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<br /> NOT'iCE OF DEED RE3`TRIC410NS: The unde�rsigned undergtands�:th�t:thlsx.p�emit.m�y.be.subject to"deed".resVictions"
<br /> which may be,more,rest�(ctive-•th��Counky�regr�latCons. �The undersigned'assumes`resp�insitiiltty'for`coivipliance witFi any
<br /> applicable deed reshictions. �
<br /> UNLICERISED CO(dTRACTORS AND CONYI3ACTOR RESPOMSIBILITI�S: 16 the ow►ner has hired a contracQ�r or
<br /> contractors to undertake work, they may be;r,equleed•�.to.:be�Ilcensed in accordance.wtth state.and•IocaB regulations. If the
<br /> contractor ts not iicensed as requlred=by I�w, both the own�r and cont�actor°may be-�cited for a�misdemeanor violatton
<br /> under state law. If the owner or Intended co,ntractor are uncertaln �s to rwhat Ilcensing.requirements may��apply.>�r the
<br /> int�nded work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, (f the own�r has hired a cont�actor or contractors, he Is aclvised to have the contractor(s), sign
<br /> portlons of the "contractor Block° of this application for which they will b� responsible. If.you, as.the oviineP�sign ag the
<br /> co�tractor, that inay be an End6cat�on that iie is not.properly Iicensed and is not entitled to pennitting privileges fn Pasco
<br /> County.
<br /> 'fRANSPORTATION:IMPACTIUTILITIES•IMPACt=AND R@�OURCE RECOVERY�FEES: Th�undersigned understands
<br /> that Trensportation I�pact Fees and.Recourse Recove.ry.Fees enay�•apply to�the conatructlon of new bulldings,�change of
<br /> use in existing buildings, or.expansion:�of>;exlsti�i,g.:buildings, as specifled.in P�scv County Ordinance number 89-07 and
<br /> 90-07, as amend�d. The undersigned �Iso�u�d�rstands, that�such fees,•:as�rnay�be:due;,will��be ldentified at the�tim�°of
<br /> permitting. it Is furtlier understood that Transportation Impact Fees and�Resource Recov.ery�Fees must be p�id prlor to
<br /> rece�ving a "certificate of occupancN" or flnal power�.rel��se. :If��the project.does not involve�a:certificate of occupancy or
<br /> final power releas�, the fees must b� paid prior to permit i�suance. F��thermore;if Pasco County IMater/Sewer:Impact
<br /> fees are due,.th�y�;must be=pald.prior to perrrrit�•I�suance-in accordance with applicable Pasca�.County�oo�dinances. -
<br /> CONS'TRUCTION�L7EN�LAW(Ch�pter T13, FlorJda St�tut���as amended): !f valuadon of work is 52,500.00 or more, I
<br /> certify that I, the applicant, have.been provided with a copy of the "Florida Constn,ictlon L(en .Lav�Horneowner's
<br /> Protection Gulde" prepared by fhe Flo�ida Depa��tment of Agrlc.ulture and ConsutraerAffairs. If the appllcant is sorneone
<br /> other than the"owner", I certify that I�h�ve.obtained-a�copy.of the=above..descrlbed document=and.promis�in,good failh to
<br /> delive�it to the°owner"�.prior�to-commencement: '
<br /> CONTR�4CTOR'S/OWPIER'S AF�IDAVIT: I.certi�y,�that:�Il.th��,lnf.ormatimn Jn thi� �pplic�tion is accurate and @hat all work
<br /> will�b� done in complt�nce with all applicable laws regul�ting constructlon, zoning and land development. Applic�tlon is
<br /> hereby made to obtain .a permit..to do_.work:..and instailatlon as indl�ated:�� `I cectify that no work or Instaliatton has
<br /> commenced pr(or to issuance of a perm(t and that.all work virill be pertormed to meet standards o� all laws regulating-
<br /> construction, County and City codes, zoning regulatiQns, and land developrnent regulatlons�in the jurlsdictlon. I al'so
<br /> certify tha# I understand that the c�gulatlons of other government agencies m�y�apply�to the intend�d work, and that it is
<br /> my responsibility to identify•what.acttons I must t�k�:to berin:.corrlp�lance. S,uch agencle�Includ�but-are.not Iirv�(Qed to:
<br /> - Department of Ehvlronmental�Protect(on-Cypress�Bayheads, VUeNand Are�s and Environmentally Sensitive
<br /> Lands,WateriWastevvater Treatment.
<br /> - Southwest Florida liilater �Aanagement .District-Wells, Cypress.� Bay.h�ads; Wetland Areas, Altering
<br /> Watereourses.
<br /> - Army Corp§of Engineers-Seawalis, Docks, [Vavigable Waterways.
<br /> - Department of Health� 8 ReY�abiN4ative ServiceslEnvfronmental Health Unit-lNelis� Wast�virater<Treatment,
<br /> Septtc Tanlcs. .
<br /> - US Environment�l Protection Agency-Asbestos abatement.
