Deco(ors Contractors 6784179910 p�4
<br /> NOTIC�OF a�ED RESTRICTIQNS:The tmdesslgned unda�sta�ds thal this perrnii may be su6Ject tu"deed'res�icSions`
<br /> wfiich rnay ba more resbictive ihan Coun►y regulatla�. The unders�rted assumac respoRsihllity fcr compllance cvfth any
<br /> aPplicaLte deed reah'idblt9.
<br /> UNCICENB� Gi1NTRAC't4RS ANQ CIINTiiAG'CtiR RESPi7NStBt�t1'tES; tF the awnar ha�s hired a ctantracbr or
<br /> cantrac�rs ta unciertaice wodt,thay may be re4�irad ta ba tic�nsed in sccardance wFth sOaie�d iocet tegutatlona if Ihe
<br /> ceptracdor�s not�ic�rt�d as requirac!by law,both the wmer and coniractor reay be cited for a misdernoanar rioletioo
<br /> under state law. [t tha pwrer ar i�ffindesf cantractor ara unce�ta�ss tn what�csn�ing�equirements may ap�y fcr B+e
<br /> intended wats,they are�dvised ta contact tha Pasco County Buiiding lnspactian Di+,isio�r--I.icensing Sectmn at 727-84T-
<br /> 8009. Furiherrnore.If Ne avvrter lyds limad a contractor or car�racbors, he is adv[sed to have!he coedractar(sj sdpn
<br /> podians ot the"cantrecGar 3IocK af tfiis sppitcetiw�for whbh tliey w�be responsPble. If you,�fhe smlaer sc3n as the
<br /> contrsctor,fhst may be sn indbeafian that he is rot prape�fy iicensed artd�no;entlded to permltt3n�privileges in Fasea
<br /> Ccunty.
<br /> TRANSPORTA"tK?N lMPAGTA)711LITJES ItAPAG7 AHO F�SOURCf RECOYERY FEBS: The uttde�dg�recf understands
<br /> lhat Transparta6lon impact Feas and ftecoufse Re.asuery Fees may apptY to Ehe�strurtia�of n�aw huiidings,ettange of ,
<br /> use i�ed�stirtg bu�mngs,or expansio�of exis6ng bulldfngs.as speCi�ed f�Pasco County qr�r�nce number B9�4Y end
<br /> 90�t17,as amended. The undersigned efso underslanda,Uhpt su�tees,as mey be t�s.wUJ be€dentiifi�ed at Ihe time nf
<br /> permitil�g. tk is further underslood that Transportallon Impact Fses and Reso�uoe Recavery Fees must 6e paid prfor ia
<br /> rm:eiving e c:ertlficater of oecupancy�'cx f�na1 power reicase. tf the project dQea nol im�olve a c�rU6e+ate of oaxrpan�y ar
<br /> finaS powar re(ease,me�es must 6e paid prior to permR is�taru:a. Furihermore,iF Aasco Caurrty WaterlSewer impact
<br /> fees ere due,they must be paid pcier to pem�issuance in accadanoa wlth appitcabTe Pasca Counry crd3nances.
<br /> CON5TRUCTIOH i18+1 LAIM(Chapter 713.Floflda Stetutes,as arnsncTQ+l�: �t valuaGan of wusk is 32,56U.00 or more,i
<br /> certfly lhat I, fhe ap�Cicant. have hreco provided w�h a copy of 1he 'fladda Construction Lien taw—Homaavmer's
<br /> ProtecGan Guida"prepared by the Ftarfda pepartrnent ot AgriaAturQ artd Cot+swmer Aftairs. !F the appficant Is sorrraorre
<br /> other trien ihe"awne�',i certiy that c hava obtained a copy ot d�e above descrfbed da:umen!end pmrt�e in good falaa!a
<br /> de�ver it to ttte'+zu,mer"prior Io commen�ment.
<br /> CONTRAGTOR'StOWMER'S AFFiDA1RT: t certJty shat at)the►nfarmailsan in ihis�pticai�rr is arxurate and that aIl wark
<br /> wfi 6e done!tt cornpGanoa wkh a31 apglicabie taws reguteWxJ canstrur.�on,zan'rctg am!land dav�laA� Apiptfcathm is
<br /> herehy made to ablain e pemtlt fo do vrwk and insra!latiatt as in�icaled. ! cor6iy lhet rta woftc or instatFatian haz
<br /> commerrced priar lo issuance af e perrnH ercl that aA wark wA(be pedormed ta meet standards of aA Isws reg�ng
<br /> construciaan,Cauny and Clty cndes, zar,in9 reguleffans,and land aevelopment regu�a6ors k�Ihe��sc�dian. I elsu
<br /> ca�lfy ihai l ursderstand that Ure regudetlar�oE dlher gaverrtment agendes may apply to t�e Utteendetl work,and Rtst k is
<br /> mY�P��+�Y ta'tdeniify wh�t acGarns!mtssk take ta be Nt ctsmptiariee.Such agenqes lndude hut are rrot Umited fo:
<br /> . - Qaparbnent ot�nvironmentai Protectivn-CYFr�ss BayhBads�1Aietie�rcf Fvsas and Envlromnentafly 9enslGve
<br /> LanCls,W9terMlastewater Treeltnenl.
<br /> - Soufhwesl Flareda Watar Management Olsr�ct-Weils, Cypces�s 8ayheads, Wettar�d Areas, Aftering
<br /> WeierCpurses.
