|
�
<br /> � --
<br /> �ltbTdC��F DEED RESTR1CT101N�: Th�u�tder�ign�d under�tands°=t1�t:tf�fs.;p�rm���nay b�esub�ect to°deed":restrictlons" - � .�_
<br /> which m�y=6e�more��r.est�r(ctive=tiian Caunty reguiat�ons:�Th�`undersl�ried�assumes resporisitiility=for'coriipliance'vuwltii=�iriy
<br /> �ppl#cable.deed-restrlcttons. , .�.:,. ....� .: . - ._
<br /> �06�i�IC�t��EI���CONTit�1CTOR��.�P��► G��ITRAC'�`���iB��PCb�iS1Bt#�ITI��: �If the owner ha���hired-`a con#rac#ac or
<br /> cantractors ta undertake wark�they may_be;r+�qulred.:to.:b�;llcensed_In accordance.wtth st�te�.and�local�regulatlons: �if the
<br /> contrac#or ts not�ltcense��-as raqul�d::tiy IaVtr, hot#��the own�r and�contractor-�ay��#e°�alted=ior�a;misi3emeranor v{ol�Uon
<br /> under sta4e law. If the own�r ar (ntended=,contra�tor;a�e<uncena(n as"to what lic,snstng.requiremenfs,�m�y�appiy-�forthe
<br /> Intended work�they��e advisei�to contact the:Pa�ca County�utlding�lnspection Dhrislon---Llcensing Sectton at 727-847-
<br /> �qOg. Fu�thermore, 1� the awner fias'�liired a contracCor or�confractor�. he �s ai3vtsed to have "#he canEractans}_ st�n
<br /> �ortions of th� °contractor.8lock" of.this.application forv�h(ch they will be-responslble.�.�ff.you�.as,#he awiier'sign'as the �-
<br /> contractor� Ehat�inay be-an icidicatt�n that-hei�is'riot proper{y iicensed and ts not ent�led to�permlttfng priirlleges ln Pasco
<br /> County.
<br /> 1C�M���lR7�tT10W�iMP'�►CT/�R31�1�'i��=�(MPAC'�At�D-!'�E�OI��tCE RECa'VI�RY f E�S: 'P#�e�under�igned under�tands
<br /> that'�rar�sportatforo impact Fees��nd.Reco�cse i2ecaeery.Fees may;aPPty�ta:ti��_cansbvct�on of new_buildings,;change=of== �
<br /> use in exis�ing bulldtngs,�oruexpar�si�r��of��eiilstin�g'�6riildings� �s spe�ified.in P�sca County Or'dtnance number 89-07 and
<br /> �0-07. as amended,�..:�h�a undet�ign�d�iso;urideFs#ands; tF�a�:�such fees,�as��may:be=dtte;;�r111:,be ldent�Eed �t the�#ime`of�
<br /> permilting. It Is furttier und�rstoad th�t Tra�spbrtatlon Impact�'ees ��td°Riasourae.Recovery�`Fees..must be paid prtor to
<br /> c�c�i�inc�a.°cerfi�cate=af�occupancy" orftna!-�.pawer;�elease. :1�°ttie prr►Jeetdoes.riat-involv�:a�ce�tificate of occupancy.��or�� _ -
<br /> �inal pauv�c rele�se;=th'e fees=.mu�t tie paid;pr.lor to.permif.issuaince. F��t�erm�re;�iE.Pa�ca��ounty;WaferlSewer.-Impact -
<br /> fiees are due�:they:miust.be�p�ld�piior,to.�ermit�_issuan�e=tn,accocdancelwith�appllcable Pasco'County�o�dinances. �
<br /> �ORISTRUGTt9M C1EN t;iAAIIV(C1►�pter't13+i�t�r�d��taEt�t�s��ts amend�d): 1f v�atua�on o#work is�2,50Q,OQ,ar moret,l� ---
<br /> certify that i� the applicant,. have-been prov[ded�with�-a-copy:�of�the�"Elorida���onsVucNon� Lien..Law—Homeowner`s
