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ESTRtCT10NS: The undetslgned,under�tands�;,th�t;:thls„p�rmlt,may.be�sub�ect to."cteed"res#rlctions" _ .
<br /> NOTtCE OF DEED R , , , .
<br /> which may�be>more-restir:Ictive.than County��r9agulafrons:�`'The`underslgried'as"surries-respon��'bfltty for"campllance witFi�any
<br /> appllcab}e deed test�tc#ions. . _.. � : . • -
<br /> UNLICENSED- CONTRACTORS .AND Ct3N3`RACTOR RESPONSIBtL:ITtES: -If=the owner-has�-hired a�cantracto� ar
<br /> contractors to undertake work, they may.be>r,e�qu1red�:to,:be�llcensed In aacordance.wlth state•and�local regulatlons. �If�the� �
<br /> contractor is no# ttcensed as�requlred:6y taw, both the awner an�:=cont�actoT4.iinay bewclted.for=a�misdemeanor vlola�on
<br /> under state law. If the owner or Inten`ded;contrwactor>�;ar,e;uncertaln as ta wha# Ilcensing.requlrements;may�apply:yf6r.�the
<br /> In#ended wark,they are advlsed to corftact the=Pasca County Buililing;{nspec#tan„Dlvtslon--I:Icensing�Sectlon at 727-947-
<br /> 8009. Furthermore, tf the owner iias�tilred�a conUacto� or coritractors, he ls ailvtsed to have the c�ntractar(sj,.sign ,
<br /> portlons of the "contractor.Black° of thle eppllcatlon.fac_whlch.they, wlll be.responslble.. If.you�-as:.the awne�"sign�as'the"
<br /> conteactor, #ha#�tnay be an iridicatlon that�he is not.prope�y iicenssd�and=�ls not enti�sd ta permltting pcivite�es ln Pasca
<br /> ' County. � '
<br /> TRANSPARTA7IQN_lMPACTtUT11:ITlES=lMPAC'��Al�b RESOU�tCE RECOVERY�EES;�T�e underslgned understands
<br /> ' '� thatTransporiatfan Im"pact Fees�and.Reco.urse Recove.ry.�ees may.�:�ppiy.t�:ti��.i�nst�uction„�ft�awr-b�lld�ng�,�chan�e='of' .
<br /> � use 1n existi�g bulldings,�or::expanst��>of�exl�ti�;g.�bulldings� a§ specffled.In Pascv Caunty Ordlnance number 89-07 and
<br /> , 9o-O7. as amended,;,..'�he undecslgned atso:understands; tFialt:'such fees;-:as>m�y�l�e:<due;,w111.�6e tdenti�ed at theTtirrie"of��
<br /> � permltting, It Is fu`rther understood that Tre�sportatlan Impact�Fees and`;Resource.;Recovsry��Fees.mus#be pald prlor to
<br /> . rece�vtng-a."ce�icate:of acxupancy"ar flnal,pawer;release. 1��the.pro��c#=,�oes�Kiiot involve;a>certi(tcate of accupaticy.or�- •
<br /> � final powec release,.,the;fees mu�t`be patd;prior to_,permit Issuance. Fu�thermore;�tf:.Pascox Counfy�lNaterlSewec;impact -
<br /> ' fees are due,.they_must;be,pakl-p�lor#o permit-lss4ance;In.accordance wlk�=appllcablr�Pasco'.Gounty ordlnances. -
<br /> �'` CONSTRUCTiClN'CIEN`lAW(Cliapfer 713�Fbr�da$tatutea�as amended); F#vatua�on of work Is$2,50Q.00tor mare� ! �
<br /> certiry that I, the. appllcant;�have.been provlded:�wlkh: a�copy-of:�the "Florida•�Canstrucllon� l.len _L'aw .Hameowne�'s
<br /> Protectton Guide" prepared by.the Fio�lda Depattmez�f of A�rlcuttc�re and Gonsumerw Affalrs. i##he appticant ts sameane �
<br /> other.than the"avmer", I certlf�'r�that 1�h�ve..obtalined�abi;opy.of:the�aboye..descrlbied:xlbcu�ent�and,pr�mise��tn,good;falth.to
<br /> deliver!t ta:the."owne��pi9or'to:commenc�imerit:,. • - . .�: . . , .
