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<br /> NO'�1�O�DEE[�RESTFtIGT10N�:. The undersigned:under,�tands=.th�t:lhls�.,p�rmit:may be.subJect,to;°deed":restri.ctions" _ i'��`�;;rk j
<br /> which may�tie-mo�res�:ictive-rth���County negul�iiNons:k�The�uridecslgned}�assumes�resp�nsfbtltty�fair"compitance with`�any` � '
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<br /> applicabte.deed'rest�ictlons. . .� �..,:.,; ,� � � ,�.... . ..._�. , _., _..:. .,. ., .:. °. .., ,. .- �
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<br /> UNLICENSED•CaMTRACTORS .kND Ctttd�'ttACTOR i3E�PCMNSI��CITfES:��-ff tiie��owner has�fiir�df�a contractor or a
<br /> cantractars to undertake work,�they_may;be,r.e�qul�e.d;�y#a.;be�!lcensed iri:accord�nce;uulth:staEe.and�tocal tegulattons:�{f°�the�� �` � .� ;
<br /> cantractor is�not #icensedas�requl�ed'!iy lavir� bott►�,#he owin�r ani� c.��i#�actor°rriap�tie�clfed for°azmis+demeano� vlol�tlon '
<br /> under state faw. !##he owner ar lntendedr,ucont�actar.--;ar.e:�m•mcertain as to what Ilcenaing.,requirements;�rriaY=aPpiy��for.:�tiie°:.� �".•_ "=":
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<br /> intended w6rk,�tHey are advlsed to contact.the Pasco Gounty E�ui�dtng�Inspeiitlon,Dtv,isloir�-t:icensing Seation at 727-84T-
<br /> eQ09, FurtNermore, tf #he owner�'tias'�fii�ed�ra �:tsn#racfor`or" corifractors, tie is advised ta have�#he cantractor(s),=sign. _ :. ,
<br /> partians af the:°conh�actor,eStock°of.this_appllcation.far:whEch..they:.wilt.b��:cesponslble..if-you;,as_the ovirner stgn�'as"tifie°` ' ;
<br /> car�tr�c#or, Ehat�rnray'�be an fndi�tion that'fie'fs riot�properly`Ilc�rised�aiitl`is�not"eritiNed tii permlktthg prti�lleges In Pasc�
<br /> County. .. . ' ... , , ... .e �,.f.:.. �.. _.%.
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<br /> ! 7RANSP�ORTATl�N:11�lPACTILITILITIES�rMPAGT�ANb i�F�f�URG��2E�0'��RY FEES;The unde�signed undersfands
<br /> � that Trarispartation Impact Fees and.Reco.urse Recavery.Fees may.,;apptyu�#o�the�constrvction;of nern►_buildings,�ahange�cif�=�-'==£-- {`='
<br /> ! use in existing buildings; or_eicp�n�ia����ezis#in�:�6uildings, as spec�ied.in Pasco County Ctrdinance number 89-07 and
<br /> 90-07. as amended,�r;The unde�signed aiso,:untlerstands; ttiait:.�such fe.es.V�as��may_tie•.dt�e,:wllf.•�e idetiti�ed a#the�>14I����O�i'•'�5••,' v:,C
<br /> permittt�g. !t is further understood that Tra�isp'ottatton lmpacf�Fee� an�'-Resource Recovsry`Fees,.mu�f be pald prio� to
<br /> � rece{ving a."aerEfficate of accupanay"or�flna��powet-�r.elease:,�:If�Etie.praj�ct:.daes:not involve:a�.certffic�iEe of oocupancy o��{-�%�= °'`-'
<br /> flnal power.-releaee;ihe;fees�mu�t'be paid aprior.#o pecmit tssuance, Fu�thermare;�if:-Pascv��CountysllVater/5ewer��impact �- .. .
<br /> fees are due,.they�,must.be�,pald.:prtor#o permi#��tssuance�in,accordance witfi.,�ppiioable_Pasco'�.County ci�din�nces. •
<br /> I' CON�TRUCTIt3N"CIEN`LAIIV�(Cli�pter 713, Fiorlda Statut��.a��m�nd��}, {f vaivatian of work Is�2�500AO�or�mare,.:}- � -v..
