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<br /> NOTtGE UF;DEED RESTRiCT10NS:- The undersi�ryned<.unders#ands.that this,permit:may<.be:subject:,toU°c�e,ed�:restnctionsn:;'y,: �
<br />'4 .,� �f�.r _ �_T,•rJ�Y,�tiNt.�.��:;�,.>t s-; � a:�,d"�su*��.5,�:»;,'i�:ti:,:,t4�-tX,..n'rx.'t. 3^u x�fpy3.;,=a-��n'e'�WIN'1'�'an� � ' .
<br />�, which,timay:be�more:..r.esf�icfive:thanaCotanty:r.egulatians:=�'The`=tiraders�gned�~assurnes°�r�sponsibittty:forrcom�ii_ , c ,y: ��
<br /> apphca6le deed restr�ctions. „ �� . . - =�:s�:�'";r�;< „
<br />� �
<br /> UNLICENS.ED'�GON�RACTC�RS AMCI� CONTt2ACTQR RESPQNSIBILlTI�S: ==1f'�tk�e��owiier.has: hrre��'�a cbr�tr.actor or
<br />�' : v_. �. _ �. , . . a,
<br /> i contcactors#o undertake work, they„may;,be,required:to be`license.d in accor.dance_uuith.state:antl'�local;ir;egu,la�ions����Mf:::�tii�e�-�:=�-F � �,}
<br /> i ,. . �, ... _. . � _..-..�.._,.-}-......: :4�.: �,� - , - r
<br /> i contraator is�not`licensedras��equired'Iry�'law; botii:�fhe ou�mer-=and"contractor�=may�be�cited far�a�Enisdernea.norviol�t�on� , �,� : ;;
<br /> i undet sta#e•law. if ti�e owner ar intendeci.:.contractor are uncertain as.to what..(icensing:requlrerr�ents�ri�'ay=�a�ply�jfor;�fh`e:��Mk�' �,
<br /> . .�, y.P *:.�:4�..:i:�P'� ..� ..r .._ . .-, .. 4 �b..�1'::.�. '. k,..� ,'
<br /> intended�woGkr.they are-advised`to contact�tiie'Pasca_Caunfy`"Building:,lnsp.eicfion`�visionw Licensing$ection af 727 84fi- M y, �:
<br /> 8009. Furthermore, if the owner�has°tiire�i:.a` corit�actor or cont�actors, he is advlsed .to;�have the.,contracfor(s,}r.,sign,ti,,..,,t� ' ";
<br /> porkfons of the "contractor Block" of tbis application:;for-which..they-.wi!!_,be,responsible.-°=.If you,�as��tlie::,o"wEier}sig�n:�as�t#ie{�` `���= `4��� 5;
<br /> contractor., that.may be an indicatiori-that he�is'not properly licensed�and�is not enti#Ied��to perinit�ing privileges._in P,asco,;�;y.�� f�q� �,
<br /> County. � . . . : ;.:._ ,,,:�M1�.:-F4.=s._
<br /> TRAMSPtJRTATION IMPAGT1.UTiL1T1ES=IMP�CT AND RES�URCE RECOVERY FEES: Ttie`undersi� ried.under:stands.;.�, ', =`=� 'd
<br /> g E��.:��•.�;.�:.-I.. � � i�
<br /> ihat Transportatian lmpact Fees and Reco�rse Recavery Fee'sY�may°appfy to;fhe.construc:tion:.af.new�buil,dingsi.ciiange�'of���-;=;..�� s,:; G;
<br /> use In existing buildirigs;<or�expa�sion:of�.exis#irrg 6uiidir�gs, as specified rn Pasca Counfy t,�rdirtance nurnber 89 07 and � n: ��
<br /> �,
<br /> 90-07, as amended: The�undersigned also.understands, that such�feies; as;may.;i�e}due;,wifl be:iden#iffedx�t��the+�time�:'of�x�;�;�` t�:; i;
<br /> ermittin It is further understood tliat�Trans ortation Im act�Fses�and Resource�.Recove Fees�must be paid prior to � ��' �'
<br /> P 9� P p rY . _ n ".
