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<br /> , � NOTICE OF DEED RESTRICTIONS: 7he undersigned understands.that.#hls,permit may be subject to„"deed"resfictions°,;,�.
<br /> � � which may.be inore.restrickive than County regulations: The�uridersigned-assume`s^iesponsi5ility'for corripliance with any`"
<br /> applicable.deed restrictions. � �- �-� "-�
<br /> UNI:ICENSED CON.T.RACTORS AN[1 COPITRACTOR RESP.ONSlBlLITIES: !f flie owner has tiired°a canVactor or
<br /> contractors to undertake work,they mayt be[equired�to be'licensed in accordance virith state and local regulation"ss�kf.tiie=�'�
<br /> contractor is not licensed as requi�ed by.�law, both the owner and contractor may�be�cited-for�a`misdetneanorviatation �
<br /> under state law. If the owner or intended contractar are uncertain as to what licensing reqpiieii�ents;,niay�>.applynfor.;the.-==� '
<br /> intended work,.they_are advised to contacf`ttie Fasco County Builiiing Irispection`DivislorrLicensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hire8-a cont�acta� or confractors, he�ls advised to;have the contraetor{s)_s9gn.,.. - ,
<br /> 'q./s�. . _bl.,:.... _
<br /> portions of the"contractor Block"of this applicatian_for which they will be responsible. If you,as°the:owriei sign as'the
<br /> contractor,thaf may tie an indication that he is not praperly licensed and is not entitled'to permitting pri"vileges in�,Pasco ,_ 3 �
<br /> County. : ` � . .
<br /> TRAPISPORTATION IMPACTIUTtLiT1ES IMAACT AND RESOURCE RECOVERY FEES: The undersigned understands ,
<br /> fhat Transportation Impact Fees and Recourse Recovery Fees may apply tathe aonstruction of new.buildings,efiang,'s?of;�'.�;
<br /> use in existing buildings,:orexpansion ofi:existing buildings,as specified in Pasco County Ordinance number 89-07.and
<br /> 90-07, as amended. The undersigned•also understands,that such fees,as`may be due,witf 6e identified�at�ttie�.fime�of"'`'
<br /> permifting. it is further unders#ood#fiaE Transportation linpact Fees and Re§ource Recovery Fees must be paid prior to
<br /> i receiving a"certificate of occupancy°or flnat.pawer release, ff fhe.project does not involve a certificate of occupancy:oc =-
<br /> !� final-power release,tfie fees.must be paid prior to permi#issuance. .Furthermore,.if Pasco Caunty WatedSewer,-lmpact= -
<br /> I fees are due,tfiey must;be paid prior to parmit issUance in accordance with'applicabfe Pasco County ordinances.
<br /> CONSTRUGTiON CIEN�[:AYV(Chapter 713;"Ftorida Statutes,as amended): If valuation of work is$2,500.00.or more,;l�:,. �
<br /> certify that (, #he applicant, fiave been,provided with a copy of the "Ftarida Constructian Lien Law—Homeowner's 'i
<br /> � Protection Guide"prepared by'the florida Department of Agriculture and Cansumer Affairs. tf the appiicant is sameone
<br /> other than the°owne�',I certify that i have obtained a copy of the above described document and promise°in good'faith to `
<br /> detiver it,ta the°owner."prioc.to commencement.
<br /> CONTF2ACTOR'S/OWFiER'S AFFIDAViT: Lce�fify that ali the information in this application is accurate and that alf wark
<br /> w�il be done in compiiance wifh ali appticable�laws regulating construction,zoning and land development. Application is
<br /> hereby made to ob#ain a permit.to do;;�work and installation as indicated. I certify that no work or.installakion has
<br /> cammenced prior to issuance of a permit and�fhat all work wiil be perFormed ta meet standards of alt laws regulating
<br /> constructian, County and City codes, zoning reguiations, and land developmen# regulations in.the jurisdictian. �I.'also
<br /> certify that t understand that fhe regutations af other gavernment agencies may apply to the intended work,and that it is
<br /> my responsfbiiity to identify wfiat actions i must take to be in compliance. Such agencies include but are not limited.to:
<br /> - ,Department of Environmenfai:'Rrotection-Cypress Bayfieads,Wetland Areas and Environmentaity SenSitive ,
<br /> �.ands,WaterlWastewafer Treatment.
