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<br /> NOTICE AF DEED RESTRICTIORI�:. The undersigned:under�tands�;,th�t;:thi�:.p.�rmif,may,be.subJect to;,°deed".r.estrlctio,ns°_..' „�,�, �
<br /> which may-:tie=more.r�st�r:ictive�th���Couiity�-regr�lations.`��The:underslgned`assumes�responsiblllty=�for compliance v►!itti='any'��r' �
<br /> appllcable deed-restrictions. ;_. ,� -;: . , � .�: • ,, ° '-�• � -
<br /> UNLICENSED- CONTRACT�RS AND CONTRACTOR RESPONS181LITIES: �•if=the��owner-has��`hiretl�a��contractar or
<br /> contractors io undertake work,.they may.be:.r.equ,iretl•=to.:be,licensed In accordance.wlth state.and_:local.regulations:��if�the<<� �����-
<br /> contractor ts�not licensed=as�requl�ed'by law,�tioth�the owner and:conVacto�=may�be°cited�for�a•�mlgdemeanor violation
<br /> under state law. If the owner or Intended�:contractor>.are,.uncertaln as to what Itcensing:requirements�may_apply�x�for-'the�� �=°�r<-'�^�' -
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<br /> intended work,"tHey are advlrs"ed�fo contact=the Pasco County_;Buildirig:'Inspectlon;Divlslon.,-l�.icensing Section at 727-847-
<br /> 8009. Furthermore, If the ovirner'has'hlred a conuacfor'or-contractors, he Is advlsed to have �the contractor(s),;.sign:_ ,� _
<br /> portions of the_"conttacto�,Block",of this:.appiication for_which.they.wilt<be:-.responsible.�__If.:you,��as-.#he,owner�`slgn"as'the '
<br /> contractor, that tnay be an indication that'he is not:properly�iicensed'and�is not-enti8ed'to permitting privileges in Pasco
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<br /> County. ` • ; �_:.. _.,
<br /> TRANSPORTATION�IMPACTIUTILITIES�tMPAC'�ANb RE50URCE RECOVERY�FEES:��The undersigned understands
<br /> that Trarisportatfon Impact Fees and.Reco.urse.Recove.ry.Fees may,:-apply�to�tf�e construction of new buildtngs,�change'�of'=���' '',-��°�`� �
<br /> use in eXisBng buildings,�or:�expansi�rr,•of�exisliri��fiuildtngs,�as specffied.in P�sco County Ordinance number 89-07 and ,
<br /> 90-07, as amended._;The undersigned aiso;understands, thait-such fees;°;as,�rnay;`�e:due;:willi;tie identified at the�time�of��=� °--'�s'��' ,,
<br /> permitting. It is furtiier understood that Transportation impact Fees and Resource:Reco�ery�Fees:must be paid prior to
<br /> rece�ving a °certiflcate of-occupancy"or�flnal•�.power�Gelease:• :If�the.proj�ct;:does�:not Involve:a::.certificate of occupancy{or%����"==`�`���'' ,
<br /> .
<br /> final powec release,�,tfie,fees mu�t�tie paid;p�lo�to.permit issuence. Ft��thermore;°tf Pasco:County�Water/Sewer�;lmpact : �:�<����
<br /> fees are due,,.they,must.be_paid;prlor to.permit�issuance�in�accordance with':appllcable:Pasco'.County-ordinances. -
<br /> CONSTRUCTION�LIEN'LAVII'(Ciiapte�T13� Florlda Statut���as amended): If valuatlon of work is$2,500.00:,or more,.I - �. .�;z�
<br /> certify that -I, !he applicant, have.been ;provided �with:•a�copy-of`�the��"Florida�°Constnactton�:Lien..L'av�Homeowner's
<br /> Protection Guide" prepared by the"Flo�ida Departme�t�of Agric.uiture and Consumer;Affairs. If the appltcant is someone• .. ,
<br /> other than the"owner", I certifj►..that l;have;,obta(ne'd�a=copy.of.the�aboye.des.cNbeddocui�ent�and.p.r.or�ise:.in,good'.�faith�ta .. ,,. ,
<br /> deliver It to-the.'owner�:p�ior�to�cornrimencem�ent:'�;. ,� � , �. - ..... . . .. . ... ; ._.
<br /> CONTRACTOR'S/OlNNER'S AFFIDAVIT: I.cenity;:ttiat>.all�,the�;inf.ormation°;:in�thl� applicatlon Is accurate.and that all work
<br /> will'be done in compliance with all.applicable laws �egulating construction, zoning and��land°development. Application is
<br /> hereby made to obtain..a.permit;.to,;do work:,;and�installatlon as indiCated:.�-��1. certffy that no work`:or Instailatton Fias'
<br /> commenced�p�lor to Issuance of'a perm(f and that:all work wiil be pertormed�to meet-standards-of:all laws regulating-
<br /> construction, County and City codes, zoning regulatiQns� and land development regdlatlons=tn the�;)urtsdtction.� i al'so. �
<br /> certify that I understand that the regulations of other government agencies may•apply�to the Intended.work, and that it is
<br /> my responsibilily to identify.what.actions I must take:to bedn:.corr�pllance:.S,uch,agen,cies include but�are..not limlted to:,,�
<br /> - Department of E�vtronmental-�Protectton'=Cypress.'Bayhead�,`Wedand Areas and Envfronmentally Sensittve
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management .Dtstrtct 1Nells, Cypress.r�Bay�eads;- Wetland Areas, Altering
<br /> Watercourses. , :
<br /> - Army Corps of Engineers-Seawalls,�Docks, IVavigable Waterways. -
<br /> - Department;of,Health;:,&, ReFaabllitative�,Servtces/Envtronmental�..Health Unit-Wells� Wastewrater�Treafinent, ' �
<br /> Septic Tanks:`_�` �, . ` , . . -
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal AdiaQon:Authority-Runways. • �
<br /> I understand that the.followtng:restrictlons apply to the use of flIL••
<br /> - Use of fill is not allowed in;Flood:Zone"V"unless expressly pe�mitted.
