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<br />� NOTICE OF DEED RESTRtCTtONS: The undersigned understands that this permi#may be;subject to"deed" restrictions" _'
<br /> which..may.be.mare.rest"cicti�re than Caunty regulatians. 'The;undersigned=assume5`responsitiility fbr compliance with any''"
<br /> applicabie desd cestr�ctians. �-. - ',
<br /> UNLICENSED-C�NTRACTORS AND CONTRACT�R RESPONSlBILITIES> If the�ownec has hired~a contractor or
<br /> contractars�#o undertake work, they may be required to be licensed in accardance with state and local.regulations:=lf:ttie: �
<br /> contractor..is not iicensed as required by law, both the owner and.cont�actor rriay��be eited�for�a�misdemeanor violation
<br /> under state law. lf the awner or intended cantractor are uncertain as to what ticensing requirements:�may.:apply;f.or:�tfie� = -
<br /> intended wor-k, they are-advised to caritact�the Pasca County Building Inspection Divisiiaii�Licensing Section at 727-847- �
<br /> 8Q09. Furthermore, if the owner has hired�a coritraciar or contractors, he�is advised ta �have the contracto.,r{sj-sign,.;, �
<br /> portions of the "contractor Block" of this application far which they will be responsible. If yau, as the owner sign�as the '
<br /> contractoc, that may be an indication that he is not properiy licensed and is not entitled to permitting privileges in,Pasca. �
<br /> County. _ i ,
<br /> TRANSPORTATION IMPACTJUTILITtES IMPACT AND RES�URCE RECOVERY FEES: The undersigned understands ,
<br /> that Transportation Impact Fees and Recaurse Recovery Fees may.apply to the construction of new bui(clings, change>af � '
<br /> use in existing buildings, or expansion of existing�buildings, as specified in Pasco County Qrdinance number 89-07 and .
<br /> 90-07, as amended. The undersigned alsa understands, that such fees, as may be due, wil! 6e�identified at=tlie-t�me'of°� �
<br /> permitting. It is further understood that Transportatian Impact Fees and ResQurce�Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the:project does not involve a certi�cate of occupaney or.,.
<br /> final power release, the fees must be paid priar ta permit issuance., Furtiiermore, if Pasco County W,ater/Sewer-Impact:
<br /> fees are due,they must be paid prior to permit issuance in accordance with appiicable Pasco County ordinances. �
<br /> C4NSTRUCTlQN LlEN LAW(Chapter 713, Flar�da Statutes,as amended}: If va}uation of work is$2,500,.OQ.or more, i. .
<br /> certify that I, the applicant, have been provided with a copy. of the "Flarida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other than the"awner", ( certify that I have obtained a capy of the above described'document and promise�in goad'faitfi to
<br /> deliver it to the"awner"prior to commencement.
<br /> CONTRACTOR'SJOWNER'S AFFIDAVtT: i certify tha#a(I the infarmatian in this apptication is accurate and that all work �
<br /> will be done in compliance with a!! applicable laws regulating construction, zoning and land�development. Applicatian is �I
<br /> hereby made to obtain a permit to do work and installa#ion as indicated. ! certify that no work ar installatiort has ,
<br /> commenced prior to issuance of a permit and that all work wiU be performed to meet standards of al! laws regulating
<br /> construction, County and City codes, zaning regulations, and land development regulations in �the jurisdiction. I�also '
<br /> certify ti�at t understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibiiity to identify what actions t must take to be in campliance. Such agencies include but are not iimited to: � ,
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Enviranmentalty Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> I _ Army Carps af Engineers-Seawalls, Docks, Navigable Waterways.
<br /> Department of Health & Rehabiiitative Services/Environmental Health Unit We(is, Wastewater Treatmenf,
<br /> Septic�Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement. �
<br /> - Federal Aviation Autharity-Runways.
<br /> I understand thafi the fotlowing restrictions apply fo the use af fill:
<br /> - Use of fill is not ailowed in Flaod Zone"V"unless expressiy permifted.
