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<br /> RIOTiCE OF DEED RESYRICTIONS: Th�und6�rsigned;under:�tands�;#h�t_this;p�rml@�;may.be;subjectto".deed"restrictions°,r'_.� ;_,.,_.
<br /> which may tie�more�-resttictive�tha�t>Coui�Ey<<�vegulatCons�:~The°�unde�igne`.d`as�urtnes"respon�itill(ty'�for"coriipllarrce`�withj any' � "��� ' "
<br /> appHcable.deed restcictions. .. .W.:. ._._ � � ,_ .„ _ ..._...z � • ��
<br /> IUNLICf�NSED•CONTRACT�ItS AND CON�RAC7'Of3 �IESPON�IBILITIES: -if�Qhe���owner has�`�h6retl a"c�nt�actor or
<br /> contractors to undertake work, they may:be�r.�qu(c�:to-;be;;ltcensed,in..accordanc�.writh state.and:local;regulatlons:�<�If the• ��-
<br /> contractor Is-not Ifc�nsed as�requlred::tiy law, both•the ovmer and�conUactormay tie�cfted°for"a�misdemeanor violatlon
<br /> under state law. If the owner or Intended;contractoraee;;_urac�rt�in as to what Iic�nsing;requir�ments;may.:,apply:�for:the�: =��� � -
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<br /> iMend�d iniark,�they are advis�d"to cont�ct the.Pasco County�uildii�g.ln�pectlori_D(v,Islon.-Licenstng'3�ction et T27-847-
<br /> 8009. FurtFierPnore, If the owner'fias�til��d�a�co�id�actor 6r contractors, he ts advi�ed tc h�ve;the contractoc(s).,.sign .
<br /> portfons of the "contractor Block° of this_e�pplication,.f.or,which�.they;wlll�,be.tesponsible.-�if.,.you;=as.the ovmer�stgn��'as'the '� �
<br /> cont�actor, that inay be an Indlcation that"'he Is�not.properly Iicensed"and is-not`�ntiHetl fo permitting privileges in Pasco
<br /> County. � _.,. ' .. ---- - � �- ,,;', - , �
<br /> T�4NSP06dTATlON::IMPAC`�IUTIUTIES>rMPAC7 AwD�RE�OU�tCE RECOVERIC=�PEE3:"Th�undersign�d understands
<br /> thatTransportation Impact�.Fees�and.Reco.urse.Recovery.Fees may�:apply..to:tf�e�ronstruction;of ne�nr:bulidtngs,�change of'� ' �� "
<br /> u�� in existing bul9�ings; oe:;ei�p��tisi����f-��a:.1�ii�i,g,bai9Sain��;�����c����.i� r����r v���ey �G�a��a�:�;,� r;�,���r �4�^?-�€��
<br /> 90-07, as amend�d.:;;The underslgned also>urtderstands, th�t:'such fees;=:as;inay�tie�rydue;;,-wfU,:be ddentifted at the�timeaof-�� � �" •
<br /> per�itting. It is furtiier undersfood that T��sportation Impact Fees and��Resou�:��RecovsryµFees:must b� pald prior to
<br /> rece4ving-a."certfflcate-of•occupancy" or•flnal�-power:.release: :i��the.proj�ck_.do�s•:not tnvolve4�:�.certificate of occupancy or�-��=�'� � �
<br /> final pow�r rel�ase;�.tti�.f�es:mu�t"�be'paid;pr'tor to perrroit is�uance. Ft��thermo��;�If P�scv County:�lNater/S,ewer:;lmpact � �
<br /> fees are due,,.they;rnust:be::p�Id,p�lor to..p�cmit::Issuanc��In..accordance wiftfi.�appllaatile.Pasco�•County�o�dinances. �
<br /> CONSTRUCTION'LIEN'l.1AYV(Gheptee 713� Flortda�tatut�����mended): If v�luation of work i§52,500.00;,oc<rnore; I�� � �
<br /> certify th�t I, the:.applicent,. have -been provlded_�with a copy- of the��"Florlda�-Construction: Lier� .Lav�Homeowner's
