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"'....__ "�Y3'.:T�"�3's L�Ji.'.i,"'_u'� <br /> N�TtGE OF DEED RESTRICTtONS: The undersigned under.stands:that this;permit.may be subject-to".deed"restrictions"�':�� � <br /> . L.,.. .. :t..n:.;. r:�i� - ,"�:, .tny.�'.�_-.'bAr��vrS:,.y,�......, s's F � <br /> which,may.be.imor..e:restrictive:than:County regula#iaias:�-:The=unde�signed°assumes�cespons�bd�ty�for�compli'anLe wit'n any <br /> applicable cieed restrictions. . -;4�-� � `����:;'�� , <br /> UNLICENSED:.CONTRACTORS AND' CONt'FtACTOR RESP.ONSlBII�ITIES:" "If•tfie-o+nrnerwhas°4tairetl��,a�contractor or °, <br /> contractars to undertake work, they may7 be required to be licensed in accordance with state and.local;regu.lations:::��if�the:-,�.5��' <br /> contractor is not licensed.as required'tiy'law, both the owner=and�confractor�may�=6e�cited-=fo�;a-inisderrieanor violation� .�::;�. <br /> under state law. (f the owner or in#ended.cantractar are uncertain as ta what iicensing requirements;�rnay;appiy=:foc.;the,����.:; , <br /> intended woek,#hey=are advised ta contact�the Pasco Courity'Buildii�ig lnspection`Diriision-�Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has tiired�'a� contractor or cont�actors, he�is advised to�ihave the contractor{s);:sign,t,.,.:�.; <br /> ,� n � . . .,..:... �:,��;e.,.;;,<, ,, �, � <br /> portions of the cantractor Block of this application for which they will be responsible. If;y_au, as ythe owner sign'as,:ttie'�'''�:;, <br /> contractar., that may be an indication that'he is not properly licensedand�is not entitled to permitting privileges�in,xPasca:�,ti-,,=> <br /> Caunty. ._ .=_�_'==.�F;F$:; �,� <br /> � ,. <br /> TRANSPORTATION-tMPACT/.UTILITlES tMPACT ANC! RESaURCE RECOVERY FEES: Tfie undersigned under.stands `i ;;; <br /> ,;.:. .... <br /> that Transpartatiort lmpac#Fees and Recourse Recovery Fees Fnay:appiy to the constr_uction of new.buildings,�cF�ange;�f`��=r�,;;`. <br /> use in existing buildirigs, or:expansian of.;exis#ing buildir�gs, as specified in Pasco County Ordinance number 89�T an..'d. �. ` <br /> 90-07, as amended. The undersigned alsa understands, that such:fees,�as may�,be due, wiA tie;identified atltlie��tlrrie�of;'�=`f���`� <br /> permitting. �fit is further understood that Transportation Impact Fees and Resource�¢Recovery Fees must be paid pcior-.to '� , <br /> u � z .-..��.:�� <br /> receiving a certificate vf��occupancy: or final.pawer release. If the.project does not involve a certifica#e of occuparicy�or:,�,-= f <br /> fna! pawer release, the fees°rr�ust be.paid priar ta permit issuance.. .Furtiiermore,,�Pasco:County WaterlSewer.-impac#:.,--� � <br /> fees are clue„tliey must 6e paid prior to permit issuance in accordance with applicable,Pasca County ati�inances. - <br /> CONSTRUCTIt�N LIEN LAW(Chapter 713, Florida Statutes,as amended): !f valuation of work is$2,50O.QO�or more;�i.�=�,,,, , <br /> certify that 'I, the applicant, have been provided with a capy of__the "Florida� Construe#ion_ Lien La�i--Homeowner-'s� <br /> Pratection Guide° prepared by t}ie Florida Department of Agriculture and Consumer Affairs. !f the applicant�is,someone:_,_ <br /> other than the"awner", I.certify that I.have abtained a copy of the above d'escri6ed document and promiserin.goo.d`:faith��fo�,;._,; <br /> deliver:it,#o the�."owr�er".�prioc;fo.commeneement. � � • <br /> CONTRACTOR'SlOWNER'S AFFIDAVlT: .i.certify that all�#he information in this app(ication is accurate and"tfiat aIC wark <br /> wil! be dane in compliance with al! appl'icable�laws regula#ing constructPon, zon�ng�and lantf-development. Application:is <br /> hereby made to .obtain a permit to do��work �and installation �as°:indicated. ! certify that no work or.installafian=has <br /> commenced prior to issuan``ce of a permit and�that all work will be pertormed to.meet-standards of aN laws regulating <br /> canstructian, Caunty and City codes, zoning reguiations, and land develapment-regulations in�.the jurisdiction: I�also <br /> certify that 1 understand thaf the regu(atians of other government agencies may apply ta the interided work; and that it is ; <br /> my responsibility#o identify wha#actions I must take to be in compliance. Such agencies include but are not limited�to: � <br /> - �Department of Environmental.