|
— ,_�.
<br /> �— . � . ...... d"�i'9+:di.���'�.'.��"iii�.'.1
<br /> � . .n
<br /> � .1'.nr�c�^LE.''::.a.:T.3'}+�';�-n
<br /> � ,. . ' ~ It �1 _
<br /> �.�
<br /> -resfnctions-.�.
<br /> NOTICE�aF DEED RESTRiCTIQ�IS:� The undecsigne,d,:undecstands��tt�at;this;permit maybe:subject:to:�:.deed�s,..F u�.:•
<br /> whichr:may�:be�morear.estrictive�tha�i"G.ounty'<regu(ations ,�`'The•undersigitietl�ssui�ie�responsiliitity�for�compHani��wEth any=rt�""`yi
<br /> .,. -
<br /> _ . : �;;w�*::::r:::,:::��_�".�;:
<br /> applicable.deed ces#rictiorts. _. .�; ...-,. ,,_ � _.....�:---.��-.x ..�.,;,.:....- -....: ��:��.:, .
<br /> UPILICEMSEd';��ONTRA►C"FORS, AND CONTRACTOi2 i2ESP4NSiBi�IT1ES:-��if-�tFie�owr�er=Fias`'iiirecf'"a'::eontractor or �
<br /> cantractors�to undertakeWwark�, tii`ey-:may;be.re.quirgd�to be£licensed�in accordance_with..state,anrc�.�oc.atkregulat�ons��•;�If;#t�ier�`==:��`
<br /> contractor is=not_-licensed>as�r�quired by'lauv; botti.�the ovimer'-arid°'�coritractor��may be��c�t�d���`or a misder�ileanor violat�on� ;' ;
<br /> under state law. !f the owner or.�intended:;co�teac,to,r..are-uncertain as to wMat,ticensing�_reqrairemen��i;i�na}��:�appi���for�#he�:�='���' �
<br /> .. ,� *,.�. .. . _. , .,. -. t,: . x.
<br /> intended workr.they:are-adviseci`�to cantact the"Fasc6_Caunty'B"rtifding:lnspection;Division ,Licensing S.ection-af 727-84:7- �� -
<br /> 8009. Furthermore, if the owner has£°fii��ii�a�corit�actor or contractors, he�is advised to`+have„tlie=.contractar�(s)��sign.h;_s;,k,Ya .,
<br /> porkions of the "contractor Block" of this-applica6on.far which.they wiA_be:resp.onsible.:��If.y,ou,:,as'';tihe"`OU1►�l�lf$��n�.as_>.the� ��� ;__
<br /> ;,.. : ,
<br /> :.. _.. .. ..,. > . , „ ...
<br /> contrac�ar, that.rnay 6e an �n�tication�that he��is*not properly�licensed�antl���s not entifled`�to permitticng privifeges,,irr�yPas�ar,;,��,n ,;
<br /> , , a �� .f .:--.:.,,, .
<br /> County. � . , :^ ..
<br /> TRANSPORTATION tMPACT1:UTiLi't'iES�iIVlPACT AND i2ESOt1RC� RECOVERY"FEES: The undersigned understands ,.��_ �:,�
<br /> that Transportatian impact Fees and Recourse Recpvery Fees may:apply ta:the constru�tion.o,f.r n�w;bui.l.dings, cha"'�i'gegof���;':;�; ���
<br /> use in existing buildirigs,�orFexpansion of:exis#ing`Guildings, as specified irt Pasca Count}r tardinance number 89=07 and, :':t :r;;
<br /> 80-07, as amended: The�undersigned=also.ynder.stands, that such:#ees, as:may�b.e�due;�wiif���;identi�ed�af���fiiie��ime�:of��j�'��; f_`a
<br /> permitting. =1f is further understood fhat Transportation Impact�Fees:�and Resource�=Recovery:.Fees=must be paid prior to �� `;
<br /> receiving a "certifica#e af occupancy° or fin�l,power release. !f the.:pr.ojec#does not involve.a certificate of oecupancy.�oc`�=�=�r�;;° ���
<br /> final;pov9rer rele.ase;,the�fees.rriust�be;paid,priar.to permit issuance..;,:Furtfiermore,.if Pasco County W�a�er/Se�er�:;impacf:��::��"; �
<br /> fees are due,:they,must.be_.paid,_priar to,perm�t:isstaance in�accardance with�appiicable Fasco County ordinances. �
<br /> �ClNSTRUCTiON�Li�1� LA11�(Chapter T13;Fto"rida Sta#utes,as amended): _If valuation of wor:k is$2,50QC?0_o�.�nore,�l.�,#-
<br /> certify that l, the �applicant, have been°provided with�a copy�.of=-the`="Floricla C:ons#ruetion='L:ien :l.aw=Hartieowner's��' „
<br /> Prote�tidn Guide" prepared bythe�Flarida Department af Rgriculture and�Consumer-Affairs. If#he app(icant�is,som�one,, ; ,
<br /> other than the"awner",;i certifiy.#hat31:have obtained a copy of the:above°descri6etlrdocumenf"and,;promise��in..good�:faitli:to s..;
<br /> ,.. ��< . . _ . .
