|
, " Y:' r'"3'a.
<br /> , �;r;�.
<br /> : Y p 'v?..K��n: �`<..�i L::4;«
<br /> � ��0��EED RE3TFtlCTI�►{d�.�The►�under�lgned.xund�r�t�nds;tta�t:#hls^��rmlt�.ma�.;b�rsubJect.toad��d��r+astrlctlons,:�,��p _ � ,
<br /> b�l 't'll , , .. . . . K = ,� �.� .f. .,. - - � .. .. .�~;
<br /> v�hich may#:tieXr`noi�zirestf(ctflie�t#�i��i`�County��regul�ttans:�"fhe undereigned�as�umea•'ro�p�insibtilt�r#��"coinplian'c'e�withaaiiys , ,,
<br /> appllcable deed:res#rlctbns. _.. . ` '-� - - - _,� _ ;w ,w�..� .�... �::,...___..... _,:. .;. . .:;_-�;_` .. =r _
<br /> ,.. ,
<br /> , . . '.:.�i w�.�'ri4.;.���,...,.... ..
<br /> . . � . �' ... ."' . .�
<br /> �1NLIC�.NSED°C�NTRAGTOi��;ANp CON�RJ�►C70R�-R�SPL�NStBtCtT1�S:�-�Sf���lier°awn�r has�'hiredw`a."contr�ictor„ar.
<br /> cor�ttacMrs to undertak�worlc,..th�y.�may:b,e;��.�rlr,•,,e,d�to;;b��lt�enaetl fn accordance:wtth�.s`t,ate�.and4tocai;,c�guiatlotas �If='NieF - ���_�' '
<br /> contractorl�-not��ti�ri`s'ed=a�=�regul�e3il�by lew�s;tioth the ow�r�etir ai�Mcvnu�ct�ir;��riay��b�acttiad"for°.a..rr�lsdem���or;xiolatlon,.. -, -
<br /> under state law...,lf#he,owner<or.lntecided��'contr;a�tor,:,'are;s�ncertain,as`to,what.:lic�naing�require�nents�may�apply�::fo�:the`-������=r�� "
<br /> r� . ,�.. :.t.r.,S.{...p_�,L .if>-., - �. .��,:
<br /> Intended.vuoH�,:tlaey.are:advlseii=fo`caritact-.the;Pasco�County�uitding_�Irispectlon�Dmlyl�lon�--Ltcensing Section at 727-A4T-
<br /> 8008. Fur`ttierm+�re� �if+ttie owrier�'h�s hire��i coeitractor or' con6�ctors, he is aiivtsed to have;the contracfoKs)�sign_;�:�.,�g:y�;;a
<br /> c�t, ,y, .r+a._ b.,,.
<br /> port#ans af the:�"contr,�ctar,;Bto.ck"_.of:thls_applt,r.�tlo�,:far whach�:;they.witl,:.be,;.�sponslbfey,,:,tf:-you;z.as;�:#he:cwiier;sfgn�a�'the'" ;
<br /> contractcf; ttiet�may tie•an Indication thatfieYls�riot�iroperly Nceinsed�and'Is"not eri�tled to permlftirig�priu!leges !n Pasco.�,
<br /> Caunty. . � ,� . ; .. ' _,: ". _-.,-.. _,_� �_- n��� � -`��_
<br /> TRANSPORTATION..IMRACTlU1'ILI'I'iES°�IMI�AG'1=��INCI RLS�OURCE RECONEEtYfEES:'�T�e�undersi�r�ed u�d�rstands '
<br /> ihat Transportetian.Impacf.Feeaand..Rec�utse Recov�ry_�ees�rri'ey'�appiy�to:#�e'iconstr.uction,:of-new:buil�tngs,��chan�e��ofy`�'k�`����:''�f .�_
<br /> use in e�is#ing buildings,oir�expar�si�ii�ioi��iiis�"ti��=buit�ngs� es sp�ci�ed.in Pascv County Ci�dinance..number�9 07,band_ , _. _
<br /> �i?-Q7. as amend�d.;�,�t,ie undetsigned afso.underst��ds, thakt such f`e,es;;as�may��e$td�te,t:iivll�=.l�e.Idenf#fled at f#�e�ttmero#=:=': .0 , . .
<br /> permlttirag. !t Is#urttier underst�� that Tr�nsportatlan Impact�ees a�:i�'��F�esource�'tReco�sry�FessKmu�C be pafd prtac to. _ °
<br /> , ._�,. ._. � A _ < ���;.:;,,.r..,
<br /> : -� _. - • �
<br /> receWring��a.°certlflcakeXgf�occupancy".�.or�flna!-:powe,r>�r,elease:� ':If:the:pro���t:,�oes'�na��involvesa�.cert�icate +�f occupanc�r,oi�'-��
<br /> flnal power.�relea�e��tiie fees.mu�t tie paid 4p�or�to{.per4mit Is�uance. F�Kthermo�e;�If:.Pascc�,,CountSr WaterlS..ewer..lmpa�ct" '�F :~��<�'r�
<br /> , � ..,.