<br /> CONTRACTOR'S/OWNER'S AF�IDAVIT: i.cei�tify;;th,at<alt.#he,information,i��fhi�,applicaNan is accurate.�nd#hat sli work
<br /> � will'be done in compliance wlth all.appllc�ble laws ragulating constructlon, zoning and��land'°development. Appllcaklan Is
<br /> ; hereby made to abtain.a perm�t�,to,_do:workv,�nd{<1r�stallation as Indt�eted:,..:<I, certi'�"r"t�ist iio work=:or 3nstallattoit lias�
<br /> !� commenced prlor to Issuance of a permit"and�that`.all work wlll be pertormed to Meet-skandards�of all laws regulaking
<br /> � cons#re�ction, County and C3ty codes, zoning regula#ir�nst and I�nd development r.egalattons�ln�°tlie-.Jur(sdtctlan.- ! afsa
<br /> � certify that t undersfand that the regulafions of other�government agencies may�appty�.fo,the..intended work, and that it is
<br /> my responsfbAtty to iden8fy�what.actions I must�take:ta be�lnYca�pllance..S.uch;agencles lnclude-but�are.not Ilmited ta:
<br /> � - C3epa�tmenf af E�tvironmen'tat>�Protectton'=Gjrpfess.`Bayhead�; Vlteftend Areas and Envlronmental4y Sensitive
<br /> Lands,WeteNWastewa#er Treatment. " � �_
<br /> ,_
<br /> ; - Sauthwest Flarlda Water Managemen� :Disttict 1tVells; GYPress. Bay�eads;-`Wetiand' Areas, At#ering
<br /> Watercourses. �
<br /> � - Army Corps of EngMeers-Seawalls,Docks,Navlgable Waterways.
<br /> ! - DepaKrnent of Nealth�8.:Ret�abllitafive. Ser.vlaeslEnvfronmental. Hea1Na Unit We11.s; Wastewater�Treatment; -
<br /> �,�r: .
<br /> � Sep#Ia Tanlis:.. _ .. . _. - �
<br /> � - US EnvlronmettE�t Pcotection Agency-Asbestos abatement, ,
<br /> � - Federal Avlatlon�AulhaHty.,:Runwsys:� ;� , , .
<br /> j !understand that the_fotlowing:iesh�iEtlons apply'to tfie use o#flll:'
<br /> � - Use of flN is nat aNawed in.Flood:Zane"V"untess expressty permitted, �_.
<br /> ; - If the :fill materlal-=ls'to-'b:e used�:In-:Flood Zone. "A", It. Is understood�#hat' a `dreinage plan addresstng a
<br /> � "compe�sa#ing vatume"will be submttted at�me af��permitting wF�lch is prepared by a professtanal engineer
<br /> � Ilcensed by�#Iie.�taCe af�Florlda.-- '.� � - ��� :.. ..... ,. . _ . __ .._.
<br /> , - . If th� flll rniaterlal=is ta�be:used tn Flood �one 'A" In+�cannec�#on•virlth:����ermitted`btafldlitg usingf stem wa!!
<br /> i construction., i ce.rfify tha#fUl�iti�ii.b.e.i�sed only.to.�ill the,area.within the�stem•wall.. - �
<br /> �. �... _ _
<br /> � - If flll �matetlaf-Is"to be used��'In any area;���l�certlfjr triat .us� of such-t111 wlll r�ot,adversely affect adjacent
<br /> � � properties. If use,of iill is.fot�nd�to adversely:�ff.ect ad}�a�eiit'�propetties►.the owner�may be c�ted for vio�ating
<br /> �` the�condl�ons_.of..the bullding���perrrilt._Is"sued=under tNe r.attached_�er.mlt �ppl(catlon,�.for:•�lotsrv:less>than.one (1)
<br /> acre wlilcli are'elevated'6y:t�11,�ctzenglneer•ed dralnage:plan ls required. . . .
<br /> If I am the.AGENT FOR.THE�OYIINER;_I,�}ir`omise In good fatth to Inform the owner of the-:permltting conditions-set forth tn
<br /> j thts affidavtt`p�ior to�c6mme�acing c�instructlon. I understand that�a-separate,permlt may be tequtred for electrtcal�wo�k,
<br /> _.�r �,. ..:,.