<br /> cer#ify ttiat .i, #he. applica�t��have-been proYided Vrrith�,a caipy�o€'the "Elorida� �onstn�tc#lon:'i:len:.L;aw Hameowner's _
<br /> ProtecEEon Gulde" pregared by:tfie"Fto�l�a DeRartment'af Agriculture and Gonsumer�Affairs. If the sppllcant is someone- ,_ � �a,��
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<br /> othe�than the`owner, l certiiy�th�t,l,h�ve�optaln�d>a�copy jof..�he=aboue.:rfescrltiad:�ocurt�ent:and;pcomise�:in;good�,faith-to, , ��
<br /> deliver it to:.the"owne�"�pHar'M�cam�'nencemerit:"{ .' � . T _ �' v -.
<br /> CONTRACTOR'S)OWNIER'�AFFiC1AViT: i.ce�t�ty,ithat��tl;the�:inf.orm�ti�ny:in°#hi� appliaatlon is accurate and that aii work
<br /> will'be done in comptiance with aIl �pplteabie'la�vs reg�ilating eons#ructi�r�, zpning and��land°development. Applicatian,is
<br /> hereby made:to obtain�.a per.mit�a;do;rworl�,�and�'Instafiatlon �s indt�eted:r:::1. certifiy that no work�:or instailatton fi�a�s
<br /> commenced p"r`lo'r to I'ssuance of a permif"ar�d that:all�work wlll be�perFo�med�to me+st standards-of all lauvs fegulating-
<br /> construction, County and City cades, �oning regulatians, and land developm�nt r.egulattons�In the Jurisdlction.� '( al'so
<br /> certlfy that I u�derstand that the regulatlons af other govecnm�nt agencies may�apply�to#he.lntended work, and that it is
<br /> ' my responsibiiity to identify.what,acttons 1 must take.to be,ln.:compltance;:.,Such agencies include but-are.not Itmited to:.: � -
<br /> - Depar'tment of Et�vironmen#a17°P'ratection=Gypress:`Bayhea��; 1�le�and Are�s and Envimnmentatly Sensitive
<br /> l.�nds,WatertWastevvater Treatmer�t. '
<br /> - Sauthwest Flortda Water Management`;I�isUfct:?Nells; -Cypress.'�8ay�eads�, �Wetland Areas, A4tertng �
<br /> Watercaurses. . � � , � �
<br /> - Arm�r Cnrps of Engineers-Seawalls,'Doaks, Navigable Waterways.
<br /> - Department of.r Health�,;� .Rehabilitative,..SenitcesJEnvir.onmentaiF.�Heatth Unit Welts, V�astev�ater�Treatment,
<br /> Sep#tc Tanks.:. ,_.. ._ � ' � . .. ` ..�.� � -
<br /> - U5�nvircnmet�tal Pcotectlon Ager�cy-Asbestos abatemen#.
<br /> - Federal:Avtativn_Autk�orlty,Runways: � �� � `
<br /> 1 understand that.the.�folloviiing;restrictlons apply�to tFie us�e of fl10:•
<br /> - Use of flli Is no#allowed"in:Ftood>2one"V"unless�xpressty permitted.
<br /> - If the :filf` mata�ia4``is ta ybe�cised:in.:Fl�od-Zone. "A", it. ls understoad that- a drainage plan addressing a
<br /> �compensating voiume"wil{ be submltted �t time af�permt�ting whlch fs prepased by a profe�slonal englneer • -
<br /> Ilcensed by the;�tate af:Flotlda. _. _ . . '
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<br /> - !i th� f111 maiterlal��is,to�.6e-used In Flood �one "A" In��conn��tion�wlth�a�permlt�ed buiiding using stem wall
<br /> conatructton, i certify,th.atfill=:wlll.�b.e used only.to.flll the-area-wlthin the�stem�wall:
<br /> - if fitl material Is to be used In any area; `I`�ertlfy ffiet use. of�such fitl will r�ot �dversety afiect adja�ent
<br /> ' properties. if use of fill ts,found_to,adversely:�ffect'adJac�iit'prope�ties,.the awner may be cited for vioi'ating,
<br /> � � the cond�ions.,.af#i�e bii3l�iirtg;permlt Issued�uncfeF tli�'a#�ac��de{�ermitRappliQatlon�.foi,lots�;less�ttian`one (1)
<br /> � �cre wtilch ar.e elevated�6y flll;a�t engineer�ed dr�lnage plan f�required. .
