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<br /> � Nt�TICE QF DEEDRESTRiCTtONS: The undersigned understands.that;this;permit may,be�subject.to"deed"._restcict�on's"�_,;;
<br /> • r nr�,��.:..,_;;. .��.;,�.,;, 1� _.� s °� � � �' .:
<br /> which�may:be more:r;estrictive than,.County regulations: 'Therundersigned��a`s'sumes��responsibility`forYcompliance"wltli`�any :
<br /> � appiicabie deed restrictions. �' : . , , , ry� -��°-y���y=�'�:4`�`-`:
<br /> UNLICE�lSED CONTRAGTQRS AND C�ONTRACTQR RESR.CINSIBILlTIES:� ff�tfie-�ownerµhas-=tiii�ed'j�a��contr.actor .or ,
<br /> contractors to undertake work, they;may.;be�required�to be licensed in accordance with state:,and 1oca1 reguiations:rv.=lf�tfie-����
<br /> contractor is nat ticensed.as:r�quiretl by;tavii,�6oth the oV►rner`�and'�cont�acto�=may=�be��c'ited fo�>,a misdemeanor violation� r��i
<br /> under state�law.` If the owner or intende,d;,contractac are uncertain as ta what.licensing requir.emerits:,may�.apply'�f.or;tli,e.�,;�;
<br /> . ..,�y.ti_fn�..♦ ,� 't' ^4,..:. .... _ �
<br /> in#ended work,.they.are-advised to contact t#�e�Pasco Caurity Builtling Inspecf'ron'D'iv'is�on�icensing Section af.727�847=' ::;
<br /> 8009. Fur-therrnore, if the awner has�hiredMa coritractor or confractors, he is advised to�have the,contractor(s).,,sign,F.,.,;
<br /> .,. . . ..�„�:�7.�:o: r.=. r. ,;, .
<br /> portions of the "contractar Btack°.of this applicafion.,for which.they-wi(I be responsible:-:lf:you,_as,'the"=own`er'sign.as��#lie�- ',
<br /> confractoc, that may be an indication ttiaf'he is`nat prope�ly�licensed anil"is not enti#!ec! to�permi#ing privilegeskin;�Pasco:. v;r,
<br /> Caunty. � � ,,: �.,;c,.�:;.:,�.�;.;
<br /> TRANSP�RTATlON INIPACT/.U7fUT1ES�IMPACT AND RESOURCE RECt3VERY"FEES: Tiie undersigned understantls� ::��
<br /> "y':r i �,y+.�
<br /> that Transportation impaat Fees and Recourse;Recovery Fees�;may.zappty to th� construction a.f.,new,..b.uildings,.�ctiange�`of���'`;
<br /> use in existing buildings, or�expansion of:existing buildings, as specified in Pasco County Ordinance number 89�Q7=and'`�• �
<br /> , _ ,.,,,.,. ,.
<br /> 90-07, as amended. The•underslgned also uc;iderstands, that such:.fees,�as�,may,�:be.due, wiH be,identified��atFther�time-�of,�•1�-�`�
<br /> permittPng. �!t is further understood that°Transportation impact Fees and ResourceFRecavery.Fees must be.paid_prior to„ ;'
<br /> receiving a "certificate of occupancy" or final.,power reiease. If#he project does not invo(ve:a cerkificate of occupancy:o��:���:!
<br /> final pow�r release, the fees.must be,paid prio'r to permit issuance,_,Furtfiermore, if Pasco�Coanty Water/Sewer,lmpact:;�?.;
<br /> fees are due,they must be paid prior to.permit issuance in�accordance with:appiicabfe Pasco�County ordinances. � .:'
<br /> CCINSTRUCTIDN LIEN�L-i4W(Chapter 713,"Ftorida Statutes,as amended}: If valuafion of wor,k is$2,50Q.00.o�.more;wl;,.,:�;;
<br /> certify that i, the applicant, have been-,provided with a copy._of.,the "Florida Construetion. Lien-.Law=-Homeowner's� -
<br /> Pratection Guide" prepared�by tfie Florida Department of Agriculture and Consume�Affairs. !f the applicant;is..s.omeon.e�a;,�-�:.
<br /> ,..,.�.,,r.:. ,
<br /> other than the°owner�, ! cerkify that I.have o6tairied a copy-of the abaue descritied'documen#and:promise-in goo.d`faith:rto _ ,,•�
<br /> deliver:it.to.the,';owne�'_:priar..'#o:commeneement.�' � � -` �
<br /> CCINTRA�TQR'S/aWNER'S AFFtDAVIT:.,I.certify.that alt the infor:rnation in this applicatian is accurate and'tliat a!I"inrork �
<br /> will be dane in compliance with aA applicable laws regulating construction, zaning and land deveivpment. Appiication�is �
<br /> hereby made to obtain a pecmit ta�.do,..work-and instaliatian as�indicated. t certify that no work or_instailation-�has :
<br /> cammencetl prior#o issiaance of a permit and�that atl work will be pertormed to meet�standards of ail laws regulating
<br /> canstruction, County and City codes, zoning regulations, and land development regulations"in�.the jurisdPatian. I:also
<br /> certify that I understand that the regulations�of other government agencies may appfy to the irttended work, and that it is ;
<br /> my responsibility#o identify what acEions i mus#take to be in compiiance. Sucit agencies inctude but are not iimited,.to: '
<br /> - „Department of Environmental Rro#ection-Cypress Bayheads, Wefland Areas and Environmentally Sensitive-�
<br /> Lands,Wafer/Wastewater Treatment: �';
<br /> - Southwest Florida Water Management District WeOs, Cypress Bayheads, Wetfand Areas, Aftering s
<br /> Watercourses. �, ;
<br /> - Army Carps of Engineers-Seawalls, Docks, Navigable Wa#erways. �
<br /> �
<br /> - Department�of�Hea(th & Rehabilitative ServiceslEnvironmental Health Unit We!!s, W.astewater Treatment, �� ';,
<br /> Septic.Tanks: � ' � � �
<br /> � U5 Environmerita!Pratection Agency-Asbestas abatement. � - `
<br /> - Federai Aviatian Authority-Runways. '� ° .
