|
�l�Y'ICE OF DEED RE�'�RICYIOA9S: 'i'P�a undersign�d under�Qand��;th�t:thi�.p�rm[�.�oay.be:sybjecq to°deed"restrictlons° � _:_
<br /> which m�y be�moro rest�(dt��-th�,��unty�g�i�tlon�: "fFi�under"slgn�d�assumes fesponsitiiltty f�r�cor�ipli�nce witi�"any
<br /> appllcable.deed rest�ictions. : �- . " �
<br /> ���I������..���`��g��� �ap�p ���'�,��'��� �����f��S�ea1T'i��: -�f 4he ow�er has �hUec9 �a..c�nMactor or
<br /> contractors 4o und�rtake w►ork, th�y may be,r.eq�rir�d=.�to<be;l6censed In�ccordanc�.�rlti�state�.and•local regul�tlons. If°the
<br /> contractor t� not�licensed as� requlred':tiy I�vv, both-the own�r and:contaactor��n�y��b�-`cited-foP a�mtsdemeanor violation
<br /> und�r st�te Eavv. Bf the owraer or Inl�nded=a:ontr��tcr e,re:�ncee�aln as to wh�t Ilcensing.requirements rr9ay�appty for- Qhe
<br /> in@�nd�d urork,ihey are�dvls�d to coiitact 4he.Pasco County�ullding Inspection Division—Licensfng Section�t 72T-8�7-
<br /> 8o0g. Furtherrraore, If the ovvn�r has hl�ed � �r��rsctor o� contr�ctors. h� Is �dvisec9 4o h�ve the contractor(s) sign
<br /> portions of the�"contcactor �lock° of.t4�1s.a�plication for__wrhich th�y wiill.be re�ponslble. If you, as.the o��r`stgn�a�the
<br /> contractor, 4ha�t�may be an irrdication 4h�t�8�� i� noY.�ro�erly licen�ed �raai is not�ntitled to p�mif�tl�g ptidl��ges in Pasco
<br /> County.
<br /> T�td��AI�TATiON,if1l�ACTtt17'1�1`�5��`-rI�PAC'�Al�t�-����UIR����C��(�RY�EE�: 'T�he�under�Igned under�tands
<br /> tha4 Tran�port�tion Irnpact Fe�s�and.Reco.urs�Recobery.F�es may;�pply�ta tf�e consbuction of new_buildtngs��chang��of
<br /> use in existing buildings, or�expansio��-of�ezis�ti�i,g'�buildings, �s �p�cMed.in P�sco County Ordinance n�aQnber 89-07 and
<br /> 90-07. as �mended.,.�'he undersigned also:und�rsQands, 4hat:�such f�es�_�:�s:�a�y�[ie�:due;::�noill�;be tdendffied a4 the��Qira�e of
<br /> permitting. It is further understood th�t Tr��spor�aQlon Irnpact F�e� �nd�Resour�.Re�ovsry`�ees.mu�t be paid prior to
<br /> PeceE�ing �°c�e�ificage:of�occup�nc�" or flnal-pov�er��eleas�. :f�th�proj�e�does no�-irnrolv��a�.certfffcate of occupancy,.or� �
<br /> �inal povaer.releas��-the.fe�s mti�t be paid pcior to_permit Issuance. Ft��ther�nore;�ff:PascEs�Coun�y'1Nat�r/Sew�r,lmpact
<br /> fe�s are due,th�y.rnust b�,pald�p�aor to;permit-ls§uance=tn.accordance with:applicabie Pasco--County ordtnances. -
<br /> �OR93'Q'RUCTiON L"IEM�.Ail��(Cli�pteP T13��I�r1tl�Statut�, u amend�d�: Of valuation of work is$2�500.0�•:or more, I� .•
<br /> certify that I, the appiic�nt, hav�-beee� provided•with a copy-�of_4he�°F..lorida�°Gonstructlon� Ll�n_Law—�-0omeowner's
<br /> Protection G�aide" pr�p�red by'the Flo�ida D�paetment�of Agricult�tr� and Consum�t:Affair�. If the appl(canQ is som�one -
<br /> other than the novvbn�r", 9 certlfy-that I;h�ye,obtaln�d�a�py;of:th��abova��scelti�d;�focuFii�ent�and.ptomis�in.:good fadth to
<br /> delider it to the.°ow►n�r.":prlorto-cornrnenc�merit:�' � " � � ' .
