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<br /> NOTiCE.OF DEED,RESTRICTIONS: The understgned;understands�;th�t-:thls:��rmit=.may._be,subJect,to_"deed"restr,lc�lons".. .�.,.,, .._.�
<br /> which may'tieamor.e=r.e'sttictlye��tha�-County�regulattons.�'The underslgned'assumesiresp�'nsibil(ty'�#or�compliance=with any` � � �"�
<br /> applicable.deed�rest�ictlons. .:. ;...;;°...r. �. : � � . . � -., �,.._ -...' -:- _ `_- "; -
<br /> UNLICENSED�'CONTRACTORS AND CONTRACTOR�RESPONSIBILITiLS:� °If=the-�owner has��hired'�a��:contractor or
<br /> contractors�to undertake work; they may.be;reiquired.to.:be,licensed In accordance.with;state.and�local,regulations:<If=the'���' -
<br /> ,....__.._.. _ .
<br /> contractor is�not llcensed as re�quired`tiy'law,�botfi-the owner.and�'cont"r'actor;•may��tie clted for`a�misiiemeanor violatton
<br /> under state Iaw. If the owner or Intended�contractor�are,:uncertaln as�to what Itcensing;requirements'may�apply-��fdratFie° - ��_-'
<br /> .,.,.�,,1,>.... .;. : . .; ,-_.�. -,...: ..... _ � . ..
<br /> Intend�d�work, they are advlsed'to contact the,Pasco:County_:Building�inspection.Dlvision-Ltcensing Section at 727-847-
<br /> 8009. FurtFiermore, if the owner`tias'��hired-a :conUacfor'o�contractors, he Is advised to have�the contractor(s),_sign; , ;,w �
<br /> portions of the._°contractor.Block".of,this�applicatlon=for.which.they will !ie_�r.esponslble.- If::you;_as_#he owne�`�sign"as"the '" "'
<br /> cont�actor, that°�may'be an indicatlon that`tie`Is not:properly'Iicensed'antl��is-'not entitled"to permitting priuileges in Pasco
<br /> County. _° �� ; �-��..:�;�Y�_ .�.�
<br /> �. :. . __ .. . . .. �_... ... . �
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<br /> TRANSPORTATIONdIMPACTIUTILITIES�(MPAC7'�ANb�RESOURCE RECOVERYfEES:��The�undersigned"�understands
<br /> thatTransportation Impact Fees and.Recourse Recovery,Fees m'ay��appiy��to�tf�e,constructlon of new.buildings�°change�ofe`' `'=` ��=
<br /> use in exis8ng buildings,-or=,expansi�n:�of.�eiiistin�'�bulldings, as speclfled.in Pasco County Ordinance number 89-07 and_
<br /> 90-07, as amended.t;:The undersigned also;urtderstands; ttiait�such fe.es;�:as��najr be�_.due;;wlll�tie identifled at the'=:time�of��"" �r�'r �`
<br /> permittfng. It Is fti"rtHer understood that Transp�ortatlon Impacf'Fees andiResourae.�Recovery�Fees;_must be pald prior to
<br /> receiving-a-'certiflcate=of occupancy"or��flnal�,power,�elease:��:lf�the,proj�ct.:does:not Invclve<�a-�certfftcafe of o�cupancy�o��-��'��-��•�"
<br /> flnal powec release;,the;fees�mu§t`be=pald;,p�lor to.pecmft issuan'ce. F��thermo�e;���If:.Pasco:County�Vllater/Sewer:lmpact� ���:.5�-��
<br /> fees are due;,they,must:be=paid�pnior to:permit�,issuanee:.In..accordance:witli-appllcatife.Pesco��.County�ardinances. •
<br /> CONSTRUCTION'LIEN'LAW�(Cliapte�713� Flor�da Statutes�as amended): If valuadon of work is$2,500.00,ormore,.l� �� : .,_
<br /> certify that .I,-�he.,:applicant�-have:_-been,_:provided��wtth-�a-�copy�=;of_�,.the�:".Florida���onstiuctton�Llen :Law—Homeowner's
<br /> Protection Guide".prepared by�ttie Fio�ida Department;of Agrlc.ultyre and ConsumerAffairs. if the applicant Is someone, .. .
