, � ,
<br /> , +..-
<br /> NOi10E O�DEED RE�STRICTIONS: Tt�e u�dersignect.qnder�tands;#h�t;thls;p�rmif�.may;b.e,subJec�.,t��,"deed"resfrlc#totis°. `.
<br /> , �. . , . � :,. , ,
<br /> , . .�.�.�„�,...;.
<br /> which may�.tie�more-r.est�tctive.�tha�County'�regr�Is�fCbns:'�'lThe��u'nder�lgned�assumes�'�esponstbiltty=°for='coririplianae wltFi'any"` j'"""'
<br /> applicabfe�deed resMcttons. -v. ..�.��� .,;:.�_:.<.;,- � . , �, �:. ,�� _ .... , ; :.���f� � �-�-�
<br /> , ._ . - __
<br /> UNLICENSED•-CONTRACTORS �AND CON�RACTOR RE��ONSI81L1TI�S:� -ff°the�o�n►ner has��hired��a':contrarctar or
<br /> contractors to undertake work,tftey*may,ba:re�q�l�e,d:to;be-:llcens.ed in.:accardance.with,sta#e.and�local,;cegulations:�.If�the•Y�_' � `.r:='
<br /> contractor Is-not.licensed as r�iqulred�tiy law�-batlr�the awrter arid�=-cvntractar=rriay bercited�forvr°a�misdameanar 'v.lolation
<br /> under state law. If the owner or intended4co:ntra�tor,ere;�unce�tain as ta wh�t Ilcensing.requireRnents;may��applyr�for<the�•+•,-•� a.i -
<br /> ,.; . .. _�.. , . . .__":..�.<_.::
<br /> lntended wark,tliey are�advised�ta-c+oiritact the Pasca'Caun�y�Buildiing;tnspectlon„D[vtslon--l:lcensing Sect#on at 727-847
<br /> 8009. Furttiermore, tfi the ouvrier'has�Nired'a cont�actor or contractors, he is advlsed ta have ,the cantractor(s),,slgn ,r,; ,
<br /> portians of the�".co�tractor Block" of'thts_appllcatlan..for.whtch.they,.will.:be.�r.espor►slble.a ff:youl=-a�.:#he awne� sign�``as'the'�'� ' �
<br /> confractor, that��m�r.,be�n indiCation that`Fte�is tiat:properly Itcensed"aiitl��is=riot erif�liad to petinitti'ng`priuileges in Pa�sco
<br /> County. . ' .. . _,.,F _ .: ��,: :.,:.�=w. .. .;,.
<br /> TRANSRaRTAT1aN�tMPACTIUTILIT1ESr�CNIPAC���iN�?ItE�QURCE REC�YERY�PEES;The anderstgi�e��uiiderstands
<br /> that Transpartation impact Fees�and.Recaurse Recovery_Fees mayryapp1y�.to tf�a�'constructton of.new.buildings,�change'of`"�"'='�� ��
<br /> use In existing bulldings,�or,.expansi�in��of�ezistlri�':bWltlings, as speclfled.in P�scQ�County Or`dinance number 89-47 and..
<br /> 90-U7, as amended., :The undersigned aisa�understands, tii�t-such fe.es,�as�-mayY��e�;due;�w.fl{:}be Ident�ied at#he�#ime�of���° °4"_- '''
<br /> permitting. It Is turtFie�understood that Transp�o�katlon impact`'Fees and�Resoucce�,Recoii.erywFees.:.mus# be p�id priar to
<br /> receFving-a"ce�fi�cate=of occup��ar fina4�:�awer.;release: :4#�the projAct::does;n6t involve�a��certlficate of occupancy�tir���`n�`:'`,,
<br /> . � :...
<br /> final power-release;:#he��,fees��rriu�t"be�paid";p�ior to;permit ts'suance. F��khermare;�if Pasco�C,ounty�'Water/Sewer�dmpact : �:����_•,��;
<br /> fees are due�.3l�ey;must;be-paidprior,#o�permit��Essuarice�.ln��cordance_virltti'applfca6fe-P�sco'County=ciri�tnances. �
<br /> CONSTRUCTtON��L"fEN'LA1N(Ctiapt�r 713��Fior�da St�tut����s amend�cij: Ifi valua�on of dnrork Is$2,500.OQ�oc:more,�t� ��. =<.. .
