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„ . • 1 <br /> ;.�,..,,, <br /> NOT�CE OF DEED RESTRICTIONS: The undersigned,understands;th�t.this;:��rmlt;may,be.SubJecfi to"deed".,restricttons",.�._.,�.:;:`'-. <br /> which may be:�more r.est�:ictiveAth��>Couiity���+eg�ilations:=The`undersigned assurries'�esponsibility''for compllance witlr any��� �`� �� <br /> appNcable deed rest�ictlons. • , , _, �- � -- -� <br /> UNLICENSED'CONTRACTORS:AND CONTRACTOR .RESPQN8181LITIES: ��If��the��ovmer�has-`�hired��a"contractar or <br /> contractors to undertake work, they,may:be.>reiquired�_to..be;licensed In.accordance.with state�.and_�local regulations.::=1f�the�==- ��• ' <br /> contractor ts not Iicensed�'as�requlGed.;tiy law, both the owner`and�conV�cto�fmay be�cited for°�a�misilemeanor violatlon <br /> under state law. If the owner or intended:;cont�actor;are:.uncertaln as to what Ilcensing.requtre�nentsl;may:apply���for:�tfie � -�-< �_ =� <br /> Intended work, tliey a�e advised to cont�ct the�-Pasco County Bullding.'Inspection�Dliiision--Licensing Sectton at 727-847- <br /> 8009. Furthermore, If the owner h'as hl�ed'a cont�actor o� contractors, he is advtsed to have the contractor(s); sign, . <br /> portions of the "conttactor Block” of thls.appllcation>for whlch:they:will.be,.r.esponslble.-.,If��you;.as.#he owne�`'sign`�as-the � <br /> contractor; that inay tie an indication thaf`Fie'is`not.properiy Ilcensed�and�`is not entiNed to pemiitting privtleges in Pasco , <br /> County. . ;,.. : . . . , <br /> Tit�4NSPORTATION-IMPACT/UTILITIES°IMPI4C�'ANb�RE$OURCE RECOVERY�FEES:�The understgned�understands <br /> that Transportation Impact Fees and.Recourse Recove.ry.Fees may:�appiy;�to�tf�e tconstruction.of new..buildtngs;=change'of'�-'f=`�== ''= <br /> use in existing bulidings, or�expansi�n��of;ezisti�i�g..buildings� as specified in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended.,,:;The undersigned also:�understands, that�such fees;;;as,tnay:�e:<.due;�..w.iil;-be identified at the':time��of�>�� ��_ '`�'�� <br /> permitting. It is furtFier understood that Tra`�spo�tatton impact Fees and�Resource.�Reco�ery�`Fees.mu�t be paid prior to <br /> receiving-a 'certificate=of oxupancy" or flnai-powerrelease. :If�the.p�oj�ct.:does.not involve:a�certiftcafe of occupancy�o���`�����= ��� <br /> final powec release;,.the�.fees mu§t;'be paid::prior to,`permit issuance. Ft��thermore;-ff:Pasco,,County�Water/Sewer:;impact ,.- <br />� fees are due,.they_must.-be:pald:prior to permit:issuance=ln accordance witfi:�appltcabte:.Pasco':County�ortltnances. - <br /> CONSTRUCTION"LIEN LAIIV(Chepter 713� Flortda Statutes�as amended): If valuadon of work is$2,500.00°;or more,:l- � __ , <br />' certify that I, #he. applicant;-have�been provtded �wlth-a copy-of:the "Flor(da� Constructton�Llen�.:Law—Homeowner's <br /> Protectfon Gutde" prepared by tFie Flor�da Depertment�of Agric.ulture and Consumer Affairs. If the appitcant is someone ., , <br /> other than the°owner", I certify�.that.l:h�ve,obtaiined�a`�copy.of..the:abpve.rJescribed document=and:promise��in,good#aith�to. ., <br /> deliver ft to=.the.�'owne�"�:.p�ior'to�commencement:''� ' -� ' � ' . <br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I cenify.tli;at:all:the.,inform�8on:in�thl� application is accurate.and that all work <br /> will'be done in compliance with all.appltcable laws regulati�g construction, zoning and:land, deyelopment. Application.is <br /> hereby made to obtain.a permit,;Co�:do,�w,o�lc,;�and�installation as indtceted:• �:I cectify that no work>:or (nstaliatton fias <br /> commenced prlo� to issuance of'a�permif""and that.all work will be perforr�ed�to meet standards of.ali laws regula�ing- <br /> const�uction, County and City codes� zoning regulatlons, and tand development tegulaUons•tn the jurisdiction. I�al'so _ <br /> certify that I u�derstand that the regulations of other government agencies may�apply�to,the intended work, and that it is <br /> my responsibility to identify�what.actlons I must•take:M bedn:.complia�ce. .S,uch agencles Include but�are.not Iimited to: � - <br /> - Department of Er�vironmental=�Protection=Cypress.Bayhead�, Wefland Areas and Envtronmentally Sensitive <br /> Lands,VHateNVUastewater Treatment. <br /> - Southwest Florida Water Management>.:I�isUlct-Wells;'`�Cypress.c�Bayheads;- Wetland Areas� Altering <br /> Watercourses. ,. • <br /> - Army Corps of Engineers-Seawalls,�Docks, Navigatile Waterways. <br /> - Department, of;Health;:,&. ReMabllitative .Servtces/Errvironmental.