<br /> - ff the fifl materiafi is to be used in. Flood Zone "A", it is understood that a drainage plan addressing a
<br /> °compensating volume" wil! be submitted at time of permitting which is prepared by a pro€essianal engineer �
<br /> licensed by#he State af Florida.
<br /> - If the fill material is to be used in Flaod Zane "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used anly to fill the area within the stem wall.
<br /> - lf fi(i material is to be used in any area, I certify tha# use af such filt wiil no# adversely affect adjacent
<br /> properties. If use of fill is found to adverseiy affect adjacent properties, the owner may be ci#ed for violating
<br /> the conditions of the bu9tding permit issued under the at#ached permit applicatian, far lots less than one (1}
<br /> acre which are elevated by fill, an erigineered drainage plan is requited. '
<br /> � If I am the AGENT FOR THE OWNER, l pramise in good faith to infarm the owner of the permitting conditions set forth in =i
<br /> this affidavit priar to commencing construction. I understand that a separate permit may be required for electrical work, �'
<br /> ' p(umbing, signs, welts, paols, air conditioning, gas, or other instatlations not specifically included in the application. A
<br /> permit issued shail be construed to be a iicense ta proceed with#he work and not as authority to violate, cancel, alter, or
<br /> i set aside any provisions of#he technicai codes, nor shall issuance of a perrnit prevent the Building Official from thereafter �
<br /> � requiring a correc#ian of errors in plans, construction or violations of any codes. Every permit issued shalf became invalid
<br /> unless the work autharized by such permit is aommenced within six months af permit issuance, or if wark autharized by
<br /> the permit is suspended or abandoned for a periodrvof six(6)manths after the time the work is commenced. An extension
<br /> may 6e requested, in wri#ing, from the Buildirig Officiai far a period.not to exceed•ninety (90) days and will demonstrate
<br /> justifiable cause far the extensian. If wark ceases far ninety(90}consecutive days,the job is considered abandoned.
<br /> WARNING TO QWNER: YOUR FAILURE TQ.RECORQ A NOTlCE OF GClMMENGEMENT MAY RESUl.T !N YQUR
<br /> PAYING TWICE FQR IMPROVEMENTS TO YQUR PROPERTY. IF YaU;INTENQ-TO l'?BTAIN FINANGING,CONSUI.T
<br /> WITH YOUR LENDER OR AN AT1'ORNEY BEFORE R�CORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FIOFttDA JURAT{F.S.197.03) _ Y_ — - - _ - _ - _
<br /> QWt��R OR;AGEN�' ,�J�� --—`J'�_—v - � _ CONTRAC70R ,_ ,,,
<br /> _ _�_�_ __ _
<br /> 'S�bscribed and swa �{or nned}before me tF►is Sub cn ed and swor�,fq{ affirrped}before me this '
<br /> _t ��`�3' /�7 by oh�! 4nrttw�-� �/ f by �l�-t�,onu 1—erC�
<br /> " ls/are perso a ly known to� �'}e'ar has/have produced ' Who is/ re personally known�o m or has/have produced
<br /> � ;�11,�I� �.1 C��'lt�s identification. FL � 1�2� N�l�� as identificatlon.
<br /> .- .
<br /> � „�'�/�v ��C.�!f,i w 1!������otary Public � Notary PubHc
<br /> f Corrrm�ssion No. Commission Na.
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<br /> /�.dre� �Ia►n�? Rv��it �3�?i4 ,�'�4i� ,�r1��',��
<br /> Name of Notary typed,printed ar stamped Name of Notary typed,printed or stamped
<br /> .......ri.......
<br /> .���u. �+raier,
<br /> :��.t�.,, DEBRAELAINE RUFFEII ,:�:•d��. DEBRAELRINE RUF�E3.0
<br /> .��
<br /> : ;.CommEssion#G�045343 =}R� ���:'�Commission#GG 045343
<br /> _;:�:,�:�cplres November 7.2020 �
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<br /> ;:,��, o;,•• _'�; -o�;�Exp€res htovember 7 2020
<br /> •���t;,. Bonded Thru Troy Feln Insurance 80a30S7019 �.,$�r�k°`�8ondef!idtut0oy FaGt tnstuatxa 80D�3d5�7018
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