|
���s�:�:=a
<br /> , _ .__' . � ' i M A�l
<br /> I ..
<br /> i ''-{ .� _�'ti�•4`�:�:,i�i
<br /> NOTICE.OF DEED RESTRtCT10NS: The unders.igned,:understands:that,this�:permit:may:be_subje,ct,to."de.ed�;restr%ctionsr'��,,��.
<br /> 'F� '4.;k.�„'k'�7y.,�'�� "`;ti:."ii.:.?"+.:�,?i:':::t�:`.a>::� .�-�.J.:li.'.'Y.":'+$ir.'t"'"ir`T;`�i•,il:"= 'Yl t...�.� S �+•'.Sis,''.'�-rrv>-�:�'
<br /> uvhich�may:Eie:inore�restricfive>tFian���County<regul�trons:�Th��undersignecF-assurn�sresponsibihty:fior.co.mpiiancewitM.�any, �� :
<br /> applicable.des�rest�ictions. � - : ;..��,��:�r;':3i�i'i�YYi+:�:`j ,
<br /> UNLlCENSE�;<~CONTRACTQR�' AND' CONTEiACTtJR RESPQNSIBI�1'FI�S: �!€sttie>-ovfiner=has��`Iii�et��=�a�contractor or f �
<br />� contractors to undertake work, #h'ey:may,be,;requixed�to be�lic�ensed:in accor,dance with.sta#e:and:�loea�::tegula�fon's�:{�'{If�,tln�e-;�.=�':
<br /> contractor�is•not>Iicensedras�r�quired'by"�aiiv;'�oth�=theowner�=acrd°'eon�ractor��may=b`e�clfetl�fo����'inisd�m�eanorviolation�� , .,{ _` "
<br /> _y
<br /> under sfate law. tf the owner or in#ended.con#ractor are�uncertain as to what.Iicensingr,requi.rements�iinay��apply>�for�the:'�'�'
<br /> intended wo�k�.thejr:are=advised to cantact'the Pasco_Courity`Biriidirig;trispec�'iiin�Division�;Licensing.S'ection at 727=84fi- -` '' '�
<br /> 8009. Fur-thermore,-if the owner has"°tilrec!`Ja corif�actor or confractors, he is aclvised #o'�have ,the�.�contractor(s);�,sign';,;.;�; ;°; i
<br /> portlons of the "contractor Block° af this application_for which they.will.be responsibJe::,If.yau,'as�the owne'r srgn as_=,the ; �_, '
<br /> contractoc, tFiat.may tie an Indisiaatiori that he��is not prope�ly licensed antl i's not entitled to permitting privileges_in�Paseo.,. -0 „� '�# ��
<br /> Gounty. .. . W� �:.�;q.,,,f;4�����:��a<:�..� ::.; �
<br /> , ;,
<br /> TRANBPC►RTATION IMPACTI.UTiLtT1ES�IMPA�T AND RESOURCE RECOVERY FEES:�TtSe undersigned under.stands -' ,�; ��
<br />� that Transportation Impact Fees and Recaurse Recovery Fee's'may apply to the construction:af.new,,bui).clirigs;.�chen`ge�"ofi�`��'.r; t�'; ;�
<br /> I '
<br /> use in�existing'building�,=or�expa�siQn of�:existii�g 6uildi�gs, as specifled in Pasca Couniy Ortlinance nurnber 89=Q7 and .`= ::a {�
<br /> ' 90-07, as amended: The°undersigned also.understands,_that such'.fees; as"°may�be�.due; wif!`pe;identifiedr��t�the�fi'm�A:of''ry�`:�' ;:,� +
<br /> permitting. 'It is further understood ttiat�Transportation Impact�Fees and Resource�=�Recovery Fees�rr�ust be paid p.r.ior#o � :� ��
<br /> receiving.a."cerkificate of occapancy" ar fin�l.power. release. . If the:project.does nat�involve,a certificate of oceup"an`cy��orJ`���`�-i'� ''" '�,
<br /> �na l.pawer rele.aser,tfie<#ees.must•be�.pai d prior to permit issuance.;::Furt i iermore,-i f-.Pasco.County Water/Sewen;lmp•,aet�.�-�- ` °` ��
<br /> fees are.due,they.must�be.paid prior to permit'issuance.in�accordance with'applicable:.Pasco-County o�dinances.
