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�lOT6CE O�DEED RESTRICTiONS: '�he undecsigned und�rs�ands��th.�t.this:p�mti�may.be.subject to°deed"restrictlons" � _ .
<br /> which m�y 6e<more��r.est�ictiv�=th��C�untji�IatCons:`°l'F�e und�rslgned sssumes responsibility for�compliance vuitt��any -
<br /> applicable deed resQ�ictions. � - , - � '
<br /> ���I�����p.���T�,����� �q�p Gpi�'�,��'O�-���P�N�1�1�1��: -If the owner has°�hired��a� contractor or
<br /> contractors to und�rtake woek,they may be_r�quired.to:be;ltcensed ln�ccordance.vulth stat�.and:local_.regulaHons. =1f the�
<br /> contractor I� not Itcensed-as requlred':by law, bottr the owmer and:aont�actoc tnay��be�cited=for`a�mi�demeancr vioi�tion
<br /> ue�d�r state Iaw. If the owner or intended�contr�ctor ere•uncertaln as M what Itc�naing.r�qulremerrts may:appty-for the
<br /> intended wark� they�re ad"vfsed to contact the.Pasco�ounty�ullcltng In�p�ctlon Divislor�-Licensing Section at 727-64T-
<br /> 800�. Furthermore, I€ the ourmer has hired�a contractor o�conte�actors, he is advised to have the contractor(s) sOgn
<br /> portion� of th��°contractor Block`' of.thta:appltcstion for_which they will_be.responslble. �f�.you��as..the owner'sign as the `
<br /> contractor, th�t�may be an indicatlon thaf'he ls not:p�ope�y 11c�nsed an� is�ciot en88ed to permitting prhrll�ges in Pasco
<br /> County.
<br /> ���II��ARTATIOM.Ii�IPl�CT1UTl�:1'�'II�S`(AAPA�7��I����ES��i�C�f�E���RY�EE�: Yhe undersigned"understands
<br /> that Yr�nspoetetlon Impact Fe�s:and.Reco.urse Recove.ry.F�es may;apply=to:tf�e construction�of new_buildtngs�=change of -
<br /> use in �xisting buildings, or�expansioR•of�eztsti�i,g'�6uildings, as specifled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as �mended., The undersigned also:understands� QhaE:such f�es.-.as�:�nay�b�•due;rwlll:�be ldentffied at the�time of�
<br /> pemnilting. It Is furtFier understood that Trac�§portation Ir�pact Fees and�1te�ource Recovery:Fees.must be paid prio�to
<br /> rece�ving a�c�rtiflcate of-occupancy" or flnal power�r�leas�. :If�the proj�ct�;�o�s•.not involv�_a•.certiftcafe of occupancy.,o�
<br /> flnal powee relegs�. the-f�es mu�t 6e paid pr.tor to_permtt issuanc�. F�Xthermore;�if-Pasco�C,ounty lNat�dSewer:lmpact
<br /> fe�s are due,they.mustbe�pald;prior to permit�-ls�uance=ln accordance vulth�applicabte Pasco'County ordinances. -
<br /> �OI�ST9�d�C�IOM LIEPI I.AW(Cliapter 713� Flor�d��tat�ates,as amended): ifi valuation of work ts 52,500.00 or more� I� . -
<br /> certify �ha4 !, #he appiicant�_ have-been provided with a copy-of. the�°F,Iorida� Construction� Lten-Law—Homeowner's
<br /> Protection Guide° prep�red by"the Flo�ida Department�of�Sgric.ulture and Con�umer.Affa(rs. If 4he applicant is someone
<br /> other than the"owner", I certifj+-that I�h�ve,obtained'a`copy.og:th�above.:�escritied��focu�ent°and.promise�in;good.faith to
<br /> deliv�r it to the:'own�r�-p�ior to•commencement:' � • ' •
<br /> �O�dT�6TAR'S/A1Nt�ER°�AFFI9AVIT: I.certify.th�at.ail�th��.inf�rmati�n:l�thl.s appllcallon is accurate.and that all�vork
<br /> will�be done in compliance with all.appl(cable laws regula8ng construction, zoning and:land�dev�lopment. Applicat�on is
<br /> her�by m�de to obt�in .a-permit�Co .do_=work:.and-installation �s (ndlCafest� .=°I cettNy that no �►ork-or Inst�ilation-has
<br /> commenced prior to Issuance of'a p�rmiE"and that.all worCc will b� pertorrr�ed�to m�et standards of all laws regulating--
<br /> cans4�uctlon, County and City codes, zoning r�gulations� and land development tegulattons-in the jurisdtctlon. I�aiso
<br /> cer�ify that 0 u�derstarad that the r�gulatlons of other�gover�nment ag�ncies may��pply�to the in4�nded work. and that it is
<br /> my responsibilily 10 id�ntify�wrhat.actions I must•take:M be,tn�oompita�c�:Such agencles tncl�d�but-are.not limtted to:
<br /> - Department of Environmental-Protection=Cypress:��ayhead�; lNeHand Areas and Environmentaily Sensitive
<br /> Lands,�IaterMlastewater Treatment.
<br /> - �outh�✓est Florida Water RAanagemenk :�istrict Vifelis; Cypress.r Bayh�ads, Wetland Aeeas� Aitering
<br /> _ Watercour�es.