<br /> PPotection Guide" prepared by, the Floi�ida Department of p►grOc.ult�rQ and Consu.mgr_�Affairs. if.the applicant Is someone �•
<br /> other than the"owner",-I certify.that_I.;,h�ve.obte�Inedra�copy,of:thefabQve::�iescribed�docu�ent°.and;.pro�ise;'in,good;faith•.to �
<br /> deliver it to..the:".owner'"':pilor'to>commencei�ent" �� . "' � ` � � ' ,
<br /> COWTRACTOR°SIOVIfNER'�A�FIDAdIT: I.certify_.that:ail:.th��inf�rm�tion-in•thi��ppllcaHon is �ccurate and that all work
<br /> will'b� don� in compiiance with all.applicable laws regul�fing construction, zoning and:land�:development. Applicallon is
<br /> hereby made to� obtain .a .permit�to:do.::w�rlcK,and install�tlon as indlCafed:-:-.-�I� certifji that no work=.or Instal6ation fias
<br /> commenced p�lor to issuanc� of a permit and that.all uvork wili be p�rtormed to meet standards of all laws r�gulating�
<br />' constructton, County and Clty codes, zoning regulatinn�, and land development regulaUons�in the jurisd(ctlon.- I.al'so
<br />' certify that I understand that the regulatlons of othe�government agencies m�y�apply.to the._Intend�d work, and that it is
<br /> my responsibllity to identify•wh�t.actlons I must•take.:to,be:sin,.c�mpllance;.,.S.uch;agen,cies Includebut�-are.not Ilmited to:
<br /> - Department of EhvUonment�l`�P�otection�Cypress`Bayhead�,�Wetl�nd i4�eas and Environmentally Sensitive
<br />' Lands, WaterNVa�teuvater Treatment. �
<br /> - �outhwest Florlda W�,ter Management-.District-Wells;' Cypress.Y�B�y�eads;- �Wetland Areas� Altering
<br /> lMatercourses.
<br /> - Army Corps of Engtneers-Seawalls, Docks, fN�vlgable 1Mat�rways.
<br /> - Department of,H�alth;:.&.,ReY�abliitative�ServiceslEnvfronmental Health•Unit-Weli.s� !l�astewater Tre�tment,
<br /> Septic-Tanks.. � - .
<br /> - US Environment�l Protection Agency-Asbes4os�b�tement.
<br /> Federal:Avlatlon rAuthority=Runways.
<br /> t understand that the..follow�ng�re�trlctions apply'to the use of flll:�
<br /> � - Use of flll is not aliowed in:Flood;Zone"V"unless expressly permitted.
<br /> - If the-fill materi�i !s to b.e used:, In.•flood Zoc�e. "A", It Is underslood"that a dr�ine�ge plan addressing a
<br /> "compensating volume" will be submitted at time of-permifting whlch (s prepared by a prof��sion�l englneer�
<br /> Ilcensed by�the St�te qf Floiid�: -
<br /> - if ih� flll-materlal=ls to be used In Flood �on� 'A" in>connect(on�with�a�permitted building using stem wail
<br /> construct[on� I cer#ify,that fill�:�ulll:b.e used only.to.flll th�are.a within_the�stefn�uv�ll. _
<br /> - Of flll mate�lal- Is to be used On �ny area; I ce�lfy that .us�. of such�flll wll0 r�ot �dversely af6ect adjacent
<br /> properties. If use of flll is found�to adveree�y.�ffect adJ�cent��propertles,.the owner may be cited for viorating
<br /> the condlllons of the b�ilding;permit issued�under the at�acfied.permit._applicatlon, for:lots�less�than.one (1)
