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<br /> NOTtCE Q�DEED RESTRICTIONS: 7he undersigned understands that this permit may be subject ta"deed°restrictions°
<br /> whlch may be rr�ore resfriotive than Connty regufatians. The undersigned assumes rasponsibilify far campliance with any
<br /> applicable deed restrictions. - �
<br /> UNL(CENSED CQNTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor_or
<br /> contrac#ors to underfake work,fhey may be required#o be licensad in accordartce with state and iocal regula#ions, If the
<br /> cantractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor,violatian,
<br /> under state iaw. tf the owner or intendeil contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,ihey are advised to contact the Pasco County Buiiding lnspection Division—Licensing Sectfon.at�27-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contrackqrs, he is advised to have'the cdntracfor{s) sign
<br /> portions of the"confractor Biock"af this application for whicfi#hey wili be responsibte. lf you, as the owner sign as the
<br /> contractar,that may be an indlcatian that he is not properly l�aensed and is not entitled to permi#ting priv�feges in:Pasco'
<br /> County.
<br /> TRANSPORTATIOFt lNiPACTIUTiLITtES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands '
<br /> tha!Transportation Impa�t Fess and Recourse Recovery Fees may appiy to the canstruction-of new buildings,change of
<br /> use in existing bulldings, or expansion of existing buildings,as specified in Pasco County Ordinance number•89-07:and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,wiil be idenCified at the time of
<br /> permitting. It is fucther understood that Transportation Impact Fees and Resource.FZecovery Fees must be.paid prior ta
<br /> receiving a°certificate of occupancy"or final power release. If the.project does not involve a certificate of occupancy or '
<br /> finat power release,the fees must be paid prior#o permit issuance. Furthermore,if Pasco County WaterlSewer Impact
<br /> fees are due,they must be paid prior to permit lssuance in accordance with applicabie Pasco.County ordinances. �
<br /> CONSTRUCTIQN LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,1
<br /> certify that i, the applicant, have been provided with a copy of fhe "Florida Construction Lien Caw—Nomeawner's .
<br /> Protection Guide"prepared by the Florida Qepartment of f�qriculture and Consumer Affairs. !f the appticant is someane
<br /> other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�'priar to cammencemenf. •
<br /> CONTRACTOR'S/QWNER'S AFFIDAVlT: I certify that all the information in this app!lcation is accurate and that a!t wark
<br /> will be done in compliance with ail appiicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obfain a permif to da wark and installation as indicated. t certify that no work or instal(ation has
<br /> commenced prior ta issuence of a permit and that ail work wi!! be performed to meet standards of a!i laws regulat�ng
<br /> construc6on, County and Ciry codes, zoning regulatians, and land development regulations in the jurisdiction. �I aiso
<br /> certify#hat f understand that fhe ragulations o#other govemment agencies may apply ta the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agenciss inclvde but are nat limlted fa:
<br /> - Department of Environmentai Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> L'ands,WateriUVastewater Treatment.
<br /> - Southwest Florida Water Management District-WeUs, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses. '
<br /> - Army Corps of Engineers-Seawaits,Docks,Navigable Waferways.
<br /> - Department of Health & Rehabilitative Services/Environmental Nealth Unit We!!s, Wastewater Treafinenf,
<br /> Sepfic Tanks.
<br /> - US Environmental Pratection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the foitowing restrictions apply to the use of fi11:
<br /> - Use of fll!is not atlowed in Ftood Zone"V"unfess express(y permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood thaf a drainage plan addressing a
<br /> "compensating valame"wilt be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Ftorlda. •
<br /> - If the fill material is to.be used in Flood Zone "A" in connection with a permitted building using stem wali
<br /> consfruction,t t;erfify that fiti will be used anty to fill#he area within the stem wal(.
<br /> - !f fill material is to be used in any area, 1 oertify that use of such fi!! wil( not adversety afFect adjacent �
<br /> properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the condifions of the buitding permif issued under fhe attached permif appiication,for lots iess than one(1)
<br /> - acre which are elevated by flll,an engineersd drainage plan is required.
<br /> If 1 am the AGENT FOR THE OWNER,I promise in good faith ta inform the owner af the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. t understand that a separate permif may be required for electrica�!work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other insta!lations not spec�caliy included in the appl3cation. A
<br /> permit issued shatt be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provlsions o#the technical codes,nor shall issuance of a permft prevent the Buitding(}fficiat from ther,eafter
<br /> requiring a correction of errars in plans,construction or violations of any codes. Every permit issued shafi become fnvalid
<br /> untess the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abartdoned for a period of si�t(6}months afFer fhe time the work is,commenced. An ext�nsian
<br /> may be requested, in writing,from the Building Offioial for a period not to exceed ninety(9Q)days and wil!demonstrats
<br /> justifiabte cause for the extension. ff work ceases for ninety(90)consecutive days,the job Is considered abandoned`
<br /> YVARNING TO qWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT!N YQUR
<br /> PAYING TWICE FOR tMPRO�EMENTS 70 YOUR PROPERTY. iF YOU INTEND TO OB7AIN FINANCING,CON$ULT
<br /> WlTH YOUR LENDER OR AN iRTTORNEY BEFQRE RECORDIN�Y4t1R NOTICE QF COMMENCEiUlENT.
<br /> �LORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT�r—� t'�.� CONTRACTOR 5�.,. ,
<br /> S rib end swam to(or a�irmed�befOre me th!s S bscr3bed nd swom to(or affirmed}b rq,me.this �i
<br /> by MiGF�k_t_iS 7(�a `)____ ���,�nv,e.�r_I�fn�i c7t�ct-OW...�
<br /> �i�la,re g�¢onaJt kn�me or hasthave prodaced is/a persanatly knovm to me or hasthave produced
<br /> ��ir,ir�� i as identificadon. LY/'•ta/I X''L as IdenUflcaHon.
<br /> �"....ru1//,. f�"l3�dQ� Notary Publio ��C� ��,1�/{,� /C.�G,E���� (yp�ry Public
<br /> Commission No.�`(�l��.L�._ Commissfon No. �'� �lr..���L.�
<br /> ���C(. �/C���Q �L�/i�/ rc'.i C�°�r,sr� �i/,��?f/
<br /> Name of Notary typed,printed or stamp Name of Notaty typad rin e r stamnezd
<br /> .�;;��;�.pEBRAELAINE RUFFELL ;�;:`:�'�;,�ti�BRAELAIN£RUFFEI.t
<br /> g :,_Commissian#G�a 0453G3 ,` . -�mmission#GG U45343
<br /> - •�•�=Ex ires November 7,2020 top�:�pires November7,2020
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<br /> f:E�•ae a,�,�na�T ca..�»,......e,Reo=�,n
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