<br /> �OR9'�4�TA�'SIOwIWER'�A��IDAVIT: I.ceitify:;that:all.the�;lnformatl�n:ln thl�appllcat(on is accur�te.and that all�rork
<br /> will'be done in compli�nce with all applicable laws P�g�il�ting constructlon� zonie�g and.•land�devel�pment. e4pplica@lon is
<br /> hereby rnade to obtain .a.permB4�.to do_-wark._and in�tailation �s indl�efed:.� �I c�rtity 4h�t no work°or Inst�ilation�has
<br /> commenced pri�r to issuanc� of'a permit�an`d that-:aii �trork wlll b� p��formed�to m�et standards-of all laws r�gula�ng-
<br /> con�tr�actlon, County and City codes,_zoning regulatians� and land development tegu9at(ons•in the-jurtsd(ctlon. (�al'so
<br /> ce�lfy that I uaderst�nd�that the r�guiations of other gav�rnm�nt ag�ncies m�y�apply�to the in4ended work, and that it i�
<br /> my responsibility to identify•what.�ctlons I must�take#o b�dn:.c:ornpllanc�:.Such�gencies Inc6ud�b�at-are.not limited 40:
<br /> - Department of Environrv��ntal�Pro4ection-C�r�ss.��ayh�ad�;�l�l�N�nd �reas and �nvlronrnentally S�resitive
<br /> i.ands,�ilateelW�stewat�r T'r��tamant.
<br /> - South�r�st Florida ll�a�ter 6�lan�g�ment .I�IsUict lNells, Cypress.���ay.h��ds�� VN�tland Ar�as, Alterirrg
<br /> Watercovr§es.
<br /> - Army Corps of Engtn��rs-Se�vaails,�Docks, N�vigalile 1iVaterways.
<br /> - Depar#ment of Health�:.�. Ret�abliitative Seevices/Endironm�n4�l H�a�l4h lJnit W�II.s..NVastevKat�r Tre�tnnen�,
<br /> Septic Tanks:._ _: � - _
<br /> - !1S�nvironmental F'ao4�ctlon Ag�ncy-Asb�sto��bat�m�n�
<br /> Fedee�i Aviatlon:Aulh�rity�;ftunurays.� -
<br /> - I und�rstand ttiat.th�.following�restrictlons�apply tolhe use offlll:
<br /> - �l�e o�fili Is not allowed in Flood:�one"V"unless expressly perrnittsd.
<br /> _ - If the flil mate�i�l- i� to b.� used:in.�Flood -Zone °A°, (t. is understood thaQ�a drainage plan �ddressing a
<br /> °compensating voltam�°.wili be subm(tted at#tme of permitting which is pr�pared by a prof�ssional engineer
<br /> Iicensed by the SQ�te of�lorida: � - -
<br /> - 9f ih� fll1 m�terlal ts Qo be used in Flood Zon� 'A° in��conn�tion-�ith�� permitt�d bullding using stem wall
<br /> , � constru�tion, i certif�that�Ii:vi►ill=b.�used oniy.-to.tlll the area wlthin�4he-stem�av�il. �
<br /> _ - � If fill m�terial�ts to be used �in�any aree; l"�certifjr that .use of such�flll wlll.not adverse(y affect_ adjacent
<br /> � properti�s. If use of fill is found_to a�dv�rs�ly:affecf adjacent-properties, tt�e owner may be cited for-viofating_
<br /> the condlfimrrs of the bu6lding,perrriit issued=under tFie-attached.,�ermit �ppltcation;for.Iots.less�than:o�ne (1}
<br /> acre wF�ich er�el�d�Qed�by fill;aR�ngtn�er�ed dr�in�ge pla�is requtred. - . ��
<br /> � Ifi f am the AGENT EOR YH�.�VI1N�R; I;promi��In good,fai,th to trtform th��o�n►ner of=th�perrtiltting cohdltlons set forth In
<br /> this affidavft�p�ior to comm�r�cing construc4lon. 1 eanderstand thst a=�eparate p�rm(t-may be required for elecMcaf v�rork,
<br /> � plumbin�,_signs, v�elis� pools; air conditioning�.ges;_or-othee Install�Hona naE.spec.(flcal�y ineluded-in.the�application. -A
<br /> ' permit tssued shall be construed tv be a�itcense�:to�pi�ace�d urith the work and not�as:�uthoHty-�to..violaQ�,cancel; alt�r, or .
