|
. , � ,
<br /> NO'f�CE�F DE�t�62ES"PRI��'�A�9�: Th�uo�de�slgn�t�ttndec�ta�ds�=�h�t.#hi�;pet;mit.�nay.b�,sub)e+ct:tca"deed"r�str#cQisin�° ._ '_ i
<br /> .,..
<br /> which majr-be:more.rest�ictive=t0�afn County'regul�tCons: '7he°:u�decsigned��as'sumes°�esponsibiltty'for`cc�rriiplian�e witli any'
<br /> : ;�.
<br /> appllcable deed-teshlct�ons. � _ . -
<br /> UiVL1GEIVS�D GUNTRACTOR� .AN� Ct�►NTRACTOR RESPONSIBI[�iTtES: -If the owner`has°�hlr�d �a -conhactor or
<br /> contrac4ors to undertake v�ork� they may b.e�.r,�qu;tred.;to.be,licensed In accardance.with�#ate.and•la�cal_regulatians. :If the � �
<br /> contractor is not�ll�en�ed as requlcetlAtiy law, tiatt� tt,e owi,eP ana-.co�s�actor�m�y be°�ctted foa��a�misdenneanor violation
<br /> under state law, if the aawner or Interoded;rcontra�tor,are,:unc��taln as to e+�hat Ilcenstng.requirements.�may���apply`:�foc.the
<br /> intended v+io�ic,they afe advised 4o co�tact the�Pasco�out�#�y���lilfng'.lrtspection�Ivislon--�icensfrig�Se�##on at 72�-847-
<br /> 800�. Furthermare, (f the owner has hired a cont�actor or conQracto'rs, �he is advl�e�d to have the contractar(s)„slgn
<br /> portians of the "contractor Block" of thts_applica#ion_for,whlch.they will be xes�onslble.• t�you�-as;fhe owner�s(gnLLas ttie �
<br /> contractor, that rnay�6e an Indlcation that°lie°is nat':praperly licerised an��is not entit�ed ta permitting priiiiteges in Pasca
<br /> Coumty. ' . � ' ' �
<br /> TR�NS�QRTATtK}N-�MP�CTtl1TILITIES�IMIRI�G'T AN�t�E�l�U�t�l�RE�sVERY FEES: T�te unde�siga�ed-understand�
<br /> that Transpartation impact fees and.Ftecaurse Recov�cy,Fees m`ay,��apply•4o�the;constructlon,of new buildtngs,�ahange�of"�� �� -
<br /> use In existing bulidings, or�expar�slcin�f of��existi�g.�bullditigs, �s specffted.in P,�sco County �rdlnanc� numbee 89-07 and
<br /> 90-07, as �mended...,�he undecsigned aiso:wnderstand�; ttiat�suc�fees,;as��nay:be:due;�will�:6e.iden#ified at fhe�time�af= .
<br /> permitting. It Is fu'rtFier understood that Tra�nsporQation Impaot Fees and Resource Reco�e'jr�Fees.mus# be paid prbr to
<br /> recelving a°ce�#�icate.of occupancy"ar flnaF pawer;�etease: :1�'�the.pro]�ct�.d�es.not involve>a��ert�i��e of occupancy ot'-��-
<br /> final power release; the�#ees mu�t be pattl;p�lor to,perrre�# Issu�nce. Fu�thermore;�if:Pasco�.C.ounty 11Vater/Sewer�lmpact �
<br /> �ees are due,.they t�ust.be=Paid:prlor t�a perrnit_;issuana�=ln_accordance rn�itli apP!#cable:Pasc��.County�ortlinances. - ,
<br /> CON�TRt1CTi�N"LI@N't.A�(Cti�pter 7�3� �ior��la����u����as aer�enc��d}; If valuation of'dvork is$2,5Q0.00 ar more,.1- �
<br /> certify that I, the._applic�nt;. have-been provided �with-�a copy- of the• "FMoeida� Constsuctton Uen :Lav�—Horneowner's
<br /> Protectian Gu#de" prepared by�the F�n�ida Depa�ment of Agrtc�lture and Cansam�r�AfFairs. If the applicant is somemne �,,
<br /> other than th�"owr�er", I certify�.that(.have,ob.t�ined�a�ci,ipy.of..the:above.:�fe�s.cribed docui�i�ent;and.p.ro.mise.in;good'�fai#h to �
<br /> 1�@I�Y@f IS t0 tI1@:�OW118["p'.�}�OF`��cor��nenceiri�nt:'� � , �
<br /> C�NTRAG'POR'�lOVVNER'S AF�IDAViT: i.cert,Ity:�:that,ail�the�Inf.ormation�Mn�thi.� appll��tion is accurate and that all�uork
<br /> will'be done in camplianc� with al! applicable�laws regt�lating construction. zoning and•land�devetopment. Appllcat#an is
<br /> �ereby made ta obfaln .a.permit.,to .do. _work�;,and ins#atl�tioro as indi�aied:...•�t certi�,i that no work=°or instaliation has
<br /> commenced prior to issuance of a perm(k"and that.all avork will be pertorm�d to meet standards of aU laws regulating-
<br /> constrvction, Gounty and CI#y codes, zonir�g regula#ia�ns, and land devaiopment r.egulatlons�in the �urlsdtctlon. I:al'so
<br /> certify that I understand that the regulations of other gavernm�rot agencies m�y apply ta the.Ontended �rark, and that I# is
<br /> my responslb311ty#o ldentify�what.actions 1 must take:ta be<fn,.com#Ilance:_ S.uch:.agencie��lr��lude buf��re.�tot limited t�:
<br /> - Depa"rtment of E�lviranment�t>�Profecfion=Cypress.`8ayh�ads, 1Netland Areas and Environmentally Sensitive
<br /> Lands,lNatedWas#ewater Treatment.