<br /> - ihrmy Corps of Errgineers-8eaw211s�tlodcs�Naviqabie Waterways.
<br /> - Gepaetmec�t of Heatlh&Reha4Uit3iive SetvlC�esl�vironmerttst Heettfi Unit-Vlleits. Wastewater Trealment,
<br /> Sepllc Tanks.
<br /> - US�rnlm�menta!F'rotecUon Agency-�.sbestcs abatement
<br /> - FederalAvial'uonlWihot(ly-Rummays.
<br /> t urKierstand Ihat the iolluwing resUicGona apply to the uss of 611:
<br /> - Use oi 9ii;s rmt aliovredtn Fla�af Zane'V"unless eHpressfy perrtu'tted.
<br /> - if dtte fiU rnatenei is to ise u�d i� f�aOd Zone'!1, il Ls undarc�tood 8�a4 a drahtgiga plan addrossing e
<br /> •cattTpensadng voteene"wi1)9ie suDrtolled af Ume of peimiti'mg wfiich ix pnepared 6y a protas�a�l engineer
<br /> !loensed by!he 5tate of F7aritl8.
<br /> � If tha fi�meteria!is!a 6e used in Rcod Zane A"itt conrreciiott with a parmiltad bu�ding tisitig st�m wdU
<br /> construdlan.I aertlfy ihat fiY wHl he used only Ra fill!he atea w3thin the s;em w211.
<br /> - �f titt materlal ts to be used in aary srea.I cedify ihai use of sueh R!t w!!I aat edvarsaly at�'eet adJacent
<br /> pmpertias. 1f u��fiii is fcur�d to edversety aNer��Ija�nt prop�Ues,th��water rhay 6e Cited for vialatlng
<br /> ihe cand3ticrtis af the btn'idtng Petmit Esstted undar ihe at�Ctted pemdt appllcatlon.{ar lots lass than ane j1)
<br /> acre which ara ei�vated by fdt,sn angineered dratnage pisn is raquired.
<br /> If!am the AGENT FOEt THE OYIR�fER,!promi�in gaod iaith ta 3nfarm the owner a!A�e permit�Iriy con�ttons set larifi in
<br /> Vtis ef8davit prior to cammenc�g consimcti�n. I understand tha!a sepsrate permit may ba required far e�ttrtcal work,
<br /> � �� pturnhing,signs, wells,Poms,atr condiUonin9.gas.ar dher insla!lations noL sperafxally included fi the�pfieation. A
<br /> '�� pertnii tssaed shaii be construed Ea he�I'�oersse(o proceeQ wilh the wark a�d nnc as autharily to viaLate,rancei,alta,or
<br /> �s�� sat asEde any prrruisions oFlhs ter7mlr�aodos,nar shail i�suance oF a perrnll prevent ihe BuHding dtNdal Lr�m u�ereaftmr
<br /> b ��.^ req�irfng a eorrectlon af errars in pi2na,canstruc6an or via�tians at atty cvdes Every pemdt issuad shatl hecome inva�id
<br /> ,� ' unless�hg wcrrk author¢ed Dy such pemtit is camnm�d within s�x mnmtss oi pertnl issuenos,ot if wark authorized by
<br /> � � tt�a permit is suspendes3 ar abaridon�f!ar e psrtad of sbc(6)monit�s sfteriha Eime Uee wark ts cammencet3. M erdens�n
<br /> � .c � may be requested,Irt wefdng,from the BuIt�ng a�cial tor a�riod nnc to exc�et!rdrsety t9D)days arui w�i demor�a�e
<br /> � � CS � justi88ble Gau6e for Che extervsion. t�wak ceas�4or pf�etty(9Dk CCttSacuGue day&,the Job is cansidercd a6aredanetL
<br /> � ��i! � l�it iAtA[tNlNG TQ flWNER: 'tOUR FAtl.til2E TQ RECORO A NO71C5 OF Ct7IPINfENC�M1IJENT MAY RESULT(N YOL1R
<br /> o V2 in „�°",� PAYIN{3 iW�GE POR IMF+ROV�IV�N7S TO YOUR PROPERTY. IF Ypti Ib7'ENO T�OHTAtN titANqNG,CONSULT
<br /> � ,� �—�, ,'�,► ! O �. ER O 1T EY 8 tN D 7tC U E _
<br /> �. � ,Z �a,o�nn.�u�ur�Fs.+ �
<br /> � � -�ri a o�n�cR�c�r � . ts-+.j�_�'-- c�►+�rtncrae —.._.�.
<br /> 71 �,i su �d swwn w(or a�edJ e.rmn .m� .Y r at m ia�
<br /> �� � � j � ,.
<br /> Oj � � persenn�,�t�nvwni�m�a pradue�d a W moor produp�d
<br /> � �s as Wantifkaiton.
<br /> � � � R ..r
<br /> � i ,,,_,,,�„�,�._ t ��
<br /> i jf -
<br /> ' �ry�� 'i�` !+k�v w,mk
<br /> ..madssbn „',� �, Cm�isd9ssonNa ���.
<br /> y� ..«.._ Nola p '
<br /> .Ip� ��WU �a°��. ,YJ Na�neatt��ry p�d�r 1'iaUhly
<br /> state nr ceorpta (
<br /> .�� • MV CDp4aA.,�-: ,g7 ►�Y aommtssioo�s�ptras Oc#t4,2Dt7
<br /> �''!��� EXF+�:T�;• �78 �
<br /> (+07}�•0153 Fk+•s"_., cf!
<br />
|