|
,-
<br /> ! :.�p .Y,:i�.E:�'�:.
<br /> NQTtCE OE DEED REST.RICTIO�1�: The.undecslgned;undec�tands°,th�t�,thls:p�rmlt.may,.be subject to"deed"res#cictlons_: .... ;�v.�
<br /> which may�tie:more�resti,ictive.,th���CounEy�reg�latCons:��TFie-undecsigned assumes�'respvnsibil(ry=#ar"aomptiance with=any�" '�'` `
<br /> app!lcable deed-resMcttans. -.�.: � - . _. - . ,. t 4 .� � . .. .,�
<br /> tINLtCENSED��CONTRACTORS :AND CCNTRACTOR RESPONS181t1TfES: ��-t�=the=-awner has-'fiired��a'con#ract�r or
<br /> cuntractors to undertake work, khey,may,be;r�qulred�to;be_�Itcensed ln,.accardance.with state,and,local,regulatio_.ns:<.if�khe�=�-�� `-
<br /> cantractor (§=nat licensed`�as�requlred`tiy law, bot#i��the ovMmer and conUaotar�may°be clfed for aAmisdemeanor vlola#�on +�
<br /> under state law. If the awner or Intended,contra�tor:are;,uncertaln as to what 1(censing,requirements;m�yl�appty.foc'the� �,� ������
<br /> ,. , t, ,.,_P�, ,,: . .. , M. .,
<br /> Intended"work,tfiey a�e adiriseii;to caiitact the•_Pasco County,Butlding,:lnspectlon_Dtvlslon-Llc:ensing Ssctton at 727-847-
<br /> 8009. Furttie�mo�e; if the owner`tias filrecl�a confracfor o�contraic#or's, he is advised to have the 'contractar(s),:sign ,
<br /> portions of the:°contractor,.Biock".of,thie._application for.v�►hich.they.:wilt,be;-r:esp.onsible�.. If4you;�-as rthe ouvner'stgn�as'tlie`�' �`� ��
<br /> cantractor,that�may be an liid�cat�on that`lie`ts`nof.prope�y'licensed��nd�ls'n6t"eri�#�aif`to permittincj priuileges In Pasco _.
<br /> County. � -� ' - - �. .,... _._. _ ..� �; w . ,. . ...
<br /> ..
<br /> __. , . .:, .
<br /> . .. . ,
<br /> TRANSPORTATIDN=IMPACi'/UTIlITlES��MPAC'�ANb��tESOUltCE RECUVEE�Y�FEES;�The underslgned"understands
<br /> that Transpartation Impacf Fees and.Reco.urse Recove.ry_Fees miay�,apply:�ta:tt�e:iconstruction:of ne_w,_bulidfngs,7change'�'of"�� �°�=���°m
<br /> use in exi'sting bulldtngs;�or=�expai�sion��of�+ezisting���buildings; as spectfled.in Pasco County Ordinance number 89-07 and.
<br /> 90-OT, as amended..:;The� undersigned also;�uitdetstands, th�#'�such fees;;ss��tna}r�e�::due;=;will:�,.be iderit�fad at the4#ime=�af=�� «�;'" -:
<br /> permitting. It Is fiirtlier understaod that Transporkation Impact'Fees and'�Resouraa:Recovery�Fees.must be pald prtor to
<br /> receWing�a."cerFi#tcate=o#�occupancy*�or,#�nal��power.:_release:.:l�'�the.pro�ec#::does�ao�irntotve�a:cert�icate af occupancy;.�o�=�z`=.�`-:,"'-'�t
<br /> - ;_ ._ .