<br /> &��otecttoa� Gu{de° prepa�red by the Fioi�ida Dep�rf�ne�t�of�igriculture and Const�m�sr.--Aft�trs. 1#the appt{cant is someane
<br /> ather Ohan th�"owne�', I certi�+��that O.h�ve.obtainect:a'copy.of:th��abave.rd�se�p�ti�iocument-and.promise�.in,goad:faith to _
<br /> , deliver it to.the:°owner."�pr�or--to�comriner�aement;" � " -. � � �
<br /> �ORTTQ��T�R•5/t3WNER'�AF�1D�#ViT: i.cei:t�ty.tf.iat,all..the�:inf�rrrtati�n:l�-thl�agpiicatian is accur�te.and fhat�if�vot�
<br /> will�b� done in compliance with all.appltcable laws regul�ting constructlon, �oning and:�land�d�velopment. Appltcation is
<br /> 6�ereby made ta. obtaln..a perm�t.to do_woaic:._�nd di��t�tlta�an as Indtca#ed:.i.-��1 cerl�fy that no w�ck_ar lo�st�#ta#tora has
<br /> aommenced prlo� #o i'ssuance of�a pertnit'�and th�t.all work will b� performed�to meet standa�rds-of all laws reguta�ing-
<br /> �onstructlan, C�unty and City codes, zoning regulatlans, and l�nd development r.egulattons In #he jurtsdiction. !�a!'so
<br /> c�rfi6y that 1 underst�nd that the r�gulaftons of other�governm�nt aa�ncies may�appiy�to fhe in�ended work, and#hat i4 6s
<br /> my responsiblltty to id�ntify.what.�ct(ons I must�take,:to be.�In�c�mpliance: �uch:agencies Include but�are.not Iimited 40:
<br /> � - �7��sartmen# af Er�vtronmeiit�l�Protecfiiatt=Cypr�ss.��ay�ie�d�,��liisNand Areas and�Environmentally Sensitiue
<br /> L.ands,!I!#ater/Wastewater Treatment.
<br /> - ��ut€iwest �lor�da Water Manag�ment:C�is#rtct:lNe#Is; Cyp��ss.Y'Bay_heads; Wetland ,�eas, Altering
<br /> Q1NNafer�ourses, ,
<br /> - Army Corps of Engineers-�eawalls,Docks, Mavigatile W�terway�.
<br /> - Department ���Heaith::8:.i2ehabilitative .Servicesf.Envirottm�n�atl.-Heat#h 1litit�t{1e31.s._Wastewater=Treatment, .
<br /> ' Septic Tanks:..= ... � . . . � _
<br /> - US Envir�nmental Protectton Agency-F.►sbesto�ab�tement.,:-
<br /> �eder�LAv.latt�n�Aulhorlty,:.Rur�Hnays. ,,
<br /> !und�rstand 4fiat.the-folloinr'ing�restrtstlans apply tv`.tFie use�of flll:
<br /> - t���o�fiN is naf allawed in Ftood Zona"!1"uMess expPessly permitted,�
<br /> - If the fiif mateNal ls to be useii:in-flood Zone.pA", ft. is understnod that-�a dr�inage plan addressing a
<br /> °compe�sating voiume"will be submttted at#ime ofi�perml�ing u�1i€ch �� prep�red by a p�fessiona! engineer.
<br /> Ilcensed by�ttie State of'F�orida: � � --� � -
<br /> - If the f�li rriaterlal�Es to be used in Ffood Zon� 'A" In_conn�ction�wlth�a���rmitted b�alldtng ustng st�m wa�l!
<br /> � con�tniction� 1 certify.that fili.�ir�ll:be used oniy.to.fill the-are�-within�the�stem�wrall.
