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<br /> NOTICE QF DEED RESTRICTIONS: ,The u�derslgcted:under'�tands�;th�#:ttaE�;.p�rmlf°ma}t,be,sub�ect.#o�"deed"resUlctlotis"^��^....:.._.�_,
<br /> which may tie=mbre�-r.estFictive�tha�Gounky"+reguletfons.���TFie`-.under�)gnetl�=assumes°`resp�'nsib(Ilty far compllance with•any " �"' �
<br /> appllcable.deed�restr�ctions. �. ..; <�:��„: - ;: .1 � _ t : , ` ° . " . �
<br /> UNLICENSED CONTi2ACTORS �AND CI"�NTRACTOR�RESPQNSIBItiIT1ES: �ff=t1ie��owner'has�'htre�d`��a�`contractor or
<br /> contractors io undertake wo�k; they may;b,a<requ�lc,ed_to.be:llcensed`In accardance.with state.andrlocal_regulatl.ons.:�:.IfGthe��� � ��`�'
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<br /> GOTi1t'�G#Ot�.IS tfOl�IIC8�18@{f'=8S"PBL�UI�ft�..�jt�1&{N, �i0#h'�tFiB OWti�!'eiid��GO�tfBGIOF�may°`bewclted'4for�;a�mtsdemeanor vtolation
<br /> under state law. If the awner or Intended3�contraG.toraece„uneert�ln as�to what itcensing.requlreRnents;may:apply.�for.ktlie` � -°-, ��
<br /> fntended work�they are$dvised to cont�ct tfie,P�sco Cot�nty Buitding�tnspe�tlori Qlvtslon--l:tcensing Sectfon at�727-847-
<br /> 8009. Fur#liermore, �if #he ovirner'tias'htr�d �a con�racto�'or contraotors� he ls advisecl to have �the contractor(s),.slgn :� , ,4
<br /> portlans of the�"cont[actar,Block" of.this�applicatian.:for.which.they,,wlll.be...resp.onsible.- If.yau;:as�_the owner�`�sign�as��the ` �
<br /> co�fractor, #ha#°may_bs an Ind#cation that'Fie°'Is r�ot:pFope�iy licensed�antl''is`not ent�tled t`v permittirig priiriteges in Pasca.,
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<br /> TRANSPQItTAT1QN-IMPACTIUTlLITlES=rNIPAG7�ANb�RESOU�tCE RECQVERY`EEES.�'T�he undetsigiie�uriderstands
<br /> that Transportatian impact Fees and.Reca.urse Recovery_Fees m�y':apply;.to�the,cong#ructlont of new..�buildings,.�chan�ez�of"`'�``"=} "
<br /> use !n exis8ng bulidt�gs,�or:�expanst�n�oi:�ei�Is`ting°�buililings, as speclfled.tn P�scv County 4r`dinance number 89-07 and.
<br /> 90-OT. as amended.:.:Th� unde�slgned aiso;urnderstands� tFt2it�such#ees;;as:tn�y:,be•.�due;=:wi11<-be Identi�ed at the��time4of`�. ��= �;'.
<br /> permitting. It Is furtFier understood that Tra�isporkation Impact`Fees and�Resource'.Recovsry`Fees:.must be paid priar to
<br /> rece�ving-a"certi�cate:of-occupancy°ar final��power-.release: �:I�fhe.proje�#;does'�not Involve�atceni�cate af occupa�icy°o�:�,�zr"'.�-".�. .,
<br /> final power-release;:tF�e-,fees-mu�t�"tie paid,peior to.permit is"suance. F�tthermare;�ff.Pasco,Couniy'�Water/Sewer�:lmpact � ..
