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<br /> NOTICE�E D�ED�RE$.T.RiCTIQNS: The underslgned;under�sttandsuth�t�,: �.;��r�!tt;�n�y,_be,subje.c,t,�,t4ar"deed"tces�lc#lortsa...,..�r.���,r �
<br /> ,, a ' _ : . C .. ..,�_ ,�,t� t..� f �.i,. ' �fw T t. � �S 4"I t y:,,.,,.. -c.J—,t;.�:
<br /> which may�tie�-mbre'��r.�stticttve�t�ia���Gcun�i''.ir.�eg�fla#�ons���Ttie�-und'ers�gned��assumes7respons�6filty`fiar compllance�with.any�
<br /> appficatile deed�restrlctions. _-.:�.t�,.r�:.�:;��.>,L,,;.;.,��. �: • . .._.. ._�._ , ,.�- �_�.. �. �.�.��. ,�,,.<.��:� _
<br /> UNLtCENSED=�CONTRACTORS}�AND CClN3'RA�'�gR�RESPO1��tBi�IT1E�S:-�-r<tf=�te°rowner::has°°l�ired��a"c�lttactcr or
<br /> contractors.to undertake work,-they nnay�bs::reiq�li�:d:;to,-:t�e�llcensed;Irr;aacordance.with•�.tate�.and�la.caC:regula,ti_o_ns:�,:�if�the�:.�-�'r>-��^
<br /> ,,. _ ... , _.._.,�.,{-.�-«n�:.::_ �,..a..:;:,..�.
<br /> corstractor-�1"s`«ttdt`Itceiissif��as��te'qu1F�tl'.6y-ti�w.��ti'+�t1`r�the owner a'rtd=cont�actor�.may:°�e,=�ttaclwito�°`�smisdeiriiaa�ot v€olallon
<br /> under state law. If the owner.ar Intended�c�on,,,�r,a,�tor�ere,;�uncertaln as to what Itcenaing,requlreRnents�mey�^epply>��forutheA�=^����x��=��"'
<br /> Intended wcrk�ttiey are:.aiivlsei!"to~cont�ct.tFie Pa�co Co�nty.Bu!ldliig Inspectton l�hil�la�tce.t�sing Sectlon at:TZ7-847-
<br /> 80�9. FurtFiermore, !F #h�e owrierY`t�as�'fitred a�cofi�ac:taT dr eontractars. he is advised b have�:the cantrazcta,rjs)�asign���i,.,J-�� °
<br /> portians of the.:"contcactor..Biock" of.,thle,�applicatinnMfor�which�:ihey wilL�:b.e�.r;e�sponslble��Nlf.yau;�as,,the o.wn�r"st(gn as the� �
<br /> cont�ac#or;ttiat�rr�s�y,be an I�id1c�#lon#tiat"t�e Is"�no#`:propei�Ifcense;t antl°1's riaf eiri�eci�to-peitml�ing prii�lleges In Pasca {{ .
<br /> �'rOU11�/. _ ' ' s y�-v.�.�"t_.,'',;�,f:,
<br /> � ._. ._. ._..._ ...� _ .
<br /> .. ,.. .,.:. . _ . _ . ._.. ..... _,.,�...,.:_._.. ...
<br /> TRANSPORTATlON�lMP'ACTlUTlLITIES�;C!'�PAG`#��ANb�lt��Q��tCE RECQVEEtY�FEES:'T�he untle�st�ne�understands
<br /> th�f Transpartation impact Feas;and.Recoutse.Recovery^Fees,,,m`�y�applyo=#o�tfie�canstructtan;of new.bulldtnga,�change"�of�j•i�`=�°`•"Y
<br /> :. ......._. ,.: .:...._..w.,:�...._.
