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<br /> � NOTlCE 4P-DEEDRESTRlCTlONS: The undersigned understands.that,.�his;permit may be•subje�t;to'.'.ae�aw� rest�ict�on�s°;��
<br /> �/si '[ah wr::�i i:•v.i:. ' .Y4��.;�iV*:Xi;,�l ry x�-��'�rt�'Ai� Y $h r•
<br /> which,may�be.mor•e-cestrictive:than�:Cou�ty:regtalations Ttie=undersigned�"assuriies��r�sponsibii�ty for�compliance with any"_�
<br /> � 'applicabie deed restrictions.. � �:,:���-_;>��,�:.`��=
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<br /> - .. _ �,_.-.. . .�:_
<br /> UNLiCENS.ED CQNTRACTORS AND' Cf)NTRA�T4R RESP...QNSIBtLiTiES:� lf�tfie�-oinrner'-tiasX:tai"red`��ai:contcactor or, ,
<br /> cantractars fo undertake work,they,ma�r�be_,r:equired'Ea be:licensed in accordance witfi sta#e and Iocal:regulatians::;-lf�tlie�:z'<;
<br /> #� �,�._:. . . ,,
<br /> contractar is-not;licensed�as rEquired'_by`law, both��the owner:and.�contractor=may==be�=cited:�far a=misdemeanor viofafion..;,-r
<br /> under state law.� !f the owner or int�nde+d..contractoc are:unce�tain as..to what tieensing;cequiceria,ents;�rn'ay�xapply°>for,4rtt%e:4�;�
<br /> ...A�1 F.-t �.."Y?w, .�
<br /> intended work,.they-are-advised to coritact tlie Pasco County Building liispectibn`D'ijiision Licensing.;Section at.727 84fi,�°.;-
<br /> 8009. .Furtherrnore, if the awner=fias"hi"recl'ja'con`tractor ar contractors, he�Yis acfvised to�havey�the_.cantractor(s,).�sign,i�,'�,
<br /> partions of the contractar Block af this appfication,for which th�y�,will.be responsiblet-_�If�yo;u,,as,fhe.awner sign;as the;=;,-
<br /> contractac, that may ae an indication`ttiat he is not praperly licensed and is not'+entitfeii�ta permitting privileges in.?Pasco ,$;�
<br /> County. - - • - .. .. .. . . �.:,z ...1�. =:I:.,>;:
<br /> TRANSPORTATI�N-lMPACT/.UTtLI7fES�IMPACT AND RESOURCE RECCIVERY FEES:-Tfie'undersigned understands::�-_
<br /> that Transportation Impact Fees and Recourse Recavery Fees::may.;appty to the canstruction.of,new�buitdings,.change:ofy:�i��,
<br /> use in existing buildirigs,,:.or-ex�ansian�6f;exi�ting buildir�gs, as specified in Pasca County_Qrdinanee nurnber 8J-47���and;,;��„
<br /> 90-07, as amended. The•undersigned atsa�.understands, that such::fees,=as:may�.;be:due, will���'e�.identified'ats•the+�imeY:a€�=��.�;
<br /> permi#ting. �if is fu�ther understood that Transpartation Impact Fees�and Resource�Recovery.Fees�must be paid prior_to ,.;:;�
<br /> rece€ving a "certificate of accupac�cya or final-,power release. lf the�project does not irtvolve�,a certifrcate o#ac:�upanc}��a�.z��>=�,
<br /> final.power rele.ase, the fees-must�be'paid prior to permit issuance..�_Furttiermore,.if.Pasco Gounty W;ater:lSewer.�lin�pact-%;,�=�::
<br /> fees are due,fhey must be paid prior ta-permit issuance in°accordance with°applica6le:Pasco County ordinances. � '
<br /> CONSTRUCTIC}N LiEN�LAW(Chapter 713;Florida Statutes,as amended): If valuation of wock is$2;500.OsQ,.or.moce;,t1�;=��;
<br /> certifiy that I, the applicant, have .been- provided with �a copy:rof the "F(orida Canstruction.'�Lien .Law-=.:Homeowner's�`� _,
<br /> Protection Guide° prepared by tt�e Florida Department of Agriculture and Consumer Affairs. if the applieants is someone..,-;�„
<br /> ather than the"awner�,°f-certify,that_I.have obtained a copy of the above'it'e'sc'ri6ed'dacument and.promise;in�goo.df;fai�iif;to.'l�r;
<br /> deliuer.it.to�the:'towne�':prior.;to-commencement: � � ' - � � � �
<br /> CONTRACTOR'SIOWNER'S AFFIDAUlT:-�l-.certify,that all the �nformation in this application is accurate and thaf a]!'wark ,
<br /> wiH be done in compliance with a11 applicable'lawrs regulating construction, zaning�and land-devefopment. Appticatian is
<br /> hereby made to obtain a..permit_.to .day..work-and installation..as��indicated. ! certify fhaf no�work vr insfaflation=�has
<br /> commenced prior-to issuarice of a perrriit and��#fiat all wark wiH be performed ta.meet standacds of a!! laws regulating :
<br /> canstruction, Caunty and City codes, zoning regulatbns, and land develapment�regufations"in'�the jurisdictian: ��t:also �
<br /> certify that I understand that the reguiat'rons of other gavernment agencies may apply to the intended wark, and that it is r��
<br /> my responsibility to identify what actions I must.take to be in compliance. Such�,agencies include but are not limited;ta �:,
<br /> - n Department of Environmental:Rrotection-Cypress Baylieads, Wetfand Areas and Enviranmentatly Sensitive :;�
<br /> Lands,Water/Wastewa,ter Tceatment. �
<br /> - Southwest Flarida Water Management District-Welfs, Cypress Bayheads, Wetland Areas, Altering ;i
<br /> Watercourses. � � j
<br /> - Army Carps af Engineers-Seawal(s, Docks, Navigable 1(Vaterways.