<br /> deliver it;fo°t�ie"own�r�`prior:ta�.comme��rcement:� } �� �
<br /> C�NTRACTQR'S%OWNER'S AFFIDAVlT:;�=l5,c'ertify��#nat`alG�fli+e infor:.rrtation in this apptication �s accurate and�ftiat ali'uvark
<br /> wrl! b�done in cor�tpliance with afi applicabie�laws regulating cons#ruction, zaning and iand�,development. Application is
<br /> fiereby rnade to obtain•,a:�.permit�;�tq��do,;:vvork-and.�installation as��indicatecl; 1`aertify fhat no,wark or,ir�stallation� ha's -
<br /> commenced prior to issuance of a p.�rmit and�that all work will be perta�med ta:meet standards�af al! fa�nrs regulating
<br /> construc#ion, County and Giiy codes, zoning regufatians, and land develapment regufations�"in��the jurisdiatian: �«I°�also �f?
<br /> certify that 1 understand that the regu{ations af other government agencies may apply.to fhe.intended work, and that it is , ;
<br /> rny responsibiiity#o identify what actions I:must,stakerto_be�,;m;compliance..F Such.agencies�include butare not,limifed;>to:' . ` '
<br /> ,;�.
<br /> - _ ,Depactment af Envirorimentat``Rroxecfian-Cypress Baytieads; Wetland Rreas and Environmenta!!y Sensifive
<br /> Lands,Wa#erMlastewrater Treatment. � { �'"
<br /> - Southwest Florida Water Manag�ment District-Wells, Cypress .Bayheads, We#land Areas, Alter'ing �~#
<br /> . :y�,
<br /> : ;;:
<br /> Watercaurses. - ' � ;�.
<br /> - Army Corps of Engineers-SeawaUs,Docks; Navigable Waterways. € , ;;,,
<br /> � - Depar,kment:.,of Health�,:8� RehabilEta#iv.e -Serrrices/En�iranmental_:Heal#h:-.Unit-Wells,'Wastevu�ater.Trea#meht; =,£4
<br /> � Septie=Tanks. . , �
<br /> - - USEnvironmentalAcotectionAgency-Asbestos.abatement. ___ _ _ . _ ; �� -
<br /> - - -- - -���Federal Aviation;Authority-Runway,s.- " � t
<br /> !understand that:the:fo!lowing�rss#r�c#ians apply€o the use af fi1l:
<br /> - Use of fiH is not;allovue.d in F.lood Zane"V"uniess expressiy permifted. "
<br /> - ff the fill�material :is to be used in_ Flood Zone "A", it is understood th�t a�drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professiona! engineer '
<br /> licensed by the'State�of Florida.
<br /> - If the fill�material is to be used in Flood Zone "A" in connection with a� permitted building using stem wall
<br /> constructian, 1 c�rtify,.tha#:fifl witl be used oNy to fitl the area within the stem wall. _ �f
<br /> - tf fili material'is to -6e used in any area, I certify that use of such�fill wi#1 not adversely a�fect adjacent
<br /> properkies. If use af fi!! is fournd to adver.se{y affect�a�tjacent properties, the owner may be cited for vioiating. .