<br /> set aslde any provisions of the technical cad�s;�nor shall issuance�of a.permEfi.prevent the�u(Idirig Oi�icia!from thereafter
<br /> � requiring a correction af ercors in�.pt�ns; consfruction orviolatlons of any codes:�_Ev�ry•p�rrvitt=issued shall become inv�lid
<br /> unless the work authorized�by such permit:�#s-co�rreenc�d•withln sitc months of-p�rmit Issuance, or!f work authorized by
<br /> the permit is suspended�or,�bar�doned=for a:period;of�six��)-montfis.efte�the tim�th��wo�k�is comm�nced. e4n�xtension
<br /> may b� requested, On writing��fror�4he �ulldirog.Offici�l for� p�rtod.�not.to exc��d--ntr�ty�(g0) days a�d will demon§tcat�
<br /> -justifiable cause for�the extension.. I�wr�rk cea��s:for ninety.(90)cons.ecu@iv�.day.s,-th�Job�is.considered aba�doned.
<br /> VRIARRIING 'PO O�N�f�R: YA.UF��FAILIlitE:T��RE.CAItt�.A�A40TICE�OF°COMMENCC�IAERtT�MAY�RESUL;T IN`YOl1R
<br /> ��YING TVKICE;FOR�ilVIF�OVEMEN�S:T�.XOUi�P��E13'1'1F.�1�°.vO.�l�i.�EM�`7'����T/#ltd�FltV�pEiNG;`COPiSU�.T
<br /> iM9� - tdit D� •A -d1N• : -�f�El�� F��� ��CO�t�! G:� OU ' � E"O _�` :� - E - , ,
<br /> FLORIDP►JUFdA�•(F.S:1. .03} �' " ' . � � � , . �
<br /> 06YNBR CDR AOEMT G��Re1�TOR
<br /> Subs bed and swom to(or�6flr ed)before m�this ubscH ad�and'swom�b( r�afrirmed)-befo me 8�as , -
<br /> •�
<br /> VVI`t b � � /, -b - -
<br /> l o Is/are personally knoam to.m�or�has/have produced UYho.is/are personailyknown�to.me br ha�s*e� � < <
<br /> as Identlfli�tlon. as�; ;i
<br /> " i
<br /> � • . �
<br /> � _ - y
<br /> i �,P T�otary Publlc _ ,Q x'�.-�,��� � '
<br /> � � ..*�= 6 � c::��:�.r��, ' �t– az�.��l� -
<br /> .��.�;� �la�� �-2r�t� - �v�r�a �1a�.ti� �'r��/l ,. , _ _
<br /> -.��a��:��;�.,�:�� �.���:=��� . .: - �. --
<br /> ::•�,. . '
<br /> � DEBRAELAINE RUFFELL ' Tt-''"""'�"`Q"�"'-� �
<br /> I , • Cnmmissfon#GG 045343 , , •�• :?i:�'i���LAINE RUFFELL
<br /> ��.__._ ��,;�, `''� ' R;•;iF��November 7,2020 : _ ° • . ,�t.?.;C�,�;i;nission#GG 045343 �
<br /> �- '•:;�od�;;;; ; �T•�•,?myFaini�sswari"ceEUa385�7ot9 - .�'�•==`=�xpiresNovember7,2020 _._._ _._._ '
<br /> c,_:. �����" ^.....�� '�;,',°�' .;onded Thru7ro Fa -- .
<br /> ,�. ---._��.�__ _ .. _ - ,Y inlnsurance8U0��8�7Dt9
<br /> :.�e,.u„Pr`— _ ____....�
<br />
|