<br /> - Department of Health 8 Rehabilitative. Services/Environmental_.Health Unit Wells, W:astewater Treatment; ' :,
<br /> Septie Tanks. �� [
<br /> - US Environmentaf Pratection Agencp-Asbestos abatement. ,�;: �
<br /> - Federal Aviation Authority-Runways, �
<br /> i understand that�the foiiowing�restrict9ons apply ta the use of fill: �
<br /> - Use of fitl is nat allowed in Ffood Zone"V"uniess expressly permitted. �
<br /> - !f the fi!! materia! is ta be used in Fbad Zone °A", it is understaod that a drainage plan addressing a - ,
<br /> "compensating valume° will be,submitted at time of permitting which is prepared by a professional engineer �� .,
<br /> licensed by the State af Florida � � -
<br /> - !f the fill material is to be used in Flood Zone "A".in conriection with a permitted� building using stem waN
<br /> construction, t certify that fill will be used only to fill the area within the.stem waN.
<br /> - If fill material is to .be used in any area, t certify that use of such:`fill will not adversety ai'fect adjacent
<br /> properties. !f use of fill is found ta adversely affect adjacent properEies, the awner may be cited for violating -
<br /> the gonditions of.the 6uilding permit issued und'er the attached permit applicafian, for ioEs less than one (1)
<br /> acre which.are elevated by fill, an engineered drainage plan is requited. ,
<br /> If t am the AGENT FQR THE QWNER,=1 pramise in gaod faith to inform the-owner of-the permitting conditians set forth in
<br /> this affida�it:prior_Co commencing construction. ! understand that a separate permit may be required for electrica! work,. �'
<br /> plumbing, signs, wells, paols, air conditioning,�gas,. or�attier installatians not specifically included in the apptication. A :,'?.
<br /> permit issued shall°be construed to be a license-ta.proceed with the work and not as.authocity.to violate, cat�cel, alter, or '
<br /> set aside any provisions of the fechnical codes, nor shaA issuance af a permit prevent the Buitding Officia!from thereafter .
<br /> requiring a correction of errocs in plans, construc#ion ar violations of any codes. Every perrriit-issueii shatl-become inva(id �
<br /> unless the wrark authorized by such permit is commenced within six mon#hs of permit issuance, ar if work authorized by
<br /> the permit is suspended or abandoned for a period..af.six(6)monfhs after the time the work i�'commenced. An extension_ ;.
<br /> may be requested, in'writing, fram the Building Official for a period not to exceed ninety{90) days and w�li demonstrate
<br /> justifiable cause fo�the extension. ,If work ceases for ninety(90)consecutive days,the job is considered abandaned. �
<br /> WARNlNG TO QWNER: YQUR.�AtLURE TO REC.O;RD.A NOTtC.E OF C,QMMENCEMENT MAY RESULT IN'YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS,;TQ YQUR::PROPERTY::,fF YOU�iNTEND�TO=�OB'FAiN;FIPiANCING,CONSUL.T �
<br /> WlTH YC)UR L'ENDER OR AN ATTORNEY BEFORE�REC.ORDlNG�YQUR- 4TICE�ClF�.COMMEN�CE!!+! �1T:�-------- -- ---�`
<br /> FLORiDA JURAT(F.S,117.03)_,_,_ — - - - -- "`"` "- ` .
<br /> � QWHER Oit AGENT COI�TRACTQ L-� �
<br /> Subscribed and swom to(or affirmed)before me thls Syu�,s�cribefd,.a-�nd swo�(ar aifirmed} �`me this �
<br /> by t_L0L�1-G��"Y p!' � _� .�,r��
<br /> Wha is/are personalty knawn to me or has/have produced " Who Isla�r�e,personalfy known to e or has/have produced
<br /> as identification. �,/,�/i�'�k�� r��.. � as identification.
<br /> Natary Public Notary Public
<br /> Commission No. Commission Na. t� � �
<br /> .�z"��'�} �L.�1 trtl� �L,�t�''�,t._L._
<br /> fVame of Notary typed,printed or stamped Name of Notary typed,printed or stamped� ° i
<br /> r.....:...w.� i
<br /> � ;=��+*PL�,,,DEBRAElAINE RUFFELt�
<br /> ,?Commission#�G OA5343 ii
<br /> ;' o'Expires November7,242Q
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<br /> • `%;�oas��;•' BondedThruTroyFetnt�surance8Da36r76f9 �
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