<br /> - if the :fill` mate�lal� Is to �b.e used.:In :Flood Zone. "A", It is understood that a drainege plan addressing a
<br /> "compensat(ng volume"will be subm(tted at�ime of�:permttting which ts prepared by a profess(onal engineer ' �
<br /> Iicensed by'tFie��taCe of'Florida: - ' � � _._
<br /> - If ihe flll material�is�'to be used in Flood Zone 'A" (rr connec�ion�with�a ��ermitted building using stem wall
<br /> construction, I certify.that.fill:�rall�•b.e used only.to..fill the area uvithin�the�stem>wall:
<br /> - If flll mate�lal�is�to be used in -any a�ea; I �aertlfy that .use. of'such flll wlll not adversely affect adJacent
<br /> properties. If use of flll is found to advetsely,�ffect adJaEent�properties�.the owner may be clted for violating � ,
<br /> the condilions..of-the b�ildtng:permit is"sued�=under tha at�ached_�ermit �pplicatlon, for.lots-_less:.than:one (1)
<br /> acre wHiati are elevated�by flll.aR engineer�ed dralnage plan Is required. . •�
<br /> If I am the AGENT�OR THE OYIlNER, I;.promise in„good fatth to Inform the�owner of-the permitting conditions set forth in
<br /> this affidavlt�pr(or to commencing construction. I understand that a:separate perm(t may be requlred for electrical�work, .
<br /> rxo'—;,.
<br /> plumbing,_signs, wells,:pools; air condttioning,-.gas,..or:othe� Install�tfons nol,spec�flcaily included�in.the application. .A
<br /> permft Issued shall be co�shued to'be'�a`Itcense`to'proceed vulth tFie wo�k and not-as:authoNty.to.vlolate,�,cancel. alter, or
<br /> set aslde any-provlstons of the technlcal.codes; nor shall Issuance�of a.permit.pcevent the Bulldlrig Officlal from thereafter
<br /> requlrin.g a correctlon af errors ln.plans, constnictlon.or viola8ons of-any codes. Every�permtY Issued"sfiall-become invalid
<br /> unless the work authorized.by such permlt:is.commenced�wlthln sfjc.months of pennit lasuance� or If work authortzed by
<br /> the permlt Is.suspended or:abac�doned�for:a;period:of�§Ix�E�)�montFis.after the tlrne the�work��s commenced. An extenslon
<br /> _ ,.
<br /> may be requested,,In:wrlttng':�from tfie Bullding,Offlclal for a perlod not to.exceed`nlnety=(90)�days a�d2w111 demonstrate
<br /> justlfiable cause for:the extension: If work ceases:for nlnety.(90)cons.ecutive days...the)ob,is consldered aba�doned.
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<br /> IMARNING TO OWNER: YOUR..FAILtJRE.TO,.R�EC.ORD:A:;NOTICE OF.�-COMMEMCEMENT�MAY�RESWLT IN YOUR
<br /> PAYING TWI.CE:FOR:IMPR01/EMENTS�TO:Y�Ui�:;PItOPERTY.-.I�°.YO.t1�IN'�Et�1D�T0°i0BTA1N�FINNI�EtNG,_CONSULT
<br />__�,��3�,��iE�-L�CiDEFt-O�ARt�-�.TPC9��1�Y-��EOR�4Rl�Ola�3:1�Ca�Yi3�!!�'�TI�L'd3E`C�AlI1�JENG�f�fE�T'- :,� ,
<br /> FLORIDAJURAfi(F.S:1.17.03 ; _ - �- _ -- -- �-
<br /> OWNER OR AOENT ' � � � CONTRACTOR,�� �
<br /> Subscrlb d and swom to(or aHirme )bet re me thts Subecrlbed'and'svwm-t�,(ot aRlrme �e�ttiig ' I
<br /> �f/,�, /7 by �/��fr �i` , �by- ��;0-77'_'��';/ - ° �i
<br /> 1Mio s/a_re-,personally konw� o.me ar has/have produced o s/are�p�onally�Cno+wn•�q me•or haslhave•produced • �i
<br /> ��"KS/ VC�/+��as ldentlflcatl4n. �/i!��!� �/C���� as Identlfica0on. �
<br /> Notery Publlc . C- Nofary Publlc
<br /> Commisslon No: �6 Commisslon.No. ��� �
<br /> /1Fl� � /�w� � /c)��V�/T C� �l/�.� �(�n� ,
<br /> Name o �;,, Name of Not r
<br /> •��*•P��; D BRAELAINER FFELL ��
<br /> '�'�������°�= .<�YP''•• DEBRA ELAINE RUFFELL
<br /> �,: ;��Commission#GG 045343 . ;?Q:•••:�;�:;
<br /> :� ' �o:Explres November 7,2020 :,: :�_Commission#GG 045343
<br /> �'%�p;;;°,°��'� Bortded ThNTroy Fain Insurance 8Da38�7019 i"; ;o;:Expires November 7,2020
<br /> , �'�F�;;;,°.•`'� BuMled Thru Troy Faln Insuranrs 8D436�7019
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