„ . • 1
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<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 _
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