<br /> certifjr tFiat I, �he.,;applicant,-have��:been provtded-�wlth�a-copy�.of.�the:�"Florida��Co�strucNan�-Llen :l:av�—Homeowner's
<br /> Protectlo� GuEde" prepa�red by;tt�e�tor�da Qepartme�'F af Agrlcultnre and Cons,um�r,Afifairs. tf the appticant ts someone: . �_,, ,.�
<br /> other than the"owner", i certify�.that..l��have�abta.ined�a copy.of th�;abQve�.desc�itied�tfocuii�ent=,and;pror�ise?.in,,good,faith to ,;�,
<br /> .4Az.+
<br /> �. .- ._,�. vic. . . .
<br /> deliver it to:ttie,:'overne�;prior`:ta-co�irriericemerit::, � . _.
<br /> . ,. _. .�_ �. t
<br /> CONTRACTOR'S/OINNER'�AFFIDAVIT: I.cert(ty,�.that>.all�,the:,InformaHon:,ln.thi�applicatlon is accurate ai�d tfi�t all work
<br /> will'be done in camplianoe with all applicable�laws regulafing oons#n�ctlon� zoning and�land`development. App!l�allon fs
<br /> �hereby made to obtain .a permit;,to,;do.,�work„and�installa#lon as iad{cated:��:=:1:certitji`ttiaf no wark a:or tnstallatton #ias
<br /> commenced pPio� to Issuance of'a permit""and #hat':all work v�r611 be pertarmed�to meet_standards�of all laws �egula�ing-
<br /> conshvcE�on, County and City codes, zoning regula#ic�ns, and land de�rotopmen# regalattons�in ttie:ju�isdiction.-� I�:ai's'a�
<br /> ce�tlfy that ( u�derstand that tF�e regulatlons of otFre��gavernm�nt agencies may�apply�#o the.,intended.wark, and thak it is
<br /> my�espQnslbllily to iden#ify�what.aattons 1 mast�t�ke to,be�tn.comR!lance��.su��agencles lnclude but-are�.not Itmited to: . ;_.
<br /> - Department of E�vironmental��Protection=Gypress'8ayiiead�; 1`fVeN`and Areas �nd Environmentaily Sensitive
<br /> Lands�WaterMlastewa#er Treatmen#. ,
<br /> - Sauthwest Florida Water Management :DisErict:1Ne11s� Cypress.�8ayheads; "We#iand Areas� Altering
<br /> Watercourses. - - �
<br /> - Army Corps vfi Engtneers-Seawalls,�Docks,l�svlgatiie iNaterways.
<br /> - Department of_.Health�;�&..ReMabllitative.�„Services/Envlranmenfai H�alth Unit Well.s; Wastewater Treatment,
<br /> Septic Tan3is': , : -- � , . `- - - �
<br /> - US Environmental Protection Agency-A�bestos abateme,nt. , , ,
<br /> Federal Avli�tivn:Authority!-Runways:4 , � � � • �
<br /> 1 unders#and that the.fallov+ting:restri�tlons apRly'to tlie us�of#111:
<br /> - Use of�li ls not allowed in�Flood�Zone"V"uniess expressly permitted. �
<br /> - !f the-fill-mateiial-is �#o be usetl_In:-:flood Zone. "A", it is understciod that a drainage ptan addressing 'a
<br /> "campensating vvlume"will be subr�ifted at#ime of permitting whiah is prepared by a professiona) engineef � ' �
<br /> Ilcensed by°�Iie State`of?F�orida: - � �� � - '
<br /> - if the #�il mate�al.:.ls to�:be=ased In Fload �one 'A° in�connec�Eon�vulth:� .permitted bultding us[ng stem w�41 ,.