<br /> 1#!am the AGENT.FOR TH�OVlEPIER; l�promiise ln,.good,faith.to inforrr�the°awner of-the perniitting condttlons-�et forth In
<br /> this affidavit�prior fo�comrreei�cing cvnstruction. I understaii�d thafi a�s�parate permlt may be requlred for etectricai�work, _
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<br /> plumbing,._signs, welis,.poots,. ait conciitioning„gas,�or4.qthec ins#alt�tions nat.spec�icatty inclu�ded�in.the apptication. �A _
<br /> permit issued shali be canstNed to kie���`ticense�to`�proceed�rith�tttie�vira�i�k�ntl no#:as.�authority ta:.violate�.°cancel. alter. ar
<br /> seE aslde ar�y provistans of the#ecliatca!cades;�nor shall lssuance�of a.pe�mi#.pr.event the Bulldirig O#ilalal from tfiereafter
<br /> requiring a correction af errars_in�plans; consttictlon oe vlolaUons of-any�codes: Every�p�artnit-Issued shall become�invalld
<br /> � unless the work autho�tzed.by such permik�ts.commence��wlfhin st�c,months of�permit issuance, or If wark authorized by
<br /> the permit is suspendsd�or>;abar�doneid-for�a�period af s�C f 8)�mon#fi�s::afte�the time the�work�is commenced. An extension
<br /> may be requested� in writitig;��:from tFieryBuilding,Cltflcial for a period�:not<.to�ex�eed=ninety=(80)�'days and�will demanstrat�
<br /> )usti��bie cause fw#he extension. if wock c�ases:for ninety.{9Q}cons.ecutive:day.s,..th��ob�is.consfdered abas�dor�ed.
<br /> �VVee►RNlNG TO �VNNER: YOU�.:FAILWRE�TO.,R�EC;O�D,AuMCITIGE:O�;�COMMEMC�MENT;MAY�RESULT IN�YOUR
<br /> PAYINCa TWICE,FOR IMPROVEMEM�'S_?O:;YOUR>:PItOPERfiY::�_I��:YO.U:�11�1°FE�'ID:TQ'�OBTAIN�FINAt�ICtNG;�C.ONSULT
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<br /> .�_-'�LOR A JURd.l��F,�.=.2 . , ..
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<br /> OMt(dER QEt AGENT COPII�'RAICTO ~ ��"`- �
<br /> Sub crt e an bswam ot lflrmed) ore me thls Stib ed a .b to{at mtsdpbe�fot+ai me;Rfit�
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<br /> o Islare peirson y . M.me. has/have producad, o.ts/are p.�rson,aily knowrt:M me or hasfisve-produced
<br /> as Id"entlflcedori: as lden8flca8on.
<br /> .- ����� otary Publle - �Nbfary Public
<br /> Commis�lon-No: Comr�Isslan.No,_ �rc�' C����
<br /> 1��,��'�- �� ,�j.�,��,r �l��f.�,���.r�._�tf�, r � ��._.
<br /> Name ar IVatary typed,pMnted or stamped Name ot Notary typed,printed or stamped
<br /> � .�r.+..rr ��k,� . �rr
<br /> ,puee: �,�«q:
<br /> ;a;: ''. DEBF2A EI.AiIdE RUFFELL � .ws P �s; DEBRA ECA(NE RkIFFELL
<br /> =:r�' 'YQ:C+•� �a�q:••:4y�+s
<br /> *; :,,_Commission#GG 045343 ;. sz:Gommisstan#�t3 045343
<br /> ;;�;s,:Exp(res Navember 7,2020 =�,,�,,�P+��xpires November 7,2020
<br /> .' , ''&Op F�°'r 6onstedThru 7roy�ain Insurance 800•3857019 ,.°p;;,.• �Onded 71w troy Fai�tnsurance 800�385�7019
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