|
NOTICE OF DE�RE8TRiCTtONS: The tuxter9i9n�u�erstands thst this perm&msy be sab}ect to`deed'resbictions
<br /> which may he more reatrictive Utan County regutations. The unde►signed assumes responsibfHty far compliance with erry
<br /> appUt�►bte deed►estria�fons.
<br /> UNLiCENSHD CONTKRCTO�&AND CONIRACTOR RESPONSiBILRlES: If tl�e owner has hired a contr'ectar ar
<br /> coMrectore bo tmdertake wo�ic�theY�Y��N�to be Ik�ensed in act:ordence wRh state and bcal re9t�aUo�. H the
<br /> cbnfractor is nOt}kk�nnsed es reciuired bY laW.t#h Ure owner and c�ntractor mey be cReQ for e misdemoamor violatlon
<br /> u�er state law. if the owner or intended contractor are w�certsdn as to what i'rc:enaing requhemerris may a�►piy for fhe
<br /> inte�xled work,tl�ey�e advised to corrtac�the Paaco Courtty Bukdin�Itlspe�ion Divlsion--Lioensing Section at T27-847-
<br /> 8009. Furtherrtiore, tf the orvner haa hked e contrac3or a�, he Ts advlsed to ha�re Ehe oontra�Ka) sign
<br /> potdons of the'contractor 91oc9t'of thfs�piicatlon fnr whioh they w�t be respo�ibie. tf you,�the owner ai�rt as Ure
<br /> contrecta.Ntet rt�ay be an tndic�Nan that i�e is not properiy Ifoeneed ar�d(s rat etrt�ed to pertnitdn8 privNege.s�t Pasco
<br /> Cout�ty.
<br /> TRANSPORTATION HNPACTtUT1LIl1ES IMPACT AND RESOURCE RECOVC-RY FEEB: Tha undersigned uridersiends
<br /> that TransP����Ped Feea end�urae Recova�+Feea►rmY�pip to 9�e�uc�ior►of new buildinps.cfien$e of
<br /> use kr e�stin8 buifdMgs,or expanalon of e�dstlqC buldinpa,ss spedfled ln Pacoo Cou[�t�r Ehdinance number 89-07 argi
<br /> 60-D7,as amended. The undersipned also understands,that stich tees,as may i�e due,w�l be WenUfled et dte Bme af
<br /> permttling. lt is turther understood that Ttansportatlon lmped Fees end Resax�Recovery Fees must be p�d prior�
<br /> recelvin8 a`cettlflc�ate af o�rwy or fi�l power reheee. ff the projec�does not irnrot�a certiRcate af occa�pancy or
<br /> final power relesse.the fees must t�e p�td prior to perma i�suaetoe. Furthenriore�If Pesco Cour�ly We�rlSewer Itnp�ct
<br /> #ses srs due�t1�Y must be Paid p�ior to permit lssuenoe�1 ec�farroe wlth applicable Pasco Coimty ordinenoas.
<br /> CONSTRUC'E]ON L1EN tAY1l(CMpter 718,F�eide Stad+ivs.as am�dadj: ff vatuatlon of vwa�c[s 32.50Q.00 w more,1
<br /> certitq that 4 !he apP�iCSnt, hava been provlded with a copy af the `Fbrida Cormttuc6o� Lien Ue��eowne�'s
<br /> ProtecUon Gulde prepered by the Plorlda Dep�trnent trf Agrlcxdhae and Consum�Aflahs. if ihe app�rard ls�rnea�e
<br /> other than tt�'o�wneY,l certiTy that 1 ltave obtafned a cbpy oT tl�e above descrlbed dvcumerd�d pramise in good fsith to
<br /> deliv�it fo the'orunet'P�'t�oor�unencxmerrt.
<br /> CONT�tACTOR'SK?iM1�fER'S AFFIDA111T: 1 c�ertlfy ihat all the(fiortnatfo�n in this applfw�tion is a�xurate�d that all woric
<br /> will be done in compi�arrxoe wRh al1 aippHcabte iews regulatln�construction,z�+inq ar�d larid developmenY. Appiicetion is
<br /> hareby rtiade to obtain e permlt to do wvrk end ltiet�AeBon as UI�d, i t3erHfy that �to wDrk w haafabedlan hns
<br /> commeneea prior co fasua►me ofi a pertnH�,ci met dt wo►tc wa�be periartned to maet sianaatde or ait�awa regu�
<br /> construction.Camly end Clty codea� zanin9►eSuieNoT�e, and bnd devsiopment teguledons in 1he]ur�on. I sGso
<br /> ce�{Ny tfiat I urtderat�+red that tite re8ulatkms ot adtier gaver�nnent ager�ie9 rt1aY aPP�Y�the itrtended rwTi4�d fhat it�
<br /> my responstbNftyr to(dentlfy what aatiorrs 1 must teke to be in ixxnplfer�oe. Such agencies fndude�t�e rrot iimiled�n:
<br /> - Departrnent of Emrironrtront�ProtediorrLyprees Ba�s,YYa9ar+d Areas�d Env4vrnnerMaMy 3ensMive
<br /> La�da,Wa[erl4Uaefewater Tr�bnent.
