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<br /> NOTICE OF DEED RESTItICTIONS: The undecsigned:Under�tands!;th�trthis.�p�rmit.may..ibeFsubject_to"deed":cestrictions°:� .. .�,
<br /> which may-be�more�rest�Ictive�the��Cou�ty��regulatfons:��The:underslgned��as"sumes;resp�nsibility for�'compilance"witii�any� " ' "`"~`
<br /> appiicable deed�resMct(ons. , '� � _ , _ _. - - �.�
<br /> UNLICENSED CONTRACTORS AND CON�RACTOR RESPON8IBICITIE�:�-•If=the�owner°has�hired"a�contractor or
<br /> contractors to undertake work, they.may�.be..r,equlred 4to.:be-`Ilcensed.-In_acco�dance.wlth state.and�local,.regulations::.If�the���- ; �
<br /> contractor�ls not licensed-as�requlred`tiy law, -b'otFi-°the owner.and=cont�acto�-may be�-clfed for�a�misdemeanor violatlon
<br /> under state Iaw. If the owner or Intended�;contcactor;are,,uncertaln as to what Itrensing..require�nents;may��applyz:for'�the�-� � - -���
<br /> Utended�viiork, they are advised fo coritact ttie"Pasco County_.Building�lnspection Dlvislorr-Llcensing�Section et 727-947-
<br /> 8009. Furthermor�, If the ovmer''tias"hired��a conUactor`o�confractors, he Is advlsed to have the contractor(s);sign, , _
<br /> portions of the "conttactor 81ock". of this._application.for which..they: wilt:be.responsible:. tf.you,.�as.,fhe owner'stgn�as"tlie � � � �
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<br /> contractor; that�may be an Indication that'fie'-1s�not'.prope�ly Iicensed""and`�i§'not entitled to pemiitting�prhiileges In Pasco
<br /> County. � - ._ ' ._. _ . k-� : � �- ,. .
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<br /> TRANSPORTATION�IMPACT/UTiLITIES�rMPAC'�ANb�RESOU1tCE RECOVERY�FEES:�The undersigned understands
<br /> that Transportation Impact Fees and.Reco.ucse.Recovery,Fees mey,:apply;to:tF�e;construction;of new_bui_Idtngs,"change��of`��r�}�-��'•�'�'
<br /> use In existing bulldings,�o�.�expa�lsi�n�of��ezistin��bulldings, as speclfled.in Pascv County O�dinance number 89-07 and
<br /> 90-07, as amended.,f:;�he undersigned aiso:urtderstands, th�t:�such fees;�.-,as�ma�r_�e�,.due;,will:be identified at the�time-of"i� �'��'•�
<br /> permitting. It is iurtlier understood that Transportation Impacf�Fees and'=Resource:Recovery�Fees�mu'st be pald prbr to
<br /> receivUg-� "certiflcate:of�occupancy" or�flnal�.power;release:��:lf=the.proJ�ct::does'�not.Involve:a=:certffic�te of occupan'cyo�,-'��•: �=`�'
<br /> flnal powec-release;�,the��;feesVmust`be p�td';p�lor to.permit issuance. Furthermore;�if Pasco�County°�Water/Sewer=�Impact- -•� .,•� ��•�
<br /> fees are due,,.they must;be;,paid;prior to,p.ermit`iss4ance=ln_accordance..wltli:applfcable-Pasco'�-Gounty;oniinances. �
<br /> CONSTRUCTION�LIEN"LAW"(Cliepter 713� FlorXda Statut�s�as amended): If valuadon of work is$2,500.00.;or-more,�l�� =;:s.�
<br /> cerlify tFiat I, the ,applicant,�have.been-.proylded_�wlth-a•-copy-of__the�`Florida=�onstiuctton� Lien_:Lav�Homeowner's
<br /> Protectfon Guide" prep�red by the Flo�ida Departmenf of Agriculture and Consumer..Affairs. If the applicant is someone,..,..-. ;.• ..
