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.._ . n:�L.w.jY <br /> 11 If .s.f.r,;.,i�'vi'«. i <br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands.tha#.,this,�permitmaybe;subject.to.deed�restric�voris_'.,;ri_; <br /> wh�chamay�,6e.mor•e;cestrictive�than�County regula#ions: The�undersigne�t�assumes�=i�esponsiliiEi#'r:,fof�=compiianceiniit�h�'any",''�'°;;; <br /> applica6le;deed restrictions. � � � ��" � <br /> �s�-<: , :�° .�:���>f� <br /> UNL.tCENSED-CQNTRACTORS AND CQN7'RACTOR RESP4NStB1l:IT1ES: =1f•t�e-owrier�Ftas��1�iretl�=;a=�con#raetor or ' <br /> cont�actors�to undertake work;they.;may�'be reguired to be�licensed in accordance with sta#e-and<:loeal.r.egulatians,:��If'the:,�wf<<; <br /> ..�.�..:,_��;�.�.w,. . . <br /> contractor is not.licensed-�as requiretl=by`�aw, botfi #he owner_and'so"ntractor-�rtaay45be��ci#ecl�=for���a�'�misdemeatior vialation� _.-; <br /> under state-law. if the owner or intended contractor. are uncertain as to wha#.licensing requir,ements;:may:.appiy�:foir:,tFie;�:��:�'�,;; <br /> �..��-;i.., ..�H Kr.n.�. ,.�,� .. ` '' <br /> intended wark, they are advised to contacf fFie.Pasco County Builtlinginspection`:Division"�C:icensing Section at 727�847= <br /> 8009. Furtherrnore, if fhe iiVirrier has"hlreif�a cantractar or contractors, he �s aclvised to-#have the con#ractor{s};sign..,r;.�•_� <br /> portions af the contractor Block af this application_far which they.will be.responsible::-If you, as��the"�awne�`sign;as��;#lie�'' "-;; <br /> contractor., that may be an indication that�he is not properlylicerised antl�is not�"eriti#led�to pecmitting�privifeges,in Pasco_ .,,.:':-'� <br /> Caunty. ., . ..: �=-r�r-� ;' -; <br /> ' <br /> TRANSPORTATION-IMPACT/UTILITIES IMPACT AND RESOURCE REGOVERY FEES:�The undersigned understands . ;_`.� <br /> ,... ..,,. <br /> tha#Transportation lmpact Fees and Recaurse Recovery Fa,es.may�apply to fhe.construction_of new..b..uitclings,�change�of'```..�':s; <br /> use in�existing buildings,�or expansian`of:existing�buildings, as specified in Pasco Caunty Ordinance number 89=U7"and ";`��' <br /> 9Q-07, as amencf�d. The-undersigned also.understands, #hat sucta.fees, as�:may;be.due, will be;identi�ed-at-�tliettirtie��afr��=;°�= <br /> permitting. '•(t"is further�understood that�Transportation lmpact Fees��and Resource�Reeovery Fees must be paid p.r:ior to <br /> receiving.a.°certificate of occupancy." or final,:pawer release. If the �roject does not involve a certificate of occupancy�o�.=��<_�°.�°', <br /> final_power release�the�.fees-must be.,paid prior to permit issuance.,-_Furtfiermore,.iftiPasco�Caunty W,ateclSe.w.er,-tmpact:;;���� , <br /> fees,are.due, tliey must,be paid priar.to permit:issuance in accordance with'applica6le�Pasca..County ordinances. � <br /> CONSTRUCTION�t�tEN�LAW{Ghapter 718, Ftorida Statutes,as�amended}: If valua#ion of wock is$2,500.00.,or mor.e;�l��;,r : <br /> certify that �I, the applicant, have been provided with a copy of the "Florida Consteuctian_ Lien-.Law Homeowner's� . <br /> Protection Guide" prepared"by ttie Florida Department of Agriculture and Gc�nsumer.Affairs. If the applicant is someone.,. , <br /> other than#he"owne�',:I eertify.that.ivhave obtained a copy of the above'descri6ed'dac�ment�and-promise�in goo,d';faitli,fo',*, <br /> delive�it.ta the"awner��pcior�to-eomtnencement: " � � <br /> CONTRACTOR'SIBWNER'S AFFIDAVlT�.,-;I,certify that.all the infocmatian in this application is accurate and'that alt�work <br /> will be done in compliance wi#h all applicable�la`ws regulating constructian, zoning�and land�development. Application.is <br /> hereby made ta ob#ain,a.;per.mit:to�:efo,.work and�installation,as,:indica#ed. ! certify fhaf no�work or=ins#allatians�has <br /> commencec! prior to issuance of a permit ancl-that all work will be perFormed to_meet-standards of all laws regulating <br /> constructian, County and City codes, zon�ng regulations, and land deveiopment-regtilations�iri�the jurisdiction.- I:�also ; <br /> certify tttat I understand fhat the regu(ations of ather government agencies may appiy,.to the intended work, and that it is � <br /> my responsibility#o.identify what actians I must take to be in,compliance. Such.agencies include,but are not limi#ed.,ta: <br /> - �;Depa�tment af Erivironmen#al��Pra#ection-Cypress Baytieads, Vtle#land Areas and Ei�rvironmeritally Sensitive � <br /> Lands,Water/Wastewater Treatment. � <br /> - Southwest Florida Waier Managemerit District Wells, Cypress .8ayheads, VIIetland Areas, Aitering <br /> Watercourses. 