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<br /> NOTICE OF DEED REStRICTIONS: The unders(gned undergtands�:,th�t�thi��p�rmlf,;may,abe:subJecfi;to"deed"restrictlons"�'.;��::;.�`:,�':.
<br /> which may��bermore�r.est�ictNe�th��r County��fegulattons:�The�underslgned�'as"sumes°re§p�insibillty��for compliance'witFi�any'" '�"��
<br /> applicable deed restrict(ons. ; .:m�•,.,.: .,.•,. .:a :. • . � ... ' � . � - -
<br /> UNLICENSED-�CONTRAGTORS AND CONTRACTOR RESPON$IBICITIES: °If=the°�owner has��hired��a�`conMactor or
<br /> contractors to undertake work, they mey;b.e.;reiqul�ed�4to.�be�licensed ln,accordance.with�state.andrlocal;,regulation.s.:�Jlfrthe'J�.' � ;�"'
<br /> contracto,r�is-not Ilcensedyas�requlred'tiy lew, botFi the owner and conUacto��may��be�clted-for�a°misiiemeanor violaUon
<br /> under state law. If the owner or Intended,;Lcontractor•,,are„uncertaln as�to what itcensing;requlrements:;may�apply�for."the' .-� ��-���
<br /> Intended'work, they are advised to coritact tFie Pasco County_Building�Inspection,DhilsioiF�--Licenstng Section at 727-847-
<br /> 8009. Funhermore, If the oviiner'fias'filreii`a,cont�acto��or contractors, he Is advised to have <the contractor(s)„sign , . _
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<br /> portions of the "contractor Block°.of.this_appllcatlon..foc,which.:they;wilL-be,-.�esp.onsible: Ifr.you;:as,.the owne�`sign"as'the' ''� �` �
<br /> contractor, that•may�be an indication'that'he°is not.-prope�ly`Ilcensed�antl`is not entiNed'fo pe�mitting priiiileges In Pasco ,
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<br /> County. . .. . ' ' ' .._ _ _ � ���r. •..�;:.
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<br /> TRANSPORTaTION�IMPI4CTNTILITIES'�(MRAC1'�ANb-RESOUItCE RECOVERY�FEES: The undei�s(gned understands
<br /> that Transportation Impact Fees�and.Reco.urse Recovery,Fees may:;apply��-to�tf�e°constructton:of new_bulldtngs,�change�of`_ "`�� =
<br /> use In exi"sting bulldings;-or.=ezparisi�n�of��existin;g'�buildings,�as specifled.in Pasco County Ordinance number 89-07 and,
<br /> 90-07, as amended.,r The undersigned also:urtderstands, that'�such fees;•:as�majr:�e�::dne;�will�be identffled at the�time;of�� -"��. -
<br /> permitting. It Is furtFier understood that Tra�isportation Impacf Fees andsResource�Recovery�Fees.must be pald prior to
<br /> receivtng a."certificate=of occupancy"or�flnal�power>;release:� :If'the,proJect:.does`not Involveaa::certiflcafe of occupancy�or'=9' '�= �'
<br /> flnal power release; the;fees�mu�t�be paid;p�lo�to,permft Issuance. F��thermore;If:.Pasco:County'�Water/Sewer=�lmpact ��. .. .-
<br /> fees are due,.they�.must be<pald.,pn'lor to„permit�issuance`-:in.accordance�viiitli appitcable_Pasco':Gounty ordinances. •
<br /> CONSTRUCTION'LIEN'�LAW�(Cliapter 713� Flor�da Statutes,a�amended): If valuatlon of work is$2�500.00�.or�more,.:l� :� :=.:Y�.
<br /> certify ttiat I,-the.;applicant,:�have;been� provided�with-a-copy- of_.the �"Florida��onstruction' Lten�.:Lav�Momeowner's
<br /> Protection Guide" prepared by�the"FI6�ida Department;of Agriculture and Consumer�Affairs. If the applicant is someone ., � _
<br /> other than the bwner", I cert(fjr.that�l.h�ve.o�taine.d�a'�copy,of:#he�above:.rfescrltied�tlocuir�ent-and:promise�in,good:faith�_to :_
<br /> deliver it to:the-'owner"�pFjor�to�commencement:"=�'"��:� . . - • - � �` � - '- ,- --- . _ .
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certlfy;�th�at_all�.th�;informatlon:in:this applicatlon is accurate.and that all work
<br /> will'be done in compltance with all.appltcable laws regulating construction, zoning and�,land��devefopment. Appitcatfon,is
<br /> hereby made_ to obtain._a.permit:�:to�do„,work,�;and ilnsfallation as IndlCefed:-..-:I cectity that no work ror Installation fias
<br /> commenced p�lo� to Issuance of`a permiEVand that�alf work will be pertormed�to meet..standards•of:all laws regulating-.
<br /> conshuction, County and City codes, zoning regulatlans, and land development regulatlons�tn the jurisdtctton.- I�;also� .
<br /> certlfy that I u�de�stand that the regulations of other government agencies may�apply�to the..intended.work, and that it (s
<br /> my responsibility to ident(fy.what.�ctlons I must�take to be,in:.compllance.S.uch agencles include�but=are..not limited to: �
<br /> - Department of E�v(ronmental`�Protection=Cypress.'B$yheads�, Wetland Areas and Env(ronmentally Sensttive
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Florlda Water Management .District VVells; Cypress.��Bayheads; Wetland Areas� AlteNng
<br /> Watercourses. -
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigatile Waterways.