�Protection-Cypress Baytieads, Wetland Areas and Env�ranmentally Sensitive ' ' <br /> Lands,Water/Wastewater 7reatment. � <br /> - Southwest Florida Wa#er Management District-Wells, Cypress Bayheads, Wetland Areas, ;4ltering <br /> Wa#ercourses. <br /> - Army Corps af Engineers-Seawatls, Docks; Navigabte Vllaterways. , <br /> - Departrrtent o€ Health � Rehabifitative Services/Environmentai Health Unit Weiis, Wastewater Treatment, <br /> Septic:'Tanks. � ' <br /> - US Environmenta!Protection Agency-Asbestos abatement, , _ <br /> - Federal Aviation:Authority-Runways. <br /> I understand that�the fotlowing;restrictians apply to the use of fill: <br /> - Use of fii(is no#aliowed in Flapd Zone"V"unless expressly permitted. <br /> - 1f the fitl matierial is fo be used in. Flood Zone "A", it is understood that a�drainage plan addressing a <br /> "compensating volume° wiff be submitted at#ime of permitting which is prepared by a prafessional engineer <br /> licensed by the State of Florida. ' <br /> - lf the fill material is to be used in Flood Zane °A" in connection with a permitted building using stem wall <br /> constructian, I cerfify that fill wilt be used only to fill the area within the•stem wall. <br /> - if �il material is to be used in �any area, ( certify fhat use of such fil� will no# adversely a�Fect adjacent <br /> prapecties, Ef use of fll is found fo adversely affect adjacen# properties, the owner may be cited for vio(ating <br /> the condi#ions�of the building permit issued under the attached pe�mit.applica#ion, for (ots less than one (1} <br /> acre which are elevated by fill,an engineered drainage plan is requi"red. <br /> tfi I am the AGENT FOR THE OWNER,-I promise in gaod faith to inform the awner of.the permitting conditions set forth in <br /> this affidavit.prior ta commencing construction, t understand that a separate permit may be required for electrical work,_ ' <br /> plumbing, signs, welts, poais, air aondifianing, gas, ar ottier instaltations not specifically included in the application. A � <br /> permit issued shall°be construed to'be a ficense�to proceed with the wark and not as authority to violate, cancel, alter, or <br /> set assde any provisions of the technical aodes, nor shatl issuance o#a permit prevent the Buiiding Officiat from thereafter <br /> requiring a conection af e�rors in plans, construction ar violat�ons of any codes. Every permit issued shalE became invalid <br /> unless the work authorized by such permit is commenced within six months of permit issuartce, or if work authorized by '� <br /> the permit is suspended or abandoned for a period-.of six(6)months after the time the work is commenced. An extension <br /> may be requested, in writing, from ttie Buiiding �fficiai for a period.not to exceed ninety (90) days and will demonstrate <br /> justifiable cause far the e�ctension. If work ceases for ninety(90)cansecutive days,the job is cansidered abandoned. , <br /> WARNING TO OWNER: YQUR.FAll.UR� T4 RECORD A Nl�TICE OF CO,MMENCEMENT�MAY'RESULT IN YOUR i <br /> PAYING TWICE'FOR I,MPRCIVEMENTS,'CO YOUR:PROPERTIf:z IF YOU��INTEND�TO�OBTAIN FINANCING,CClNSULT � <br /> - WITH YiDUR`i:END�R OR AN ATTi�RNEY BEFORE RECORDING YOUR�NOTICE OF� OMMENCEINENT. � <br /> FLQRIQA JUFtAT{F.S.117.03) - " � - <br /> - ' <br /> OWNER t3R AGEN7 CONTRACTOR �� <br /> Subscribed and swom r affinne � me th1s 8ub�s�c..�rib�ed� and s to(or a rm d)before,me this � � <br /> Who�e'Zersonat�knawn to me or hasJh � � � =�7!! !Z_by_�'������� (y�l��l�?/�,!/ ; I <br /> P Y a�re�e�-- � Who fs/are personally known o me or has/h�a�r�p�ed; , <br /> as kdentifica�on. as idenkification. <br /> ����P�,� Notary Public Notary Pablic <br /> Cammisslon IVa � Commission Na. D � <br /> ( ��Llltl� �11���1 J��,�';�QA- E/,.�-/it,4 � J�£l,C� <br /> N e of Natary typed,printed ar stamped <br /> ,�,.*�.::+'�•,,w RA� LAINE RUFFELL ,,,,„,�,."��-----._��„ <br /> :�. ;;Cammisstan#GG 045343 - ;;�`�`~�:�;.:DEBRA ELAINE RUFFELL <br /> :� �o;�Expites November 7,2Q20 =ic ,.:��mmission#GG pq5343 <br /> '•%",�;,a,t°a'� Banded Tlw Troy Feln Insurance 8pD�385.1019 , '�' •�:=�pires Navember 7,2020 <br /> '�0;�;°''�� �°ndedThruTrayFalnlnsuranceSOa38S70i9 <br />