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<br /> NQ'nCE QF DEEt?ItESTR1CTIQNS:. The underslgned.nnder�tands°;t�t�#t��i�,°.p�rmlt�may.be,subJecfi to_,",deed";_r.estrlctions",,,.,..,��.f ��.
<br /> which may�,be:rinore'-r.e`st�ictive<t#iaii�Courity�fegaiattons.`�TFie`.underslgneds�assumes-�esponsitiilttji�for"compilance withi"any` ��
<br /> appAcable.deed teshlctlons. ' ..;F," � . : . - ; - „ �... .:- �. _�
<br /> UN1.ICEN�ED�Cr3NTRACT+DRS �AND Ct�N��i4CTOR RE$PONStBfLIT1ES: -1f--the��awner�has:��hireiir a ;c�intrac#ar or
<br /> contractors to undertake work,•they may;be>r.�qu;ired.tto.:be,;llcensed ln accnrdance:with_,state;:and�lacaliregula#Ions::-1f the����-�"�"�
<br /> cantrac#or ts�not ltcensed as teqtttred;6y l�w,-`both�the owner and>co�VactoT%may�be��cited-focia�inis�emesnor vlotatlon
<br /> under state law. if the owner or Intended,;contractor,+are_;uncertaln as to what Ilcensing;requlrements"may=-applyr��for�tine.� �� �-��•���"
<br /> .�.�.
<br /> 8009�e Fur#tterrno eaif�ttie lainrne�'tiast liirede.Pasco County,Bulldln�";tnspectlorr.Dlvisloir-Licensing Section at�27-847-
<br /> � -���� a +corit�actaT'or'coritractors� he ts advised to have �the contractor(s),�.sign;. ,;_
<br /> . ., :�:
<br /> portio�s of the:;"caMractor_Blook" of this.appllcatton..for�whloh.they.wlll.�.,be responsible.� If::=you;_as the,ownerFsign�as`tiie " "` " �
<br /> cont�act�r� thet�may�be a�n 1nd�cation that'he��ls i�ot.properiy ilcerised�arid''Is not entl�ed ta:petiiiltting�priutleges In Pasca, :.
<br /> County. ' = . -- . ; �,�.. ,;,.�„ ��. ,
<br /> TRANSPCIRTATION-fMPACTIUT!l:ITlEBrlMPAG'�AN�!RE�QUI2CE RECOVERY�FEES:�The underslgned-unders#ands
<br /> that Transportation Impact Fees and.Reco.uree.Recove.ry.fees may:�-appiyato:tfie'construcfion,of new.buildings,?change�of'�° `���' "-� _`
<br /> use in exisN�g buildings,�or�eicpansion�of��ezisti�i�:�bulldings, as specffied.in P�scv�County Ordinance number 89-07 and
<br />�� 90-07. as amended.,.:�The undersigned al�o;u�ders#ands; ttiz�t'such fees;.3as�:may�:�e:�d�e;f:w111,.be ident�led a#fhefitime4'af�r- .�i����> ;
<br />�I permitting. It Is turtlier understood that Trai�spbrtation Impacf Fees and'�Resoucae.'Recouery��Fees:must be paid pria�to •
<br /> receFving-a"cerfi#EEcate of accuyaancy"ar final�power�,�elease.Y:I€�the.p�a�e�ct:,does.no#invalve:�a:cert�icete af occupanicy�or��1�'�r�' '��`-
<br /> _ .
<br /> final powec release;the;fees mu�t be"paid,pcioir to.,permft Is�uance. �u�thermore;�°if:Pasca;County"Water/Sewer�,lmpact �. :=r:�,-u�
<br /> fees are due�.they�.must be pald:.prior ta_pecmilrlssuance�:in:.accordance wltti.appllcabhe:Pasca'Gounty ordlnances. �
<br /> CONSTRUCTtON`ClEN'LAYV(Ctiepter T13, Elortda Statute���a amende�: if_vaturatlon a#work is$2,500.00.,ormore,.1 �; ,=�;�w
<br /> certity that I, the..applicant,: hav,e,;been ,provlded:�with-•a-copy of:the�"Florida-°Const"ructlon`=Lien.:Law—Homeowner's
<br /> Protectlon Gutde" prepared by`tlie Flo�da Department'of Agrtcuttt�re and Gonsumer;Affalrs. 1f ths applicant ts so�teone . �,_ -;
<br /> othe�than the"avmer", I cert �that,l=hav.e:obtalned�a�'copy;of..the;above.rJescrabed tlocument.and:proml�ie:ln,gaod;faith to. . • b.