<br /> otherthanth�'owne�", Icertifj►,•.that�l.;;have:opt�)ned°a��eopy,otthe:abpve.�.des,crlbediiocu�nent;and.p.r:or�ise:in,good:faith.Eo ., ;�..x�,
<br /> deliver it to.;the:;owne�':;piior�-to�commencement:" " - ' � " ' � " -- -� - _ ; ,,, --
<br /> CONTRACTOR'SlOWNER'S AFFIDAVIT: I.certlfy:;ttiat�all:the,informetion:;in�this appllcation is accurate.and that all work
<br /> .t..,
<br /> will'be done in compitance with ail.appi(cable laws regulating construction� zoning and��land�development. Applicatlon is
<br /> hereby made to obtain::a permit;;to doywoi`k�and.Installation �s indi�ated:�-�-'I certify that no work�or tnstaliafion ti�a5
<br /> commenced prior to fssuance of'a permif a"nd that:all work will be pertormed�to meet.standards of all laws regula�ing-
<br /> construction, County and City codes, zoning regulatians, and land development regulatlons�in'the�jurtsd(ction:� I�°also ,
<br /> certlfy that i u�derstand that the regulations of other government agencies may�apply�to the.intended:work, and that It is
<br /> my responsibility,to identffy�what.acQons I must take.:to be�in:.complia�ce; S.uch:agencles include but�are..not limited to: ; , �
<br /> - Department of Environmental�Protection=Cypress.'Bayliead�, WeHand Areas and Envfronmentally Sensitive
<br /> Lands,WatedWastewater Treatment. � .
<br /> - Southwest Florida Water Management .�istrlct-Wells, Cypress.� Bayheads; Wetland Areas, Altering
<br /> Watercourses. � � - -
<br /> - Army Corps of Engineers-Seawalls,Uocks,Navigatile Waterways. �
<br /> - Department of,..Heaith•'& RehabllitaBve Serdices/Envfronmental- Health Untt Well.s;:Wastewater=Treatment, �
<br /> Se�tio Tanks:�` . � _ ._ . - _
<br /> - US Environmental Protection Agency-Asbestos abatement. �
<br /> - Federai Avlativn,Authority=Runways.��� , � ' - . • ��
<br /> I understand.that.the.following:�restcictions apply to tFie"use of flIL•• -
<br /> - Use of flll Is�not allowed`in�Flood�Zone"V"unless expressly_.p�rmitted. �
<br /> - if the :flll mateNal=1s to�`ti.e--used�``-In��flood�Zone. "A", (t is understood that a drainage p�an addressing ;a
<br /> °compensating volume"wiil be submttted at�ime of�permitting which is prepared by a professional engineer - � �
<br /> . Ilcensed by'tFie State of',Florida:� �"� �� - �� : �� ` - '
<br /> - if ih� flll�material°is=to�be;used In Flood Zone "A" in�connectfon�with:a permitted building using stem wall
<br /> � construction, I.certify,:that.flll:wall=b.e�used oniy.to#ill the area within the�stem�wall: �
<br /> - If flll material�ls-to be used 'in .any erea, 1 �certify tfiat .use of such flll will not adversely .affect adJacent
<br /> ' properties. If use;of flll is found�to adversely.,�ffect adJa�nt��prope�ties,.the owner may be cited for violaling. ,
<br /> the condlllons.of the building�;permit.Is"sued-under the'attached_permit-�pplicatlon,:for:lots�less than.one (1)
<br /> acre which"are elevated�tiy flll; a�t englneered dralnage plan is required. .