<br /> o n r, ... .:.„- . .,. ;,' i�i
<br /> receiving..a- cerkificate of occapancy ar fin�l.power release. If the�:pcaject.does nat in�alve:a ceitificate of:occ�pancy';ar�-!��'-� ; Sj
<br /> � �nai�-power release,�tHe:#ees.�iust be�.paid prior to permit issuance.._.Furtfiermore,-if.Pasca.Cour�ty WaterlSewer4:,1,"mpa�t:-r��-�'; '� }f
<br /> � fees are diae,.tli,ey.musf:be._paid prior to permit'issuance-inraccocdance-wi#h'applicabie�Pasco�County ordinances. � ;�
<br /> CONSTRl1CTlOP! �clEN Le41fV(Chapter71-3, Florida Statutes,as amended): 1#valuat9on of work is$2,�0.0:0;O:,or.�.m,�r:e;�i„:,;i; ; ;;
<br /> certify that !, the applicant,,have been provfded with-a copy;.�of=the-:"Fforida Con"s#�uctiori'Lien Lav�-�Hot�eowne�'s'} - .
<br /> Protectinn Guide" prepared�by the�Florida Department of Agr.iculture and Gonsumer-Affairs. If the applican#�is;:someone;,.,, ,
<br /> .,,�..y a..�.....r�
<br /> � other than the"owner",;I.e�rtify that l:.have obtaihed'a copy ofthe above,descritied"docurrient"and.promise�;in good`;fai#h'to.:: ,._
<br /> deiiver.it.to'th�e:"own.er"�prior:.:fo=commence�nent: �
<br /> �� CBNTRACTOR'S%Ct'1i�NER'� AFFIDAVIT:. .t=cectify�tiaaf aIF the infoer�ation in this apptication is accurate and�fhat ali`work .
<br /> wil! be done in comptiance with all applicable�laws reguia#ing constructian, zoning�.and_iand�deveiapment. Appiicafion,i$
<br /> hereby~made ta obtain;a�.perrriit°to=.do_ivuork -and_ installation .as��ndicated. i�certify fhat no anrock or.ir�sfallationx has ;.
<br /> commenced prior to �ssuance of a perrriit and�that a!! work will be perFormed to.meet standards�of alt laws regulating � !'
<br /> construation, County and Ci#y codes, zoning regulatians, and land development�regulations in°.:ttie jurisdlation. 'I:�also � `.., �;
<br /> certify that I unde�stand that the-regulations of othe�gavernment agencies may apply to the intended work, and that it is �;`:, s'
<br /> my responsibility#o identify what actions I must,take to be in compliance,, Such agencies include but are not limited:to:� ; t :� ��
<br /> - .Department of Env�ronme�itat.��Rratection-Cypress' Baytieads, Wetland Areas and Environmen#ally Sensitive °�� �
<br /> ' lands,Wa#er/Wastewa#er Treatment. , � ' '' �
<br /> �,� �'l
<br /> ; - Southvuest Florida Water Manag�ment District Wells, Cypress .Bayheads, Wetland Areas, i4lteriog ;�; �;
<br /> Watercourses, , � '.,,; ��
<br /> - Army Carps of Engineers-Seawalls, Docks; Navigable UVaterwaps. _ ' ;•.f ;-;
<br /> �, - Department�of Health,,;� Rehabilitative �$ervices/Environmen#al.•�.Health Unit=Wells, Wasfewater Treatment; � .';-� #}
<br /> � -Sep#ic��araks: � .� � :_
<br /> F :
<br /> - US Environmentai Pr.atect9on Agency-Asbestos.abatement. ;_'
<br /> - Fed,eral Aviation.;Authocity-Runways. � ' '
<br /> ' I understand that-ttie follawingxestrictions appljr to the use.af�Il: y
<br /> - Use of fill is not a0owe.d in Flood Zone"V" unless expressly permitted. '
<br /> - if the fiil materia(::is to be used in_ Flaod Zane "A", it is understaod that a drainage plan addressing .a;.