3; <br /> - Army Corps af Engineers'�Seawalls, Docks, Navigable Waterways. ; � <br /> - department of Health & Rehabilitative ServicesJEnvironmental ,Hea(tFr Unit We�ls, Wastewater.Treatment, , <br /> Septie.Tanks. � ` <br /> - US Environmerital Protection Agency-Asbestos abatemant. . � ` i <br /> - Federal Aviation Authority-Runways. � i <br /> ! understand that-.the foUowing'restricfions apply to#he use of fslL• � <br /> - Use of fi11 is not allowed in Fiood Zone°V"uniess expressiy permifted. <br /> - If the fill material 'is to be used in Flood Zone "A", it is understood that a drainage plan addressing a <br /> "campensa#ing volume" wi11 be submitted at time of permitting which is prepared by a prafessianal engineer „� <br /> licensed by the State of Florida. . � ' <br /> - ff the filt materia! is to be used in Fload Zone "A" in connectian wiih a permitted building using stem wall <br /> construction, i cert'rfy that fili will be used only to fill the area wi#hin the stem wall. <br /> - If �II material is ta be used in any area, 1 certify that use af such�fiA will not adversely affect adjacent <br /> properties. If use of fltl is.found ta adversely affect adjacent properties, the owner may be cited for viala#ing. , � <br /> the canditions of�the buflding permif issued under the attached-permit..application, for lots less.than one (1_) ' <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER;I�pramise in good faith to inform the owner of.the permitting:conditions set forth in <br /> this affidauit prior�to commencing const�uc#ion. I undecstand that a separate permit may be required#or electrical work,. _ <br /> plumbing, signs, welts, pools, arr.canditianing, gas, ar atfier insta�llations not specifically inciuded in the apptication. A <br /> permit issued shall'-be construed`to'be a license.to�.proceed with-th'e work and not as authority to violate, cancel, alter, or + <br /> set aside any provisions of the�fechnical cades, nor shall issuance of a permit preven#the Beriiding OfFicial from thereafter <br /> requiring a correction of errors in plans; construction or violations of any cades. �Every permit issued shall became invalid <br /> untess the work authorized by such permit is commenced within six months of permit issuanae, or if work authorized by , <br /> the permit is suspended.or aba,ndoned�for a period-,of six(6}months after the time the work i�commenced. An extension <br /> may be requested, in wt�iting, from the Building Clfficial for a period:not to exceed ninety {90) days and will demonstrate <br /> justifiable cause for the extension. If work ceases for ninety{90}cansecutive days,the jab is cansidered abandoned: <br /> WARNING TO QWNERc YOUR.FAILURE TO RECORD.A.NOTlCE OE G4MMENCEMENT MAY RESUl:T IN YQUR � <br /> PAYiNG TWiCE FOR IMPROVEMENTS..TO YOUR PROPERTY:. IF YOU::INTENDrTO�OBTAIN'FINANCING,CON�UI.T � <br /> WITH YOUR`L'ENDER OR AN ATTQRNEY BEFORE RECORDING Y�llR�wNOTIGE i3�'�COMMENGERAEN'�.--�- - ""-~" <br /> _ - _FLQRIG}A-Jt1RAT-{F:S:117;03} � --- —"-- � — — � <br /> QWNER OR AGENT_� . CONTRACTOR �A� (s��,� �.�i �- �i�U' <br /> Su cribed and��wam to(or rtned}be re me--�`�i Sub�� and bworri�a(or af�rmed)be a .me th�-r� <br /> ,,.� Y <br /> ho ls/arep ersanally known t me or as/have produced � ho is�onafly.kna to me o as/have produced <br /> ():�1�,'�X'S �C.tG.��as iden�fica�an. 11.�11/� Ll GE;7L1� as identifica�an. <br /> ��.�.�C��_ Notary Publlc � Notary Public <br /> Com ission No. � Cammfssion No, t—/ �� �.�1--,� l� <br /> lJ(�8� �`//� /�LJ��E:1-L._ —��'% ���/� �(�'��" <br /> Name af Nata t r�edi�rinted o��st mc Name af nrin nr�dP q��� <br /> �pAYP,� DEBRAELAINERUFFELI ��:� ''• DEBRAELAINERUFFEIL <br /> :r G•••••�;,:.Cammissian#�G 445343 � �� �';_Commiss#on#GG{}45343 <br /> _":•,�,r'o"'=Explres November 7,2028 � =;,+�P;:Expires November 7,2020 '` ., <br /> +-%;;... °',`'M1 fiondedThruT Feinlnsurance8Q0-38r10f9 '•�%;°d�'••• BondedThruTroyfainlnsurance800•385-7019 <br /> °�:;°•,' rpy �,�..�� <br />