<br /> - Department of Heaith:;& ReMabllitative:,Services/Environmental Health Unit Well.s� Wastewater��Treatment,
<br /> Septic Tanks: � _
<br /> - US Envlronmental Protectlon Agency-Asbestos abatement. °
<br /> - Federal Avlativn�Authocity-Runways:
<br /> I understand_that the.following:restcictlons'apply to the use of flll:�
<br /> - Use of fill is not allowed in;Flood Zone"V"unless expressly permitted.
<br /> - If the flll mate�fal is to�b.e used::ln::Flood Zane. "A°, (t. Is understood that a drainage p�an addressing a
<br /> "compensating volume" will be submitted at#ime of�permftting wh(ch Is prepared by a professlonal engineer
<br /> Iicensed by�the�tate of':Flottda:" � , � -
<br /> - If the fill material�is to be used fn Flood Zone 'A" in�connection�with�a�permitted building using stem wall
<br /> , ' construction, I certify.that flll:wall:�b.e-used only.to.fill the area withtn�the�stem�wall:
<br /> - If. flll mate�lal Is�to be used in -any area, F�certffy that .usa of��such flll will not adversely affect adJacent
<br /> p�opertfes. If use of flll is found�to adversely.�ffect ad)ac�nt�properties,.the owner may be cited for viofating
<br /> _ the condl#ions of�the building;permit is'sued-under the attached.,�ermit appltcatlon, for lots:less�.than one (1)
<br /> acre wFiicFi ere elevated�tiy flil;acr englneered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,.It.promi�e in,good faith to inform�the�owner of-the-permitting condftlons set forth In
<br /> this affidadtt`prtor to commencing constructlon. I understand thefia�aeparate permlt may be requtred for elecMcal�work,
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<br /> plumbing, signs, welis,:pools;.air.condl�oning,.gas, or other instell�tlons no�.spec�ically induded-tn.the application. .A
<br /> permit Issued shall be construed ta be'a`Itcense°to-proceed with tFie work and not-as�authoNty to..violate��'cancel. alter, o�
<br /> set aside any�provisions of the technical cades;�nor shall issuance�of a.permlt.pcevent the Buildtrig Offlcial from thereafter
<br /> requlring a correction af errors in.pPans; construction or vlolatlons of�any codes. Every p'ermit�lssued stiall�become�fnvalid I
<br /> unless the work authorized.by such permft:�s-cornrrienced�withfn siac mnnths of�permit Issuance, or if work authorized by
<br /> the permtt is-suspended or:abandoned-for:a:periodyof�six:E�6)�montt�s:after the time the�work�is commenced. An extenston
<br /> may be requested� In wciting;:;irom the.Bullding,Officlal for a period:not=to exeeed�ninety�(90)=days a�d�will`demonstrate
<br /> juslifiable'cause for.�the extensbn: If work ceases.for ninety(90)cons.ecutive�days,..the job;Ps consldered abandoned. i
<br /> __. 1MARNING TO OWNER: YQUR..FAILiJRE•T�,�REC.O�t�.�►:,MOTIC@:Ol�,�C�MMENCEIIAENT�:ARI�Y�RESUlT IN YOUR
<br /> PAYING TWICE.F.OR:IMPROVEMENTS.TO:YOUit:PR1�PER'tY:;•1�°YO.U�IN��END`T�'�OBTAIN�FINiAI�1ErtN6;�ONSUI.T
<br /> WITH YOUR LEP1D@R�ORAt�i4�TORNEY�3E��RECOR�1�1��Y0UR'NOTIC�'`aFf�COMIWIENC�Ef(A�NT' ' ,
<br /> FLORIDA JURA�(F.S:t17.03} � ' = ''` ° ' �
<br /> OWMER OR AOENT ld7 �. CONTRAGTO '
<br /> Sub cxt ed and swom r a rmed befo e thls Subscrl e �and'swom�t + t aftirmed)�bafo 'ttilfi ,
<br /> o� 'fo�e
<br /> by �by. � K • �,4TEl N!p
<br /> are e �aliy, novm eor;has/h�v . mduced Who.l, repe�s��aliy,know�n�to�n_�:orhaslhav produced "•
<br /> � ae IdenBflcatlon. /��G�'�:V�; L-�L�ll/�G as i entl8cation.
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<br /> otery Public . Notary Public
<br /> Commisslon NoR �1 � � Commisslon.No. �� �� �✓���� • '
<br /> �,�'JVGL ��a r� �v��l G�'"CTd 4�-S��3
<br /> Name of �inted or stamped Name oi Notary typed,printed or atamped
<br /> '��P'°�a�,, DEBRq E�qINE RUFFELL ""'
<br /> ;'�'••...,,�°. � ,;�<"•"::,u?;�;;DEBRAELAINERUFFELL
<br /> ;.; :,;Commission#GG 045343 :�:Commfssion#
<br /> °': :�=Ex ires "� GG 045343
<br /> :>, �: P November 7,2020 ="���
<br /> '••Fo;F;�"•' ;,, b;:Ex ires November 7,2020
<br /> Bonded ThN 7roy Fain Insurance 80a3i5�7019 ,�����R���p�, p
<br /> ,,,„ BondedThruTroyFainlnsurancegpp365��p19
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