<br /> the contl�tPons of:the.`building permif:issued under the attached.petmit..aPplication, for lots less=than one (1.) '
<br /> , acre whtch are elevated�by fill, an engineered drainage plan.is-requi�ed. t � � ' � ;�'°„
<br /> tf 1 am#he AGENT FOR THE OWHER;I rpromise in good faith to inforrn the owner of-the�permitting cond'rtians set forth`in � y:��;
<br /> this affiilavit priar fo commencing consEfi:iction. 1 unders#and that a.sepa�ate permit may be required far electrica( wa�k,. "
<br /> ,..,.M. <_..,.. ,. � �;t
<br /> plumbfng, signs, wells, poals, air.,,conditioning,.gas,..ar othe� instalfations not specificaliy included in fhe application: �A.,, _; ��.;
<br /> permit issued shalfY�ie construed fo�tie a iicense''to.proceed vyith the work and not as authority=to violate, cancel,.alter,!or ��;,
<br /> set aside any provisions�of the"tech�ical codes, nor shaq issuance of a permit prevent the Building O�aial from thereafter ���3
<br /> requiring a correction>of�ecrorsrin-�plartsr;:construction.o,r uiolations of any cades:-Every permif issued�sliafi'beeame invaiid :�:;
<br /> unless the work authorized by such permit is cammerieed within six,months af permit issuance, ar if work authanzed`by� ;i
<br /> the permit is suspended-.or abandoned for,a period�;af six(6}monfhs after the time the work i�commenced,�An eactension � t,;
<br /> may be requested, in vurifing,`from�ffie Buiidir�g�O�ciat for a period.not to exceed�riinety(90)days and virill clenionstrate �;�;
<br /> justifiable cause for the extension. .lf.wor-k ceases for ninety(90}consecutive days,the job is considered abandaned: ; `:i
<br /> t.,.
<br /> � �`,
<br /> . . , • .; :,.. ., �fir
<br /> '�klARNfiV�G"TC?�41NNER;�`Y4UR;r�Ai.LURE,�T",O;,RECQRD�A.iVOTiCE OF�COIVI�MEN�EMENT MAY��RESUL•T !N�YOUR� .�,�,
<br /> PAYiI�fG TWiCE;'FOR,t�Ih120V`EiH[�1�'1'S�,'�Q YOUR:�PRGPERTY.�iF YOUsIN�E�dD��TO�t?BTAlN�FIIdANCING;Cl?IdSULT F;
<br /> V��T'H YOUR tENC1ER OI�AN A'ITORNEY B�FCIRE`REC.ORDlNG YOUR`NC?TICEjQ�°.CQMaVlEN�Et!ll�f��------ -----
<br /> , , .,N;_-----.... ,
<br /> :E
<br /> FLORIDA JURAT(F.S.11.7.03) ,. � � � � - -_ _�_ -v. .
<br /> • ` _--- -� - �,�" -
<br /> _ _,.—.--------- -
<br /> . __.________- ._,.._,._
<br /> PJ1�iFiER OR ACaENT -. C4EITRACTOR ./� �•_ _ '"1"'- ,.
<br /> Subscribed and swom to{or aHirmed)befare me thls Sub 'be nd swom {ar affirmetl}be this --
<br /> bY aY �'21drL.L,� L-w- �_..c_�.lZ-.i
<br /> Who ls/are personally known to me or haslhave,produced o I ersonalf��t�cr has�uced , ,
<br /> as IdentiflcaBon. �,�� �� as Identl�ca�an. �
<br /> . ,
<br /> ` ' ;
<br /> Notary' Public Notary Publia ;
<br /> Commisslon No. C mmtssfon No. ��7 c-! �
<br /> Y� � U
<br /> Name of Natary typed,p�n#ed or stamped. Name of Notary typed,printed or stamped
<br /> ...tar�+A��..
<br /> , i�*Y�•"•, C}E$RA ELAINE Rl1FFELE,
<br /> '� � ;� ��',_Commfissian#GG 0453d3 .
<br /> ;,; . • ;4;:Expires Navember 7,202d
<br /> ""%��"`� 9ondedihruT Faininsurance DO-3 7
<br /> n,,;$ �Y 8 85-O18
<br />
|