<br /> final power,release,�the>;fee"s_must tie�paid�;prio�to�,permit Iss�uance. Fuxt�iermore;�.tf Pasccr,County�iNater/Sewer:;lmpact �_;��=���
<br /> fees are due,;they�must be;pald:prlor to,perr'ttlE,lssuaiice�in:accard,ance�witfi-appllaatils-Pasco'=County�ofdinances. •
<br /> COMSTRUCTtON"CIEN`L,AW`(Ciiapter�13� Flaf�da�Statut�sM as amendedj: If vatuatton of wark is$2�500.00�:ar:more,�{�� Y� _::�x�;
<br /> certify that I� �he.!epplicant;-have_been .provided:�with� a•~copy•of�-the:��"Florlda�°�onstivctton' Llen :Law=Homeowner's
<br /> Protectla� Gu#de� prepared by tlie'�lo�da peparEmet�#�of Agrlctalt�re and Consumer,kfifalcs. If the appllcant is sa'meone: .,.:°.;::-_�
<br /> other than th�"owner", I certffy..that�:i:have:oqtainetlra�-copy.of..#he�abQye:.rlesc�ibed:docut�ent�and,prciMise�.ln,goatl'_faith to N.��-�_::f.�
<br /> deliver ft to.;ttie"owner".`:pi�ior,to+commericement°'�: = " �; . ,. „ . ..-- � . _ --
<br /> CORdTRACTOR'SIUWNER'S APFIDAVIT: i.cert1�'y::tii;atall..th�,information:;l��thi�appttcation is accurate�nd that alt work
<br /> wUl'be done in com Ilance with all.a Iicable laws re ulatin construc0on, zonin and��land��develo :ment. Applicatlon Is
<br /> P pP 9 9 8 � � p
<br /> hereby made to,abtaln_.a.pecmit;�:to�,do:w�flc:=.and�ihstalla#lon as iadt�a#�d:�.-�=#. ceitLify that no work�or tnstallattan Fias
<br /> r:�.,
<br /> commenced �p�lor to Issuance of a permif"and that°:all work will be perFormed�to meet.standards-of all laws regulating-
<br /> consMtctiort� Gountyr and Ci�y codes, zoning regulatiQnsr and land devalopmettt regt,tlattons=ln the;ju�lsdtction.' �l;:at'so.= �
<br /> certify that I understand that the regulations of other gavernment agenctes may�apply�to the,lntended work, and#hat (t ts
<br /> my resportsib!llty to ldentify•what.actlans 1 must�take_to be�ln:.cort�p!lance .S:uch.agencles InclUde but��ace.not limited�to:..� , :� •
<br /> - Department of Et�vironmentat>�fi�roteetton=Cypfess.'�ayfi�ead�,+WeNand Areas and Environmentalfy Sensitive
<br /> l,ands�WaterlVHastewater Treahnent. ��
<br /> - Sauthwest Florida Water Management":C?ts#�ct We11s� Gypress.'�Bay.#�eads,, Wetiartd' Areas, Aitering
<br /> Watercourses. . . � � � �
<br /> - Army Cocps of Engineers-Seawalis;Dacks,CVavigabte Waterways. �
<br /> - Depa�tment, of Neaith'8.,.Ret�ab'tlltative; Servlces/Erivironmentat. Nealth�-Unit Well.s�.�Wastewater=Treatment, � �
<br /> Sepflc�Tanks:. ;_ .. ` ` � . _ `_. ._ , .. . .... :.
<br /> - US Envlranmentai Protectlon Agency-Asbes#as�batement..� t-
<br /> � Federal Avlatton.Authority;-Runwaysr�. � - �i. .. ' � °�
<br /> !understand.that the�foilouvlrig�'restcictions appty fa tfis use of flit:� .
<br /> - Use of fifi is not allowed in�:,Fiood;Zone"V"untess expressly_permltted. °
<br /> - If the':fllf�mate�lal�Is to�b.e-us+etl�`in:-,Flood Zone. "A", Yk is understood that a drainage plan addres"sing a
<br /> "aompensating voiume"will be submlited at time of•permitting wliich is prepared by a professianai er�gineer '•°� F-,�
<br /> Iicensed by'the State�of�F�orida: ' � � � � - � ' �
<br /> - If th��flil-materlal�y{s-�to-.be,used in Flood �one `A" tn�cannection-vulth:a�ermltfed building ustng stem wall_ ..
