. - . }
<br /> ti
<br /> � �
<br /> ,':1:
<br /> NOTtCE OF DEED RESTRiCT10NS: Ttie u�nderslgciect,under�tands:^ttt�t,#hls:.p�rml��may be:subjecf.to:�deed"�resUlctioiis�` � _.. -Y
<br /> which majrkie�m�ore��res#�ictive�th��Gounty'�reg�lat(ons:'���=The undecsigned"assuriri�s-'responsitiilttji'for�corinpliarice with any �
<br /> app4lcable deed=restrio#ions. :. • _�. _ . , , ... . . . .,
<br /> UNLICENSED• CONTRACTORS .AND CONTRACTOiB RESPONSIBiLiTI�S: -°#f=the��ouvner°has°�hireii��a contractar or
<br /> contraators to undertake work�they r�tay.be.;�requl,re,d.to.;be;licensed.in_accardance.with s#ate.anddocal regulattons:�If�the�� -
<br /> contractor is not'ticensed-as��reqrsired`,-6y law, bo#irthe ov�mer.a��=contraator mayr'��be=�ctted for�a�misdemeanor viotaHon
<br /> under state law. ff the awner ar Intended�,conhactor;;are,;uncertain as to what Itcensing.requlre�nents�mey��apply�:�for•�tFie�• � "
<br /> fntended wcirk,tFiey are advlseii fo cairi#act tliaPasca Countyr_Builiiliig'inspection�Dhilslon--l:Icensing Sea#lan at 727-847-
<br /> 8009. Furttiermore, if the owrier Nas hined a c�onf�actor�or contraotors, he is adv(sed to have the contractat(s),sign, .
<br /> portlons of the:"co�tractor Block° of thls_appilcatton..fo.r..which.they,will..be..r:es�.onslble:- lfryou,��asFrlhe owner'slgn'��a's'=the�' ;� '
<br /> � ,�...,....:._�..,
<br /> co�tractar; #hat�may be an indication that�1ie=is not:properly iicensed'arii3''Is'iiot erif�led tb pei�inittl'ng pcivlleges in Pasca
<br /> County. ' . . ; �;�:,;�<.�..,:. � �
<br /> TRAN3P.ORTA�'1fJN�iMPACTIUTILI?i'IES=IMPAG'�/0.N6 REgQURCE RECOVERYfEES;�T�e undetslgtied-ut�detsfands ,
<br /> that Transpartation Impact Fees and.Recouree Recovery.Fees msy;apply�;#o�the,!constnuction.of new,buildings,jchange��of'=��'�'=`�� �`"-
<br /> use in ex9sting bulldings, or��expattsitin�fof=texlsti�i�?i�u!ldings; as speclfled.ln P�sc+� County C?r'tlfnance number 89-07 and.,
<br /> SO-OT, as amended....:The underslgned also;�understands, that such fe,es;�;as�mej�:6�=,due;aw,ili�be identified at#heytime°`of='� ��•�� �'
<br /> permitting. it Is fu"r'tfier understood that Transp�ortation Impact�Fees and'�Resou�ce.�Recove•'ry'rFees,mus#be pald prior to
<br /> recelving s"ce�ficate=ot�-occupancy"�ar�flnal��.pavuer;�ele�se:��:If`tt;te.projec#;,.does�.tio��lnrrolve:a�certificate of occupanicy-of=�';�;. ��:' ,
<br /> .
<br /> final powec release,��the;fees mu�t�6ie patd'':prtor#a:;pecmit issuance, Ft��tk�ermore;'�if:.Pasco�_County�lNaterlSeweralmpact � � .�.-•
<br /> fees are due;theyMmust be:�pald,:pilor.to permit;issuaoce�:ln.accordance wttli:appltcable Pasco:Gounty o��inanc�s. �
<br /> C�NSTitUCTiON�t1EM't.AVli'�Cfiepter 713�Fiortil�a�tatut�s��a�atmended): if valuatlon of work is$2,500.00,or mare,:i•� �:. �;:�~
<br /> certify tFiat I, the-applicant;:have;been-pravided� with--a�copy-of#he:"Elortda•��Constructtori� Uen :Law—liomeowne�'s
<br /> Protection Gulde" prepared by,.i'ttie Florida Depactmenf.of Agrlcult�re and Cansutner.A#,fairs. If the appticant Is someone. . ,
<br /> other than the"owner", I certtijt'.that.l haye,obtained�a°copy;of..the�abQve.rlescNbeddocui�ent°:and,pramisi�:in,gobd'falth.to . ,`._
<br /> deliver it to::#he:.'owne�`nprior�to�comriiericem�n#:'` . , , . . � . . - . .
