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i <br /> � � _ :. <br /> NQ77CE OF DEED REST,RICTIONS: The uqderslgt�ed;,unde�tands°;th�t,#hi�.�p�rmlt:mayr.be sub�ect to;"deed";r�s#rlctloiis".�_.. �.,._,._:.. <br /> which majr:be�more`:restt:ictive-th���Cau�ty�regr�laf(ons.'�'The undersigned assumes�resprinsibility=for'complianc�'witii��any " � ' " ` <br /> appllcable.deed-resMctlons. • . _ . . .. ' _:�% <br /> UNLICENSED�CGNTRACTORS AND CQN�RJ�ICTOR R@S@ONS181CtTtES: �ff-the owner�has�fiiced`fa`c:ontractor or <br /> cont�actors to undertake work, they mey:be�re�qu;ir�,ed_�to.=b�;llcensed In:accordance.with state.and�local.regulattons,: �if�the�� y °�� <br /> contractor ts not 1lcensetl�es=requlred`tiy lavtir, tioth the avmer ari��eonUactoT�may be°clted�for��a�mis�emeanor v1olation <br /> under state law. If the owner or Intended„�ao,ntraCtor,-;are.,ru�certaln as to what Ilcensing.requireRnents-;m�y�appiy�dfor--�the' �� °�- � <br /> . . .,. .... . ,._. <br /> intended�v�iork,they are`advtsed to caiiitact tl�ie,Pasco County,Building'.Insp�ictton.Divislon--L•fcensing Secttan et 727-847- <br /> 8v09. Furthermore, tf the owner'iias tiired�a con�ecto�'or�corifractors, he is ailvtsed to have #he cantractar(s), sign, , <br /> portlons of the "contcactac_Blockp of_thls�application_for:which.#hey.wUl,be;,cesp.onslble.- if:.you;.as-.#he own'e��sign`�a§`�the� � � '' � <br /> contractar; that-�ay be an Iridicatlon�#hat`Fie�ts iia#properly Ilcensed aiitl`�Is'�iot`eti#itleif to�permltting priiiiileges In Pasca <br /> County. , ;�:r� , _. , ._ <br /> TRANSPORTATION�IMPAGTtUTILI't'IES�=1NlRAGT ANb°RE$QUaCE RECOVERY�FEE�: The undersigned�unders#ands <br /> thatTransportation impact Fees and.Reco.ucse Recovery:Fees mey�tappiy:ta�tfie:constru�fton s►f.new.buiidings�_.cfiange°-of`�� "���- ��' <br /> use in existing bulitlings;�or._expansian�of��exl's'"ti�ig:•buildings� as speclfled.In Pascv County Or'dinance number 89-07 and.. <br /> 90-07, as amended...,�;he undetsigned also,.understands, #hat:�such fees;�as,�nay;be�>.due;,.will.�be identiliad at the�time�of��` �°� ' <br /> permikting. It Is fur'thier unders'tood that Traasp�ortatlon ImpacC�Fees and;R'esource:Recodery��Fees,.must be pald prlor to <br /> rece�ving-a»cerf€�cate,of accupancy°;or�#�naE��power�elease: :l��the.proJ�ct.:does;tto�Irntolve:a>ce�t�ti�te of occupancy.or�==.;��,� `: <br /> final power_retease;�,tF:�e�:t'ees�mu�t:�tie"pald7p�tor ta�permft Issuance. F��thermore;�If:PascoM1_County"INater/$ewet�:lmpact . - <br /> fees are due,.they;must,be<{�ald:prlor.�o,permiE_Isst�ance=ln.,accardance wttfi:��rppllcatilePasco'�Gounty�ordlnances. • <br /> CONSTRIfCi'!ON'1:lEN"I.AitV{CFiapter 713�Flartda Statutes,as amendedj: ifivaluallon of work is$2,5q0.00,:ar more, { � :=af._ <br /> certify that I, �he .appllcant,-have:been .provlded:•w(th-a--copy of�#he"Florida��4onstivctton� Llen :Law--Homeowner's <br /> Protectios� Gufde" prepared by tt�e"Flo�da Depe�men#�of Agrlcut#�re and Consumer;kffat�. (f the appltcant Is �omeone� . . <br /> ather than the"owner", I certlfjr.that I„h�ve.o�itaine'�tl�a�`eopy.of:the�above.