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<br /> NOTICE��'.DEEDRESTRICTIONS: Theundersigned.understands.thatthis;permitrnay„be:subject�to".d,eed"�restrictioii's";4�A,j
<br /> i �.. . • �t - � a,.�.� F J;.�-.� 4 .4 = {� �. #
<br /> which;may,,lie mor.e:r,estrictive:�than;Gourity regulations:-�The�uridersigned-assumes°•r�spon`sibitity,foricompiiance uvifh a►iy ��
<br /> appiicabie;cf`eed'res#�iictions. . � �=,--s=:.":''-`,;°":'�:'`c-.�°
<br /> _ ... ,.� .�. __� .._._.
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<br /> UNI;{C�NSED:,�GCIIVTRAGTORS AND CON'tRACTOR RESP-.ONSiBILiT1ES: � °If�tfie�ov►rn`er=�lias-tiired�J4an`contractor or ��
<br /> : ; .
<br /> contractars�#o uridertake work, they r�ay�be required:to be�licensed in accordance with state and�loca(:.,r.egui.afions:�;=-If':tlae-;{��;`�
<br /> contractar is not iicensed.as requireii�Eiy'law, botti the oinrr�er:and:confFactor-rnay<�be cited�for��,a=-�misdemeanor violation� �w�
<br /> t.�
<br /> under state law. �If the owner ar_intended,cantractoc are.uncertain.as to what licensing requirements:�may�tapply:f.or:;the'-:�r�:�:;t
<br /> .�.:�.�.,x,,.,�
<br /> intended work, #hey_are�advised to contact`tlie'Pasco Caurity'Buifclin,g tnspecfion-Division�=L'icensing Section af 727�47= e�
<br /> 8009. Furthermore, if fhe owrner has"hired�a��coritractor'ar contrabtors, he is advised ta�µ�have the,contractor(s.};sign..,���=:i
<br /> �� » ^�3�- :.._• kY;�,��„tz�:,:s ....�;-. :.,,}� �.��
<br /> portions of the contractor Black of this appfication for which_they will be responsible:_I�,y_ou, as."tHeYotiiner'sign as�'.�tie�v'=:_�
<br /> contractoc, that may be an indication#hat he�is nat praperly licensed"anii'is not'entitied-to pefmitting pr'ii�ileges,in;Rasco�,,4. ;i��
<br /> Caunty. � >.�-
<br /> TRANSPORTATlONdMPAGTLUTILiTiES�fMRACT AND RESOURCE RECt3VERY"FEES:�The undersigned under.stands• �=
<br /> that Transporkation Impact Fees and Recourse Recovery Fees:�ma�:appiy to the construction.af new,buildings,.�c?iange�qf,s-�'=;��,�
<br /> use in existing buiidings,,or�expansion-of:existing buildings, as specified in Pasco Coun#y Ordinance number 89-07'"an�_ �:;�'
<br /> 90-47, as amended. The�undersigned afso understands,:that such.,fees, as;may.,be.dwe, wilt�'tiie?idenfified=at�tFies�tim�e�of:'���z�:
<br /> permitting. �tt is furkherunderstood that Transportation linpact Fees and Resource'fRecovery,Fees must be paid prior to ��
<br /> receiving a "certificate af occupancy_" or.final,power release. If the proJect does not.involve.a certificate of oecupaiicy�or�?��=_-':��
<br /> fina!_power release, #he fees must be.paid prior to permit issuance. FurtNermore,.if.Pasco:County Water/Sewer�lmp,act��-> ;�
<br /> fees are due,tliey must,be paid prior ta permit issuance in accordarice with�appiicabl�e;_Pasco-Caunty ordinances. �'
<br /> Ct3NSTRUCTiON=L1EN LAItV(Chapter 713;Ftorida Statutes,as amended): !f valuation of work is$2,50.4.OQ�or.more;;�lA:r;.,� ,
<br /> certify that 1, the .applicant, have been provided with -a copy,.;of,the "Ftorida Cons#ruetian.�L�en .Lavti–rNomeowner's� � �
<br /> Protectian Guide" prepared�by tfie Florida Department of Rgricuftuire and Consumer.Affairs. if#he applica�t�is.someone�.,
<br /> �.,. {,�:.,�-
<br /> other than the"owner�,°1-eer�ify that i.haue obtained a copy of the above descri6ed'�document and promise=in.goo.d�`faitfiT to.,;,,,
<br /> defiver;it.ta the'bwner".:prior.�fo;commencement:
<br /> CONTRACT!?R'S%C?WNER'S AFFlDA1tIT:.;I,certify that.all�the information in this applicafion,is accurate and`that alCwork'
<br /> wilf be dane in compliance with al! applicable`laws regulat�ng constructEon, zoning�and iand deveiopment. Applicafion.is
<br /> hereby made to _obtain a .permit fo do_work�and installation.as :indicated. ! certify that no work or.installation� has
<br /> commenced prior- to issuarice af a permit anii�-that ali work witi be perfo�med to..meet.standards of all laws regulating � .