<br /> I °compensating votume° will be submitted at time of permitting which is prepared by-a prafessional engineer` "
<br /> �� licensed by.the'Stataof Flarida. � ,
<br /> - !f the f!! material is to be used in Flaod Zone "A" in connectian wiih a permitted building using stem wall; ; `
<br /> construction, I certify.that fill will be used only to fill the area within the s#em wall. . -
<br /> - lf fill materlai is to :be used in �any area, I certify that use of such�fill will nat adversely affect adJacent� ��;
<br /> properties. tf.use of�II is found to adyersely affect adjacent properties, the owner may be cited for vlalatingy. .: f:'
<br /> the conditions.of<#he�buifding permit issued und"er the�attached,perrnit-:ap.plication, for lots less #han one (1)� � `~�
<br /> �� acre wtiich are elevated by fifl,an engineered drainage plan is requiced. ; *� �`�
<br /> 'I !f I am the AGENT fOR THE�1RV�ER��I promise in�good faith ta inform the owner of-the permitting conditions set fiorth in# � �}:: j
<br /> , this affidauit prior to.commencing coristruction�. I understand that a sepa�ate permJt may be required for elea�rical wark � '�� �'
<br /> ,,..,._, :i �'w, _i:
<br /> plumbing, signs, wells, .pools,.;air�condi#ioning; gas.„.or othe�install'ations not specifically included !n the applicatiori: A.4_ :-- � ;
<br /> �;x
<br /> , permit issued shaii`be'�construedFto=pe a license-to•.proceed wifh�lie work:and nat�as.autltiocity,ta violate, cancel, alter, or; �_�� ��
<br /> I set aside any provisions of't#ie"techn�cal codes, nor shali issuance of a permit prevent the Building �fficial fram theceafiter�� �� d
<br /> �,�$ �.
<br /> requiring a co�rectlon::of,:er:cocs:in°;plaris;�constr,uction ar:violations of�any:codes.==Eve-ry permi�issued shall become invaiid ; � �
<br /> Iunless the work authorized by such permit is commenc�d within,si�c montfis of permit Issuance, or if work authorized by�=: � �=:�. �
<br /> �. ti _. f=.� t.,
<br /> the permit is suspended;,.or.abandoned-far:a period.;of suc(6).rrionths after the time the work i�commenced.� An sxtenslon S ; ( ,
<br /> �'I may be requested, in writing,,fcom-the'Bui(ding�Official for a period.not#o exceed ninety(90) days and vvill demonstrate ' -�;� !`�
<br /> i justi#iable cause for the extension. ,If wto,rk-ceases for ninety(90}consecutive days,the.job is considered abandoned. ' i,�� 4'�
<br /> � _ . ; :. �,�
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<br /> C I�IfARNING'TC1.OWNER:. •YOUR�,FA�LU;RE<,T,Q`.R�GQRQA NOTICE:OF C.OMMENCEMENT�MAY°RESULT• IN YOUR''; �;�� ��
<br /> I PAYING TWICE�FOR�IMF'R`�OVEMENTS,�TtO,YO.UR:�PRQPERTI(., 1�YOU:�lNTEMD��TO+QB'FAlN�-FINANCiNG;:C'4NS�I�T-�-- -- -i.�:--
<br /> ,WITH"YOUR LENEIER OFt AN ATTORNEY B�F.ORE�REC.URDING-YOUR`RIOTICEcO�`i.COMMEN�EM�ENT. � ;,, �.'x
<br /> _. .FtOR{DAJtiRA3—(F.S.-��z:a3}=_ , , . . , ,. ,. - . - ,
<br /> ���:
<br /> OIMNER OR AG@IdT CONTRAC70R ._
<br /> Subscribed and�swam M{or affirmed}befare me this Sub cribed n swom to ffirmed} fo :me s � ' °
<br /> �Y , t�L�by � v i ,
<br /> Wha(s/are personally known to me or has/have produced ` Wh5�Is re person known to me ha$/have produced �
<br /> as idenBRcatian. !I�/ � _�as Iden�flcatlan. � �
<br /> NOtary Pub}fc '�latary Aubltc
<br /> Commisston No. Com 'ssion No. � � •
<br /> - �-�-�'.i�l"`' � C�..t �,�/'_����� .
<br /> Name af Natary typed,pr#n#ed ar stamped Name of No
<br /> a�"v�"'r= .�:,zri�El.AtiVERUFFELL
<br /> - A4P[��,�s: "�.
<br /> ' �c°`,�n.��`��>_Comrr�issiqn#GG 045343
<br /> �`�;��'.+��-:__"xpires November 7,202d
<br /> .. '`''`�"'"`' E;-:�dedThru3roY�amiss�ttaoce84�3B�74f9 '
<br /> ,q.,
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