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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned;undergtands;.th�t,this;p@cmit;may_be,subJect,to"aeea".restrictlons_.,.�.,, .__._
<br /> which may=be=more=r.estirictive:th��t�County'�regulaf(ons:'7he�.undersigned�`assume`s��responsitiilttj%"for`compliance with any
<br /> appNcable deed>restric�lons. •W -.:. ;.-_- -. : . .. , °<-.' _. • , ..- ;- ,. , - _ ' _ . : =�. .. - . . ..
<br /> IJNLICENSED•CONTRAGTORS AND CONTRACTOR RESPONSIBILITIES: -;If-tF�e���owner has�°hired��a'conhactvr or
<br /> contractors to undertake work,.they may;be::requlred-.to.:be{Ilcensed in.�ccordance.with;state`.and�Iocalrtregulationss-1f�the��-�` - �-
<br /> contractor��ts�not Ilcensed��as're�qulredztiy law, b'otFr the�owner and:contracto� may�be��clted-for a�misdemeanor violatton
<br /> under state law. If the owner or (ntended>.�contra,ctor;ar,"eµuncertaln,as�.to:-what Ilcensing.requireRnents�mayb:apply�,�for-.tiie`�. • � =•��� �
<br /> intended�work, they are advised fo contact tfie;Pasco.County_Bullding vinspectlon.Divlsfon-Llcensing Section at 727-847-
<br /> 8009. Furthermore, if the ovvrier`Yias"hired�a conUacfor�6r contractors. he is advlsed to have 'the contracto s „sign _.
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<br /> portions of the °contractor Block° of..this:..application_for which:t�iey,will:,be-r.e.sponslble.: :If.�you;,:as;;lhe oinirier�`slgn'�as'the
<br /> contractor, thattnay�be an indication that"'Fie`fs not:properly flcensed�antl"Is"not-entitled',-to perniitting pri�ileges in Pasco
<br /> County. . . . v �, . ,�,� .. .. .. _ , :; •_:-,�.._ ..
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<br /> TRANSPORTATION�IMPie►CTIUTIL{TIES-rMPAC'��ANb RE$OUItCE RECOVERY FEE3:� The undersigned�understands
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<br /> thatTransportation Impact Fees�and.Recourse Recovery,Fees may��applyto�tf�e�constructlon_of new.buildtngs�=change�of'"`� "�=' ��-
<br /> use in existing buildings, oc:�exparisi�n:�of�eiiistin,g��buildings, as spectfled.in P�scv County Or'dinance number 89-07 and:.
<br /> 90-07, as amended.,.r.,The und,ersigned alsaurtderstands, thait�such fees;-:as�mayrbe•.dne;swill:-�be ideMtfled at the�=time��of��� �r•�� °
<br /> permitting. It Is fur'ther understood that Transpo�tation Impact Fees and°Resource_'.Recovery�Fees.must be paid prior to
<br /> receiving a 'certificate=of occupancy" or�flnal.powe,r.�.release:� :If-the,proJect.does`not:involveaa��ceKfficate of occupancy�o�:�"��'-="`-`�
<br /> flnal power release;_tlie;fees-mu�t'�be"pald,pelor to,permit Issuance. Fti,�thermore;�ff:Pasco,,County'-Water/Sewer;lmpact ::���.•���
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<br /> fees are due,;they,must.be=paid�prior to.permit�,i§suance°:in.�accord_"a_nce with�applicable=:Pasco'.County�o�ilinances. •
<br /> CONSTRUC�ION; .L':IEN`Li4YV-(Ciiapter 713� FlorXda Statutes,as,amended):,, If valuation of work is$2�500.00.;or.more�.l- ,,
<br /> certify that I, -the.-appilcant,.-have,been :provided��with-a-copy:of'.the�,�"Florida���onstivctton�.Llen.Lawr—Homeowner's
<br /> Protection Guide" prepared bythe Flo�ida Department:of Agriculture and ConsumerAffairs. If the applicant is someone �- :;;
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<br /> other than the'owner", I certffy-that l�,h�ve,obtained�a�copy.of:the�:above:.described.docurr�ent-and;ptorxil�e�`In,good`faith�to .. :.�;
<br /> deliver It to.the.'owner::p�ior�to'�ccmmencement:�'''" `, � . _ � � � ----- ' .
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify-.that.all th�;information:In`this application is accurate and that all work
<br /> will'be done in compliance writh all applicable laws �egulating constructlon, zoning and�land��development. Application is
<br /> hereby made to,obtain :a permit;;to,;,do.work�;and;fnstallatlon as indl�efed.�• :I. ceitify fhat no work`°or installation has
<br /> commenced prior to Issuance of�a permif�and that'.ali work will be pertormed to meet-standards-of:all laws regulating-
<br /> constructlon, County and City codes, zoning regulatians� and land development tegulations=ln the,Jurisdtction: I��al'so�
<br /> certify that I understand that the regulatlons of other government agencles may�apply�to the�intended work, and that it is
<br /> my responsibility to identlfy•what.acttons 1 must take:to be<In:.c:ompllar�cs:,.S.uch agencies include-but-are.not Ilmited to:.
<br /> - Department of Erlvlronmental>�Pi�otection-Cyp�ess.`Beyhead�, WeNand Areas and Envlronmentally Sensttive
<br /> Lands�WaterMlastewater Treatment. ,_ ..
