F��#hermare,-�Pascea;�County�:VNaterl5ewer.,�;impact - :
<br /> .,,
<br /> fees are due,_.lhey�;musk.be;pald:,p�lorto.p..ermit�IssU�nca::in.accorrlance witt"r.�appltcatile:Pasco=�County�o'r`dinances. •
<br /> GQNSTRUCTICIN�C1EN'�.AVIt(Glieptet 713� �lort��Statt�tea,as am��de�: i�v$tuatlon of work!s$2�50Q.O�;ar more,.:l�- . _ .,
<br /> cer#ify that I, �he applicant,�ha�e.:been :proqided��with•a-copy�of;the �"Flor(da-��onstnictton� Llen.:Law—Hameowne�'s
<br /> Protectton Gulde" prepared by tt�e Floi�da Qep�rfine�t of Agrlculture and Consumer:AfFalrs. if the appt{cant is sameone< <
<br /> other than#he"ovmer*, i aertiify.that„I;h�ve,Qbtalned`a�c'oPY:otthe:abava,de�c�t��e:d`doair�ent�and.,p,romise:ln;g�od;;faith.to .
<br /> deliver it to.the:"awner."-'p�ior'-to�coinrr�encemetits�` � � � .. �
<br /> CQNTRACTQR'SIOWNER'S AFfIDAVIT: i.ce�ty:;t�aat,.�11..the,inf�rmation.:f�•thta applicetton i�accurate end that all work
<br /> will'be done in campliance with all.app8cable laws regulating constructlan, zoning and:�land�development. Applicatian is
<br /> hereby made ta obtaln.a.pecmit;,#o_cfo.�wof,ky.and=lhstallatton as Indl�eted�;..�l.�c�Ftify #h�# no work�or tnstattat�oi� t�as
<br /> cammencad p�tar to issuance of"a p�rmiE and that�.ali work wlll be perFormed�to. meet standerds•of all laws �egula�ing�
<br /> construction, Caunty and Clty codes� zoNng regulatians� and land developmertt r.egulaUons�ln the Jisclsdtction:� i•ai'so
<br /> cettify tha# 1 uc�dersfend#hat the regulatlons of othet�gavemment agencies may•appiy�ta the intended wark� and that it is
<br /> my responsibility to Identify•what.actlons I must-take:to,bedn:.c�anlplla�ce._S.uch.agencles include but�are.not Omfked ta:
<br /> - Department af E�viranmen#ai�Prot�ction=Cypr''ees.�Bayheads�; �ile�and Areas and Envtronmentally Sensitive
<br /> Lands,WetedWastewater Treatment. �
<br /> ��-
<br /> - Sauthwrest Florlda Water Managemenk .:Dfstrlct 1Nells; Gyptess. 8ay�teads;� Wettand' Areas, Alter�ng
<br /> Waterc:ourses. , � .
<br /> - Army Corps of Englneers�Seawalls, Docks,Navl�atile Waterways.
<br /> - Dep��tment of..Healt�;.".&: Ret�abllttafiv.e.:ServtceslErnr�ic�nmea#�1-F�+aatth Unit We1ts, W�stewater�Tregtment,
<br /> Septic Tanks:. �
<br /> - US Envlronmental Protectfon Agency-Asbeatos aba#eme.n#.
<br /> Federat AvlatCon_Auihority;:RurCways.�
<br /> I understand that the:foMlowang..rest�lotlons apply'to the use of flU:•
<br /> � Use o#iiil is not aliawed 1n;Floods�one"V"unless expressly pert�lf#ed.
<br /> - if the fill material is M b.e used:`In.�Flood Zone. "A", It. is unders�aod that a drainage plan addresstng a
<br /> "campe�tsating volume"will be submitted at#ime of�pecfitftlr�g�vhlch �s preFered by a proiessfanal englneer
<br /> Hcensed by�#he�tate of��ioNda: , -
<br /> - .If ih� flll materlal�.is'to .be�used in Flood Zone "A° !n�connec#lon�with-a �ermttted bullding using stem wait
<br /> canstnuctian� 1 c:�rtifiy tha#fill:�lt:b.e used onty.to�itl the area wi�in:the�s#em�va1i. �
<br /> - If flll material Is tb be used in .any area� I �certify that .use. �f�such flll will �ot adversely affect adJacent,
<br /> propertles. if use of flH fs foynd�.to advers�ly.a#fect adjaE�rat�prr�per#ies�.the owner may be clted for�rioCating,
<br /> the cond�lons_of the b�ifdtng�;permit Is"sued�under tha'at�ached.�ermit epppcatlon��far:lots�less than:one (1)
<br /> acre which are elevated�tiy f1!!,��englnser�ed dralnag�plan!s requlred.