<br /> CONTRACTOR'S/f3WNER'S AFFIDAVIT: l.cert�jr.�th�t,all�the�,informatlon:.in�thia appltcation is accurate and that all wark
<br /> w[II'be done in complt�nce wilh all.app!lcable'laws regtilattng construction, zoning and��tand��devetopment. Applfcatlan 1s
<br /> hereby made ta obtain .a:permit.;to,;doi;work,:�and:Instatlatian as ind[�eted:��-..:t. certffyr that no work�or instattatton tias -
<br /> commenced p�io� to Issuance of'a permtC�and thaf.all�work will be pertarmed�to meet standards•of all laws regula�ing-
<br /> construction, County and C�fy codes, zoning regulatic�nsr and land development r.egtilat�ons�in`the Jurtsdtc#lon:- !:ai'so..
<br /> certify that ( uaderstand that the regulations af other gavernment agencies may�apply'ta the.intended work, and that it is
<br /> my responsibllity to Identify�what.actions 1 must�take:to be5ln:.compli�ttce�.,S.uch:agencfes fnclude but are.not Ilmtted to:
<br /> - Department of Ertvironmentai��Proteciion-Cyp�ess.`B�yhead�;�Wetland Areas and Environmentally Sensltive�
<br /> 4�ands�WaterlWaskewater Treatment.
<br /> - Sauthwest Ftorlda UVater Nlanagement�".•Distric#:1Nells;"_Cypress.'�8ay,heads; VNeftand Areas, Attaring
<br /> Watercourses. � ,
<br /> - Army Corps oF Engineers=Seawafls�`Docks,IVavigable Vitaterways.
<br /> - Depar#ment of,Health;:,&,.Rei�abl(itattve;Ser,vtces/Envitonmenkoal, Hea�lth Uflit-WeD.s� Wastewater�Treatment, �
<br /> Se�tic Tanks.._. '° '. � ' � . - . -
<br /> - US Envtronmen#ai Protectbn Agency-Asbestos abatement.....
<br /> - Federal Avlatton=�AuthoHly-Runways: �
<br /> !understand that the_foliowing:�restr.ictlons apply to the use of flfl:•
<br /> - Use of flll is not aliawed in;Flood:Zone"V"unless expressly permitted.
<br /> - If the�flU'ma#eNa! is #o-be useil:�'!n :Flood Zone. "A". it is understood that a drainage ptan 'addressing a
<br /> "eompensating vatume"will be submitted a#�ime af.psrmitt(ng which is prepared by a professionai engineer
<br /> Iicensed by the�taYe of:Flo�ida: -- - ._ _
<br /> - . If th� #�II materlal-ls to be-used In Flood �one 'A" in�connec�ian�wi#h�a�permitted build#ng using s#em wafl
<br /> construction, I certify that flll�:wall:be used only.to.flll the area within�the•stem<wall:
<br /> - If flll materlal�is-to-be used in.any area, 1 �certlfy tfi�at .use of`such fill w111 not adversety affec# �djacent
<br /> praper#ies. if use of fili is,found to adversety,�ffect adja�ent�,pra�perties�.the owner may be'cited for�►lolating,
<br /> ti the condi#ions�of the build(ng.p�rmit (s"sued�under the��attacfied_permit.appllcatton; for::lots-less,than.one (1)
<br /> acre wtilcFi are elevated`by fltl;a�t engtneer�ed dratnagi�ptan is required.
