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� -. .��,:.�.--�;.�-,:��:.�:� <br /> �. � �M <br /> NOTICE OF DEED RES7RICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions°.� ? <br /> which may:be moce:restcictive than County reguiations. The=undersigned-assumes �espon'siEiility�.for corripliance�wit�i��ariy�Y <br /> appiicable deed restrictions. „ -� <br /> UfdLICENSED CONTRACTORS AND CONTRACTOR RESPQNSIBILlTIES: If .the owner has hired�aR con#ractor or <br /> confcactors to undertake�work, they may be required ta be.(icensed in accardance with state and iocal regulations.-If.;#he:��• <br /> contractor.is not licensed as-required by`law, botti the awner and�cantractor may�be cited:>for�a misdemeanor violation <br /> under siate law. If the awner ar intended cor�tractor are uncertain as to wha# licensing requireinents.-rr�ay:apply fortFte. � � <br /> intended work, they are advised to contact the Pasco Caunty Building Inspection Divisibn�Licensing Section at 727=847- � <br /> 8009. Furthermore, if the owrner has hired a contractor ar contrac#ars, he is advised to �have the contractor(s) sign,._ ' <br />'I portions of the "con#ractor Biock" af this applicatian for which they will be responsible. If you, as°th'e owner sign as't}ie � <br />� contractor, that may be an indication that he is not properly licensed and is not entitled to perrnitting privileges in Pasco � <br />! County. � -� <br /> I TRANSPORTATION IMPACTLUTILITIES IMPACT AND RESOURCE RECOVERY FEES:-The undersigned understands � <br /> that Transpo�tatian Impac# Fees and Recourse Recavery Fess may apply to#he canstruction of nev►r builclings, c�iange��of �" � <br />' use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and , <br />� 90-07, as amended. The unde'rsigned also understands, that such fees, as may be due, wil) 6e�identified at.the tiriis�ofi � � <br />' permitting. It is further understaoci that Transpartation Impact Fees and Resource�Recovery. Fees must be paid prior to , <br /> receiving a "certificate of accupancy" or final power release. If the praject does not involve a certifcate of occapancy;or,. � <br /> final power release, the fees musf be paid prior to permlt issuance. Furthermore,.if Pasca Goun#y WaterlSewer Impac#�. <br /> fees are due, #hey must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CQNSTRUCTION LlEN-LAW(Chapter 713, Florida Statutes,as amended}: If vatuatian of work is$2,5QOAQ,or more, 1, - <br /> certify that 1, the applicant, have been provided with a copy. of the "Florida Construction Lien l.aw=-Homeawner's <br /> Protectian Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant is someone <br /> ather than the"awne�', 1 certify that 1 have obtained a capy of the above'described"document and promise-in gaad faitfi to <br /> deliver it to the"owner"prior to..cammencement. � ' <br /> CONTRACTOR'S/t?WNER'S AFFiQAVIT: 1 certify.that aH the infarmaEion in this applicatian is accurate and`tfiat alCwark <br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is <br /> hereby made to obta�n a permit to do work and ins#allation as-indicated. I certify that no work ar installation has <br /> aammenced prior ta issuance afi a permit and that a11 work wil) be perfortned to meet standards af alt �aws regulating <br /> canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br /> certify that 1 unders#and that the regulations of other gove�nment agencies may apply to the intended work, and that it is <br /> my responsibility to identify wha#actions I must take to be in compliance. Such agencies include but are not limited to: , <br /> - Department of Environmenta! Pratection-Cypress Bayheads, 1Ne#land Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> - Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. - <br /> - Army Corps of Engineers-5eawalls, Docks, Navigable Waterways. <br /> - Department of Health 8� Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment, <br /> 5eptic Tanks. <br /> - US Environmental Protec#ion Agency-Asbestos abatement. <br /> - Federat Aviation Authority-Runways. <br /> I understand that the following restrictions apply to the use of fill: <br /> - Use af fi11 is nat allawed in Flood Zane"�t"unless expressly permitted. <br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a <br /> "compensating volume° will be submit#ed at time of permitting which is prepared by a professional engineer � <br /> ticensed by the State of F(arida. <br /> - If the fill material is to be used in Flood Zone "A° in connection with a permitted building using stem walf <br /> cons#ruction, I certify that fill witi be used only to fill the area within the stem wail. <br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent <br /> properties. If use of fill is faund to adversely affect adjacent properties, the awner may be cited for vialating <br /> the conditions of the building permit issued under the at#ached permit application, for lats less than ane (1) �� <br /> acre which are elevated by�II, an engineered drainage plan is requited. <br /> If 1 am the AGENT�OR THE BWNER, I promise in good faith ta inform the owner of the permitting canditions se#forth in � <br /> this affidavit prior to commencing construction, I understand that a sepa�ate permit may be required for electrica! work, <br /> plumbing, signs, welts, pools, aic conditianing, gas, or other iristallatians not specifically included in the application. A <br /> permit issued shall be cons#rued to be a license_to proceed with the work and not as authority to violate, cancel, alter, or <br /> set aside any pro�risions o€the technical codes, nar shall 3ssuance of a permit prevent the 8u�lding 4fficial frorr� thereafter <br /> requiring a correction of errors in pians, construction or vialations of any�codes. Every permit issued shall become invalid <br /> unless the work autharized by such permit is commenced within six months of permit issuance, ar if work authorized by <br /> the permit is suspended ar abandoned for a period.af six(6}iiianths after the time#he wark'rs commenced. An exfension <br /> may be requested, in writing, from the Buildirig Official far a period nat to exceed•ninety (90) days and will demonstrate <br /> justifiabfe cause for the extension. If worlc ceases for ninety{90)consecutive days,the jab is considered abandoned. <br /> WARNING T4 OWNER: YQUR FAtLURE TO REGORD A NOTICE OF C.OMMENCEMENT MAY RESUl�T 1N YOUR <br /> PAYtMG TW�CE FOR lMPROVEMENTS TO YOUR P�OPERTY. tF YOU;.INTEND�TO OBTAIN FINANCING, CONSULT <br /> WI7H YOUR L�NDER OR AN ATTORNEY BEFORE RECORDING YOUR=Nl'?TICE OF COMMENCEMENT, <br /> F1.ORIQA JURAT{F.S.197.Q3), � . � <br /> �/' � � �,�.� <br /> OWNER OR AG�IdT � .,.J I ✓G�� ,��.�r' -— -----�OFlTRACTOR�y"�S��G� �� - _-_� __ __ ----._._-_.,. <br /> -Sutiscri�ec!ana swom to(or affir;ned}before me thts Sub�crib�d and swom to(ar affirmed)before me this <br /> 1 /S!,[,�by Su.5an �S AS�YiI !l//fl/I1,0 by Susa+� �`�Sr'�,i <br /> Who�is/are ersonally knawn to me or has/have produced � Who is/are personally_kno,wn to m�.or has/have produced <br /> �L-�2f�l�� �C�� as Iderttification. �L/.J.�l�� IJL:E�>V�E� as identification. <br /> /l'���� ��p.(h,Q'i �tary Public ��'"Q�'�- ��+�� ' Nakary Public <br /> Commission(Vo._ �L7 ��t'"��J Commiss'san hlo. �c.T Q`�"' �`t' <br /> ����/� E/-.i-�/�t/� �U�,/��.,� ��,���J -��-.���� �c1���G... <br /> Name of Notary typed,printed ar stamped Name of Nata <br /> �����.,,,, <br /> ,,,,,��"�,, ,q DEBRAELAINE RUFFEl. <br /> `�q�r;,w,�,,'DEBRA ELAINE RUFFEI,L :�ti''�`";_Cammission#�G�3�3 <br /> :,�Camm3ss'san#G�045943 :m?.. a;Facptres i3avember 7,2024 <br /> =t: a;:ExpiresNovember7,2020 ` =,::FOF g�'� ����T�pyFainlnstmdnce800"355�7019 � <br /> �°��c�ty°'�� BondedThmTroyFainlnsurance800�385�7019 •.�,��� <br /> �� . - - <br />