<br /> ' oonatruatton,, I cerkify that fl11:�r111:�b.e used only.to.fill the area within the�stem=wall: �
<br /> - if tiA materiat-is�ta t�e use� !n any erea� i �certlfy that .use. af-such�flii wlt# no! adversely affeat adjacent
<br /> properties. If use of fitil ls found.to eidversely:�ffeat adjaEent�properties,,th�owner may be cited for violating
<br /> the�conditions�_of.the bullding�=.permik issued�under ih'e.�attaclied permit appllcatian,_for.:�lots�less than.one (1)
<br /> �acre wliicii ar�e elevater!'bji fl1t;an engineered drainage pian ts required. . , �
<br /> If i am the AGENT FOR.THE:OIMN�R;.I;.�rnmise In,good.faith#o infarm th��owner of-#he permitting aond�ions set forth in
<br /> thls affidavit'prior t+�comimer�cing construction. 1 �niierstani!#hat.a-separate permtt may be required for etectrlcal�rvork, .
<br /> ptumbing, signs, welis,.poois;. air.condifloning,.gals. or,othe`r- install'�,�'tions nat.spec�tcait�y lncluded�in.the sppiication, �A � .
<br /> permit issued shall be aonstrued to`be°a'Itcense�t4��proceed wlth ttie wo�k and not as:authoHty-.to.vlolate; aancel� alter, or
<br /> set�side any provisions of t�e technlcal cades;�nor sha11 issuanc:e'�of a.permit.pr.event the�uttdirig Ot�tclal from thereafter
<br /> requiring a correction,af e�rors;in�pl�ns;.constructlara..or violatians of°any codes. :�very��p'etmlt issued shalFbecame indalid
<br /> �antess the�rorlc authari�ed.by sach permlt:is-cornmenced�within sf�c,months of�permlt lssuanoe, or If wo�k autharizec3 tiy
<br /> tD�e permit is suspended or:.�ba�doned;for:a�:periad�of�s�C:(8)montfis,.after the tirne the�work�is commenced. An extenslon
<br /> may be requested� tn writing;;�fr"om_ttie:;Building,Offlcfal-for a p�rlod.not-#o exceed�ninety�(90)days and-will�demonst�te
<br /> �usti�able°cause fbr.the extenstnn�. If work ceas�s.for ninety.{90)cons,ecutive day.s.-tha)ob��s considered a�ba�daned.
<br /> , , ' �' , _. .. . .
<br /> WARNIMG TO OWN�R: YCIUR..FAILURE,.,TO.;R�E.CQ�2Q,A;NQT�IGE;OFa�COMME�lCEMEMT-.MAY�RESUI:T 11�`Yt}UR
<br /> PAYING TWICE::�OR,IMPROV�EIVIENTS:Tfl:YOUR�PRC�PER-1Y:'�I��.YO.U;�1�1'FEKID�TQ�:�OBTAIN�FINAI��tNG;�CON3ULT
<br /> � .VYITN U � . ` � At� '�'TO N �.�� FI�R�}, :, ..
<br /> ECO �7 G.:S OU " �C � E E �
<br /> FLORIpA JUFtA�:{F:S;t.1T.0� _ ----- ._ _ � . , • � .: �; � - - . _._�;,�;_�_._-i�_. —�._ - _ �-- -- - —
<br /> � K.�-E�: Fc � COM'RAGTO � � .
<br /> OWNER OR IROENT .:
<br /> ��j Z(�andaswom sai�meor;hasThave ro�duced �r���{� pvn Ily��°" ata�m or#�ia�slha e•�duced ���._
<br /> f�'!r, � � p`` � �°�'� '
<br /> _r_�lr2rs irt tk� �s IdeniNlceBon.' �-L:�{Lt}� �_��„t C.¢,,z.��-- as tdentNtcatton.
<br /> r ,
<br /> a .
<br /> ��- O��'; V �iy�Notary Public . 1..f Notary Publlc
<br /> Co lon N :"•`�""�"•"'• ••�•� _ Co �q1s on.N ..
<br /> a #i°�' �:�: 1`l�'.nQ�� c,�. �
<br /> :�: Commission#FF 150422 p��pi;Y,?��ry�
<br /> �iame ol Notary � Name af No�rY'�YP� �+i� �'��t���sion#FF 150422
<br /> �„ot���„�`` 6qndedTfw royfsininsurence800.385�7019 �`^�� �q`-' Expires December 12 2018
<br /> ' ;� �'•.;oF F�Q.•` Bonded 7hru Troy Fain Inwrence&IX1385•7019
<br />
|