<br /> use in exisNng buildUgs;�:or�_expar�sl��r�cf=ekl�iti�;����uildings, as specifled.ln Pasco County Or�inanae number 89-07 and:
<br /> 90-07, as$mended.,.,Th�undet�igned�Iso;�understands; ttiaifi°suct�fees,.�s�ma�:;�:��duar��r111=.be Ident�fled at ttte�time�`af°�"�.; �.>:�'`�
<br /> permlNing. It Is furtiier understood that Tre�gp�ortation Impa'�`Fees �ind'��Resour.c�e.:;Re 'aivery�Fees`;-,mu�at be paid prior to
<br /> receEving.a"cerEl#tcate�of:occupa�cy"..or�#irtal�powerEelease:°".if�the.pro�ec�;.does:no�involveEa�cert�icats of oc;cupancy=otr����`1�`=����
<br /> final power.�release;�>the��:fees�inus.t�be pald�pr1"'o',�.#o:permi#issuance. F�xthermore;��if�Pasco,;,Caunt�r;'llVaterJSewer��lmpact�� ��;�w�z:�
<br /> fees are due;:theywtnust:be:pald.p�lor;ta,.perrrrit�l"ssy�ance�.in,acc+ardance.wit�ir�:appllcatite-Pasco��Gounty��o`rdtnances. •
<br /> CQNS'1'RUCTiON�LIEN"I:A`Y{t tChapttur 713�Flort�a Stat�t�s,�a am�nd�d): It valuallon of wark ts$2,500AQ�ar.!more,;;l�.:; �-_��:t
<br /> certify tFiat .1; �the ;applicant;:-h�v.e,;_been. proxidetl��with; a�-cvpy-:of��the��"Florida~ConstitiE.Gonir Llen�..Law--Homeowner's
<br /> Protectlon Gu1de"prepared bya'tlie Ftoei�fa Departt't�er�t;of Ag�culh�re and Consum�r;:A�tr`s. 1�the�ppltcant Is.so'meor►e• ;..,..;.;,;�
<br /> other than the"owner", I certffj►,f_th�at._i:;h�ve,obit�ined"a��copy,of:.the:abav.a:rles,erl.becl��loaii�ent�and;p�rar�ise�in�,goo.d';falth•to . �.� :,�r
<br />', delhrer It to.�.the°'owrie�:`pi�to��`td com+�ien`ceiiiarit�``°.. - ` . � � � . - . -. .. . ., .
<br /> I �CONTRACTtiR'S/tiWNER'S A,FFiDAViT: I.cert�y:�,tti�t;ali:the���informaticrn;in�thi�appltaetton is accurat�and that�aif wark
<br />' will'be done in compliance with all.appitcable laws regulating consfructlon� xoning antl:�land�-developm�nt. Appllcatlon Is
<br /> h�reby made.:t°�,obt�tri=:a.petmit�aE�;;;,do�.r,o%k£�;and,:=l�stellat�on as i�dt�ate.d:�.,<�I�ce%tffy #hat tta work��ar installatton Fias" � .
<br /> commenced p�ior ta Issua�ce af'.� permitY"and th�t�.all work wlll be performed�ta meet�standerds-�of:�all laws regula�ng�
<br />� constructlon, Coun#y �nd City codes� zoning regula#ia�rts, and land devetopment r.egcilaUoi�s�°tn�tti'e ju�i�dlctlon:_=`.1,.a1'so.:
<br /> � certify khat I understand that the regulatlons of attier�govemment agencles may�appiy.::#o:the:.intended.work� and that It(s �
<br /> my responsibility to identify whak.acUons 1 tmust�t�ake;:to:tie:;in:.oatt'lplia�ce.:;;.S,uch:agen�cles�lnclude=but=aie.nat Ilmlted to: � - � �
<br /> = L i,N vt;.:� i^ t.v�.
<br /> - Depattment af Et�vironmental>=Protec�ori=Cypress'Bsyhead�; V�/e�and Areas and Enyironmentaliy Sensftive
<br /> Lands�WateNW�stew�ter Treatment. .. - �� "� � -
<br /> - SoutMnrest F[ortd� V�ater Managertteii���:Cllst�ct-Wetts;�:,:Gy�ttess.�8$yl�iaads�\_�Wetiar�d Areas, �ttte�ng
<br /> Watercaurses. � ,;:f :.;.�,� .:;.�r,:., :.�� �:.-; ' ' -
<br /> - Army Carps af Englneers�.Seawalls;zDocks,Mavigable Waterways. .
<br /> i - Department;..ofq;Heatth£�;S,,,ReF�a6�ltitatiue;�.;Se.rti�cestEnvfiianment�tw�.F�e�Ith�Unit:Wetts;:VlFasteuirater��Treatmenf; �
<br /> Septic Tanks:.. _ :' .--� ` . �
<br /> - US Envlranmental P�tectlon Agency-Asbestos abatemen#:� *�
<br /> ' Federal Avlell�n:Autho.Mty,�Runways:.� ' �` . .
<br /> !understaitd.that the..foNovv�ng:�'restrl��tlons apply to the use of flN:
<br /> - Use of�it is nof alfauved in�Flood:Zone'°t/"unless expreseiy permitted.
<br /> - if the-�flll.�mate�lal"Is�to'�be use+�l:'�In::flood Zone. "A"� tt Is underetood that���a dratnage plan addressing a
<br /> "compe�sating volume"w111 be submltted at#ime of�pemtifting whlch #s prepered by a professlon$1 engtneer •. .
<br /> Iicensed by��he_�tateof;Flottda: .�: ' � -�• � . . -
<br /> - if th� �l!:.me#ertal��:la''to-:be�used tn Fl�rod �orte °A" ln��conrtection�with�a�ermltted bulldEng ustng stem wall.