<br /> other than the'owner",.I certify that�l;ha�e�:obta�ined;a;copy.of..the,above:rles:c�lbed;tlocument:�and;p.romis�::in,good�.faith-to s:
<br /> deliver it to.>the:'owner":PHor�toycornmencement:� � � " -� , . . . .� , � , -� �- . . _ .. -
<br /> CANTRACTOR'SlOWNER'S AFFIDAVIT: I.certfGy.;that.,all.;the��information=�in'�this appiicatlon is accurate and that all work
<br /> will'be done in compliance with all.applicable'laws regulating constructlon, zoning and�land,°deyelopment. Applicatton Is
<br /> hereby made.to obtain.a petmikto:.;do-wofk��,and;instellatlon as IndlCefed:-..-<I, ceKify that no work`:or tnstallatton has
<br /> commenced prior to issuance of,a permlf`and that.all work will be pertormed�to meet.standards-of all laws regulating-
<br /> construction, County and Cily codes, zoning regulatians, and land development regulations�tn"the.jurisdtctton.�� I�al'so� �
<br /> certify that I u�derstand that the regulations of other govemment agencies may�apply�to,the_.intended work, and that tt (s
<br /> my responsibility to identify�what.actlons I must�take:to,be,ln:.corrlpllance:,Such agencies include but=are.not Iimited to: • �
<br /> - Department of Ehvironmental��Protect�on-Cypres�.'Beyhead�, V�ledand Areas and Envtronmentally Sensltfve
<br /> Lands�WatedWastewater Treatment.
<br /> ..
<br /> - Southwest Florida Water Management�.District Vllells, Cypress. Bayheads;- �Wetland° Areas� Altering
<br /> Watercourses. - � � ° � � '
<br /> - Army Corps of Engineers�Seawalls, Docks, Navigatile Waterways.
<br /> - Department of,,Health�'8 Rehabilitative.,SeniiceslEnvironmen#al Health Unit Weli.s; Wastewater�Treatment,
<br /> Septic Ta�ks.,. � � � : �
<br /> - US Environmental Protectlon Agency-Asbestos abatement. �
<br /> Federal Avlatlon�Aulhorlty;Runways.�� ,�
<br /> I understand that the.following;restrtctl`ons apply to the use of flll:�
<br /> - Use of fill is not allowed 1n::FloodtZone"V"unless expressly permltted.
<br /> - If the flll mate�lal 1s to`be used:In�:Flood Zone. "A", (t. Is understood that a drainage plan address(ng a
<br /> "compensating volume" will be submltted at time of permifting which ts prepared by a profess(onal engineer
<br /> Ilcensed by'�he�tate of'Flo�ld'a. � � � - - --
<br /> - If ih� flll materlal�.ls to be�used In Flood Zone 'A" In�connec�ion�wlth�a��permltted building using stem wall
<br /> ' construction� I certify,that fill:viclll:b.e used only.to.flll the area withln�the�stem�wall: .
<br /> - If fill materlal Is�-to tie used In any a�ea, I �certlfy that .use. of�such�flll w111 not adversely affect ad)acent
<br /> ' propertles. If use�of flll is found.to adversely:�ffect adjacent properties,.the owner may be clted for vfolating
<br /> � the�cond�lons:.of the bullding':permlt Issued�u�der the=attacFied_�ermlt applicatlon;�for�::lots��.less=than.one (1)
<br /> ac�e whlch�are ele'vated�tiy f11t;��t englneered dralnage plan Is requlred. •
<br /> If I am the AGENT FOR.THE OWNER;,I;.promise In good falth to fnform the owner of�the perniltting condfttons set forth In
<br /> this affidavit'prtor to co`mrrieracing constructlon. I understand thet�a;separate permlt may be requtred for ele�Mcel work�
<br /> ,,„,..,,�•�,
<br /> plumbing, signs� wells,.p;ools;. alr..condttbning,-.g$s, or other. Install�ttons nok spec�lcally Included-ln.the application. .A .