<br /> - SouU�west Rorida Water Managemert Dlstrict-WeHs, Cyptess Bayheads, Wetlend Areas, Aitering
<br /> Water�outses.
<br /> - nr►ny co�ps of E►�gir,eers-seavvaBs,Docks,Nevlg�fe V+late*wars.
<br /> - pepstlmetrt of Fieedth� Ret�blBtative Servh�slEftvkvn+nerrtat Weaith Unif-WeHs, Wastew�ater Treatrnent,
<br /> Se�la T�dcs.
<br /> - US Envtranmental Probectlon I�encY Asbeetos abatement.
<br /> - Federal A�mtfon Authortt�-R�x�uueYs.
<br /> I understand thsf fhe foNovrinQ rastrictio�s aPP�Y!01he t�ae of�:
<br /> - ltse of fll Is not&Mawed&t F(ood Zone'1A tNfle�e�[e�lY Pe��.
<br /> _ ►f Che#Ig trmterfai ts io be used in Rood Zone 'A, R Is understood lhet a drahtage plan addtessing a
<br /> •compenssthtg volume'wAI he svbm�d at 9me of Pe��9��P�PBred bY H professlonef+eclptr�eer
<br /> NCOnaed br 918 Sfete Of F1o13de.
<br /> - H the iill roa�ial!s to be used in Flood Zone`A"in cotme�fion witfi e perrnitf�i buAd�g ustng at�n waR
<br /> cor�sbuctlon.I ceN(y that fHi vv�iN be used t�nty ta f81 the aree�the stem weU.
<br /> - tF flit matedet ta to be used in any srea, 1 ceatay thet use of sut#�flll rnAq not adversaly effeet edjeo�t
<br /> propsRiea. If use of flU is found to advereely efiect ad��t P�Pe►�S,ifie owner mey tie c�ed tor vida6ng .
<br /> ii�e condiUons of 8re buikifng petmil isaued undet tl�e a�hed Pemm�itt ap�ik�tfon.tor iots iess 9�an one(1}
<br /> acxe which are slevetad byfAl,en e�h�ted�e Ptar►Is�e4uked
<br /> if i am the AGEN'f FOR TFiE OWNER,I prarnl�e 6�good ia�to inForm the ormer aE the pert�p conditlons set forth fn
<br /> ihis arfidavft prior to commerx�ng conatruotion. I un_detatend 1t�aE s separata pennit Inay be toqui►ed tor�i work,
<br /> plumbing,s�9►�,wN��P�Is,air�,9as•or otlu�1r�Ho��sp�ily indudad in 2he appik�tioti. A
<br /> permtt teauea ena�he cor�swea to be a Aoer�e to prvoeed rWfn the mxic s�nd not ee auttwfity ta vioiate,oenae�,alfer,or �
<br /> set asids eny proviskrms of the tec�mk�i eodes,nor shatl iasuance of a pemdt�av�9�e Bu1�iD OrAdal from thereeft� �
<br /> ►equi�e oonscnon ot errors x,�,a,c�onstrucnon a vtaauocu►a eM+coaes. Every patmlt iasued shall bemme irwalid i
<br /> ur+ie.$a,a w�oun,o.r�a by e�n�.r�t���,oea wm,�►�m«,u,��t�rrrat�►oe.�x wai�a�a by i
<br /> u,e permit(s s�pernfed or abar,aonea#aa periva of slx(s>rrmnuis ei�ano rime�e work fa commenoed. ar,e�en�on �
<br /> may be reyuested,in xfitl�.tram the Bt�clh+g_ofltdel tor a perlod not to exceed nineh'f 9�)daya snd w�1 damonatrete
<br /> ]usflf�ble cause tor the exte�ior►. 1�work r.�s�for ninety(9�)�naewdve days.the�lob is�a�abanda�nd.
<br /> WARNlN6 TO OWNBL• YOUR FAILilRE 70 RECORD A NOTiCE OF COMMENCEIIAENT 1rIA'Y RESULT�1 YOUR
<br /> PAYfl�IG'TWiCE FQR 1MPROVEN�NTS TD YOUR PRUPERTIf. iF YOU lNTENLI TO OBTA�t F�IANCM[i,CONSULT
<br /> Pf.ORtDA JURAT(Fc3.117.0.t)
<br /> OWf�i ORAQHlr
<br /> `F' "//.tt_y'^t�. C�R��. , �/l,.s.yw�c
<br /> B�sa�ad md tar al�ed)betore me�fs 8�bsabed m 10(u o!&eaa!}bKwe me Yfis� I
<br /> YMho kf�vs pawa►�fllY krov�n t°�idanEi���� Whu hhrQ pe�seanHy Imovrn b�x a� I
<br /> I
<br /> Nobry P�ife Notary Pubfc
<br /> ComMqlon Na {bmnls�n No.
<br /> ?�►arne Of Nelsrytypsd•PM���P� {�a1ne of No�ary bDed•Pr§�ted m'sdsmped j
<br /> �
<br /> I
<br /> � I
<br /> I
<br /> I
<br /> 1
<br /> I
<br />
|