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�1Ci'T1�E�?�DEE�RESTRiCT6QNS: 'The u�derrrigned.u�d,�t��andsf;th�E.ih,6sup�tntlt m�ysb�e.subjec�,to."deed",:restr�ciDcitis" ` µ. <br /> which m�y�tie:,m�re��r�ast��btive�th���Gouniy����+egutations;�"°The�undei�slgn�d��a§sumes�°responsibli'ity�.tor�c�rinpilance v+ritii"any�' <br /> appllcable desd:r�strictlons. �. � ,. � • � � <br /> UN�.dCEI�tSED�COMT1�►CTORS AND COi+tTttJlC1°�R ���P�PtS1�iCITfEs. 6f�th���wner has�°hlr�d��a�,cvntr�ctc�r �r <br /> e�ntractors to undartake work, th�y m�y.b,e:.,r,equir,�d.:to:�be,llcensed In�ccordanc�.wfQh stat��.and�local_regulatl..ons:�,�if�the�� = �� <br /> contractor i� not Itcer�sed as�required:=`!iy law,_bo#h#he �r�e��nd'�nt�actot;in�y�t�e:ctQed'for�a'°misct�meanor ulal�tfon <br /> under stake law. Bf the owner or intended;;contr�ctor;z�ar�.�uncer�aln a� to wfiak pcenstrog.requireKnents;;may.�,e�rpiy��fair.-�the- �� <br /> intended work,they are advlsed to cantact the_Pasco G�unty�uiliding.lnspectlon,pCvlslori--l:Icen�ing Section at 72?-847- <br /> 8009. Fu�thermore, if the owner Fias�`htred a confcactor or caritractors, he is advls�d to have �the contr�ctor�s), sign <br /> . ....,. .. ,. ..,.:..,.. , <br /> portions af the "contractor Block" af thla,�application..#'a.r..whlch.they will._be..tesp.onslble.- If�you;-as:#h� awner`�tgn�•'as tlie` <br /> c�ntr�cfo�, thst�mary°be an IndEcation tha�'he��8s eict�.proper€y 1le��is�d at�i!"'Is not�nt���� tb par�r"tltting priulleges In Pasca , <br /> County. .. ;: <br /> 'P�4NSPORTATlON=1MPi4CTNTIL;lTlES"�CMP�►C'1�AN�°RES�OU�GE RE�OVEl�Y�FEE�: The underslgned-understands <br /> th�tYranspor#at0an Impact Fees�nd.Re�s�.urse Recav�cy.Fees m�Y}=aPp1��.to�tFre;constructiaan_af new_6uHdings�=ohan�e���f�"� � ,, , <br /> use In existing bulldings, or�e�xpar�'sl��r�of��existi�i�g.ibuildings, as �pectfled.in P��cv Caunty Ordinance number 89-07 and <br /> �0-07, as amended.�'�'he undec�lgned �Iso:u�derstands, thaE:•such fees,,,�s�cnay��e��d�e;:wlllk�e Idenfi��ad aE the:ti'trie{of. � --�� � <br /> permi�ting. It Is further understood that'�'ransp'artatlon lmpaat Fees and'�Resource.sR�co�sry�Fees..m�ist be paid priar to <br /> rsce4ving��.'certfflc�te.ot�oecupat�cy" orflnat�paw�r;rei�ase. :!�4he.proJ�c�.:does�nm�lnvoiveea;c�ct�icate of oc�upanc�;orr �_-� - . <br /> finai powrer�relea�se;:,the=:fees mu�t`be patd.,pr�or to.permit is$uance�. ���#herm�re��if P�scar�County�'Vliater/Sew�r�,impact <br /> ,. . . . . <br /> fees�re due,..tFrey,:must,b�:pald:.pNor to.permit:lss.a��nc�a;in..��aordance merlQhY��pplta�ble P�sc�o'��County�ortllnances. � <br /> �C�NSTRU�T1¢1�4"�:IEN'�W{���pter 7�3, Fbt�r�s�tatut���a�am�e�dedy: If v�tura�ott of waric Is$2,500.00.or mpre,:g . . <br /> cerkify that 0, �he. applicant, have beera .provid�d wikh-a-copy-of`the °Florida� Con�tructian: Llen :Law—Homeowne�'s <br /> Pcotection Guide" prep�red by Qtie F1o�d€� Departr�enf of Agricuttt�re and Consum�r.