<br /> - Southwest Florida Water Management .Distrfct Wells, Cypress. Bay.heads;- Wetland' Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Englneers-Seawalls,Docks, lVavlgatile Waterways.
<br /> - Department_of.Health�'8 .Rehabl8tative $enilces/EnvironmenCal Health Unit Well.s,.�Wastewater�Treatment,
<br /> Se�tic Tanks.. ' � � �- � :
<br /> - US Envlranmental Protectlon Agency-Asbestos abatement. _ �
<br /> Federal Avletlon:Authorlty-Runways.
<br /> I understand that the.following:restrlctlons apply to the use of flll:
<br /> - Use of fill is not allowed In°;Flood;Zone"V"unless expressly permltted.
<br /> - If the �flll materiak is to be used-`In :Floo�i Zone. "A", It. Is understood�that a dralnage plan addresstng a
<br /> °compensattng volume°will be submltted at,#ime of petmltting wh(ch is prepared by a professfonal engtneer
<br /> Ilcensed by�he State of'Flo�lda: � � _ - ' -' '
<br /> - If ih� flll materlal�.ls�to be:us_ed In Flood �one "A" In�connec�ion�vulth:a pecmltted buildtng using stem wall
<br /> � construc�lon., I cer8fy,that.fUl�:wlll:b.e�used only.to#111 the area wlthln�the�stem wall: ,
<br /> - If�fl�ll materlal Is�to be used In any a�ea, I��certffy that .use of such flll wlll not adversely affect adjacent
<br /> ' propertles. If use of flll Is found to adversely:�ffect adJaEent�propertie5�.the owner may be clted for vlofating
<br /> � the condl#tons of the bullding;permlt Issued�under the'atEacFied„permlt appllcatlon,.for�lots�less�than:one (1)
<br /> acre whlch are elevated�tiy illl;an englneered dralnage plan is requtred. •
<br /> If 1 am the AGENT FOR THE AIMNER;,I;promise In good falth to Inform the�owner of the permttting condftlons set forth In
<br /> thls affidavlt`prior to commer�cing constructlon. I understand that,aTaeparate permlt may be requlred for elecMcal.work. .
<br /> plumbing, signs, wells, pools;. alr condttloning,.gas,�.oc other Install�ttons not.spec�lcally Included-In.the application. .A
<br /> permlt Issued'shall be construed to 6e�a`Ilcense to�proceed wlth'tFte work and not�as:authortiy.�.to..vlolate,'cancel, alter, or
<br /> set aslde any provlslons of the.technlcal.codes;�nor shall Issuance�of a.permlt.prevent the Bulldlrig Oi�iclal from thereafter
<br /> requlrin.g a correctton af errors:ln_plans; consfivctlon or vlolatlons of�any codes. Eve•ry•�p'ermlt=lssued'sfiall become invalid
<br /> unless the work authorized.by such permit:�ls-commenced•wlthln sfX;months of�permlt Issuance� or If work authorized by
<br /> the permlt is suspended or:abandoned.for.a;period;of�slx�(8)�monffis.-after the:tlme the�work�ts commenced. An extenslon
<br /> may be requested� In wctting,,;f�om.the:Bullding,Offlclal for a perlod.not to-exceed=nlriety=(90)�days a�d=�virllf demonstrate
<br /> justl�able'cause tor�the extenslon: If work_ceas�s.for nlnety(90)cons.ecutive�day.s�..th�job�is.consldered aba�doned.
<br /> WARNING TO OWNER: YOUR..FAILWRE-Ttl.REC.ORQ,A;:MOTIGE:OF,�COMMEMCEMENT,MAY�RESULT IN-YOUR
<br /> PAYING 71RYICE.,POR IMPROV ` ENTS>TO..YOUR:�.PROPERTY:���IF�YO.U�IN�fEI�ID�'T0-'�BTAIN�FINAwE1NG;�ONSULT
<br /> WIT U O. A � O N �. - �R� fs:� OU ' �C ' � E �
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<br /> __ FtORiDA'JUi�T f�:�:t�7:e3)- --- - — -- - --- -- - - - - - — --�- - —
<br /> OWNER OR AOENT .- . ONTRACTO
<br /> Su ed and swom to(or afflrmed)before me thls Sub crl ed and'swo � rmed)�b me'ltil __
<br /> � ny � 9 8" �a—•.•by.
<br /> o Islare personally known to.me.or:haslhave produced Who.ls/are p.ersonallyknown•to me.or haslhave-produced • �
<br /> - as Id'en8flcatl4ri. _ as IdentlftcaUon.
<br /> Notary Publlc . � Notary Publlc
<br /> Com Isslon No: Co misslon�No.
<br /> ' �e � � u , �
<br /> Name of Notary typed,print or stam ed Name oi Notery typed,pdnted or stampe
<br /> •'"':;U•ti DEBRAELAINERUFFELL ���
<br /> �E ,S� .��e;••, •:�::w�; DEBRAELAINE RUFFELL
<br /> ; • :Commission#GG 045343 ��'� �';:�ommissi
<br /> j� •�� ;Fxpires November 7,2020 ' �• on#GG 045343
<br /> :_�•; . • t=� a�s Expires November7,2020
<br /> _ '•?������;,. �ort��iThruTroyFainlnsuranceo00�365�7019 �N�yNt�'�Bon�odTAruTroyF�mlrvurartea800-36ST019
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