<br /> - Southwest Ftorlda Water Mar�agement' C?istrict Wells, Cypress.'�Bayheads; Wetland' Areas, Attering
<br /> Watercaurses. � , �
<br /> - Army Cc�rps a#Enginee�s�Seawaifsw D�cks, NavlgaRile Wate�atrays.
<br /> - Deparkment of Heaith;:,&,Ret�abllitatid.e,Services/Er�vironrrqental- Mealth Uhit Well.s, Wastewtater Treatm�nt,
<br /> Septic Tanks.�` ._ � :
<br /> - US Environmentai Protec#ian AgencyAsbestos abatement.
<br /> - Federal Avlatton:Authority-Runw�ys.
<br /> i ur�derstand#ha�the.follziwtng::res#r#cti�ons appiy t�the use of flll:�
<br /> - Use of fill Is not allowed in iFlood;Zone"Vp unless expressly perrr�itted.
<br /> - If the .flll in�te�lal-Is t� b,e used.'!n :Flood �on�. �A", It. is understood that � drainage plan addressing a
<br /> "compensating vaiume"wiit be �ubmitt�d �t time af�permittfig which is prep�red by a pr�f�ssionai engineer
<br /> Iicensed by#he�tate of�Mo�ida: -
<br /> - 1f the filll ma#erial is to-be�used 1n Fl��d ��ne °A° in�conn�c�ion�wl#h����ermltted buildi�g using stem wail
<br /> ' construction, !certify tha�fili�:v��ll.b.e used only�to.fili the area uvithin the�stem�wali:
<br /> - If fi}I �aterla! ts�to be used in any are�, ( certl�t �hat .use af'such�fftl wiii nat ad�ersety af�ect adjacent
<br /> properties. tf use af fili is fo�nd to adversety:�ffect adjacent�pmperties,.the� owoter noay be ci#ed for viola4ing
<br /> ti
<br /> the condltions of the buil�ing.permit I�sued under the �t�ached�ermlt app!(catlon, for:lots�.less than.one (1)
<br /> acr$whlch are elevated�by fllE;aR englnesrsd dralnag�plan Is required. •
<br /> If I am the AGENT FOR"PFIE�IAIiVER, I�{�romi�e In good falth to fnform the owner of the perm(tting cond�#ions set forth In
<br /> this atfidavit`prior ta comm�ncfng conatructian. �1 understand that a<separate pet►nEt may be r�qulred for e1e:�tricat work,
<br /> �.....�-.
<br /> plumbing,_signs, wells,„pools;, air conditioning,.g�,s, or athec instali�tlons not�speciflcatly inciuded-ln tMe apptication. �A
<br /> perm0t issued shail be construed to be�a�Itcense�to�proceed with the work enil not-as:authoHty to..vlolate,�cancel� �Iter, ar
<br /> se#aside sny provisfahs of t1i�techcilca#.codes;�nor shall ls�uance}�f a.p�rmCt.peevent fh�e Bulidirig C1#iici�l frorr�th�re�fter
<br /> requirtng a carrection af eRors.:in~plans; constructian or violations of-any codes. Every p'erm(t Issued'sliail�6ecome invalid
<br /> unless the �rortc authorized_by such permit:�is-commenced�wtfhin sf� months af permit I�suance3 or If vrr�tk authorfzed by
<br /> 4he permlt is suspended�.or.abandoned�for a;period;of:�sbc(8)�mnntti�.efter the time the work�is commenced. An extenslon
<br /> may ba requested, !n writing, firam the'Bulldtng,Official for� pertod-n�t to exc�ed�nin�ty�(90) days a�d�wlll demonstrake
<br /> ��asti##�ble c�use for:the extensiot�. if work c�aseS.fmr ninety.{90)cons.ecutive day�,..the)ob�is.considered ab�ndoned.
<br /> iMARNtN� Tt} �WPI�R; YOUI�..�AIUIRE T{l.,R�GO�D. .A.�NOTIG� OF�CAMME�tCEMENT-MAY �ESt��T IN Y4UR
<br /> P'AYIMG TINICE:FOR=1MPitOV�MENTS�T�..YOUR:PRCIPERTY.•��IF°YA.EI�IN�END'T���S�T�IIN��FIIV�wE1NG;�CC#NSU�.T
<br /> WITN�fOUF�L6ND�RRi„4R AN��►TFORNEY$fFA..�tE�R�OR�ING�YQUF�'Rfi9Ti��'O�`�[�M11�d��iC��d�T' __ _ _ _._
<br /> F�.t�Ri�A JtlFili'i'-{F.S:1.17.03} � . ... . . _
<br /> OWNER+�R AOEN� CQNTl�ACTCIR .
<br /> Subscribed and swom M(ar aflirmed}betore rne 9his Subscr3bed and'swom to{at aflfrmedpbefdrs'me ttii�
<br /> by - �by -
<br /> '�Itio Is/are personally knavm to.me or ha�/have praduced Who.is/are p.etsonatty knav+m tcr me or he�thave�produced •
<br /> as Iden�flc�8cin. as identlfication.
<br /> Notery Public . Notary Publlc
<br /> Cammiss4on�Uo: Comnnisslon.No,
<br /> Name of Notary typed,Pttnted or starr�ped Name of Notary typed,p�tnted or stemped
<br />
|