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<br /> NOTtCE OF DEED RESTRICTII�NS: The unders�igned understands:that this;permit may be_subject.toi"deed"trestriction's":�";zi��:
<br /> . .��- .�.,.. .:v.�. �. �.s - � �, ..
<br /> which,may,�be.mare,.cestrict'�ve:,than,County.regulations:'�:'The undersiglned'��assumes�responsititiity�for compliance:with:ariy ?
<br /> applicable deed restrictions. `� � ; :;�s;ia�., :��-_=�,� �;�;,.
<br /> UNI.ICENSED- CONTRACTORS ANC1 Ct?fdTRACTOR RESP.ONSIBlLITlES:�=1f-ttie-oviriier nhas`fiireti�:a�-con#ractor or �'
<br /> contractors�to undertake work;they mayr be r.equired to be�licensed in accordance with state=and'�loea!_r,egula#ions:.'If�tfies`;�r.._`:E
<br /> : . ._. ,.��•.�,.�:._�.,,..
<br /> contractor is not licensed-.as requi�ed by`law, botti-the awner.and'cont�acfor�map�tie�=cited�fur�;a:misd'emeanorviolation°� `;��:
<br /> under sta#e-law. If the owner or intended.contrac#ar are uncectain as ta what.licensing requirements;;rnay;sapply.for;atlae.��.��"�.'�.
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<br /> intended work,.they:are�advised to�contact tFie'Pasco Caunty Baitding�tnspection`D�ivision�Licensing S:ecfion af 727`-84?- -w-.
<br /> 8009: �Furthermore, if the owner has`Fiired`a coritractor ar contractors, he is advised to�=have fhe confractor(s,)r�sign_:,µ,,;r:��;
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<br /> portions of the °contractor Black" of this application_fo�which they will be-responsible,:-If�you, as�`the�ovirrier s�gn as?thek y `"�,j�
<br /> contractoc, that.may-be�an indication that he�is not properly licensedV ant! is not entitled to permitting pri`vileges�,in,�Pasco:_:,.;=�
<br /> County. _ . , .. ._ : ,' :F.. . .��;,, :1�:�n
<br /> TRANSPORTATiON IMPACTIUTit-iTtES�IMPACT AND RESOURCE RECOVERY FEES:-The'undersigned under.stands k�; .<�;
<br /> f .r 6�.,.vzvns.. �.�Pa.
<br /> that Transpartafion lmpact Fees and Recourse Recovery Fees��may:apply ta:fhe construction,of,new,6uildings,�ciiange>af'µ"':F4,I:
<br /> use in existing buifdings,,,or•expansion��o€.;existing buildir�gs, as specified in Pasco County Ordinance number 89=07=and_ �"�.�
<br /> 90-07, as amended. The-undersigned also understands, that.such.>fees, as'may_:�;b.e.due, wift"be;identified at=ttte}:tiine=a,f°g�'<:��`;;�
<br /> permitting. �It is further-understoad that Transpoitation Impact Fees�and Resource`FRecovery-Fees must be paid prior to
<br /> receiving.a �certificate of-occupancyn or final,power release. If the project does not involve.a certificate of occupancy=�oc��'•4-�=;�
<br /> final_.power release,:the fees.must be:paid pr�or to permit issuanc,e... Furtliermare,�if Pasco Gounty Watec/SewerF�lmpaet�-.��� #�
<br /> fees.are due,tfiey must,be paid prior to permit issuance in accordance with�applica�le Pasco County ardinances. " ..
<br /> CONSTRUCTlON LIEN�LAW(Chapter 71'3, Florida Statutes,as amended): tf valua#ion of wor'k is$2,500.00.or mar.e;,;i.���� ;
<br /> certify that 1, the appli+canf, have been provided with a copy of #he °Florida Constructian :�ien.t�a�%:Homeowner`s�
<br /> Protection Guide" prepa�ed�by the Florida Department of Agriculture and Consumer.Affairs. If the applicant�is,s.ameane;, , _
<br /> other than the°owne�', I-certify that L ha�e obtained a copy of the above described`tlocument and promise�in;go,o,d':;fa�th to i;,,. :
<br /> deiiver.it.to the',owner".:pnar;ta-cammeneement�. -" �
<br /> CONTRACTOR'S/aWNER'S AFFIDAVIT:. .I.cer#ify that ail the informa#ion in this application is accurate and`that all�inrork
<br /> will be done in corr�pliance with a11 appl'icable�laws regula#ing construction, zoning�and 1and�development. Application,is
<br /> hereby roade to obtain-.a ,permit to.do:.,work and installation as indicated. 1~certiFy that na work ar-installatian�.has �
<br /> commencei� prior to issuance cif a perinEt and=�that aEl work wi!! be per€armed to.meet standards of al! faws regulating
<br /> canstruction, County and City codes, zoning regulations, and land development regulations in.�.the jurisdiction: �I��also
<br /> certifiy that i understand that the regulations af other gavernment agencies may apply to the in#erided wo�k, and that it is .�
<br /> my responsibility to identify what actions I must fake to be in compliance. Such,agencies include.but are not limi#ed,to:
<br /> - ,Department af Environ►inentat„Pr'6tectian-Cypress BayFieads; Wettand Areas and Environmentaily Sensitive �
<br /> Lands,V1later/Wastewat�r Treatment.