<br /> If i�m the AGENT FOR THE OYYNER, Ir.proinlse In_good faith to inform the owner of�the permitttng condftlons set forth in
<br /> this afPidavit'prtor to commencing construction. I understand that a-sep�rate�permtt may be requtred for elecMcal work, , ,
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<br /> plumbtng,�signs, wells,:poots;. air,cond(tioning,.g�s,:or othe� Install�tlans nol�spec�t�ally Included-in.the application. .A
<br /> permit Issued shall be construed to�'6e�a�liaense'to':proceed wfth tFie�v6ork and not-as:authoHty�to:vlolate;�'cancel, alter, or
<br /> set aside any"provistons of ihe.tecFiolcal.codes;;nor shall issuance�of a.permit.prevent the Buildirig O#ficialfrom thereafter
<br /> requiring a co�rection nf errors;in-plans; construction or vlolations of-any codes. Every�piermit-Issued sfiail"-tiecome�invalid
<br /> unless the work authorized.by such permlt=is-commenced•wtthtn sfac�m.onths of�permit Issuance, or if work authorized by
<br /> the permit is suspended or.aba�doned,-f.or.a;period;of�six;(�)monftis',:after,the`time the�wo�"k�is commenced. An extension
<br /> may be requested, in wr(ting;:_from.tFie:Building.O(flcial for a period:not=to-exceed�=ninety(90)`days a�d-wilC demonstrate
<br /> Justlfiable cause for:the extenslor�. If wack ceases.for ninety.(90)cons.ecutive�days;..the Job;Is considered aba�doned.
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<br /> 1AlARNING TO OWPIER: YOUR..FAILURE.TO.,REC.OltD�A:.NOTIGE_OF��COMMENCEMEMT:MAY�RESUlT-IN YOUR
<br /> PAYING TINICE;FOR:IMPROVEMENTS�tO.;YOUi��.PRL�PER�,TY:s�I�°YO.U=IN��EKID�T�'bBTA1N<FINAI�EING;'CONSULT
<br /> WIT ^'U _ - a �O �AN ATTO N FOR�i . R� ��� OU :�. : ,,�C .,a ;.� <,: . E . .
<br /> , :�,.., ::-- , -.., ; -� . : ;.
<br /> FLORIDA JURA�(FcS:1.1 .03) � ' �' ' - --
<br /> OWNER OR AOENT '`-����%'/` ��� CONTRAGTO ' .`%�y��C .
<br /> Subs b d nd sworq to(or aHirtned efore�n�-th-ls Sub§c�lbe�and'suwom�bo�(ot afflrmed)�befor�e�ne�thig
<br />' -1��by�l/'i� rSI�S�D"�L ' _j�/2�j/?7..by... ,���.1�'7_(_; ,�f�71�$�'l
<br /> V1fi 1s�re pers nall knovm lo.me or has/have produced o.ls/are.p.e onalry known�tq,,me.or haslhave�produced ..
<br /> _ K/V7P�i'� /�O S,�as Identlflcatlqn. ��11P� /L.lj f'lX�,P. as Identlficatlon. _
<br /> � , Notery Publlc _ _�C.J(� � �� !��-% 1 i�/���+ Notary Publlc �
<br /> Commisslon No: �T�7 � � `t'� Comr�Isslon No. ��-T f) /i�.� (�
<br /> �ov��.� �(r��� Qu GP��( _. ,
<br /> Name ot No�?��.nrinted or stam�ped Name o Mo ery type ,printed or atamped
<br /> rl..•.aa�.�!LL4�f+Mt:«w�:..
<br /> �t�Y"��•-. DEBRAELAINEf;UFFE4L - .����t$iY�;'••.,, DEBRAELAINERUFFELL
<br /> (� ;''�y'•:a•s . '; :i' �'S
<br /> y . •:•`,� ,��ommission#G�045343 :�: .�=Commission#GG 045343
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<br /> k' ' ' ' ^s i�l�vember 7,2020 �; b�=Expires November 7,2020
<br /> ':!ru 7roy F�:a les;rrance 80p38r1019 ��:;df c�°p.�Bond�4 Thro Troy Fain insurance 800-385�1019
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