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<br /> IVOTiCE OF DEED ItE$TRICTIONS: The undersigned�under�tands�:th�t,thi�.�:p�rmif,�may;be;subJect_to"deed"__restrictlon's" _,_ ,:�..__.
<br /> which may�be�more-rest�ictive�th���County���egulatfons:�•The u�iderslgned�assumes�responsitiility.for^coriipllance witFi any ��
<br /> appllcable deed restrictions. . _ � � � �- -
<br /> UNLICENSED�CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: =-If'�the owner has°`htred �a`contractor or
<br /> contractors to undertake work, they may;be_requlred-:to.;be:licensed In:accordance.with state.and�local regulations: �-1f�the�� -� - �
<br /> contractor (s-not Itcensed�as�requlred-'�by law, both�the owner and contiUaator=may��be�cited�for��a�-misdemeanor violatton
<br /> under state Iaar. If the owner or intended>:contca�tor ace:uncertain as to what Iicensing.requlreRnents,�"may��apply�ior�tfie� � • �
<br /> intended work, they are"advised to contact the�.Pasao County Bullding'Inspection,.Division--Ltcenstng�Section at T27-847-
<br /> 8009. Furthermore, It the ovmer'has'�hired�a con�ractor or contractors, he ts advised to,have �the contractor(s).:sign
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<br /> portions of the_"cont�actor.Block" of this_appllcetton_for,whlch..they wlll.be:r,esponsible.- If:you,�as.#he owner�'slgn`as tiie
<br /> cont�actor;that•may�be an Indication that`he�is not":properly pcensed"antl'is'not entitled to permittfng p�ivlleges in Pasco
<br /> County. ° . • �: ,:_ _
<br /> TRANSPORTATIONfIMPACT/tJTIWTIE$�IMPAC7�A�1b-ItESAU1tCE REGOVERY�FEES:� The undersigned-understands �
<br /> thatTransportation Impact Fees and.Reco.urse Recove.ry.Fees mey:.sppiy��to�tf�e constructton_of new,.buildings,achange�'of'• �
<br /> use in existing buitdings,-oc:expansi�in��of�ezistin��buildtngs��as specifled.in Pasco County Ordinance number 89-07 and.
<br /> 90-07, as amended.; The undersigned also;urtderstands; thaf:`such fees;��as•:may�be:;due;:will�:be idenftfled at the=time�of"� ���'•' '
<br /> permitting. It Is furtFier understoo'd that Tra�isportation Impact Fees and,Resource.:Recovery�Fees.mu'st be pald prior to
<br /> rece€ving-a "certfflcate�of occupancy"�or flnal=power,release: :If�the project�..does::not Involve�:a�.certfficafe of occupancy�o� :-•`={� ' "
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<br /> I flnal powec releaseA.the.--,fee"s"mu�t~tie paid:pc1o�to.,.permft issuanc�. Ft��thermore;if:Pasco,County`Water/Sewer�,lmpact - � ��~
<br /> fees are due,.they_must-be�pald:.prlor_to.permit.issuance°:tn.accordance witF��appticabte Pasco�:County�ordinances. •
<br />' COtdSTRUCTION'LIEN'LAW'(CFiaptir 713� Flor�da§tatute�,��amended): If valuadon of work is$2,500.00.;or:more,:I ��,�_�
<br /> certify tFiat .I, the �applicant,-have_been..provided�-with-a-copy of the�"Florida���Const�titction� Uen "Lav�—Homeowner's
<br /> Protection Gutde" prepared by tlie'Flo�ida-DepartmenC of Agric.ultnre and Consum�r Aifair`s. If the appllcant is someone .., �: :;
<br /> other than the°owne�', I certify-that.:l_.have:optained=a<aopy.of.the.above..des.cribed�ocur�ent,and.pJo,rxiise:Jn;good':faith to
<br /> delive�it to:the�'owne�"�p�ior:to�ciommencemerit:'�` ` ` ' ' ` � � � � "" ' - ,
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I.certlfy:.tFiat�ail:.the�,lnf.ormation In-this application is accurate.and that all work
<br /> will'be done in compliance with all.applicable'laws regulating construction, zoning and:�land�development. Appltcatton is
<br /> hereby made to obtain,.a .permit�..to,;do=wor,'k::.and,ihstallation as tndlCated::.:�1. certify that no work�'or instailatfon ha§
<br /> commenced p�lor to issuance of'.a permit""and that`:all work will be pertormed to meet.standards of all laws regulating•
<br /> construction, County and City codes, zoning regulatians, and land development regulaUons=tn the jurisd(ction. (�ai'so .
<br /> certify that I understand that the regulattons of other government agencies may�apply�to the.intended work, and that it is
<br /> my responstbility to identify•what.act(ons I must�take.to be,in:.corrlpllance:�S.uch agencles include but-are.not iimited to: ��
<br /> - Depaitment of E�vironmental=Protection=Cypress.'Bayhead�; Wetiand Areas and Envlronmentaily Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest FloNda Water Management. .District Wells, Cypress.'�Bayheads; Wetland Areas, Alter�ng
<br /> VVatercourses.
<br /> - Army Corps of Eng(neers-Seawalis� Docks, N�vigable Waterways.