<br /> - Southwest F4or�da Water Managemen# District Wells, Cypress� Bayheads, Wstland Areas, Rlter�ng �
<br /> Watercourses, '
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Departmen# of Health & .Rehabilitative Services/Environmental Health ,Uni#-Wells, Wastewater 1'reatment, ;
<br /> Septic-Tanks: 3 ' �
<br /> - US Environmental Protection�Agency-Asbestos abatement. 'c � .
<br /> - Federal Aviation-buthority-Runways. -,�,•:.. ..-..�:' + '� - � 4;..., , _. ,.-_
<br /> I understand that�.the following.restricfions apply to the use of filL• ,
<br /> - Use af fill is not allowed in.Flood Zone"V" unless expressly permitted.
<br /> - If the fi8 material:-�is to be used in Flood Zane "A", it is understaod that a drainage plan addressing a
<br /> "compensating volume" wi(( be submitted at time af permitting which is prepared by a prafessionai engirieer ��
<br /> licensed by the State af Flarida. �
<br /> - IP the fil! material is to be used in Flood Zane "A° in connection with a permitted buifding using stem wa!!
<br /> construction, !cerkify that fill will be used only to fil!the area within the.stem wall. '
<br /> - If fill material is to be used in any area, I certify that use of suoh�fill will not adversely affect adjacent i
<br /> properties. If.use of fill is found to adversely affect�adjacent properties, the owner may be cited for violating, '
<br /> the cvnditions of#he building permif issued under the attached permit.application, for Iots iess than ane (1) '
<br /> acre which are elevated by fiil,an engineered drainage plan is requi"red.
<br /> If I am the AGENT FQR THE QWNER, 1 pramise in good faith to 9nform the owner of.the permitting conditians set forth in �
<br /> this affidavit prior to commencing construation. ! understand that a separate permit may be required for eleatr'rca! work, ' I
<br /> plumbing, signs, wrells, pools, air conditioning, gas, or other installations nat specifically included in the application. A. , ,
<br /> permit issued shall'be canstrued to�be a license to proceed with the work and not as.authority ta violate, cancel, alter, or
<br /> set aside any provisions of the technicai codes, nor shall issuance of a permit prevent the Buitding tJfFicial fram #heceafter ,
<br /> requiring a carrec#ian af ecrors in plans,;constructian ar violations af any codes. �Every permit�ssued stiall becorne invat9d
<br /> unless fhe work autharized by such permit is commenced wi#hin six months of permit issuattce, or i�work aufhorized by ?
<br /> the permit is suspended or abandaned for a period..of six(6�months after the time the work isacammenced. An extension �
<br /> may be requested, in'writing, from the Building C)fFicial for a period not to exceed ninery (9q) days and will demonstrate
<br /> justifiable cavse for the extension. tf work ceases for ninety(90}consecufive days,#he job is considered abandoned.
<br /> WARNtNG TQ OYYNER: YOUR.FAILURE TQ RECORD,,A_NClTlGE QF COMMENCEMENT MAY�RESULT tN YC1UR
<br /> PAYlNG TWlCE'FOR lMPROVEMENTS�C1 YOUR:PRQPERTY.: !F Yt?U=.INTEND=TO OBTAIN'FINANClNG, GONSULT �
<br /> WITH YQUR'LENDER OR AN ATTORNEY BEFORE�RECORDING YOUR NOTICE�O��COMMENCEMENT. -
<br /> -- FLOi2tDA-JURFIT(F:S:-117:03} ' -- _--`_ :–--- -- -------- �.-_.
<br /> OWNER OR AGENT � ��i(GCz/� C.ONTRACTdR �r%�'
<br /> Subscribed and s�rer� (o�ffi ed} fare m�is �/' Subscrib d an sy o t (or a ed}before�me s � �i
<br /> .�l�s�-,�-� d'`��'I'G�) 1 b � �� /
<br /> Who s/are ersonally known me or haslhave produced o s are personally knovm to e or has have producec!
<br /> j��l� �,�`(�' „�s identifica�on. as Identification.
<br /> � �j� �}.
<br /> ����.�Gl�,-,_ Notary Public +V Notary Pablic
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<br /> I Cammission Na. Cornmissian No.
<br /> ,CI�C�/i �s��"///1��' �l��i(.G-- ,����i�C,� C�/9��✓� /Cli��`""�"�r"
<br /> Name af Nota�ty�ed,orinted ar s#am��ed Name af Not
<br /> I�' i 11�1�1�r ,p�Y rpi� :
<br /> =?V4Mfi:.P�••.; L7EBRA�LA►NE RUFFEL�.- :�;F.w,.�,.DEBRA ELAINE RUFFELt, �.
<br /> °„Commission#GG 4453�3 � .,: ,�Cammission#G�4�a»�3 =.
<br /> _�:.�.�r'Explres November 7,2020 ?� 'a"=�xpires�avember 7,�U'LJ _
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<br /> �%Foa�.o;:.'9ondedTlw7royFainln�uranceBDD-385�7059 '••`%°;�,`,a�' ����7�oyFainlnsuranar800�3c;r7�1B ':
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