<br /> If I am the AGENT�OR-THE:OYIFNER, I;.pr"cimise in good f.alth#o Infarm the awner of=the�permitting candfktons set forth in
<br /> lhls aftidavlt'prfor ta commer�cing constrva#fon. �i understan�that-a-separate permlt may be requtred for ele�trtcal work.
<br /> �� �--
<br /> plumbing,,signs, weiis,.,poots;,alr,conditioning,.ga�s, or.other instali�tlons nol�spec�ically included�tn.the applicz�tion. .A �
<br /> permit issued shall be conshuad to'be�a�Ilcense`�to�proceed w(th tHe virork and nat�as:autheNty.:to:v!olate,-°caricei, alter, or
<br /> set aslde any provlsfa�s af#he.tecF�nfcal c�des;�nar shall issuance�of a.petmit.pr.event the 8ulldlrig CJ�#ficial from therea�ter
<br /> requiring a correction af,ecrors ln plans,-cons'tnictian orviolatlons of�any codes:� �very p�ermlt=lssued"sFiell�6ecorrie-invalid
<br /> uniess the work suthotized.by such permlt:�is.commenced•uvlthtn st�c.c�onths of pern�lt Issuance, or if wark authorizecf by
<br /> the permit is suspended or�.abandoned.for:a;period,of�six��f8)inontTis.:af#er the tirne the�work is commenced. An e�ctensian
<br /> may be requested�_In wrl#Ing,;.ffom.ttie.'Building,Officiel for a perlod-,not.to.exceed�ntnet�-(80)�days a�d°w1l1 demonstrate
<br /> )us#�iabie'cause for:�#he e�enstan: If worlc ceases:for ninety{90)cons.ecutive:daysr..the jab�is considered aba�doned.
<br /> V4tARNIN� TO OWNER; YQUk;,�Ai1.IJRE:.7�.,.R�E.CO�2D.A,>�lQ�CE:OF-�COMME�CEME1+tT,MAY�RESUI`T IN YQUR
<br /> PAYING TWICE;FOR�IMPROVEMEN�'S�Tfl YOUR�::PROPERIY:_�IF�YO.U�I�1'�EWD'TO���BTAIN•�FINiA►I�EING;'C.QNSULT
<br /> IT �1 A. AN i4, Oft _ OR��R =OR�i G�; , . �' , .
<br /> '� � -
<br /> . . ,.
<br /> Fi.OR1CiA dURAi'•{F. , .03} _ , .,_,�_ ___: : .µ-- . . . , '� - - - -
<br /> � ,,, ,. �.. .
<br /> ( ONfNER OR AO�NT ... �-d�"L CONTRAGTO � ,
<br /> � bscribed and ar afflmned befare me#hts Su b �,d �4{ot aflirmsdpb' ;re me t�
<br /> , �/y�r"I b �P G.. � �"' / �rl • vrt � � �'1'i�s� �F-
<br /> Who Is/are p anally kn ko.me or:haslhaue ptvduced 1NMo.ls/are p.. anafly ki� _to-nte�or hasfiave�pmducsd�
<br /> as id'ert��ce�on: � ..._ es tdentificatton.
<br /> i �
<br /> I _ � � Notery Public - `�"=-- - , Notary Publlc
<br /> Com' 1 slon No:` Co isslon.No.
<br /> A.CAMPBELL ,.��""ra'b SYLVIAA.CAMPBEI.L
<br /> Name af NotarY tYR .#�. , ,.,.�qsta�ublic—Stateaf Flofi a Name of Rlotary typed, �r�p n _
<br /> � ` '' �� Commission�GG 112939 �. •: Commfssion q GG 112939
<br /> _•. -
<br /> `�' o'�.' My Comm,Expires 1ul 19,2021 .,"� �: My Comm,Expires Jul 19,2021
<br /> :�.��°�fL°�`'' 4�nd2dthr0ughMstianalNotsr Asstt, �'��;y�`,.�
<br /> ,��� 8andedt6mughNalionalNotaryAss�.
<br />
|