<br /> de#iver It to..the:'owner":p�ior.�t�o c�mrriencetn`ent�� � �- x. ' . ... _ , � -
<br /> GONTRACTOR'�tJOWNER'S AFfIDAViT: i.certify:�that;alt„th�e;informatidn:in•thi�apptfcatton is accurate,and that ali work
<br /> ,�w.,
<br /> will'be done in comptiance wlth all.appiicable laws regulating construction, zoning and�•land develapment. Applicatlon is
<br /> hereby made to ob#atn..a.permit;,�to;,do;wor,'k.=,end�ltistalla#ion as ind[�eted:� .�.1•-cen�'ji ttiat no workdor installation tias
<br /> commenced prior to Issuance of'a perm(f'"a'nd that.all work will be perta�med�to meet.st�ndards�of:all law� regulaxing�
<br /> const�uction, Caunty and Clty codes, zoning regulatiQns, and fand deveiopmerit regulatitins�ln the�Jurlsdlctlon.-. I.ai'sa ..
<br /> certliy that I understand thaC the regulatlons of other government agsncles may�appiy�to.the..lntended.work, and thak it is
<br /> my responsibllity to ldent(fy:what.acUons 1 must>t�ke:to be,ln:.co�pllance, Such.agencles Include�but-are.not limtted ta:_� �
<br /> - Depa�trrfen# af E�►vironmental'=Protectian=Cypfess.'Baytiead�,�We�and Areas arid Environmentaliy Sensitive
<br /> Lands,VUatedNVastewate�Treatmenk. C.
<br /> - Southwest Florida Vitater Management :Distr�ct Welis,' Cypress. 8ay.#�eads; We#iand Areas, Altering
<br /> Watercourses. ' � �
<br /> - Army Corps of Engtneers�Seawalls, Docks,Navigabte Waterways. �
<br /> • Departmen# of.,.Heaith�`.$ Rehabilitative;SenrlceslEnvironmen#al=Neafth Uinit Weiis; Wastewater�Treafinent, �
<br /> Septic Tanks:'.:. " ` � � :
<br /> - US Envlronmental Protectlan Agency Asbestos abateme.n�� �
<br /> Federal Avletlon_Authorlly=Runways. '
<br /> t understand 3hat.the faliciwliig:.�estrictlons apply to the use of flIG�
<br /> - Use af flN is not atlowed in,Flood.:Z,one"V"uMess axpressly permitted.
<br /> - If the..fill'material�=(s to� b.e used„In.:Flood •Zone. "A", Ik. is understood that a drainage plan addressing a
<br /> "compensating votume"will be submltted at#ime af:permitttng w�tch is prepared by a professfana! englneer
<br /> Iicensed by'#he�taCe of'Florida: " � "
<br /> - tf th� fill matertal�ts�to be�used tn Flood �one "A" In4 connection-vulth�a permitted bulldirtg usEng stem walt
<br /> � constructfon, i certify;that fiii:wall.b.e used only to.fill the area within�the�stem wali.
<br /> - � !f flll materia!-is #o be used tn any area; 1=�aertl�r that .�se. of such flll wlll not adversely affect adJacent
<br /> + propeKies. !f use,of fili is found.to adversialy:�ff'ect adjaeerat�properties,.#he awner may be cited for viola#ing ' `
<br /> the conditions-of the building�:perml#,Is"sued�'under the attach�d_permit appllcatlon,�far::lots�.less than.�one (1)
<br /> acr$wiilcFi are elevated�by flli�$�t.engineer�ed dralnage plart Is requir•ed.