�..Health Unit-Wells� Wastewaterri Treatment, � <br /> Se�tic Tanks: � � - .� <br /> - US EnWronmental�Protectlon Agency-Asbestos abatement.:_: . �- --- - <br /> Federai Aviatlon:Authority-Runways: � . � <br /> -1 understand.that the.following:Festrlctions apply to tFie use of flil: - - <br />' - Use of flll is not allowed in'Flood-.Zone"V"unless expressly permitted, � <br /> - If the flll` material--is fo 'be used.'In :Flood Zone. "A", it Is understood that a drainage plan addresstng a <br /> "compensating volume"will be submitted at#ime of�:permftttng which is prepared by a professfonal engineer � <br /> Ilcensed by the.State of`Flo�ida: - �= . _ . . . � <br /> - If ih� flIF inateria)�.Is=to be used in Flood Zone 'A° in�connec�lon�viritfi:a�permitted buildir� usin stem wall <br /> 9 9 <br /> � construction, I certify that flll�:w111=be�used only.to.fill the.area within the�stem=wall: . , <br />' - If flll materlal ts to be used In any a�ea; 1��ae�tify that .use. of'{such fill will not adversely affect adjacent <br /> properties. if use of flll is found.to adversely:�ffect ad)aeenf��properties�.the owner may be cited for violating ' <br /> the�conditions..of the building-;permit is"sued�'under the`attacFied,�ermit�application;-.for_:lots�:less..than-one (1) <br /> acre which are elevated�by f111;art englneer•ed drainage pla�Is requlred. <br /> If I am the AGENT FOR THE OWNER, I;promise in_good falth to inform the�owner of the perniitting conditfons set forth tn <br /> this affidavtt�prior to commencing constructicn. 1 understand thet a2separate permlt may be requtred for electMcal work, . <br /> plumbing,.signs, weUs,.pools;, alr conditioning,.gas, or.othe'r. Install�tlons not.spec�ically Included�in.the�application. .A . <br /> permit Issued shali be constcued to be��a°license�to�_proceed wlth'the work and not°as:authoNty,to:violate;'cancel, alter, or <br /> set aside any provistons of the teclinical codes;�nor shall issuance•of a.permit.prevent the Bulldirig Official from thereafter <br />� requiring a conection af enors in„plans, construction.or vlolattons of�any codes. Every�permlt lssued siiall�become invalid <br /> unless the work authortzed by such permit:�ts.commenced•withln sfx.:m.onths of�pertnit Issuance, or if work authorized by <br /> ihe permit is suspended=or:abandoned�for a;period<of�six.(�)montF�s.after the tirne�the�work�ts commenced. An extension <br /> may be requested, In wrifing;.,from.tlie Bullding,Official for a perlod=not to exceed•ninety�(90)�days a�d-will demonstrate <br /> justifiable"cause for:the extension�. If work ceas�e�.for ninety.(90)cons.ecutive�days�..th�Job�is considered aba�doned. <br /> WARNING TO OWNER: YOUR.FAILURE.T�.,R�EC.ORD A,MOTIGE.OF.°COMMENCEMENT:NFAY�RESULT IN��YOUR <br />'� PAYING TWICE;FOR-IMPROVEM@NTS;TO::YOU�.:PRQPER7Y: IF�YO.UriN�EKID�TO�iOBT�►IN�=FIPtAI�EfNG;'C.ONSULT <br />__ WITF#YAUR LEND(ER:OR AN ATTORNEI���FOR��RE�AF��71NG��xOI��'�O'FI��"O��AM�l11E�E'�E�'�' -'-- — --- - <br /> FLORIl7liJU�tA�(F.S:1.1T.031 � ` . . . _ <br /> OWNER OR AGENT i CONTRACTO � � <br /> Sub cxibed and swam lo or rmed)be re me thls Sub¢crlbe and'swom flirmed)�beiqte me tfil$ <br /> bY 1�1�7�/7 ..by- `5G� � .} .. <br /> o p �s IlyI�novm to or:haslha,e produced V�o Is�/a�e�e onallyknown_t_t� or haslhave-produced- � � <br /> / �-/ a Identlflcatlori. /�Q/V��� /�1��-s'7�.J'� as IdenBflcaflon. • <br /> Notery Public . Nofary Publlc <br /> � � <br /> Commisslan No: Co mission No. "'D S , <br /> f���.P� �i�/r�/� � ��Z.L , ��z3.2�-- E`.��� <br /> Name ol No edFp�'�'��-�:a Name oi Nolery ed rinted or stam�ed <br /> :=�4r;YP�BG.% DEBRAELAINE RUFFELL ;=Q:��ayPqb�c,-DEBRAELAINE RUFFELL <br /> :�: °�__Commission#GG 045343 ' `-� • =Commission#GG 045343 <br /> :����ae:Expires November7 2020 ` '� " <br /> ;;.F oP•- � ;:=;;,.��;;Expires November 7,2020 <br /> �, ••.g„;,.••' Bonded Thru Troy Fain Insurance BDO-385�7019 '•�o�F;RP' f3:Rdsd Tt!ru Troy Fain Insurance 800,985�7019 _ <br />