<br /> - Department of Health_;& ReY�abilitative,.Services/Environmental:�.Health Unit Wells, I�Fastewater�Treatment; •
<br /> Se�tic Tanks._.. '' ' - �. ; "
<br /> - US Environmental Protection Agency-Asbestos abatement. - ,
<br /> - FederaFAv,latton.Authority-Runways,:� , � - _
<br /> I understand.that the..following.restrictlons apply fo tfie use of flll:•
<br /> - Use of fill is not allowed in`;Flood�;Zone"V"unl�ss expressly,permitted. ,
<br /> - if the-flll"mate�laG•15 �to be used�in :Flood Zone "A", It. is und�retood that a drainage plan addressing a
<br /> °compensating volume" will be submitted at Ume of permiftJng which ts prepared by a professional enginee�
<br /> Iicensed bytfie��tate of`:Fiotida:. � �� �
<br /> - If ih� flll-material-.ts_to-:be used In Fiood Zone "A" irr connec�lon�with-a�permltted building using stem wall
<br /> � const�uction, I ce�tifjt that flll:�rall:b.e-used only.to.fill the area within�the�stem�wall. � �
<br /> - if flll material�is to be used in any area; I �certffy that .use. of such flil will not adversely af�ect adJacent
<br /> properties. if use of fill Is found to adversely:�ffect adJgEent�prc�pertles,.the owner may be clted for viofating
<br /> the�conditions of_the building-.permlt Issued�under the attached,.�ermit-applicatlon;:for:lots.less than one (1;)
<br /> acre wFiicFi a�e elevated'6y flll,a�r engineered drainage plan is required. . ;
<br /> If I am the AGENT FOIt_THE-OIMNER, I;promise In good faith to laform the�owner of�the�permitting conditio�s set forth in
<br /> this affidavlt`prior to�commencing construction. I understand that�a�separate permlt may be requlred for elecMcal'work,
<br /> plumbing...signs,,wells,,pools;. air condttioNng,-.gas� or otk�er install�ttons not.spec�flcally included-in.the application. .A
<br /> permit Issued shall be construed to'be�a'license°to'proceed with tFie wo�k and_not as:authoNty_:.to.violate;'cancel, alter, or
<br /> set aside any provistons of the.techntcal.c+odes;�nor shall Issuance�of a.permit.prevent the Bulldirig O�ficial from theceafte�
<br /> requiring a correction af eRors=ln�plans; constructioa.or violat(ons of any codes: Every p�ermit=lssued sfiell become invalid
<br /> unless the work authorized.by such permit:ls,commenced•withln sGc.months of permit Issuance� or iFwork authorized by � I
<br /> the pe�rnit is suspended��or.abandoned�-for�a�:period,;of�six��f8)montt�s after,the.tirt�e#he�wo�k�ts commenced. An extension
<br /> may be requested, In writirig,,from.#fie Building.Official for a perlod=�not-to exceed�ninety�(90)days and will demonstrate • i
<br /> justf�able'cause for.�the exfensior�. If work ceases.for Nnety�(90)cons.ecutive:days,..th�)ob�is consfdered aba�doned. � ',
<br /> 1MARNING TO OYVNER: YOUR..FAIUJRE.•TO�,;R�EC;ORQ:Af;.R1071GE OF��COMMENCEMENT.NFAY�RESULT IN�YOUR
<br /> PAYING'11AlI,C,E;FOR.�IMPROVEMEN'1'S:TO:YOUF�:PROPERTY. 1�°YO.U{I�ITEpID�`T�'�OBTAIN�FINAt�E1NG;'C.ON3UL'�____�
<br /> WITH YAUR L�E�VDER:O'R�IN-�1TTORNEY�EFOREiRE�OR�IN���YAUR';�QTICE'O���Q�l�����1�l�l��':_ � -- --- -- - -
<br />—FLOR(�7i!dUPtA�(F:S:9.97:03)-- - - ---- _ _ - _. . _,
<br /> OINNER OR AOENT �cr���� CONTRACTOR . •� `-- �-���
<br /> �Subs bed and swam�o(or aflirtned),�etore me thts Subsc bed and'swom�to(ot aflirtned)�befote e tFil&.
<br /> by S:cr�r-�./L/2�G���'.rrP1.J�. h . y... � 4.��ca.�i �n�rrl��
<br /> Who 1 are ersonally known to.me or haslhave.produced Who.(s/are•personally known•to me oc haslhave produced �
<br /> _.,��j��_G,(�T� � as IdenBflcatlpri. as Identlfication. - '
<br /> ' Notery Public _ ��^� ,�Q, 9�L�� Notary Public .
<br /> Com sslan No: � � Commisslon.No._ G l ,�-�
<br /> � N�' V
<br /> �►�c. C��'t;�e �vF�( ��rA �lQ.c�.e. ��/I �
<br /> Name ot Notary Name of Notery
<br /> .t�':Y:�,�� DEBRA ELAINE RUFFELL 1>ar""'• DEBRA ELAINE RUFFELL
<br /> :ek �oi :a�'���;:=
<br /> � �;k:Commission#GG 045343 �, „Commission#GG 045343 -
<br /> .��. :;;��;:Expires November 7,2020 :� ��:Expires November 7,2020
<br /> '••F��;;°:'�� Bonded Thru Troy Fain Insurance BDO,�E&7019 ��:F��a�'` Bonded ihm Tmy fain Insurance BOa38&7019
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