<br /> construction, County and City codes, zoning regulations, and land devefopment�regutations in�the jurisdiction: 1 also x �
<br /> certify that I unders#and that the regutations of ofher government agencies may apply to the intended work, and that it is �
<br /> my responsibility to identify what actians t must take ta be in complianae. Such agencies include.6ut are nat�limited�to: f
<br /> - ,Department of Environmental.�Protection-Cypress Baj+tieads, Wetland Areas and Ertvironmentaliy Sensitive
<br /> Lands,Water/Wastewa#er Treafinent ,
<br /> - Southwest Florida Water Management Distriat Wetls, Cypress Bayheads, Wetland Areas, Rltering .
<br /> Watercaurses. �
<br /> - Army Carps of Engineers=Seav�ralls,Docks; Navigable Watervvays,
<br /> - Departrr�ent of Heatth & Rehabilitative ServiceslEnvironmental Health .Unit-Wells, W.astewater 7reatment, -
<br /> Sepfic°Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement. . _
<br /> - Federal Aviatian=Autharity-Runways.
<br /> i understand that:tlie:following'r.estricfions apply to the use af fill:
<br /> - Use af fiH is not alfowed in Fto,od Zone"V"unless expressly permit#ed.
<br /> • - !f the .fill..materia! is to be used in �laod Zone "A", it is understood that a drainage plan addressing a �
<br /> "compensating va(ume" will be submitted a#time.of permitting which is prepared by a professianal engineer "�
<br /> iicensed;bythe State�of F(orida.
<br /> - If the �!! material is to be used in Fload Zone "A" in connection with a permitted building using stem wall
<br /> construction, !certifythat fill wil(be used only to fiA the area within the.stem wafl.
<br /> - If �li materia( is�to .be used in any area, 1 certify that use of such fi!! will not adversely affec# adjacent
<br /> propertEes, If use of fN is found to adversely affect adjacent proper#ies, the owner may be cited for violating
<br /> the conditions of�the building permit issued under the attached permit.appfication, for tots iess than ane (1) " �
<br /> acre which are elevated b"y fi(I,an engineered drainage plan is requi�ed. '
<br /> If 1 am the AGENT FOR 7'HE QWNER;�I promise in good faith to inform the owner of-the permitting conditions set forth in •
<br /> this.affidavit.prior:to commencing construction. I �tnderstand that a separate permit may be required for electrica! work, �
<br /> plumbing, signs, wells, pools, air condifioning, gas, or othet �iristallations not specificaAy included in the application. A., -h �
<br /> permit issued shall`be construed to=be a iicense•to praceed with the wark and nofi as authori#y-to violate, cancel, alter, or ,
<br /> set aside any provisians of tlis'fechnical cades, nor shall issuance of a permit prevent the Building Officiat from thereafter
<br /> requiring a correction of e�rors in pians;construction or viotations of any codes. �Every permi#issued stial) beeome invaiid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if wark authorized by
<br /> the permit is suspended or abandoned for.a psriad.af six(6}manths after the time the wark is c`ommenced. An extension
<br /> may be requested, in writing, from the Buildirig afficial for a period.not#o exceed riinefy(9a) tlays and wilt demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. '
<br /> WARNING TO C?WNER. YOUR.�AtLURE,TO�RECORD A NOTICE OF CQMMENCEMENT M�4Y RESULT IN YOUR = �
<br /> PAYING TWlCE'FOR lMRRQ1/EMENTS,�TQ YOUR .PROPERTY.. IF YtiE1�iNTEND�TQ�OBTAtN.�FtNANCING;GONSULT _�
<br /> WiTH Y�UR`LENDER OR i4N ATf RNEY BEEORE�RECORDING YU►UR' t?TlCE OF'C- MENCEMENT._ ____---- -- - -- ;
<br /> FLORIDA JURAT(F. . 9 . 3) � -"-- ;
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<br /> OWNER OR AGENT_ �--''�'�'-�-/� - CONTRACTQR�, �� r � i
<br /> - Sr�Gsc�swal�to or affiRn before me thls Sub crib d_��a td swam t or a ed) fore�me this -.
<br /> 31?,��bY .Ut'�/`� , l!v�J ��7���1 by � �,d�l'f.�
<br /> W a s/are rso�atty k�o,w,,,.n�to me or has/have produced ' Who is/are rsoaally known to me or hasthave.produced �
<br /> ��� /%G:���il� as identiflcaUort. Q,�/��S 6,l�NS� as identiflcatlon.
<br /> �tsL��!-r.� f�'i7__��-�� I 1,f.r������f otary Pubtic U` . . Notary Publfc
<br /> i/
<br /> Cammission No. Commission No.
<br /> Name of Notary �pe�p�n'nikes! �r sc�o Nam
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<br /> ,,,�� DEBRAELAINERUFFELL ;, ,`��;�:�y,�, DEBRAEL'AINERUFF Lt�
<br /> `:�"�'�"�. GG 045343 =, ;,_Commission#GC 045343
<br /> :� ;:Cammission# `� � °�cp{res Navember 7,2Q20
<br /> �<:Expires November 7,2b20 �"-�y F�
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