<br /> acre which ere elev�ted��tiy flll, an englneered dr�lnage plan!s required. •�
<br /> If I�m the.AGENT.FOR�TH�01fl�NER; I;.pcomise In good#aith to Inform the°o.wner of�the permltting conditlons set forth in
<br /> this a(fidavit�prior to comm�ncing consteucUon. "I understand that�a-aeparete:permit may be requlred for elecMcal work,
<br /> plumbing,_.sig�s, wells,:pools;. air- conditioning,�.gas,-..ar othec Install�ttons naE,specpflcally Included-in the�appitcation. .A
<br /> perr�it Issued shail be consteued to�be�a`Iicense'�to-proceed wlth the viiork.and:not-as:.authority.:to:vio9�te,..cancel; aiter, or
<br /> set aside.any provisions of th�.t�chnical.c�des;�nor shall i�su�nce�of a.p�rmit.pcevent the�ulldirig O€flcialfrom thereafter
<br /> requirtn.g a correction af errors-in;plans;:corestructlon.or_violations of•any codes. -Eve•ry�•p�ermtt�issued sh�ll��become invalid
<br /> unless the wark authorized by such permit:is.commenced�withfn stX..months of�permOt Issuance� or If work authorized by
<br /> the pe�mit-is suspended�or;abar�don�d:for;.�,period.of�six��.(8)�montiis,:efter the,tirne the�work��s commenc�d. An extension
<br /> may be requested,�In writing,.:ftom.tlie Building,Offlcial�for a perlod:�not�to exceed�rainety.-(90)=d�ys and-w110�demonstrate
<br /> Justifiable:cause for.�the extenslon�. If work-c�ases�for ninety.(90)cons.ecutive�day.s...th�Job�ls consld�r�d aba�rdoned.
<br /> �ARNING TO OVIINER: YAUR.�AILWRE,.T�,�REC.O.QtD:�►51�OTIGE.OF.�COMMENCCMEIetT M'AY�RESULT��IN��YOUR
<br /> 6�delYIMG TWICE;FOR:IMPRQUEMEN;�S,T:O'�Y°O.URY:P:�QPERTY.��I��:YO.EJ;IId�'�EWD:�TA����TAIN�FINiAwE1NG;'C.ONSUl.T
<br /> VIfETH�AUR LENDER:OR Aild�ATTORwE1���FOR��t�EGOR�i1����1�0UR�NOTIG�'QrF��CONfAIIENC�E�VI� �'` '
<br /> FL'ORIDAJURA'f�(F�S:112: ) - � . , • •''� '1- ,. _ _ _
<br /> OlNNER OR AOENT . . , CONi'RACTOR
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<br /> Sub� bed and swram�( a �edj f e m��l� Sub� rlb'ed'�nd's�om�to erto b L !h
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<br /> o slar onell knoam to.me.or:has/f�ave,.reduced —��/� nallyknow�n�•o:m�,e:orhaslhave•produced •
<br /> b� ►5 Y P._:
<br /> /l�l� /.,_(Ci aa Identlflaatlpii. `� �Kl� L-/L�C.�t.£CL� as Identlflcatlon.
<br /> � — / Notery Public iC.Qi Notary Public
<br /> �mmisslonNo:• �7 d Co I�slon�Plo. �1 � ��3�'� ,
<br /> L�tL/7 �� �"//� ���L-l•– 1J��— �l�/�r� �Cf�'i��IL— �
<br /> Name of Notary typed,printed or st�mp�d tdame oi Nolary typed,peinted or stamped
<br /> ;�ot�:�P��;,DEBRAELAINE RUFFELL • ;.�ti�=�"C:�,;DEBRq E RUF
<br /> ELAIN FEL�
<br /> @�r ��__Commission#GG 045343 :,; :,:Commission#GG 0453d3
<br /> °=' ��Q=Expires iVovember 7,2020 ``� o:Expires Nove
<br /> =�• ' %r .�,.bP;' mber 7,2020
<br /> �''EO;;;°.P�� Bondad Thru Troy Fain Insurance 800-385�7019 ���'�`°`'�� B°°ded Thru Troy Fain Insurance 80a385�7019
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