<br /> ' conatruct(on,.l certify.;that filLwall.be�used oniy.to.fill the area within the�stem�wali: � - ,. '
<br /> - � If flll materla)�Is-to tie used !n any area, 1��certify that .use. of such flil wlll not adve�sely affect adjacent
<br /> properties. If use.of fi1{ is founc�,ta adversely:�ffect ad�acent��prapertles,.the vwner may be cited for vlora#ing . �
<br /> the�condlfions..of..the building'.permit issued�under the'attacfigd permit appllcatlon;:for.:�lats�.less than�one (1)
<br /> acre wFitcti"are eievated�tiy fl1#;��t engineer�ed drainag�ptan ls requlred, . . .. �
<br /> If I am the AGENT�OR THE OWNER, I�.promise In goad faith#o infarm the��owner of�the permltting condftions set forth In
<br /> this affidavtt'prlor ta�coinineiacing cotistnlotion. ! uriderstaiid that�a�separate perm(t may be tequt�ed for elecMca! work, ,
<br /> .��,.;
<br /> plumb(ng,_signs, weits,:poots;. alr.condition{ng,..gas,�.or ott�er ins#all�tions not.spec�icatly included�in.the�application. .A
<br /> permit Issued shaq be conshued to'b`e�'a'Nc�inse'to��;p�oceed with tFie wwork and�nat��as:suthority::to.violate,�'cancel, alter, or ,
<br /> set astde any ptavislons of t[�e tecFin3cal c+ade�;�nor sha111ssua�nce}of a.permit.prevent the Bultdtrig{?fftclal from thereafter
<br /> Y.:" ...
<br /> requiring a coneclian.o�f,enors.in,plans;aonsfructian.,or violations of•any�codes: Every�permit�lssued=sfiall beaome inval(d
<br /> unless the work authorized.by such permtt:�ls.commenced•i+vtthln.sfx months bf pertnit Issuance, or!f wark aUtharized by
<br /> the pe�mtf ts suspended-or.:abatadoned;.f,or.a�;period�of�six;(�)�monfTis�:after.the;time the�work�s cammenced. An extension
<br /> may be requested,.in wrlting;�trom.tFie,Building.Officl'al for a period:not-to.exceeid�ninety�(90�"days a�d�wlll'demonstrate
<br /> �ust�iabie cause for.�the extension: If work ceases:for nlnety.{9Q)cons.ecutive•day.st._th��ab:ls.consfdeted aba�doned. �
<br /> . . . ,; , . , , . . . , . .._ �
<br /> WARNiNG TQ aWNER. YOUR.-�AlU1RE:,TQ,.R�ECO�tR.A,:1�Q�TIGE�:O��=COMMENCEMEMT�.MAY=RESULT IN Y�UR
<br /> PAYING TWICE;.�'OR�iMPROVEMEN'fiS-Tfl.YOt�R:PROPER�TY�hIF��YO.U�i�l'�'ENI�:�T���')BTA1N•�FiN�iit�1E�NG,'C.UNSUL.T
<br /> l�Y/T- - - U . �� � A - iT0 N ., F R �. QR�I f�� OU � . � ;� .,� � : . E - �
<br /> -.:—--:.-.—-__�. , ... ;�_��x=:_��:. ;., -
<br /> FLORIDA dURA�(FcS:1l7:03) . -} . . - - _. --_- - —--.__'_
<br /> OWN�IZ OR AQENT CbNTRACTO —
<br /> 8ubscaibed and swom to(or siflrmed}beiore me th1s Syb�1 �d � {ot f�ctne�f re e' i�.
<br /> by / l—�"7 .. y`eL���.�, p. .
<br /> Who Is/are parsonally knavm to.me or,hes/have,produced •Who.ls/are p. on�lly o tty me�or heslhave�prodi�ced • � •
<br /> as Id`en��cs�on: � as Ideryti�catton. -
<br /> . �t .
<br /> Notery Pubilc . ----- � Nofary Public,
<br /> Commisston No:` Comm lacYNo. . -
<br /> ,����1�'E�,, JACQUELINE BOGES '
<br /> IVame o/Natary typed.Pr�r�ted or stamped Name at No + i t 92,2fl18 �
<br /> ';f�R h`` BandBd Thni trop Fatn Inau�anca 800�385•7019
<br /> �_
<br />
|