<br /> � aonatructton,.l_certtfy.that:flll:vVJli:b'e�used only,tofill#he areawlthin�the�stem�rall: �
<br /> - If flA 'ri^mateilal�1s'to be used�in.ariy area; 1 •ceKify lhat .use. of•.such f!!I wlll r�ot adversely affeot adlacent „
<br /> praperties.. .if use:_of:f�11.ls;fot�nd�.ta adv,er�elyr,�f�ect a�JacenE��prcipertles�.the owner may be citad for vl�r�ting:-
<br /> the cond�lons•Mof:the bdlidlcig��perrriit�lssuedrunder tha_att�cFied:_�ermit�applHcation��for:lots�.less�thari`:one (1)
<br /> acre wiiicl�"t gitia eievaterl�tiy flil.:a�t engtneer�ed dratnag�plan i��equtred. • ._
<br /> If I�m the AQENT�,�OR•THE-:OYVNER;,I:proii�ise.ln,good;falth#a fnform�the�owner ofthi�permitting condit�ans set forth in
<br /> , thts afCidavtt°prlo��fo'comme`r�cing constructlan. �1 understend that;�s s+�parate'perrnit may be requlred fcr electrtca#:work, -. . _
<br /> � ptumbtng,,signs, wells,:poofs„att� c�nditianEng;<:gas;.;or.ott�et Instaft��'bns�nat.spec�ficalty inciuded�in.the�apptfcatlon. .A :
<br /> ' perm(t Issued shall be coristrued to'be�a`Iicense"��to�p�ceed witb�'tFte�wark and�:not-as:authoNty:-�to.vlolate;=��ncel, alter� ar
<br /> set aside�ny�provlsCons b�t�e.#ec1��Eca1 Acades;;nor shall lssuance��of a.permit.p�event th+�Bultdlrig O#t3cial from thereafter
<br /> requtring a correction af-err;ors In�•.piens,:con�tructlan..or.violatlon�of-any�codes:�-�very�permlf�lssi�ed'sFiall=tiecome��invalid
<br /> � unless the wcirk authortzed.by such permit:�Is.coEnmenced�wlthin si�c:Rmqr�th's of�permlt issuance, or if wark authnrized by
<br /> t .
<br /> #Fre permit��s suspended�:ar•:abandoned;:f,or:a:period}af;six���3�mnntFis:;after the tltrie tt+e�wot'k�te commen�ed.. An e�etensiom
<br /> may be requested� tn.writing,:irom fFie;Building,Offii�lal�for a peiriod:.not.to.exaeetl'�ninet3r�(90)�days a�d�-will^demonst�te
<br /> justlf#abl�`cause for:�the ex#enslon. If wor.k ceas�.far nlnety��90}ccnaecutive:day.s�_the jab�ls�consldered abandone�.
<br /> WARNlNG TO QWNER; YOUt�..�Ail.URE:�TQa_R�CQttQ:A�-I�,O�T�G�:QF.�GOMM�MCEME�T�,�IYFRESU[:T IN��°YOUR �
<br /> PAYING TWI.CE.FCtR,IMPR01'IEMENT��T��Y�EiUR�:PRORER�TY:•���I�-:YOUaiN�'�E�ID:Tf�r�18TA1N�Ftt�11A1�E1N6;;CON�Ul.7
<br /> - -1MITH E. �O. O. FO. i, ;Id� `� p r � " .
<br /> FkORIQA JtlRA��(F�S:�:117� }., r .. .. ,. _- ,..,; ,..;, .__- ,s-�.�::.,_._ _--- _, - ---—-- -- -- -___.__�.�_ _. '
<br /> �
<br /> 4WNER OR AO�NT� : ''.�� CbM'RAGTA
<br /> 8ubscrtbed a�swo��– d�4efore th4s Subscribed'atid' � {ot flf ed'b .. e'th1�
<br /> by Y� .,.by... . D.l�
<br /> Wrio Isfare pe�sanally knovvn to,me.or:haalha�e,produced Who.Is/are;p.ersnnelly.�Cnawn:to;.m.e.�or.FieaThav,e:prodiiced•�•�
<br /> ' aa t�e'titlfli:aUp».' as Ed6rit�tcBBOn.
<br /> tdotary Pubttc � � Notary Pubilc,
<br /> Commisslon No:` Commisalon�Na
<br /> ' I
<br /> Name of Notary typed.Rdnted or atamped Nams of Noiary typad,prtnt�d ar atamoed ---
<br /> r+�■
<br /> �u��„
<br /> ���"• pEgRp ELAINE RUFFELL ,�,;a+:;�q;�,DEBRA ELAINE RUFFEL
<br /> '�`•'�.''�.= 45343 �� � . �ammisslon iF GG 045343
<br /> =� :CommfssSan#GG 0 _,. ;:
<br /> "'' '�=Expires November 7,2424 :�°� w�;Expires November T,2420
<br /> ":"�°c 3g5-T019 �P'' gpndedTluuTroyFainlnsu�ance80a30�r7019 "
<br /> � �%:Fdr.���` BOndedThNTNyfainlAsurdnceBDU� I��$t�ik�
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