��atr�. 1�the appEtcant Is someone . <br /> other t6�an#he"owner", i cerfify#h�t I.h�ve�obtainsd`a=`copy;of,the:above.:describ�d�document�and.p.r.oml�e,i�,gaod,,faith,to <br /> deliver It t�x the.°ownec"�:prior�to�cornimenca��n�nt:'' � �. � <br /> �t)tV�CT�t�°�JQ�1ER'S I��F1d�ilFT: 1.ce�:t#€y.�:fi��t-�1l.the�Inf.oematior��:l��this applicattaro ts�c�ur�te�nd that ati work <br /> wi01'be done in aampliance with all appll�ble iavus regul�ti�tg constructior�, zoning and��land°develapmeant. Appltca�lon (s <br /> hereby m�de ta obtaln .a.permit,=�ta-do�:woiky�nd instaltatlon �� irtdt�ete�.�=-�I ce�tiFy thaf n� work�or 1nst�ttl�tRcin has <br /> commenced p�tar to issuanc�a of�a p�rr�if �nd �hat.all work v�rlll be p��farmed�to m��t st�ndacds-of all laws regul��ing• <br /> c�nstructton, County and City codes, zoning regulatians, and land development reguaatians in 4he �urlsdlation: ! also <br /> ce�#ify tha�t � ur�derstand #h�t the r�guis�lans�f ot�er�gov�r�rment�g�r�c6�s m�y�appiy�fo the intended work, and that it 1s <br /> nny responsibility tm identify,what,�ctions I must,teke:4o bedn:.corrlplla�c�:. �;uch.t�gencles include but•�are.not lim0tec!to: <br /> - �?�part�nen� �f iEt�vir�e�rroental=Protection=Cypr�'ss.���jih�ad�� WeN��d Are�s and Envtromrnentatly Sensitive <br /> Lands, Wat�rNVastea�ate�Treatment. <br /> - South�esQ Florld� lNater M�nagement .D9�#rtct V+telfs; CYPress.'�Bsy�h�ads; We#la�ad� Area�� Alter�rag <br /> Watercourses. . <br /> • Army Corps of�nglne�rs-Seawalls�I�ocks,Navigable Wate�vvay�. <br /> - �epa�tment of.FIe�6��t:�� ft�t��bl�itativ��Servtc�slE�viionmer��1 N�at#h Unit Welfi�,�Wast�wwster�'i'rres#ment, <br /> Septtc Tanks:. � . <br /> - US�nv#ronm�ntal Prot�ctlon Agency-�1sb��ta�ab�t�men#. <br /> - Federel Rviation.At�t�iortty;i.�unways. <br /> i understand that the.followang:.re�trictions apply�to the use of flli:• <br /> - Use of fltl is not allow�d fn�Flood;Zon�"V"unless expressly per�ltted. <br /> - If th� fill mat�rial Is ta be used:,ln.�Flood Zone. "A", Pt. Is undere�v�d th�t a drainage pl�n addr�ss(ng a <br /> "compensatit�g volume"wii! be submltted �t time +�f�perr�ttt�ng whlch Is preparecf by a professf�n�l englneer <br /> 0(censed by#he Stat�of�fiorida: <br /> - !f ih� flA materlal�.ts..�o be tss�d !n Flood �an� "A" 4n�cann���lon�wlth�s permitt+ad bulidt�tg usEng steen walf <br /> c�nstr�ctiort, E cerEify that ftll.w�lt;b.e us�d o�iy.to..fill the area within:#he��t�m•wati. <br /> • If flli materlal is to be used In .any area, I �certify tfiat .use of such flid wiil not adve�sely �ffect adJacent <br /> properfies. 