<br /> CONSTRUCTIQN��IEN LAW(Chapter74`3;Florida�tatutes,as amended): 1#valuat�on of wocic is$2,,50.0.00:.or.mare;�;f:,.,a.4 �:
<br /> �� certify that l, the appllcant,.have been_provitled with�-a' capy_:af=the�:"Fforida Constewction`�l:ien Law�-Homeowner's- �
<br /> Protection Guide" prepared�by the�Florida Department of Agriculture and.Consume�:Affairs. !f the appl�cant is;som�one;�. �
<br /> ather than the°owner",:I eertifiy that.l.have obtained'a copy of the above d`esc'ribed doc�arrient and promise-:in good$fai'tkir:to::J ,
<br /> deiiver,it.to`the uowner;"�priar�to.corximenc�ment: � _ � t
<br /> - CONTRAG'F�R'S'/C1INNER'S AFF1DAViT:�.I;certify�tliat'a(i�the infor�ation in this application is accurate and�that al�`work �
<br /> wEll be done in comptiance with ai! appficabfe��aws regulating canstruction, zaning�;and iand-development. App(icafion;is ;;
<br /> hereby rnade to obtain,�.a. permit:..to°.do;.:wark=ar�d� instalfation .as'�irtdicated: t cerfr6y fhat no woric or.insfatlatian�has, j;
<br /> cammenced prior to issuance of a perrriit and��that a!I work will be performed to.meet�standards�of a!I laws regufating ` `
<br /> construction, County and Ci#y codes, zoning regulatians, and land development regulation"s in~#he jurisclic#ion. ���I`�also ' ''
<br /> certify that t understand that the regulations of other government agencies may apply.to the intended work, and that it is <;rr t7
<br /> my responsibility to identify what actions I must;take to be in compliance. Such agencies include but�are not limited:to:. i:yz� j j
<br /> - �Department of Env�ronme�ttaf,``Rrotection-Cypress Bayiieads, Wetland Areas and Environmen#aily Sensitive �: `j
<br /> Lands,WaterJWas#ewater 7reatment. � �`.�, ��
<br /> - Southwest Florida Water Manag�ment Distric#-We!!s, Cypress .8a�rheads, Wetland Areas, Altering �,�� j�
<br /> Watercourses. , � �
<br /> - Army Corps of Engineers=Seawalls, Docks; Navigable Waterwaps. � , i� �`
<br /> - De partment of. Hea(th.::& Rehabilitative,-ServiceslEnviranmental Neal#h :Unit=Wells, Wastewater Treatment; � �;
<br /> Sep#ic=T�t�ks. � ' , ` 'r-
<br /> - US Environmental Pcotectian Agency-Asbestos abatement. � �
<br /> - Federal Aviation�;Authority-Runways. i
<br /> I und�erstand thatrthe.following��restric#ions apply fo the use of.fill:
<br /> - Use of fill is not altowed in Flood Zone"V"uNess expressly permitted. s�.
<br /> - If the fiil material is to be used iri Flood Zane "A", it is uncle�s#ood that a drainage plan addressing a;
<br /> "comperssating valume" will be submitted at time of permit#ing which is prepared by a professiana) engineer� - '
<br /> licensed by the Sta#e-of Fforida. � �
<br /> - If the fll riiaterial is to be used in Flaod Zone "A" in connection with a permitted bu�lding using stem wall; �
<br /> canstruction, I certify:that fill will be used only to fill the area within the stem wall.