<br /> fees are tlue;;they:must;b.e.,;paid;piior`#o;:permitwlss4anca=ln�accordance v�ithr..appilcatile:Pascv':Couniy or�lnances. �
<br /> �OtV�TRtlCTIaN LlEN LAi!{►{Cti�p#er"T1S�F1or�cle S�atut�,s,,��t�endedj: if valua�pn.of work.is.$2,�00.00�ofi more;;1� . .,.
<br /> certify tfiat 1, �he'��PRlRcent;.:hav.e=�be,en�prov�d��lR w�#h=�a copy.o#�the�"Florida�-�onstniction� L'1en'I:arn�=Homeownec's
<br /> �,......_.�..,.�__,.. , F
<br /> Protectton Gutde" prep�red by,tkie"�lorida Depar,t�ent�of Agrlculhare and,Cons.u,m�r;.kffairs. 1#th�ap�ttcant is.someo�ae�- , �;, ..�
<br /> other than the"owner"� I certifyHth�t Ih.,lia_ve obtained a copy..;of:the+ab.pvatle�crabedt�ocuimentEand,p,roixil���In`agootl';falth.to _ � ;,
<br /> deli�er it to..tlie�`owne�°;p�ior�:to�coinmen�me'nt -,�'.`.�. , . . . , . _. ��� .
<br /> CONTRACTOR'S/OINt�iER'�AP�1DAViT: 1:cefti[y3;#tiiat=all�,th�xinf.ormatidn,in�tiil�appilcatlon is accurate.�nd that all work
<br /> wfll'be done in complianc�with all.�ppiicabfe'i`avus regula�ng�onstrvctlon, zoning and:�land'��devefoprtrent. Appiication;is;
<br /> hereby mad� to obtafn..a.pectiiit;tto�d�Awoi��,�nd£ihstallatla�n �� indt�e#ed:::.==1� cartify thet no woric�or �nst�tl�,tton t�a'`s;
<br /> c�rnmenaed p�lor to l�su�nce'of':a pernilf�"�itd tha#`:a!l�w�rk w11M b� perFarrned #o maet..staridards--of;atf laws �egula��g`
<br /> construcNon, County and Clty code�� zoning regulations; and I�nd development r.egc�latlons'tn the Jurtsdt�tlon:= �l��a!'sor
<br /> certify that I u�derst�nd th�t the regulatlons of other�govecnment agencies may�apply'to the:intended work, and#hat it(s;
<br /> my responsibility ta Identii�•what.acttans I m.,ust�take,;to.be.sln�aanlplla�ce:..�•3,uch`agencles incl�de but-are.n�t limited to: ;;
<br /> � - Department of Er�vironmentat�� �Pr+atectfo`r�Cypress.'8ayheaii�,�1IV�ttand Aress and Envtronmentatiy Se�sitive;
<br /> Lands,VidaterNVaskewater Treatment. , ;
<br /> .•.
<br /> - Sauthwest Florlda Wa�er Management :C?Istrict-�VVe!!s, �Cypress. 8ey.�eads; VVetl�and 1�re$s, Alter�n�;
<br /> Watercourses. . `';
<br /> - Army Corps of Englneers=S�awalls,flocks, Navigable Watennray�. ' �
<br /> - Department<of:�yHeaith«�. Ret�abilitatir►e,::Services/Ei��imnmen#ai�.Heaitt��Ui�it:WeQs�:V�Ifa�tewater°Treatment;{ �
<br /> Septic Tanks::�. , . - - �
<br /> - US Envltonmer�ttal Protectlon Agency A�bestas.a6ateme.nt... � � �
<br /> Eedet'akAvle�ttoin�Autbnt:lty=fturiw�ys;` :;.;. . . _ i ? -
<br /> ,3 ,$. �, .....,.