1#use o€filt is four�t�to adver�eEy�,�ffect ad�a��#�•:pr�perlOe��.the awner may be cited f�r vlolating. <br /> the co�di�tons.,of th� bullding:permit is"sued�unde� the attach�d permit appl9catlan, for lots less th�n.one (1) <br /> s�cre�mvhich are elev�ted�6y f1!!,��t engln��r�ed dr�lnage plan!s re�uired. . <br /> df 1 am fh�AGEN'P��R TH���YI�MER, 1�p�°omise 3n good f.at#h t�inform-t6�e��wn�of�-#he penmitting conditions set foMth in <br /> this �ffidavik`pnor to cmmmeracin� constructlon. I under�tand thet a��aep�eate permlt may be requlred ior electri�cal�wark, <br /> plumbirag, slgns� wellsF.pa�ts;,atr.condi#IaNng�.g��,-or o#��'r: In�tall�#�q�is n��.spec�c�tly included•in.the��ap�lfcation. .A <br /> permit 9ssued shall be canstru�d to be'�°Iicense'-to pr'�ice�d with the work and not�as:�uthodiy:to,vl�lat�, cancel, �Iter, or <br /> set aslde any provlsions of the.Qechalca!-cmde�;�nor sha!!iss�oance�of a.pgrrr�it.pr.event 4h��uildfrig Q�FIcJ�t from therEsa�fer � <br /> reguiring a aarrection af errors in�•ptans;-const(ucttan or violation�of�any cmdes. �very��p�ermtt�issued"shail become invalid <br /> unless the work auQhorized.by�uch permlt:��.comrnenced�vdlthfn s�t,m.onths of�pertnit Issuanc�, or If work autharized by <br /> #he�err�tit-ts susp�nded�ae:sb�r�doned��for:a:pertod._of���C<{8}e�tnnfFis after the:tlr�e the�wat�c��s eanimenc�d. An e3etension <br /> may be requested, In writi�ig,�from tFie��uilding,Offici�l for a p�riod:�not to �xceed-nin'ety{90)'�days �nd wilF dernonstrate <br /> justlfia�ble cause 4'acQh�extens�an. If w+ork cea��e�.for nlneqr.(90}c�ns.ec�4lve�d�y:sr.the��ob�ls.con�ideted abandoned. <br /> - ---- - � - � - <br /> -� - •__-__._-: _ _ __ . _ <br /> -___ _. <br /> WARIMING TO �WNE�t: YO'UR:FAILURE,TQ.�.R�EC:Q�Q;A..,MOTICE•:0�;°�COMMEMC�MEI�tT�MAY-l�ESULT IN YOUR <br /> ��a�ttNG TWICEt1=��-1MRR�VENIFNTS�.TO:�X,OUlE�PRC�P��li'Y:�OF°YO.U;1�'�D�'�TQ���T�C'iN=�iNAA1�tNG;'��NSUl.T <br /> 11v9�' CI. A '�TO N -. L�,�. ..O � G:3 ,pV ;� : .r . �<.°,:�� � � <br /> FLORIDA JUR/��:(F:5:1.77.03} .. . , . . - , , .._ <br /> f � J <br /> PJWPIER OR AQENT "�/,�-�-�--�-v-' C�t�'T'�GT�9E3 �T/ � , <br /> 8ub bed and�wvm to(or a r�ed)berore rri�!h!s Sab�crlbed and'�wrom�ka(ot a�lrtned)'b ��te'ltii€� <br /> _�?��i!,yZ�l�by 11��1�R�t�-1 v 2�rc--- .,��(�.:�y... ��f t/1/�hl -K t i ,�f'�,. <br /> Mfio Islare p6rsonally knov+m to.me or has/h�ve prodyc�d Who.ls are p.ersonelty�Cnowm•tp.me;or he�hav�r�produeed � <br /> ae Id'entlflc�tlpn. � as Identl�cation. <br /> —��Z,�'�'' ` ,��L.�. � �ty Pubitc . ` �` Notary Publia <br /> i ��-� Q S� �"f V <br /> Commisslon No: � Comr�leslon�No. �`>' ! <br /> � .� `�� ' � �. � � . <br /> C� �r.�.�... , � <br /> Name aI NoPa�e�,or stamped Name af oQary typed,printed or atamped / <br /> '�S �,�:_,f6' rr�i.:'= tf <br /> �'t�(lflrit�;rj ���l1Y1EY]��LsJ)��4.L.f. , _ ���irr = '. -.... ._ , <br /> �t a ��i�" `# 045343 ; ;s°�r;{::y�,,w DEBRA�I�.AI(�jE RUFFELI. <br /> ` ar�mi'ssion GG <br /> _- c "��' ,:;��`��:�=:is'�s,November7;2Q20 � _�; , �Com��issian:�AQG,Q+#5343 _ <br /> ..- . � ��Jt,'v.. :;=;�;r'?�,r�3�oyfaininsurance80D�33r10f9 '� :;,.�P,-�xpires NuvemBer 7,20�Q <br /> �ro^�;r..yc4:,Es,` " (s �''�b�;;°.•. �ndedifiruTroy Fain Insurance 600�385�7R(9 <br /> � , . .- � <br />