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<br /> NOTfCE�1�DEED RESTRtCTt�NS: The undersigned understands,that this;permit may be subject.#o".deed",rest�ictians"��...�;'s
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<br /> whichsmay.be,:more•:r,estrfctive:=than,Coun�y reg�latibns. The�undersigned'��assumes��cesponsifi�itify°�for�cof"ripliance�ih�tfi any`
<br /> applicable deed restrictions. - ,-3:=:�,.�#�'� ,,.._y;:hr.,
<br /> UIVLICENS;ED�CONTRACTORS AND CONTRACTOR RESP.4NSI8IL-ITIES: �If-#lie�=owner�has�-tiired��a;:con#cactar or
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<br /> confractors•to undertake work, they,may7 be re.quired,ta be;licensed in accordance with s#ate ar►d:local�;regulations:x4-lf�tla'e-:�`:��;
<br /> contractor is.not ticensed.as required��y-1aw, botfi the owner.and'contracfor=may��6e�cifed�for�a;`�misdemeanar violation _� ;�
<br /> under state faw. If the owner or in#ended.contractor. are uncer#ain as to what licensing requicements:,rnay�appiy.°�for��tlie�.-,,�-',� '
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<br /> �ntended work,.they-are�advised tci�cont'act the'Pasco Caurity�Buitdirig Inspecfiori�Division=Ciaensing Section at 727-847- =.�
<br /> 8009. Furtherrnore, if the owner has hired���a corittactor or cont�actors, he is advisedx to ihavef the;contractor(s.}.:rsignz„�w<;{"
<br /> partians of the contractor Black of this application for which they wiil be responsible: =1f,yau, as.tHe�avune�'sign as��ftie�'`�''`_;�
<br /> contractoc, that may be an indication that-he�is not properly licensed anci'is nof entitled��to perrriitting privileges,�n,Fas.co,.._.,,`'
<br /> County. _ _ � : . ..�,�;�� ,�
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<br /> TRANSPORTATION IMPACTtUTILITfES 1MPACT AND RESOURCE RECOVERY FEES.�The undersigned under.stands , ':;,!
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<br /> that Transpoctation Impact Fees and Recourse Recovery Fees:�may,appty to_the canstr.uction of new__b_uiidings,.change�of��y����,:;? ,
<br /> use in existing buildings, or�.expansion of,:existing��uildings, as specifed in Pasco Gounty�rdinance number 89'-07 ariii °`; �
<br /> 90-07, as amended. Tlie undersigned alsa understands,�that sweh fees,�asemay_.,be..due, wili�'t�e;identified��at-ttie$�ticiaeAofx'���.''�-`
<br /> I permitting. �it is further understood that Transportation Impact Fees and Resource4Recovery Fees must be paid prior to ;;
<br /> receiving a °certificate of occupancy" or final.power retease. lf the project does not involve,a�certificate of occupancy�::or���=< �-�
<br /> final pawer release, the-fees.must be:paid prior to permit issuance. Furt�ietmore,.if Pasco County WatealSewer:-lampact�:--� ;� '-
<br /> � fees are due,#liey must be paid priar to permit tssuance in accordance with�applica6le Pasco County ordinances. � ` '
<br /> � CONSTRUCTlON L-•IEN LAVII(Chapter 713, Florida Statutes,as amendecf}: If valua#ian of work is$2,500.00_or mar.e,>I�::,-
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<br /> certify that 'I, the applicant, have besn provided with a copy..of.uthe "Flo�ida Construction. Uen _Lav�t-l�lameowner's
<br /> Protection Guide° prepared by the Florida Department af Agriculture and Consumer Affairs. !f the applicant�is sorneone,, ;�
<br /> other#han the"owne�', I eertify that I,have obtained a copy of the above d`escri6etl document and promiseYin goa.d`#'aith'fo�,`��.
<br /> deiiver.it.to the-,`;owner"..prior:to commeneement. � ' �
<br /> CQNTRACTOR'S'IOWNER'S AFFIDAVIT: I:certify that aiF the infocmation in this app(icatian is accurate and�that att�wark ,
<br /> will be done in compliance wi#h all applicabfe�laws regulating construction, zoning:and land-developmenf. Appiicafian:is
<br /> hereby made to obtain_a _permit to do,.,work �and instaNation as;indicated. ! certify that na �wark or..installat�on� has
<br /> commenced prior to issuance of a p.ermit and�_that all work will be perFormed #o.meet-standatds o€ a!I laws regufating ,
<br /> construc#ion, County and City codes, zaning regulations, and land deuelopment regulations in:the jurisdiction: I�also
<br /> certify that i undersfand that the regulatiar�s of other government agencies may apply to the intended work, and that it is f
<br /> my respansibiii#y ta idenfify what actions i must take ta be in compl'rance. Such agencies include but are nat limited.,to:
<br /> - ,Department of Enuironmental�=Protectiori-Cypress�Baytisads, Wetiand Areas and Environmentalty Sensi#ive •
<br /> Lands,WaterMlastewater Treatmen#.