<br /> if I am the AGENT�OR THE OIMNER, I;.promise in good.fai#h to infarm the owner of��the permitting condittons set forth In
<br /> this aftidavlt'prior to commeracing constntction. I,understand that azseparate permlt may be required for elecMcal work, . ,
<br /> , �-.„...,. .
<br /> plumbing,�signs, wetis,:pools,,.alr condifioning;.g��s, oc:otMer instaii�itions not�spec�tcatly inclu�ed�in:the apptication. �A ,.
<br /> permlt issued shall be canstcued to'be�a�license`-to��proceed wlth-ttie';work and nat as:authoNty:to.violate;�'aancel. aiter, or
<br /> set aslde any�proy�sfans of the#echnfcat.code�;�nor shall lssuance°of a_permlt:pr.event the Bulldlrig U�Iclalfrom thereafter
<br /> �equiring a correction af errors In.plans, gonshuction.or violations of any codes. Every�permlt=l.ssued sFiall becibme�invalid
<br /> unless the wrork authortzeil.by such permft:3s_commencedwfthfn sf�c..months of permlt fssuenae, or if work authorized by
<br /> the permit is suspended or.abandoned••for a�:periad;_qf�six{�)�montiis:"s`fter the ttme the�wo�'Ic�as corrmmenced. An extension
<br /> may be requested, In writing;.from tFie�Building,Officlal for a period�not to exce�id'�nlneity�(90)�days a�d-will demonshate
<br /> 3us#Iflable cause for�the e�enslor� tF work ceas+�s:for nlneiy.{90}cons.ecutive:days.-the�ob�is considered aba�doned.
<br /> Ii�ARNiNG TO 4WNER; YCIUi�:;�AiLURE TO..R�ECt?EtD.A>MQTIC�:OF=�COMMENGEMENT.-NtAY-�R�SULT IN-YQUR
<br /> P�lY1NG'tWiCE;.�'OR:iMPRQVEMEI!i�S�TO_YO�Ui�.PtiDPER�Tf:�^I��YO.UwI�t'FEKID:TG"C�BTI�'IN�fIN�A(��ING;'GON3ULT
<br /> WIT U °O AN� TTO N F R�+.� °�7► �0 G' OG� :: ; ;� "a -�. `�� . E , -
<br /> FtORlDA Jt1RA�{F.S:t1T:�3 - �.,, _ . , _ � - : - . . "
<br /> OWNEft OR Ai#ENT_;;��'��'�' CON"t'RAGTQ
<br /> Subsaib a d svvom ta ora� rm d) r�me�its Sa6 crib `snd`swam�ta,(ot aflfrm tcia:�tii8
<br /> �' i by ,�.�,hR,r.�r� c-�oc� s /''.;.by.. �`�� �.�.'�;
<br /> ��Is arApersonally,knot�m t •me or haslhave,qroduced o.ls/are .e onallyknown ln- e octias/have�produced �
<br /> -�Y ' �Flr�,��as litenit�8qn. �r�j,�,�� t_f - as tdenttflca#ton.
<br /> 1 �
<br /> �'�����.� Notary Pubila . C���� ' Nofary Publlc
<br /> � �
<br /> Cammisston No;`Lf `� a�s��G� Com�laston.No, �' �
<br /> ��c���.C�-/�tl� x�U�'�� ����/�`� ��U��—
<br /> Name of IVotary lYP�,P��ted or stamped Name of Notary iyped,pdnted or stam ed
<br /> �.e�...
<br /> '""� pEBRAELAINERUFFEL
<br /> �S�'Yi�;" DEBRA ELAINE RUFFELL '`�"�'I���'' S343
<br /> :=Q. �= `r°' �=Commission#GG 44
<br /> =Commission#GG 045343 � ':Exp 2020
<br /> ="�'����;`ExpiresNovember 2 20 �� ���: iresNovember7,
<br /> =;,�... P= �� � �%F`...�P' Bonded Thru Troy fain Insurance 8D0�38�7019
<br /> OFF�p
<br /> � �'••';;,°`'� Bonde4 Tt+n:Troy Faln insurat�ce 84D-385�TOt9 "�"•�
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