<br /> f unde�rstand that the.folloiiving�rest�l�tions�ppiy'fo tlie us�of flIL• , ;
<br /> - Use o#fill is no�allowed 1n�Flood;ilane"V"untess expressly permlti;ed. � ;
<br /> - If the�}fiil�'`materisl=�is �ta�'be--used`in=-��laad�Zone. "A", �tE. ls undar�tood that a drainage pian addressing .a�
<br /> °compet�sating votpme"v�rlll,be subr�ttted-at#ime pf;pe�mitti�g wliich is prepared by a professianai engineer� -
<br /> Iicensed by.'�e:�taE��of:'Florlda: . . _ 4 ° . ; ;
<br /> - If th�-flll�niaterial�ta�to~be;used fn Flood �oree "A" in.�ca�n�ctton�w1th�a��{�ermitked bulldlt�g using stem wal!;
<br /> � conatructton,r I_certifjc,that,flll.�ut�ll�be�used only,to.fill the area within�the�stem wal1: - - �� _ i
<br /> - � if flll mate�fal"is�to tie used ln any e�tea, 1 �c�itlfy.that .ua�. of'such fltl wlll nat adv�rsely affect ad�acent;
<br /> ' prope�ties., If�.use�,of t�l is:#ovnct-to �dversely,�ffec#�d)a�erit�-;prc�perti�,,the owner m�y be cit�d for�tora#ing; ��
<br /> the condi�ians_ncif�#he bi�iliEfing:permlE is§ried���der ttie'�aEEactiecf__�rmit��pp[ication;:.far:iots�:ies��:than::one {1�)j :;
<br /> ac.re wlilch are elevafed`by=tlll;,ai�,englnei�r�ed dra#nage plan 1�requlred. � ' ; :;
<br /> li I am the AGEIdT.FC1R TH�aQ1MN�R';I;:�iromiee!n good fa(th to Infarm-the owner�ofthe.permitking aonditlens�set forth li�, ,'4
<br /> �, ...._.__ , , , �
<br /> this affidavit`prior to comenencing constivction. "I u�i;d,ersfand ihet.a=separat��permit may be requlred for elecMcaP work.� _
<br /> ptumbing, signs,.we11s,,,poats;.a�l�condtttantng��.g�ts,:or:other'. tnst�ifit,'�i,ttons not,spec�ically inctu�ed-in.the �pplication. .A<< �
<br /> permft lssueif.:shali.be cot�strued to;�#ieYa�'license`-to�=proceed�nrith`ttia��viiait�encl-no#=as-au#hority�ttt-vlaia#e�::+c�iicel�-alter, or; , ;�
<br /> set aside any�provlstons caf�tlie.technkial;cades;�nor shal!Issuan���of a.permlt.pcevent ths Bulldirig t�#Flc#sl from thereafte'r; ;�
<br /> requlrin.g a cor�ectlon a�f�err�rs,;ln;plans,-�onstnactlan or vlol�tlans of-any�codes. ��very�p�rrnit"[ssugd shiall��become�inva!!d > ��
<br /> unlesa the work autho�ized,by such permlt��s,c,oranmenced•wrlthtn:.six,;months bf�permlt Issuar�ce� or If work authorlted by � =;;
<br /> the permit ts suspended�or,..�..a6ai�doned;fior�a-,petiod�.of s�i��)��m�ntiis;�.after;the;ttme the�work�:i�commen�ced..An extenston ; ;
<br /> may be requested� in wrltl`.n`g;�fram.tti+�;:Bdlfding,`C►f�cl�!for a period�not:,to.ex+�eed�i�inaty�(90}"days a�d-vvill demonsfrate j ,;
<br /> Justl�ab#e'c�use for�the extension.. If work ceas�es.for nlne�y.(90}cons.+�c�utive:d�ys.-the�ob�ts c�nsidered aba�doned. c i
<br /> a
<br /> ,�:,.. , � • � :�
<br /> WARNIMC TO ONINEI�: YO.UR;..FAILIlRE>,TQ„REC:O�tD,A���IOTICE.:OF-�COMME�CEMEl�T'�:MAY�°itEStDLT IN.'YOUI� ; ;
<br /> PAYING TWICEaFOR�1MPRQVEN0EN7'�i:Tfl_aYE)UI�:�Pl�QREF�IY.�IF-YCI.U?IN7'�IWD�TQ��OBT�?kIN��FINiI�NEiN�i;,'COI�ISUL'�' ' _ __-
<br /> WIT . ��� �tt. t� - ,� f;.��.p � ... . . �� . - :— - - ,
<br /> -�coRo�►a,s�r��,t�:��t�r:o3} , ..:� :..;�� .. , , , _ ,
<br /> OWN�R OR AtiEt�tT . ., .. ' GdM`RAGTO „ v'-�r r :
<br /> 9ubasxlbed and swom M(or aPArmed�befor�m�thls Subscrlbed'srad'swonrba{ct�fllnnedTb�fita me�ttFlg' , i
<br /> 3_/&"' b. ` - < <
<br /> WPio fstate persayi�alty.knav+m ia.m�ar,haatheu�►.prpduc�d V�Vhu-[sler�p.ersonaily knowm�ttf ine�or#iasfisve�pTodiiced � � ;
<br /> " as Id'entlflcatlon. as ldentlflcaUan. T
<br /> _ ,
<br /> Natsry Publtc . �� � � s � �^. Notary Publlc_ �
<br /> �ommisslon No:` Coittt�lsslon•Pla,_ (;�(J�G c3"� � , �
<br /> ��� �f tz i r�� /�U��e�'l� ,
<br /> Vame o1 Notary typed,pMnted or stamped Name of Notary �ae���-.��p�.�„
<br /> :�Qr,�'''��'' DEBRAELR��:c:fi;,�'�GLL
<br /> - « ;;�Commiss+on.:.,:�C:45343
<br /> . :;��P�,:Expires Nove�r��r 7,2420
<br /> ;�:, '�.;;o"y.•;;q••' Bonded Thru Troy r�ia tnsurance B00•365�7019
<br />
|