<br /> - if fill material !s to be used-�In•any area; I`:certil'y that .usa of such flll will no# adversely affect a�djacent
<br /> ' propertles, 1f use.of fi111s:f�un�to aduersely:�ffect ad;acetit�-prcmpertie.s..the awner may be c�ted for.vlorating
<br /> the cond�io�s��of�fhe.bi�ilding:permit Is'suetl�-t�nder ttie°'atlacfied��ermit application�-.for:lats�.less�than:one (1)
<br /> acr�wtitcii are eievated-tiy fltl;.a�t englneer�ad dr�lnags plat�l�requlred.
<br /> Of i am the e�CEN�'EAR TH�0�1INElR; I�.pivmTse in.goodµfat#0�#o tnform the°owner of the permli#ing conditians�et forth in
<br /> this aflidavit'prior�a comme�acing consUuctlon. 1 understand thet�a;s�parate�permit may be tequlred for elecMca�f work,
<br /> �1�amb6ng, signs� w+aiis�:Poois;. alr candlftoning,_.g�s, or-ot�er.= Ms#all�itlons not.spec�icatly lnciuded-in.the appltca�tRon. .A
<br /> perm(t Issued shall be construed to b���a�ltcens�'-to��proc�eed with tNe:vuork and nat�as.authoHty.to.violater,cancel, �Iter, or ,
<br /> seE�side any provlsions of the technical cad�;�nor�hal)issuance°of a.permit_pc�verif fh�Buildlrig Of�da!i'rom thereafter
<br /> r�quiring a correctian�nf e,rrors fn�.ptans; constiiuction or xiolaqons of�any codes:� Euery�permit=tssued sliall-6ecom�e invalid
<br /> unless the wrork autho�lzed:by such permit��t�-comnnenced•�rithtn�Gc.�nonths of�permlt lssuance, or[�w+ork authorized by
<br /> �he petmit is suspeetdsd�-or:abac�doned�€or a:per�od:,of=s�c�{i6}-imcron��s::ef�er:the#Ime#h��wrork�s commenced. An extension
<br /> may b� requ�sted�,in writing,:from tire�'�ullding.Of�icfal-far a p�arlod�not.to e�xceed��ninety(90) days ai�d viilll demonstrate
<br /> justtfi�bl�'c�ase for�the e�ttensio�: if wo�lc ceas�s:far nlne�r-{90�cons.ecutive:daysrt�i��ob-�s.consfder�d aba�doned.
<br /> . • .� , .
<br /> @��RMlNG T� gN!!NlER: Y9UR,FAILURE>7t1,R�ECO�tQ A,I��TlCl��:OF°COMMEMCENlENT:MAY RESULT!RI YOUR
<br /> ��YIM�T1iN"ICE:F�1R�ISVIHRAYEMENTS�Tfl_1tQUt�:PRt�1P�R7Y:--i�°.vA.U�II�'€E�lCFSTQ>C�TAiN�FiNifii�E1NG;�C.t1N�!)I.T
<br /> �flIET � U �.C� AIV�J�TTAR1�1E1�� FCi.� � OR�1 G�� OU � < � � =OF�'� �,°,. E .
<br /> FLORID,�JUR11fi(F.S:21I.Q9j - , � •• . . . _ . .- . • _ . . ..
<br /> 6?YVNER OR e0.OENT COPITRAETO -
<br /> subscribsd and swam ta{or af�trned)6efore me thls Scibstxibed and'swom�to{o � sd)�beiate rtta tlii�� .
<br /> ay - .�y... . . .
<br /> Wiio Isl�re personaliy known.to.m�,or�ha�slhave produced. Who.isla►e p.er&onally kttovm•td rne.or has/haver�produced •
<br /> as identlflt�8ori. as tdenBRcation.
<br /> Notary Public . ' Nofary Pubiic
<br /> Commisslon No: Corr}misston.No.
<br /> Plame af Motary typed,ptlnted or stamped N�me of Notary typed,ptlated or stamped
<br />
|