<br /> - tf fiil� materiat is to �be used in any area, I certify that use of such�fill will not adversely affect adjacent; � ,.
<br /> properties. If use of fill is faund to adversely affect-adjacent properties, the owner may be cited for violating} ,. ! ,
<br /> the eond!#ions:of the bulfding permit.fissued under the attached..permit:applicatian, for.lots�iess #han ane (1)i '� ���
<br /> acre which are efevated by filE,an engineered drainage plan is requi�ed. ` `< <��
<br /> If I am the AGENT FOR.7HE OWNER;.I�promise in,good faith to inform the owner of-the permitting�cvnciltions set forth in� � �'� �'
<br /> this affidauit-prior to commencing'consfruction. I understand that a,�sepa�ate permit may be required for electrica! work,< <.� ��
<br /> plumbing, signs, weils, pools,,air„conditioning, gas.,..or ot�ie�installations not specifically included in the applicatian. A.;; ,. ;- ; ; `+
<br /> permit issued shall`be'�constrvedEto��ie a i'icense:�#o'.proceed with ftie work�:and not.as.a�tfiority ta�violate, ca�cel, alter, or; �" i`�
<br /> set aside any pcovisions of'ttie"technical cades, nor shall issuance af a permit prevent the Building t3fficial fram thereafiter; ,;:�E �1
<br /> requiring a correetion o#;�ecrors.in�:plans;coristruction or,viola#ions of any�ctides.�-�Eve-ry permit issued stialf beeame invaiid : ;,;� �s
<br /> unless the work aufhorized by such permit is commenced,within.six months of permit issuance, or i�watk authorized by"_ �:i a�.�
<br /> the permit is suspended.or.abandoned�for:a�p;eriod•,of six(6)months after the time the work i�commenced, An eactenslon 1 `��� I i
<br /> may be requested, in�wrifing, from#Fie Bui(ding�Official for a periad not fo.exceed ninety(90) days and will demonstrate �
<br /> ', i
<br /> s-': k,1
<br /> justifiabte cause for.fhe extension. .;If work aeases far ninefy(90}conseautive days,the job is considered abandoned. _ : ; � �
<br /> 4 �
<br /> . . � ' � t � �''ri p I
<br /> , 1N/�►RNIRlG`fi�1 OWNER., :YOUR:{FAILUR��,�,Q,R�CORD�A NOTlCE OF C.QMMENGEMENT�MAY-l2ESUGT-1N YCIUR! £'� i j J
<br /> PAYING TWICE:`.F,OR�IMPROVE�MENTS;�TCI YO.UR:�PRC?PERTY;t IF YQU:lN7END�TO�OBT°AlNtFINAMCil�G;�QN�LDLT --- �--T; , �
<br /> � IdVi'�H YAUit`�:�Nt�ER 4R�:�7�.k�!"Y^Etld�lf-��FCDRE`i2i�C013DiNG Y�UR�NGITICE�OP.COMMENCEMEPIT. ; ''� ''
<br /> ���ccit��d�,,iu�s{�.s.i�z.as) , . . .. : _ �
<br /> OWNER OR AGENT CONTRACTOR ,
<br /> Sabscribed and swom M{or afiirmed}befare me thls Subscribe and swo (or fiirtneii} re:me this � '
<br /> �Y .�..Z'�'�by r
<br /> Who is/are personaily known to me or.has/have produced � Whp ts/are personally,nown to me or as/have produaed ,
<br /> as IdentNica�on. �(a��rlr,�f�i oz.�..+z. as iden6flcatlon.
<br /> r, ,,,
<br /> NoNary Public 1Votary Pub}!c
<br /> Commisston IVo. 'm ion , �,.
<br /> o.• .. g4,
<br /> =*' •_:. Commission#FF 150422
<br /> Name ot Notary typed,pdnted or stamped Name of Rlota � ��f�L� n �,ao hru roy ain Innurenc�800.385•7019
<br />
|