|
WO"tl�E � DEED I�STRICTIONS: The undersigned understands that this permit may be subject to "d�9ed" ''� " s"
<br /> � be rnore restr+ctive th� Caunfy regula#ions. The undersigned assumes responsibility for cornplian ��i� any
<br /> doed r�rrs.
<br /> CON7'RACTdRS AND CONTRACTOR RESPONSIBILITfES: If the owner has hired a contractor or
<br /> co t� ur�ce wcxic, they may be required to be licensed in accordance with state and local regulations If the
<br /> ° or �s nat licensed as required by iaw both the owner and contractor may be cited for a misdemeanor violation
<br /> un� state law if the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> irT#�eeii work. they are advised �c contact the Pasco County Building lnspection Division—Licensing Section at 727-847-
<br /> : S+Q�. Furthermore. if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> pa�f"� of the °contractor Qlc>ck" +�f this application for which they wifi be responsible. If you, as the owner s[gn as the
<br /> � a�it�r, t�at may be an indication that he is not properly licensed and is not entitled to permitting privilegi� in Pasco
<br /> �Y.
<br /> T�Oi�TATlON fMP�tCTNT1UTIES IIVAPACT AND RESOURCE RECOVERY FEES: The undersigned , erstands
<br /> �� t�t Tct�tion lmpact Fees a��td Recourse Recovery Fees may apply to the construction of new bui�in '�ge of
<br /> ; use i� exi�ing bc�klings, or expansion of exis�ing buildings, as specified in Pasco County Ordinance numb -47 and
<br /> ' 9G-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> �erm'stting It 'ss further understood that Transportation Impact Fess and Resource Recovery Fees must be paid pr+or to
<br /> -eceiving a"certificate of occupancy" or final power release. If the project does not involve a certificat2 of occupancy or
<br /> fina3 power refease, the fees rnust be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer (mpact
<br /> fe,es are due, tl�e�y rrnast be �aid priur to permit issuance in accordance with applicable Pasco County ordinances.
<br /> L1Etd tAW (Chapter 713, FEorida S#atutes, as amended): If valuation o€ work is $2,500.00 �r rnore, I
<br /> cestify �t 1, iE�e �nt, have been provided with a copy of the "Fiorida Ccrrtsfi,�ction Lien Law—N � s
<br /> P4'atectio� Gcs�de° prepared by the Ftorida �epartment of Agriculture and Consumer Affairs. f# the a�pticant ��' ,"
<br /> o�er th� fh�e "owrtie�', I c�rtify that I have obtained a capy of the above d�scribed cfocumen# and �xamise in g�d faitfi� to
<br /> cie#' � ta the "au�t" pri� to cocnmencement.
<br /> �;, SK3YVI�IER'S A�f[?AViT; I certify that all the information in this application is a�urate �d �t�i �ric
<br /> � w�i ` t�e in compi�ance with a!1 appticable laws regulating construction zoning and iand de�relap�nent. A ,�s
<br /> he��± rnac�e to obtain a permit to do work and installation as indicated. I ce.�tify tha# rao wa�ic or insta�t�vn has
<br /> � to issuance af a permit and that aN work will be pehormed to meet standa�ds af aN la�as regula�ing
<br /> ', County and City cocfes, zoning. regulations, and land development t�ulatiar�s in tt�e j�rrisd'sc#t�n + ai�o
<br /> � #ha# i ur�derstand that the regu{ations of other governmen# agencies may ap}�y to the intended �k, � t#�a# it ss.
<br /> my r�sporrsibitity to identify what actions I must take to be +n compiiance. Such age�aes induc�e but �e r�ot li�i to:
<br /> - Department of Enviror�mental Protection-Cypress Bay±��ads, �Ne#land Areas and En�cx�menta�r Se�ti��
<br /> ,; Lands. Water/Wastewater Treatment
<br /> - Southwest Florida V'Jater Management D�strict-Wells, Cypress t3ayheads We�arxi p,r�, ��ir�
<br /> Watercaurses.
<br /> - Army Corps of Engineers-Seawalis Docks, N2vigable Waterways.
<br /> - DeNarmen: oT Health & Rehabilitative Servi�es/Envirormentai Health Unit-UVelfs. Was#ewa��r ��,
<br /> � Septic TanEcs.
<br /> - 11S Errvirmx�r�etttat Protection Agency-Asbesios abatement.