-.rles.crltied.�locument�and.ptomise�ln,good'falthto , <br /> deli�er It to:the:`owrie�"'prior=to�siomriiericemerit:�'� .., . . .. _. ,. ;., . . . <br /> CONTRACTOR'Stt'�WNER'8 A�FIDAVIT: I.ceitifyr;ttiat-all�the�lraformation:ln'�thi� appllcatlon is accurate and that all wark <br /> will'be done in compliance with all app8cable�laws regulating constructlon� zoning and�land-devetopment. Appltcatlor� Is <br /> hereby made to obtatn .a permit��to,,..do-wor�:.7and`tnstalla#ion as Indl�afed:�:.;1. certify that no worit ror Instaltation fias <br /> commenced p�lo� to Issuance af'a�permtt and that`.all work wIU be pertormed�ta meet�.standards of all laws regulating� <br /> aonshuctlan, Gounty and Ctty cades, zontng regtalatians, and land devetopment cegt,ita�ans�tn the ju�isdlc#ion.= i at'so <br /> certify that I u�derstand that the regulatlons of other govemment agencles may�apply�to#he lntended work, a�d that it is <br /> my responslbility to Identlfy•what.actlona!must-take:to be<In:.corrlpllance:_S,uch.agenales Include but�are.not limiked to. <br /> - Depattment of Errvironmental�Protectian=Cy�iTe§s.'B$yt�ead�, 1NeNand Areas and Erntronmentaliy Sensitive <br /> I.ands,WaterlWastewater Treatment. ° <br /> - Southwest Fbrtda Wa#er Management: .C�lstrlct Wells� Cypress.b�Bay_heads; Wetland' Areas� Altering, <br /> Watercaurses. ' � <br /> - Army Corps of EnglneersSeawalls�Docks,Navlgable Waketways. <br /> - Department af_,Hea{th.� .Ret�ab�litafive>:Setvlces/Environmen#al>>Flealtb�Unit-Weti.s; Wastewater�Treafinent„ <br /> Septic Tanks::rv. . ' ' � - : . <br /> - US Envt�onmentai Protsc�ton Agency Asbestas$b�temen#.. <br /> Federal Avlat�on�Authorlty»�Runways:- . � � <br /> f understand that the..foAow�ng;restr!'ctlons apply'to tFie use of fllt: <br /> - Use af fill is not ailowed in;Flood Zope"V"uniess expressly permitted. � <br /> - If the� flll materfal-Is'�to�"be used:��In:-�Flood-Zone. "A", (t�Is understood that a dralnage plan addresstng a� <br /> "compensating votume"wili be subm[tted at time of�permEtttng wl�Ich is prepared by a professionai engineer; <br /> Ilcensed by`the State of:Flotlda. � ., � <br /> - If th� �ill matertal`ts to-:be:used In Ftood Zone 'A" In4 cann�ion�w1th�a��ecmt#ted bultdlrtg using stem wa1i, <br /> ' aonstruction, i ce�tity that.flll:viiail:bs�used only.to.fill#he area wlthln the�stem�wall: � <br /> - If flll materla!