<br /> fees are due,.they.must.be.pald�prlor#a,permit-:lssuance�ln.accor�ance-witt�-appltcable Pasco'�Caunty o�i�lnances. �
<br /> CONSTitt1CT10N'CIEN`LAW(Ctiapter 713� Florida Statutes�a�amended): {f vaiva�on of work is$2,500.00.ormore,.t� �, :;.�,w
<br /> certify that .I, -lhe.•applicant,--have:been.,provided�•with�•a=copy��of'�the:"Flortda����onstructlon Llerr.Law--Horr�eowne�'s
<br /> Protectlon Gutde"prepared by ttie Fio�ida Repartmen#�pf Agrlculture and Consumer-�,AfFairs. If#he appltcant is someane . • •.��
<br /> other than the°owner", I certify,that.;l;h�ve,,obtained�a`copy;of,the�;ab,�ve�de&crltied'tlocurnent��and`promisi�'.in,g,aod::faith,to .. r,
<br /> deliver it to:the-'ovitnec"�:p'rior.-�to;commericetirterit:'-�"�-'• ,, .. . ,, .. _ .`__.. _ ,. -
<br /> CONTRACTOR'S/OWNER'S AFFiDAViT: i.c,e,ili�y:;ttia#�ati.:th�,inf.ormeticm:Jn�thl�appiicetlon is accurate�nd th�t all work
<br /> will'be done (n compi(ance with all appitcable laws regulating constructlon� zonln�and�land°development. App!lcaElan is
<br /> hereby made.ta obt$In..a permit.,#a�,do..:waric.;ry,and;ins#a#lation as ind{�sfed:x.ry::1. cecfify that no work��:or instalt�tion #�as'
<br /> commenced p�lor to is"suance of'a permit`"a'nd that:all�work will be pertormed to meet..standards-�of:all laws regulaking-
<br /> constructEan, County and Clty codes� zoning regulatlans� and land develapmerit r.egtilations�in tiie;u�sdtcfian.. •!=al'so� �
<br /> certify that I understand that the regulatlons of okher government agencies may�apply�#o the.Intended work, and that it is
<br /> my responsibillty#o identify•what.aotlons 1 must take:to beEln<.cottlp!lar�ce:,S.uchagencles tnclude but°are,not llmEtec#to:
<br /> - �epa�tmen# of E�►vironmentat-�Rrotection=Gypress.'Baytiead�, We�and Areas and Environmentally Sensl#tve
<br /> Lands,Water/Wastewater Treatmen#. ".�
<br /> - Sauthwest Ftorida Water Management .Dis#rlct Wells; Gypress.�*Bey�eads;� Wettrand' e�reas� At#ering
<br /> Watercourses. - - •
<br /> - Army Corps af Englneers-Seawaiis�Docks,ldavigable Waterways.
<br /> - Department of Health:'& Ret�abl{ita#ive.$er,vices/Environmentai. Nealth Unit Well.s� •VlFastewater�Treatment,
<br /> Septic Tanks.__ .. ` � �
<br /> - US Envlronmen#al Pro#ectian Agency-Asbestos abatemen� - �
<br /> Federal AvlativnAulhority-Runways: �
<br /> !undersland that the.tolloiiving:.resUtct{ons appty"to the use of fllt:�
<br /> - Use of fill is not allowed in�Fiood:Z„o,n�"V"unless expressly permifted. __
<br /> - if the.fiil material Is to 6e used`:ln�:Flood 2one. °A", I� is understood that a drainage plan address[ng a
<br /> "compensattng voEume"wi11 be submltted at#ime of�petmitting which is prepared by a professional engineer
<br /> Qcensed by�the State of Flottda. � - _.
<br /> - . tf th� Fllt matertal�Is to be�used ln Flood �ane 'A° in4 conne�ion�vu3th�� �ermitted building using stem wall
<br /> constnuct(on, I certify,.that flil:wlp-�b.e,used only.to.fill the area wtthin the�stem��wall.
<br /> - If flll materlal !s ta be used"in'"ariy a�ea� I �ceitlfy t�at .use. of such fltl w11! not adversely affect adJacen#
<br /> praperties. !f use,of,fill is f�und�to adverseEy:�f#eat ad)acer�t��pr�perties,.the owner may be ci#ed for vlolating
<br /> � the cond�tons_of the.buliding'permit issued�under the'at�ached._permit appllcation; for::lots-.less than one (1)
<br /> acre w1iEc�i-are eteuated�Eiy flll,��t.englneered drstnage�plan Is required.