<br /> - 5outhwest Fforida Water Management District Wetfs, Cypress Bayfieads, Wetland fireas, Altering
<br /> Watercourses. '
<br /> - Army Corps of Engirieers�eawaits,Docks,Navigable Watenr�rays.
<br /> - Department of Heaith & Rehabilitative ServiceslEnvironmentat Health Unif-Wells, Wastewater Treatment,
<br /> Septic`i'anks.
<br /> - US Environmentai Rrotection Agency-Asbestos abate.ment.
<br /> - Federa!Aviation Authqrity-Runways.
<br /> I understand that�lhe foNowing�restriotians appiy fo the use of fi{L•
<br /> - Use of fill is not aAowed in Flood Zone"V°uniess expressly permitted.
<br /> - If ihe fiN material is ta be used in Flood Zone "A", it is understoad that a drainage pian addressing a
<br /> "compensating volume"will be submitted at time af permitting which is prt�pared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - tf the filt materia! is to be used In Flood Zorte"A° in cannection with a permitted buiiding using stem waI(
<br /> construction,!certify that fill wlll be used only to fill ihe area within the s#em wail.
<br /> - !f fll! rnatetial is to be used in any area, ! certify that use af such flt! wiii not adversely affect adjacenf
<br /> properties. !f use of fill is found to adversely affect adjacent propert9es,the owner may be cited for vialating
<br /> dhe conditions of•the building.permit issaed und"er the attached permit-apptication,far Iots less than one(i}
<br /> acre which are elevatad by fill,an engineered drainage plan is requiPed.
<br /> If I am the AGEAIT FOR THE OWNER;I•prom(se in good faith to lnform ihe owner af.the permitting conditions set forth in �
<br /> this a�davit prior to commenc3rig"constructitin. I understand that a separate permit may ba required far electricei work,
<br /> plumbing, signs, wells, pools, air condilioning, gas,.oi ottier ins`tal}ations not spe�caHy incEuded in the appiication. A
<br /> permit issued shalfbe constrtied talie a license to proceed with the wark and not as authority.to violate,.cancaf,aiter,or '
<br /> set aside any provisians of the'technical cades,nor shaU issuance of a permIt prevent the Buildfng Officia!from thereafter ;
<br /> requfring a correction of errars in plans,construction or violatlons of any codes. Every permtt issued shal!become invalid
<br /> uniess the work authorized by such permit is commenced withln six months of permit issuance,or if work authorized by
<br /> the permit is suspended ar.abandoned for a period,of six{6j months after the time the work is comrr�enced. An eactension ,
<br /> may be requested, in writing,,from the Building�Official for a period.not to exceed ninety{90)days and wii!demonsfrate
<br /> justifiable cause for the extension. If,work ceases for ninety{90)consecutive days,the job is consIdered abandoned.
<br /> WARNiNG TO dWNER:_YOUR fAILURE;TO.RECO,RD A NOTICE OE COpAMENCERAENT MAY RESU�T IN YOUR
<br /> PAYiNG,TWiCE'FOR,`iMPF'�OYEMEN'fS�1'0,YOtiR:PROPERTY.:1F YOU;IN'�END TO OBTAIN FINANCING,CONSULT
<br /> WRH Ydt1R'LENDER OR AN AT'fORNE1f BEFORE RECORDING YOUR"N TICE OF'COMMENCEMENT. '
<br /> FIORtDAJURAT(F.S,t17.03} ' � '
<br /> OWNERCIRAGEN7 CQNTRAGTOk2 U�L !! �f�
<br /> Subscribed and'swom to(or affirtned)before me ffiis Subscribed and s m to affinneii)betore me th
<br /> by (G,�t;£1L�_`br !�` .� �
<br /> Who fstare personalfy knavm to me or haslhave produced l,s,(are pe��,qnally kno.wn to me or haslhave produced
<br /> as tdenBHcaHon. �,�l1&�Y''S /�./G�/1{5�ss identNication.
<br /> • 1 4
<br /> Notary Pubilc tary Pubiic
<br /> Comm(ssion No. miss(on No. (..� (J�/�,��,/���
<br /> �t7'�s—J LI��N� �V�"t"G�'
<br /> Name of Notary typed,pdnted ar stamped Name mp
<br /> ;o<;�Y;y',�;y DEBFtA EIAINE RUFFELL
<br /> ' �? ��_Cammission#GG 045343
<br /> '�:�
<br /> c�;Expires November 7.2020 i
<br /> ':�, p �: EandelTtsruTroyF�inlinuranco6t1�31�7Di!
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