<br /> � ptumbing,�signs, welts,.,Paots;. atr condit�an#ng,,.gas�..tar.other Installattons nak spec�tic�l[y in�luded-in.the appl[cation. .A
<br /> , permft Issued shall be construe,d ta be°a'1lcense'to�proceed wlth`tFie wo`rk and��not��as:>.authodty::to.vlolate;�cancel, alter, or
<br /> set aslde arijr provlslo�s of ttte.#echiitcal aade�;�nor shaEt tssuance�of a.permlt.pr.event the Bulldttig UiF�ctal fram thereafter �
<br /> requiring a.correctlon af ercors�ln.plans; constri�ctlon.,,or violattons of-any codes. .Every�pertnit�Issued=stiall bec�ime invalld
<br /> � unless the wrock autha�ized.by such permlt:�ls.commenced•wtthln�.umonths of�permlt lssuance� or If work authorfxed by
<br /> � the permit.is suspended-or:aba�do�ed�far a;period;of:,�six;(�t)�montF�§.':aRer the ttme the�work�is commen�ced. An exterision
<br /> 5 may be requested�_In wclting;µf�om tHe:;Bulld�ng,Offlcl'el for a perlod=not.to.exceed"niriety�(90)`days a�d=wlll`�demonstrate
<br /> ;: lustl�abte'cause fioc�the exfensto�: If work ceas�s:for nlneiy.�90}cons.ecutive daXs�..the fob�ts consfderad aba�rdoned.
<br /> � , ,., , M., ., . . . .,. ,.
<br /> �:� WARNINC�`TQ t�iWNE�t; YOUl�S.FAILURE-Tt�..R�CC!ltQ,A;(�QTIGE�:QF��COMMBNGEME�tT,NtAY�RESULT_IN YQUR
<br /> � ,�.. ....
<br /> § •PAYING'T'WiCE;FOR�IMPROVEMEI�i�'SsT�:YEfUtt.PRt�PER�7Y::�I�°�:YO.U�i��E�1D�'°T13-i0HTA1N��FiNA(�1E1N�,'C.ON�ULT
<br /> � WI � D �O A O N O :t C � ���. O '
<br /> � ��:oa�aA,�uw►�_t�.� z:as�.�. �- . , . � � .. , . � � . _ � ,.
<br /> �. �,s. :,:- �. ,.
<br /> ; OWNER OR AOENT..:� _ � d/�- ,� � CdNTRACTOR,��,, �� ' �
<br /> q. Subsaibad and swo fo ar+�flfrmed}bafore me thta Sub� bg� and'swom (ot a�rrmedrbefciCa me ltii�., .
<br /> 7/2//I� by_��ILI l..f�L�,_,__ _1��'ICI�b�...;.�.1�-�z,;/•;, .;1,c,�.QW�I-F -•
<br /> Who Is/are personally knomr to.me ar haslheae produced p. are:p.ers nallyknown:to . ;or healhave:produced � -_
<br /> . j�/�/,�3�_2S ,!L.�'�.4'`—.�. ..aa Ideii$flcabon: ' ' .1� �..f C.��t� as Cdenti�ca@on.
<br /> j �h � .
<br /> ! _�=���,� - •��� otery Publlc ' ' . . _ NDtaty Publlc
<br /> CommEssian.Eto`.` ��"�� 1,��'1�=, Comtlnfsslon•tdo,_ ("��-r(�tt_�"LI.� ,
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<br /> ����2,� �.J._A. r�n✓� �'��'-� � � ��3�.A- �IC�i�� ���( � .
<br /> i Name of NafarY h+�"��Pdnted or�tamped Name of NoGary tyrped.Prtn#ed or stam�p
<br /> i am,,asr
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<br /> ��'�gs��ry'.g�fi,,�DEF3RA ELAI(V�RUFFELL ' ,�`�,`�;i"�":%ar�;;�EBRA ELAINE RUFFELL
<br /> s. _;�,.Cammission#-6G 0453d3 ?.; -tzCammissian#GG 045343
<br /> , '';'� ,;s Expires November 7,2020 , :�+�.b�:ExpiresNovember 7,2020
<br /> '" '%�q;;;':�'�� Banded 7hruTroy Fain Insurer�ce 80D-385��019
<br /> . •.,„tq`'�� ���Troyfainlnsura�ce84a385�7019
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