<br /> - Army Corps of Englneers�Seawails, Do�ks�fdadigabie Waterways.
<br /> - Departm�nt o_f, Health�=b .ReMabilitative Seniicesl�nvitonmen#al- F9�alth UhiRlfVell.s,_Wastewater Treatment,
<br /> Septic Tanks: ..� . - _
<br /> - CIS Environmental Protectlon Agency-Asbestos abat�ment
<br /> k_ Federal Adlatton:Authorlty=_Rurnvays. - ,
<br /> t.understand tFiat the following:restcictions apply to".the use of flll:-
<br /> - �l��oi fiil is not allawed tn-Flood�Zone"V"un4ess expressly permttted.
<br /> ' - lf the foli m�terial� (s to b.e used. In �flood�Zone "A'� It- is understood that a dratnage pian addressing a
<br /> °compeFlsating volum�"w+ill be submitted at�ms of permitting wbich is prepared by a prof�ssfonai engin�er
<br /> Iicensed by�he State of Flortda: � - - - � -
<br /> - ifi th� fill materlal.ts to be used in Flgod,-Zone 'A° fn=connection-with-���rmift�d buitding using stem wail
<br /> � conslruction, i certify thet�II:w111-be�ased only-to,-�II the=area within.the�stem wall. -
<br /> � - If fill materlal is to be used-in .any area, 1=certtfy t�at usa of=such�flll will not adversely affect adjacent
<br /> ' propertles. If use�of,flll is.found�to adverseEy:affect adjacent=properties,_the owner may be cited for.vfofating
<br /> Qhe cond�ions of th� b�ilding;perniit tssued=under th�at�ached:�ermit application, for._lots less ttian:one (1)
<br /> acre which are elevated�by flil;a�t engineered dralnaga plan ts required. � . • -�
<br /> if I am the�GENT EOR TH��OUlNI�R, I�romi�e in good falfh to t�form the owner of the permltting condiUons set forth in
<br /> this affidav(t�prior to commencing constructfon. 1 understahd`#hat�a=separate pertntt may be tequt�d for�lectricai work,
<br /> plumbing, signs� welis�.pools;, air condltfoning�,.gas;-or other instaft�t[ons nok specificaliy included�tn.the-application. -A
<br /> permit issued 5hall be construed te be a=1lcense�to�proceed vbith ttie vvork and not�as:authority.to.violater-cancel. alter, ar ,
<br /> set aslde any provisions of the.techn(cal codes;�nor shall issuance•of a.permit.prevent th�Bulid(rig Ofiicial from thereafter .
<br /> requ(ring�correction af-ercors in��plans;�construction or vlolations of�any codes.- Every�permlt issued sha11 become indalid
<br /> unless th�v�ork authorized:by such permit-is-commenced�v►rithln shc months of�permit l�suance, or if v►rork authorized by
<br /> ths permtt ds suspended�or.ebandoned-for:�:periodtof-six�(8)-mont�is.aft�e the tirt�e the�work��s commertced. An extension
<br /> may be requested, In w�iting;from ttie�Building.Officfal for a peNod�nof_to exc;eed�ninety�(90)�days a�d�-wiil demonstrat�
<br /> ��stifiabte cause tor�th�extension�. if work ceases:for ninety-(90)consecutive:days,_th�Job�is considered aba�doned.
<br /> �ARNI�l� TO O�IlNEi�: YOUR._FAILIJRE.T�I_.R�E.CA�tQ a1..(�OTIGl�:AF,COMMEMCEMENT�:MAY-RESULT IM°XOUR
<br /> �AYING 11MICE:�AR�IMPROVEMEPI�S:•Tfl:YOUit�PRC�PER'T1F: I�°.Y�.U�I��EKID�`7'A�OB�'A�N=FINA(�E1MG;�CONSULT
<br /> Y,1iT -YO�JR D � -API��� ORNEI� OR� �ECOR� f��YBU ' �C '� �� �- � E C � �NT'
<br /> =LORIbA JURAT(F.S: .0 �- .- . , p- . - ..
<br /> OWNER OR AQENT CONTRACTO
<br /> Sslbs bed an bswam to(or af�rmed)before me this Sube �i�d�end'bvu�m�to(ot afflrtn d)�before r�ie_tti�� . ` -
<br /> Yf-�fs are personai(y known to•me or�hasA�ave produced Who.lc/�naltyknown•to me or haslhave prodix�ii _ :
<br />' as Identlflca@on. as ldeati�Ca�ort �
<br /> I �Q�fLC'-t r��G e•[� /�o L� DG�Otery Public : a�C� f - �tv��y P�
<br /> � � ` Na:= CT�1" (�(�,:�"b�,(—,,/�� Comm� [gn-No. �-( - - _ -
<br /> � � �
<br /> � i.'ax�te�#NoLary(Srped�Ptlnted or stamped Naine of Notary rypsd�_pdnfed or sEamped_ `
<br /> -- ����,,.,
<br /> ��'�°:''' DE�R.A E1qINE RUFFELL � .,�,{'"'�`•�;•. DEBRA ELAINE RUFFELL
<br /> a��'' �'� i - =,� :Commission#GG 045343
<br /> -.; :.;Commiosian#GG 045343 •' � '
<br /> � ": ;�;:ExpirU�Novem . - ``� °c`=Expires November 7 2020
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