<br /> permlt Issued shall be conshued to`be�a`Ilcense-to��proceed wlth tFie work and not�as-authoNty-to.vlolate;�.cancel, alter, or
<br /> set aslde any provlslons of�lFie technlcal codes;�nor shall Issuance�of a.permlt.prevent the Bulldlrig Offictal from thereafter
<br /> requlring a.correction af�etrors-_fn.plens; constructlon.orvlolatlons of-any codes. Every�piermlt=lssued shall-become Invalid
<br /> unless the work authorized.by such permft:�s.commenced•wlthln sGc.months of�permlt Issuance� or If work authorized by
<br /> the permlt is suspended=or.aba�doned-for-a;period,,of�slx�E$)�montFis`after the.tlrrae the�work�ls commenced. An extension
<br /> may be requested, In writing;,,from.tNe:Bullding,Offlcfal for a perlod.�not-to-exceetl�:nlnety-(90)�days a�d=w111��demonstrate
<br /> justl�able'cause for�the exfens(or�. If work-ceases.for nlnety•(90)cons.ecutive days.._the job�is consldered abandoned.
<br /> 1NARNING TO OWNER: YOUR..FAILIJRE.TU.RE�.OttD,A:.,NOTIGE:OF:•COMMEi�CEMENT�.NFAY-RESULT IN-°YOUR '
<br /> PAYING TWICE;FOR:IMPROVEMENTS�TO;�(OUi�.:PIt�PER7Y."`:I�°YO.U;I��END'T���OBTAIN=FINiI�t�E1NG;�CONSULT
<br /> WITH YOUR LENDER OR ANF�4TTORNEY�EFOR��[tECOR�I�1G"YOUR'NOT-IC �OF°C� � IIAENCEilY1ENT'4 `�
<br /> FLORIDA JURA�(F:S:t17.03} - . - •• • ' _ . . " ' ` . -- ----
<br /> OWNERORA(iENT r� �.. CONTRACTOR �. �a�v�'1�1C� I !k I�l �2�'j �
<br /> S b nd svwm (or affl e ) re me th s Su�b�jc,rl�e1rl' nd'svwm•to(ot aflirr b� ' "re�n�g. �
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<br /> -���b9 -k�'��bY ',�.t,vl//• o/�_`
<br /> V1�o Islare 4rsonall known to.me.or-has/have.produced, Who,I¢� e p.erso�al ow�:,t��n�e;or haslhave-produced �
<br /> E)�/ S //��(�.�P ` as Id'enU8catl4n. " E l�(�/�f.I"�S 1•1 QZ/�2r� . , as IdentlRcadon.
<br /> - uQ. ''.IGIGCAIotery Publlc . � C� lQ Notary Publlc_
<br /> Commisslon No: ��"6/T�'=y'—v Comri�lsslo .No. (��-7 ��S3� .
<br /> bcgR,A -�l��iV� ,�c/�'E�((� �PA- E�-/�-1ti1� �.�h,C�-
<br /> Name ot Notary lyped,printed or stamped Name of No
<br /> ,,,��,,,
<br /> qYP� �{F�VPV��� DEBRAELAINE RUFFELL
<br /> ��. o••., DEBRA ELAINE RUFFELL =�'"''�':
<br /> ;�o� �.; :�; e,,:Commission#GG045343
<br /> ,�: ,:Commission#GG 045343 =y P'Expires November 7,2020
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<br /> :�,��o;:ExpiresNovember7,2020 "•:Fa�;o:�� gondedThmTro Fainlnsurance800-385�7D19
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<br /> „oF��„• BondedThruTroyFalnlneurance800-385�70t9
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