�Is to be used In anjr area, 1 �ceKlfy tfiat .use of such AI! wlll not adversely afFect ad�acent; <br /> propertles. ff use of fill is.found.to advetsely,�ffect adja�ent�properties�.the owner may be cifed for vioi'ating� <br /> the condl#lons_of the b�llding':permlt Is'sued�under the�att�cfied.,pecmlt eppltcatlon�:for:lots-.less than:one (1)l <br /> �cre whlch aie eleva#ecl�by tIE1,a�t en�trteered dralnage pian ts requlred. . .. � <br /> If I am the.AQENT.FOR THE OYVNER, I;promise In good fatth to Inform the awner of•the permlt#1ng condftlans set forth In; <br /> this affidavlt'prlar to commer�cing consh�uctlan. I understand tha#a�separate pertnit may be requtted for electrRcal work,� <br /> piumbing,:signs, wetls,.,poots;, alr canditioning,.gas� or ott�er`. in�tatl�tions nat�spea�iaalty inctuded�in.the application. .Aj <br /> permit Issued shall be construed to'be'a�Itcense�to�proceed wlth the:wark anr!•not�as:authoNty b vlolate;.cancel� alter, arf <br /> set aslde eny�provtsions of the.#eahnlcal c�dei�;�nar shatl issuance°of a.permlt.pcevent the Bultdlrig Of�ctal from thereafter; <br /> requlring a correctian af errors In:plans,;constivctlan orvlolatlons of�any codes. Every��p�etmlt Issued sfiall beaoma invalid{ <br /> unless the wo�k auEhorized.by suah permlt:�ls.commensed�wlthln stx_months of�permlt lssuance, or IF watk aathorized by; � <br /> the penrtit is suspended ar:abac�doned:•for-a:period:af six:f8}�montiis,-.after,the tlrne the�wotk��s cammenced.. An extenslon i <br /> may be requested,,ln writing;:from_tlie"�iullding,Officlal for a perlod-not.to.exeeed�ninety�(90)"days and will demonstrate' <br /> justt#fable cause for:#he extension: If work ceas+�s..for nlne#y{90}cons.ecutive:day.s,_the�ob�is cansidered abaadoned. • { <br /> WARHING TO QWNER: YOUR.FAIL.tJRE.Tit1,.R�E.C.ORD,A,.[��TtGE:IaF;•CQMM�MGEME�T�:Nl�i4YsRESU1:T IN-YQUR i - ` <br /> PAYiNG i'WICE:FOR iMPROVEMENTS�TOhYOUR��PROPER�TY.�41F°.YO.U�1�1"FErVD�'Ta=��lBTAIN>FIPFAI�EtNG;'C.ONSUL7' I <br /> wir u o� o: n� � o N� o. �����oR� G:� ou � � <br /> , r. : . . <br /> �� : ,; .: ,: . <br /> _ Ff.ORlDA Ji1RA�'•(F,S:'1.17.03},_ _, _ '-`' <br /> ,,, .._ =� . ,,: ... � <br /> . . _ ' - - - <br /> _�---�_____-- -_.__.__Y�_ ._.._--- —: __�___ _ . ___ ---- -- <br /> . _ . -- - , <br /> OWNER 4R AGENT COM'RAC70 � � <br /> 8ubscxibed and awam to�or af�mted)before me lhts Stibstxib snj!'swnm'fia o fftntted)�befot+e me'#tit�- r I <br /> by a'by J� • ; <br /> Who Islare personally kne+nm to.me or haslhave prpduced . o.ls/are p.ersonally own.to me•or haslhave-�ir+aduced • � �. ! <br /> as IdenBftca�on, ' ��� ��iden8�ca#lon. _ <br /> Nniery pubflc _ �\ 0 9-lU��f�=X- ` <br /> �,�'���f� f�����.'' NotaryPubllc <br /> CammissRon No:� Commisstan.No;�� �(��J}�-f�'.� ; <br /> 1��� � <br /> � <br /> Name of Notary typed,prfnted or stamped Neme cf Natary typed,printed ar stam .+.r.� <br /> _ •��a�:ym� DEBRA ELAINE RUFFELt <br /> � ='��' 'k',;;Commission#GG 045343 <br /> ..xy :,,�,�,�:Fxpires November T,2Q20 <br /> 1;kodF;;`�'� Bortded Thru Troy F�in Ins�rance 8U0-38ST019 <br /> �,.�., <br />