<br /> - Southwest Florida Water Management Dis#rict WeUs, Cypress .8ayheads, 1Netland Areas, Altering
<br /> Watercourses. -
<br /> - Army Corps af Engineers-Seawalls, Dacks; Navigable Waterways.
<br /> - Department of Neaith & Rehabiiitative Services/Environmentai Hea(#h ,Unit Wel�s, W.astewater Tceatment, �
<br /> Septic'Tanks.
<br /> - US Environmerital Protection Agency-Asbestos aba#ement. , - � _
<br /> - Federal Aviation Authority-Runways.
<br /> I understa�d that�.the.follawing:,restrictions apply to the use of.fill:
<br /> - Use of fill is not al(owed in F(ood Zone"V"unless expressly permitted.
<br /> • - If the fill mate�iat `is ta be-used in. Fload Zane "A", it is understoad that a drainage plan addressing a
<br /> °campensating valume" wiil be submitted at time of permifting which is prepared by a prafessional engineer
<br /> I�censed by the 8tate of Florida. �
<br /> - If the �I! material is to be used in Flaod Zane "A" in conneGtian with a permitted building using stem wali
<br /> construction, I certify that fill will be used only to fill the area within the.stem wall.
<br /> I', - if filF:materia( is-#o be used in any area, I certify that use of such�fill will not adversely a�Fect adjacent
<br /> � properties, tf use of fili is found ta adversely affect adjacent properties, the owner may be cited for violating
<br /> �� the candi#ions af the building permit issued under#he attached permit.applica#ion, far.lats less than one (1) ' -
<br /> acre which are elevated bjr fi!!,an enginee�ed drainage pfan is requii�ed.
<br /> If I am the AGENT FOR THE OWNER,-I pramise in good faith to inform the awner of-the permitting cond�tions set forth in �
<br /> #his aftidavit.priar to commencing constructian. I understand that a separate permit may be required€or electrical work,. ,
<br /> ' ptumbing, signs, wetls, pools, air conditioning, gas, or other installations not specifically included in the application. A., � �
<br /> ' permit issued shall�be constrwed�to'be a license_to proceed wi#h the work and not as au#hority.to violate, aancel, alter, or
<br /> set aside any provisiorts cif#he#echnicat codes, nar shall issuance a#a permit prevent the Building�fficiat from thereafter
<br /> requiring a correct9on of errors in plans, canstruction or violations of any codes. Every permit issued shall become invaiid
<br /> unless the work authorized by such permit is commenced within six months of perm�t issuance, or if work authorized by
<br /> � the permi#is suspended or abandoned for a period-of six(6) months after the time the work is commenced. An e�ctension
<br /> may be requested, in writing, from the Buitding Official far a period.not to exceed ninery(90) days and-will demonstrate
<br /> justifiable cause for#he ex#ension. If work ceases for ninety(90)cansecutive days,the job is cansidered abandoned.
<br /> WARNING TO QWNER: YOUR.�AILURE T4 RECURD.A NOTtCE C?F COMMENCEMENT MAY RESUtT (N Yt}UR i
<br /> PAYING TWICE'FOR IMP,-R7JYEMENTS TO YOUR.PRORERTY.. IF YOU`:INTEND-TO�OBTAIN�FINANCING, CCINSU�T �
<br /> WITH YOUR`L`ENDER OR AN AT7'ORNEY�BEFORE RECOR .U�.G YOUR NOTICE OF�COMMENCEMENL _ -_. - - —
<br /> FLORlDA JURAT(F.S.1'!7,03) ,_�.._ ___� __ �` � ~�'
<br /> OWNER OR AGENT �a� �!�^ CONTRACTOR ��^ � "''-� '
<br /> ( Subscribed and swa � fftrmed rc� e this Sub�cribe and swom r affirrned b o e this w �
<br /> ���by �-._. � 1 �11�,�by �,�,� �� �
<br /> Who ls/are personally known o me or haslhave produced � ` Who Is/are persanally knawn to me or haslhave produced
<br /> f1 fQl!/�'ZS y./ �as 1denBfication. �,���P_!'3 �r.-./���,�as identification.
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<br /> ..5�4��� �Notary Public `���"�^-- G���:,� __�� Notary Pubtic
<br /> ' Commtsston No. t�f� � � Gammission IVo. ������-�
<br /> � �,�r'�. �/�u/r� �,u /� .��hrr �f'f r.��� ����'/f
<br /> Name af Notary typed,printed or stamp Name of Notary#yped,printed or stamped
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<br /> .;a'%P'"'••. DEBRA ELAINE RUFFELL
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<br /> ,�t;�Y�B•�., DESRA�EtAtNE Ri}FFELL '�� ��,Commission#GG 045343
<br /> ??�' �'�.,;_Cammissian#GG Q45343 �^�pa;Explres November 7,2020 �
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<br /> �� ,;p;',�o� 8ondedihNTroyFaielnsurancei0a385-t0i8 , —
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