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<br /> N0710E OF DEED RE�TRICTION$: The undeesi9ned,understands�:th�t•this:p�rmif,:may,...be.subject to,"deed",,restrictions" _,._ :��.;:.
<br /> which may�ti'e.�mo�e'r.estcictive=th��County regulatCons: �The�under"slgned�'assumes��responsibiltty for�compiiance with any'"
<br /> appHcable deed rest�ictlons. , ,,.:..�„ ,.. : -. • _. _.. � - . �`:'
<br /> UNLICENSED� CONTRACTORS :AND CONTRACTOR RESPON$IBILITIES: -�If-the�owner has'hired��a"contractar or
<br /> contractors to unde�take work,they may-,be�r,equlr.ed..to:;be,licensed in,aceordance.with,state.and�locaf regulation_s.::if°the��-� �<
<br /> contractor ts�not�itcensed�as�requlred',tiy lew, tiotti the owner and�conuacto���may��be��cited-for"a�misiiemeano� violatton
<br /> under state law. If the owner or Intended:contractor;;are,;uncertaln,as to what Itre.nsing,requirements:;may-:apply_,for:the��-. � �- �;�::
<br /> Intended work, they are advi§ed to contact�fhe�Pasco County,Bulliiing:'Inspection�Divlslon-Llcensing Section at 727-847-
<br /> 8008. Furttiermore� 'If the ovi►ner has�hl�ecJ�a conlracto�"o�contractors, he Is advlsed to have �the contractor(s),:slgn
<br /> �..,:•,�. � .,-,....
<br /> portlons of the:."cont�ctor Block" of,thls�appllcation.for,whlch,they:w1U,be r.esponslble.-. If.=you,-as_.fhe owner,`sign�'as tlie �
<br /> contractor, that�may be an Indicatlon thaf'tie�Is�not.properly`Ilcensed"and��ls not entltled to pemiitHng privlleges ln Pasco
<br /> County. ; _.;,,: •. . , .
<br /> TRANSPORTATIAN�IMPACTIUTILITIES-rMPAC7=ANb RE�OURCE RECOVERYfEE3:-The unde�slgned understands
<br /> that Trensportatlon Impact Fees and:Recourse Recove.ry.Fee� may-;apply�to�the:constructlon_of new_bulldfngs,;change of=����``��� '"`
<br /> use In existing bulldings; or.�.expansl�n��of��ezlstf�;g:�6ulldings, as speclfled.in Pasco County Ordlnance number 89-07 and
<br /> 90-07, as amended.�.The undetslgned also:vnderstands, tliaE:'such fees,yas�may��e:.due;-wfllsbe (denfffied at the�'time��of� � ���-� �'"
<br /> permltting. It Is furtFier understood that Transp�ortatlon Impact Fees and,Resoucce�.Reco�ery�Fees„must be pald prior to
<br /> receiving a °certlficate..of=occupancy" or flnal��power..Gelease:-:If`the.proJ�ct�._does:not Involv�:a�.certificate of occupancy=o�=`=��"�� = �
<br /> flnal power release;_the-,fees�must'tie pald.pcior to,permit Issuance. Ft��thermore;If Pasco,County�VllaterlSewer�_Impact • . � -
<br /> fees are due,.they=mustbe:pald;:pNor to.permit_:Issuance_�n accordance w1th:=appllcable Pasco�:County ortlinances. �
<br /> CONSTRUCTION LIEN'LAW�(Chepter 713� Florlda St�tutes��s amended): If valuatlon of work Is$2,500.00;cr more,:;l� �. =���:�
<br /> certify, that I, �he appllcant;_�have_been provlded=�with-a_copy of'�the°"Florida� �onstructton�:Lle"n :Law—Homeowner's
<br /> Protectlon Gutde" prepared by. the Flo�lda Department�of Agrlc.ulture and Consumer_Affairs. If the appllcant Is someone : . „
<br /> other than the"owner", I certlfy.that;l.h�ve.�.ob,talned�a�copy;of:the:above-.descrlbed�locuir�ent�and.promise�:ln,good:faith-to .
<br /> deliver It to.the.'owner"`.prior�to�commencement:' � '" - , ' - ' . -
<br /> CONTRACTOR'SlOWNER'S AFFIDAVIT: I.ce�tity,that-all th��,lnf.ormatlon::ln�thls appllcatlon is accurate and that all work
<br /> will'be done in compl(ance wlth all appllcable laws regulating constructlon, zontng and land�development. Appllcatlon is
<br /> hereby made to obtain..a.pecmit;,Ca�do.�worlc�,and Installatlon as Indlcafed:�:�°I: certffy that no work�or Installatton has -
<br /> commenced prlor to Issuance of'a permBE`and that.all work wlll be pertormed�to meet.standards-of all laws regulating-
<br /> conshuction, County and City cod�s, zoning regulations, and land development tegulatlons�ln the�jurlsdlctlon.- (��.al'so ..
<br /> certlfy that I understand that the regulatlons of other government agencles may•apply�to.the_lntended work, and that it is
<br /> my responsibllity,to Identifjr•what,acttons I must take M be.In:.corr�plla�ce:.,.Such.agencles lnclude but�are.not Ilmfted to:.. �
<br /> - Department of E�lvironmental>�Protecfion=Cypre'ss`Bayhead�, W`eNand Areas and Ernlronmentally Sensitive
<br /> Lands,WatedVNastewater Treatment.