<br /> i understand that•the fotlowing restric#ions apply to�the use of fill: ,
<br /> - Use of fil!is not allowed in Flood Zane:"V"unless expressly permitted.
<br /> - If the fill materiaF is to be used� �n Flood 2one "A", it is understaod that a drainage pian addressing a
<br /> "campensating volume" wiN be submitted at time of permitting which is prepared by a professiona! engineer "
<br /> licensed by the State of Florida. '
<br /> - I�f the fill materia! is to be used in Flaod Zone °A° in connec#ion with a permitted buiiding using stem waii _
<br /> construction, 1 certify that fiA wiil be used onfy ta fiii the area within the.stem wail.
<br /> - I� �N,materiai is ta -be used in any area, t certify that use of such��fi11 wiil not adversely affect adjacent �
<br /> properties. If use of fili is found to adversely affect adjacent proper#ies, the owner may be clted far violating
<br /> the conditions of the building permit issusd under the attached permit applicatian, far lats�less than ane (1.) �
<br /> acre which,are elevated by fii, an engineered drainage pian is requi�ed. :.
<br /> If!am the A�ENT FOR THE OWNER,.i pramise in good faith to inform the owner of.the permitting conditions set farth in ��
<br /> this affidavit.prior#o commencing construction: ! understand that a separate permit may be �equired for electrical wark, , •;.
<br /> plumbing, signs, wells, pools, air conditioning; gas, ar ottie�'installations not specifically inciuded in the appiica#ion: A •,
<br /> permit issued shall'be construed to�be a license�to.proceed with the wark and not as authority.to violate, cancel, alter, or
<br /> set aside any provisions af the fechnical codes; nor,shati issuance of a permit prevent the Building Official from thereafter
<br /> requ'rring a correction of errors in plans, construcfion or violations of any codes. Every permat lssued shall become invalid
<br /> unless the work authorized by such permit is commenced wi#hin six months of permJt issuance, or i#work autharized by ,;.,
<br /> the permit is suspended or abandoned for a periad..of.six(6)manths after the time the work is'cammenced. An ex#ension `
<br /> may be requested, in writing, from the Buifding t}fficial for a period.not to exceed ninety(90) days and will demonstrate
<br /> }ustifiabte cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. :
<br /> WARNlNG T(J QWNER: YOUR.FAILURE TQ RECORD.rA NOTICE OF C.UMMENCEMENT MAY RESUL-T tN YOUR
<br /> PAYlNG TWICE E4R lMPROVEMENTS.TC?YOUR..PROPERTY.�-iF YQU=,iNTEND�TO.OBTAIN FINANCING;C4NSULT �
<br /> WITH YCiUR"L'ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF�COMMENCEMENT._ ___ -- -- --
<br /> FLORIDA dtlRAT(F.S.117.03 / � '
<br /> OWNER OR AGENT ��J,����ti�2�-�' CONTRACTOR,Z;�GL �,_, "���
<br /> Su scribed and swom to r a ed}before e th Subscri ed and sw m t r fft�ed)baf ra� e this
<br /> � / /� by .� ' . b
<br /> Who is/are rsonalty kno me or has/have produced ' W o i /are p rsonally kno to me or haslhave produced
<br /> ./�.,,�%�� !✓C:�� as Idsn�fication. �' - as identificaflon.
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<br /> �'��t:.�f"� L�.ZLG.11C.:Q Notary' Public ,, �r�`���.� f��C.�i 1�n.�%�-�`t-a"i�I.�� Natary Public
<br /> Commission No. � c�S�fj�. �f� ��•��(���i
<br /> � ' � -� ' Commission No.
<br /> ./.���.9 �;�.9l�/� ,�/�'�`�-- � � �5�� ����.�� �c,�{��-t..
<br /> Name of Natary typed,prinfed or stamped ' Name of Notary typed,printed or stamped
<br /> ,......�,� �..w..d.o..m
<br /> ��„,. „�„�
<br /> .;;a;w�+,. DEBftA EfA4NE RUFFELL ' :�:::"'� DEBE2A E!A{NE RUFFEL
<br /> :;�a:•• ��� ��'�Cammission#GG Q45343
<br /> �:Commisslon#GG 045343 ;,. �:
<br /> - �: ;Nt. •o:Explres November 7.2Q2Q�
<br /> 1y�,,p;Expires Navembet 7.2024 '
<br /> �A r.;.. BondedtlwSt�yFalnlncutance84D-365�7019 ��€,��d�Ra.•' 9andedTluuSmyfaG�lrouranca80Q-36�1414
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