<br /> tf i am the:AGENT.FOR THE:�Yl�NER; 1,�titiim�se In good fai#h#o inform�the awner ofi#he pennitting condltlons set for#h in
<br /> this affidavtt prlor to commeracing construcHon. t understand thet�a�separaQe�permlt may be required for electrlcaP wark.
<br /> plumbing� signs� wetts,,poals,,atr condlttoning�_.gas,-vor ot1�e� !ns#�II�tlons nat,spec�l�alty included�In.#he�applicatian. .A -
<br /> permit Issued shatl be canstrued to�i'e`a°itcense'to��proceed wlth tlie rwork end not�as:s�uthorily:to,vlolate��cancel, alter, or
<br /> set aside any provlslons of the.technical-,code�; nor shall Issuance�af a.permlt.pr.event the Bulldlrig.Q#�1cla!fr_um thereafter �
<br /> requ#ring a carrection of errors-in�•plens;-i�nshuction.or.vtatatlons of-any codes. �arery.�p�ermit-iss�ed stiatl�become invalid
<br /> unlesa the work a�uthorized.by such permlt:�s.coranmenced•wlthln sGc,,m�nths of�pennit Issuance. or (f work autho�ized by
<br /> 4he permit�is suspended or:s6ar�do�ed�f,or.a-;perlod,o�=si���8)'rt�onf�is�eftet th�tinte�the�wa�tc��s carrimenced. An extension
<br /> may be requested� in wciting,:_from thie.�BuUding.Officlal for a peNod.�not.to exceiad`�ninety{90)�days and-will demonstrate
<br /> �ustl�able cause for.�the extensioni If work cease�:lor ninety.t9Q}cons.ecutive�day.�,..the job�ts.consldered aba�doned.
<br /> WARNING TO C�YYNER; YO,UR..�AiI.IJRE=-TQa:R�E,C.�IttQ,A,MOTICE:O�:•COMMEMGFMEI�tT�.MAY:RESULT-IN�`YOUR
<br /> PAYING'iW10E;,i�OR=tMRRaVEMEN.'�'S•T��Y�}�1�P��ERTY:=�I�=:YO.U;I��Dt'�Q���B��A1N�FINAt�E�NG;°CtiNSUlT
<br /> WIT A TT�1 . Ex�, Q=� �9U .t £.°,."' , -
<br /> , . .
<br /> FLORIDA JURA�:(F.�1_�.03 .. : <�::: .. -_ :.. �:,�.. ..._ . ....::...... .. .... ..
<br /> , :
<br /> . . . �..
<br /> _ _ -- -- �---�--_._ _ _- • ---- _.._—______.. � �
<br /> OWNER OR AQEIST"` CdPI'i'RAGTQ �_ — �(CCl�- -— - - ---
<br /> subscrided and awam r eflinned)be ore me thla 'bsaibed'and' (o�'afflrmedj'b�hita tne�ftit�
<br /> — J�'1�5 �.f'� ` G;,-.
<br /> Wf�o Is/�re er�onally known. me or haafiave producad Who.ls/are onally kno. 'tn:me�oc haalhave�produced •
<br /> ae Id"entl8�stlpri. as ldentlHcaRlan.
<br /> �('�r�� ��- NoCaty Pub1tC . Natary Pubttc
<br /> � .
<br /> Commlaslon No:` Comr�bsslon No.
<br /> "'iri�"" SYLVIAA.CAMPBELL
<br /> Name a/Notary typed, 11t p�d A.CAMPBELL Name of Nolery typed, g i�p ary u ic-State of Florida
<br /> ;�'*" .c�; Notary Public-State of Fiorida _•s Commisslon#GG i 12939
<br /> _`+ •` tommission S GG i i 293g ';"q,� �,';' My tomm,Expires 1u)19,2021
<br /> -;y,F+ ��oY; MyComm.EzpiresJu119,2021 �°;F`��, Uondedlhr�uyhNallonnlNotaryA�sa�
<br /> � �''��F���" 8ondedth�oU hNalionalNotatyAssn.
<br />
|