<br /> - Southwest Florida Water Ma�agement�.Distrtct�.Wells; `Cypress.�B�y�eads, Wetland Areas, Altering
<br /> Watercourses. - � . L� - �
<br /> - Army Corps of Engineers-Seawalls� Docks, iVavfgable Waterways.
<br /> - Department.of ,Health�..& .Rehabllltative.,Servlces/Environmental--Health Unit Well.s, WastewateS;Treatment,
<br /> ��plla Taink�. ` _ - - -- - - - --- - � - - -, � •
<br /> - t1S Environmental Protection Agency-Asbe�fo�a6at�ment.�. . - -
<br /> - Federal Avtativn;Author.Ity.=Runways;� �
<br /> -I understand.that the.following::�estrlctlons apply'to the use of flll:• -
<br /> - Use of flll ls not allowed iniFlood:Zone"V"unless expressly permltted.
<br /> - If the�:fill materlal-Is fo'be used-In.:Flood Zone. "A; It. Is understood �that a dralnage pla�n addresstng a
<br /> °compensating volume" will be subm(tted at�9me of�:permitting which is prepared by a profession�i engineer
<br /> Ilcensed by��he State of;Flo�Ida: - � � , .. � . . .
<br /> - If th� filF-materlal�t"s to be used in Flood Zone 'A" in�connec�ion�wlth��a �errr�ltted�building using stem wall
<br /> � constructlon, I certify that fill:�rall:be�used only.to.fill the.area wlthln.the�stem=uvall: - ,
<br /> - If flll materlal Is to be used ln any area,�I"�certliy that .use of=such flll wlll not adversely aftect adJacent
<br /> propertles. If use_of flll Is found to adversely:�ffect adJaEenf�pcoperties,.the owner may be clted for vlolat(ng '
<br /> the condl#ions._of the bullding�;permlt Issued�under tiie attacfied permlt�appltcatlon,�.for::lots.less:.than:one (1)
<br /> ac�e whlch are elevated'�by f111,an englneered dralnage plan Is requlred. . �
<br /> If I am the AGENT FOR THE OVYNER, I,promise In good falth to inform the-owner of the permltting condftions set forth In
<br /> this affidavtt�prior"to commer�cing constructlon. I understand that a;separate permlt may be requtred for electncal�work� . ., ,
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<br /> plumbing, signs, wells,.,pools;. alr condtttontng,.gas,�or othet Install�ttons not,spec�flealty lncluded�tn.the application. .A ,.
<br /> permlt Issued shall be construed to be�a�Ilcense'-to��proceed wlth"tNe work and not�as:authoNty::to,violate�'cancel, alter, or
<br /> set asfde any�provts(ons of the.tecliolcal codes;�nor shall Issuance�of a.permit.prevent the Bulldlrig O#ficlal from thereafter �
<br /> requlrtnga,co�rectlon:af-errors.ln;plans, consCructlon.orvlolat(onsofanycodes. EVery-piarmtt-lssued"siialFbeaome-invalld
<br /> unless the work authortzed.by such permlt:�ls-commenced�wlthln siX.m.onths of�permlt lssuance, or If work authortzed by
<br /> ihe permlt Is suspended oc:abandoned for:a:perlod-of�slx:�)montf�s:aRer the tlrne the�work ts commenced. An extension
<br /> may be requested, In writing,:from.tNe�Bullding.Offlcla) for a perlod�not.to exceed�niriety=(90)�days a�d wlll demonstrate
<br /> justl6iable cause for:the extension�. If work ceases.for nlnety(90)cons.ecutive.days;..the job�,Ps.considered aba�doned.
<br /> WARNING TO OWNER:_ YOUR„�AILURE,TO,,REC.OltQ.A�.f�OTIGE.OF,�COMMENCEMENT�:MAY-�RESULT IN�YOUR
<br /> PAYING TWICE;FOR IMPROVEMENTS�.TO afO.UI�:P�PERTY.^IF'.YO.UaIN�'�END:TQ`OB7'AIN�FINiA(�1E1NG;�ONSULT
<br /> WITH YOUR LEND�R:ORAµ�1'�TORNEY�BEF�REtREGOR��IN�:YOUR,NtOT1��°OF`COMNlENCE�IENT: �''
<br /> FLORIDA JURA�(F.S:1.1 T.03} � - " � � ' � �
<br /> OlNNER OR AOENT - -:� CONTRACT � �.�_,. I�
<br /> Subscrlbed and swom to(or aNirtned)before me thts Subscrlb and'svumm•to of affl�rned efore me tht§C '
<br />� by � .by... . _ ��
<br />� Who Islare personally knovm to.me or.haslhave produced o.ls/are p.eraonellyJmown�to tRe,or has/have�pmduced • -
<br /> as Identlflcatlon. as Idendflca0on. •
<br /> Notery Publlc _' '�'' Notary Publlc
<br /> Commisslon No: � ' Co r�Isslon�No. (.T • � � .
<br /> � � � - ( .
<br /> Name o/Notary typed,printed or stamped Name of Notery ed rinted or stamped
<br /> ? „�.,.
<br /> , ;�ti:"�:Y�;DEBRq E�qINE RUFFELL
<br /> :,?Commission#GG 045343
<br /> :�:
<br /> ;,, �;;r Expires November 7,2p20
<br /> �4FOP F4�A�, go���7roy F�in Insurance 8pp�g�7019
<br /> 11111
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