<br /> - Fede�al Aviatan Authorily-Rw�ways,
<br /> I understar�d that the fvNow'srtg resbicfions apply to the use of fi11:
<br /> - Use of fii! is nof aflowed in Fiood Zone "V" unless expressxy p�errr�itte�.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood tha# a drainage {�an a
<br /> ucompensating volurrte" wil! be submitted at time of permitting which fs �ep�red by a Fx� r
<br /> 1�nsed by the Sta�e of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in conr�ectian with a�errrutted bui��g s,�sir�g ��q
<br /> canstrucfion, I cettify that fill wiH be used only to fi11 the area within ttt� stem wa�l.
<br /> � - If fifl material is to be used in any area, I certify that use o# such fiH v� r�at ad�seijr
<br /> properties. If use of fiil is found to adversely affect adjacent �roperties, the � rrray be c�ed
<br /> � the conditians o# the buildin rmit issued under the attact�ed
<br /> 9 P� permit a�cat�n, ior �ots 1�s g'3}
<br /> acre wh�ch are elevated by fill, an engineered drai��e plan is requ�rec.
<br /> Ir f aan the AGENT FOR THE OWNER, I promise in good faith to inform the owr�er of the p��rr�g s�et f�h in
<br /> this a�davit prior to cammencing construction I understand tha# a separate permi# may t�e rec�ret� far �,
<br /> piumbir�g, signs, w+elds, pools, air conditioning, gas, or other installations not specific�ty inGuc�ec# it� tt�e �c� �.
<br /> � permit issued shall be construed to be a license to proceed with the work and r �s a��'tty to vic�a�e, ca€�. ��, �s
<br /> � set aside any provisions of the tec( codes nor shall issuance of a perm�t preve��i uhe &�g O�d #��n €�e�ea�r
<br /> �: requiring a correction of errors in �alans, construction or violations of any cades. Ev�{y pe�tit fssu�ad s#� b� in�d
<br /> unless the work authorized by such permit is commenced within six months of �it issuance, t�r if v;�ic ��t# �by
<br /> the petcnit is suspended or abandoned for a period of six (6) months after the time �� is c,�ced, ,� �
<br /> � �' may be requested, in writing, from the 8uilding Official for a period not to exce.�c7 �,�r�cty (9Q) d�°s and w� r�e
<br /> : justifiable cause for the extension 'f work ceases for ninety (90} consecutive days, #he� is ca�s�ered �r##,
<br /> ' ; fi,
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A Rlt?TiC� flF CO�A pAY �,�' ��
<br /> PAYING TWICE FOR 1MPROVEM S TO YOUR PROPfRTY. If YOU itdTE�tt3 QBT,41t� FiIiAMCiNG, ��T
<br /> WITH YOUR LENDER OR AN Y BEFORE RECORDING YOUR NO
<br /> FLORIDA JURAT (F S 117 03) �
<br /> OWNER OR AGENT --- � CONTRACFOR
<br /> Subscribed and swom to (or affirm Subscribed and swom to {a b�edae me �
<br /> by �' bY To HN 1. t ir�1.0
<br /> Who is1�g personalry known to m� or asfiave produced Who is/�e gersona�y knovm tp rne or t�we produoed
<br /> -�
<br /> as identification. ""�' °'�� —'—""�' � � ,;
<br /> � .,, J — - `� '�k
<br /> �� �� ' ' - s,
<br /> � � �.Notary Pubhc •y_
<br /> �
<br /> Commission No � A _ � �� �-� Commission No. �,� �,(a �
<br /> �' Name cf� ota ed, rinted or stam�e _ Name of Notary ryped, prirtisd or stamped
<br /> '� N';Y e's�,,, KRISTEN P, JOSEPN
<br /> �' ;,� COmmtsstnn # D� $8?_ti27 ,,,��",
<br /> ; �.*n::' KRISTEN P. JOSEPN!
<br /> �� .;
<br /> �'� Ny; Expires Apnl 21, 2013 *: k= Cornmissi�n # DD 88262 �
<br /> �,pF �; n�i�a , rau ��5urance6� .�as-�u,� :a o: Expires �pril 21, 20�3
<br /> �.�„• � ryQ`
<br /> '�'�,$fi�� , nded i �dn�lnsuranceBO ;s85=7U1;;
<br /> e
<br />
|