<br /> If f am the AGENT FOR.THE 01MNER; I;promlge In good faith to i�form the owner of the��permitting condi#lans set forth tn
<br /> this affldavlt"prior to aommencing canstruction. � unasr�ta�;a tnat�a�s�aparate permit may be requftec!for elecMcal�work. ,
<br /> plumbing,.signs, wells,:pools;. air.candifioning,-.ga�s,�or othe� instalt�itions not.spec�ically lnctuded•1n.the appiication. .A
<br /> permit Issuetl'shall be canshued to-be•a'license-ta�proceed witb'tNe work and not�as�authoNty,to.violate,�"cancel; alter, or
<br /> set aside sny provlsEons of#t�e technlcal code�;�nor shalt tssuance�af a.permtt.pr.event the Bulldirig U#�ic1a1 fram thereafter
<br /> requfring a carrectton,af errors�ln,ptans; construction or vlolations of-eny codes. �very-,p�ermlt=issued'sfiall become invalid
<br /> unless the work author�zed by such perrratt:�ls-co�rtmenced�wtthln sFX,months of permtt issct�nce, ot it wctk authorized by
<br /> #he permit is suspended�or:abandoned.for:a:peria8,of�si�c(8)�moMfia,after#he tirr�e the�work�is commen�ed. An eutension
<br /> may be requested,_tn.writing;,from_tFi'e.Building.afflcial for a pertod'wnot=to�exceed�n(nety=(90)days a�d-uvili demonstrate
<br /> �us#�iabte'cause for.�the extenslo�: If work ceas+ss,for nlr�ety.{90}cons.ecutive�day.s._the�a6;is.cansldered aba�doned. �
<br /> iNARNING TO OWNEt�; YQUF�..FAILURE.Tt?.R�E.C.QEtD.A�lQTICE OF;�CQMMEMCEME#T.11�AY��RESU�:T IN>'YUUR �
<br /> PAYiNG TWICE;FCyR�iMPROVEMEN�'S T�;YOUR�PRt�PERTY:�•:1�°.YO.EI�Ii��D:T�"�IBTAiN-FINi�I`I�EtNG;�ONSUL.T
<br /> WIT U �O: AN- TTO N � �. ��� O G::; pU ' : _ ,O ;. :� E T• `
<br /> FCORlDAJURA?' F.S�,1'f .�3, �'_�� _, ,, _ ::•i�, .._ ._ �.:�� ,,.... ..
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<br /> ��,-�'�'=.______.�-----�,.,.� r— �
<br /> OWNER OR AOBNT '. CONTRACTOR�-���'�'�
<br /> S�b ' d nd swom ta(or ai#irmed}before me th1s S'b b 'swcm�to(ot afRmted}�before ma'ttit�
<br /> _�'�����bY "� 1 .�by�� :
<br /> Wli Isl re o ally kn ta.me or has/have,prvduced Who.ls/are p.ersa elly knowrttcy tn,e,or hasfiave��roduced
<br /> _,����U���fD ` as td'en8flca8an.. ` �fj ir'��fS ?I �n _ as tdentlficaUon.
<br /> .��- ���, ���� -��
<br /> otery Pubtic _ Nofary Publlc
<br /> C mmiss4on[do:` �� Comm sEon�Na,_��cT- �C�S�.ctc"3
<br /> �� .
<br /> Name aC fVotary typed.Pdnted ar stamp Name of Natary typed,pdntad or stamped
<br /> ��,a��:�����.
<br /> ;�;�.Y;Ft,,.DEBRA ELAINE RUFFELL � ,.,�yp,�,,, DEBRA EU11NE RUFPEl�
<br /> ;,,; ,_Cammiss9on#GG 045343 ;�'�*��;�:�ommission#GG 045343
<br /> �r' � a�=Expires htovember 7 2020 ��
<br /> . �":��;;;RP�' Bonded Thm Troy Fafn Insurance BOa385-7019 %°;�''�"�o,r"Expi�es November 7,2020
<br /> +q,t,t.•` 9o�tdedTiwTrayFainlnsutance8�-�g�.Tbig
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