<br /> - Federal Aviatlon.Authority-Runways.
<br /> I understand that the following:restrictions apply to the use of flll:�
<br /> - Use of fill is not allowed in Flood Zone�V"unless expressly permttted.
<br /> - If the flll materlal is to be used. in.�Flood 2one. "A", (Q. Is understood that a drainage plan address(ng a
<br /> °compensating volum�" will be subr�ltted at time of permittfng whlch is prepared by a professfonal engineer
<br /> Iicensed by the State of Florlda.
<br /> - If 1he fill material 6s to be used In Flood Zon� °A" ins connec�6on�vuith�a permitked building using stem wail
<br /> � constructEon, I certify that flll:w111=b.e used only.to.fill the area wrlthin the�stem�ali.
<br /> - If flll material is to be used in any area, I certify that .use. of such flll will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely:�ffect ad)acent�properties,.the own�r m�y be clted for viofaQing
<br /> the condifions of the building.permit issued under the attached �ermit application, for lots less than.one (1)
<br /> acre which are elevated�by flil, �rt engtneered drainage plan Is requir�d. •
<br /> If I am th�AGENT FOR THE Ot�1NER, I,�prorrolse In good faith to fnform the owner of•the permitting conditlons �et forQh in
<br /> this affidavit prior to commer�cing constructlon. I understand that a;separate permit may be requtred for electrlcal work,
<br /> plumbing, signs, wells,.pools;, alr condttioning,.gas, or otMer Installatlons not•speclflcal(y included�in.the application. .A
<br /> permit Issued shall be constn�ed to be a�Iicen�e to�proceed with the work and not as.authority to,viola4e..cancel, alter, or
<br /> s�4 aside any provisions of the technical c+�des;�nor shall Issuance�of a.permPt.prevent the Bulidirig O�fict�l from thereafter
<br /> requfring�conection af errors In plans, construction or vlolat(ons of any codes. Every piermit Issued shali become invalid
<br /> unless the work authorized by such permit:�s-commenced�with(n sfx months of permlt lssuanc�, or if wrork auQhorized by
<br /> the permtt is suspended ar.aba�doned-for a:period of six�fe)rroontF�s.after the tim�the�work�(s commenced. An extenslon
<br /> may be requested, In writing, f�om the Building,Officlal for a period.�not to exceed ninety�(90) d�ys and will demonstrate
<br /> justlfiable cause for the extension. If work ceas�s�.for ninety,(90)cons.�cutive days...th�job�is considered abandoned.
<br /> lAIARNING TO OWNER: YOUR..FAILURE�TO..RECORD A..MOTIGE�O�•�COMMENCEMEMT_IVrAY RESULT IN YOl1R
<br /> PAVIPIG TWICE FOR IMPROVEMEN'�S�TO YOU�:PIaDP�RYY. I�°YO.EI�IN���+ID�TD��BT•'•AIPI��FIRtAP�EFNG;'CONSULT
<br /> WITH YOIOR LENDER OR AN A'1`�ORMEY�f�OREtRE�OR�DIN���OUR�fYOT�C�'O�`COMI11lENCf�1fENT'
<br /> FLORIDA JURA�(F.S.117.03) _ �� �
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<br /> OWPIEI�OPt AO�NT��� =l-Nl�-1-� ��i� ��; COM�'RACYOR ��`1C1"�`¢v►�\'1� r�c�.�PC
<br /> S b, ed and awa _(or atflrmed)before•, is Subscrlbed and'swom to(ot a(flrtned)'before me th s ��
<br /> Y Ce.�. ._ - _ _ ��✓ _ .�cr is� ,b�.. � r-� __. _ _ �
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<br /> �o s/aee�pe�n ly known o.me or haslhave pro uced Wh .Isl re .erson Ily kno • me ar hesR�ave•prod"uced •
<br /> ,�][1�C ��[�[I��l as IdentlflcatlOn. / �s IdentlBcatlon.
<br /> � '�/�S�-� ry Pubilc �� Notary Public
<br /> Co misslon No: �� � �J Commission No. '
<br /> ��.� �iC�"/�� �U��-�� �c�'�- �,C�it/� Q�/�'��C11_� .
<br /> Name of Notary typed, rinted or stam e Name of Notary typed,pelnted or atamped
<br /> ;o�;�yo�; �EBRAELAINE RUFFELL c�9�";�'��=�
<br /> :: G�' ' -E
<br /> �:Commission#GG045343 ,'�� t�;'-.; tr�nk:: ^tiiVcqU F
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<br /> ;���P�s Expires November 7,2020 -.; ;s • 'C��n;:r,i;•;.,ur.:•���;�3q3
<br /> ••'F°;:�°'•• Bonded Thtu7roy Fain Insurance 8U0�38�7019 =:: ' � ..
<br /> :,,,���:�X}.''if65�SpVP,ii!:i;'7,2�20
<br /> '- '•.FOF"°P•` Baodnd ThN?roy Fain Insurence 80D385�)019
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