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<br /> N0T10E OF DEED RESTRICTIONS: The undecslgned undergtands�:th�t this;��rmifmay:be.sub)ect;to"deed"_restrictions.; ;... _..
<br /> which may be=more',restttctive-tha�County��regulatfons:=The u'nderslgned�assumea��esponsitiiltfy'for'compllance�iivith`any�� ` -'�
<br /> applicable deed reshictlons. �.;. .: ,._, - . � � �
<br /> UNLICENSED�CONTRACTORS-AND CONTRACTOR RESPONSIBILITI�S: -=If�fhe owner�has�hired`-a"contractor or
<br /> contractors to undertake work, they, may:be;r�quired.�to..be-.11censed in accordance.with state.and;local regulatlons: �If��theT=_ -
<br /> contractor-Is not 1(censed:.a��requlced`tiy�law, both�the owner and��conUactorxinay be�cited�for�ahmisdemeanor violatlon
<br /> under state law. If the owner or Intended�;contractvr�are;uncertaln �s to wh�t Iicensing.requireRnents-mayr:apply:�.�for•=tiie � � �
<br /> . � .....� .::. .._..�v �. ..
<br /> intended work,'they are_advised to contact tfie Pasco County_Building'inspection DIvlslon-Licensing Section at 727-847- �
<br /> 8008. Furttiermore� if the owner has'�hired`a conGactor o� contractors, he is �dvlsed to have the contractor(s) sign �
<br /> r.T„.,
<br /> portions of the"contractor..Block" of.this�appllcation.for,which.they will..be,responslble: If=you;.as.fhe oviirie�'`sign��as"the�' �" �
<br /> contractor; that may be an indication that'he=1s not.properly Iicensed�and�is�not entitled to permitting pririileges tn Pasco {
<br /> County. �` � ` �
<br /> Tf�ANSPORTA710N:IMPACTIUTILITIE$°•rMPAC7�ANb�ItESAU1tCE RECOVERY�FEES:��The unders(gned-understands
<br /> that Transportation Impact Fees�and.Recourse Recovery.Fees may.appiy,rta tf�e,construction of new.�buildtngs,::change`of`� ' � � '�
<br /> use in exisNng buildings,-or.:expansi�nrof�existin,g.�buildings, as speclfled.in Pasco�County Ordinance number 89-07 and._
<br /> 90-07, as amended.,�,,�he. undersigned also;understands, th:at:�such fees;�as•ma�r;be�due;,will:be tdentifled at the��tii�e�of-�� -� ��`
<br /> permitting. It Is furtFier understood that Transportation impact Fees and,ResourcelRecovery�Fees,mu�t be pald prior to
<br /> receiving-a "certfficate=of<occupancy"�or�flnal�power;release: :Ifithe.project..does..not irnolve:a-.ce�tfficate of occupancy o��`=-= • ' '
<br /> flnal power release; the�,fees�must,be"paid;pclor,to.permit issuance. F��thermore;�if:Pasco County`INater/Sewer:lmpact �, ��
<br /> fees are due;.they_must.be pald;:prlor to.per.mit-lssuance�in_accordance wltff:appllcable�Pascv�County�ordinances. •
<br /> CONSTRUCTION'LIEN'I.AW'Clia Ee�713 Florlda Statutea as amend�d : If valuatlon of work is 2 500.00 or:rnore .I :,
<br /> � P � � 1 $ , ,
<br /> certify tfiat I, the �applicant;:�have�_been-prorrided �with--a=copy of the �"Flortda� Construotton� LIen:Lav�—Homeowner's
<br /> Protectlon Gutde" prepared by:the Florida Department�of Agrfculture and Consumet�Affairs. If the applicant is someone ,. :,
<br /> other than the°owner", I certifjr that i-have,obtained�a"�copy;of..the.above..d�scrab'ed ifocur�ent�and:promise:in,good�:faith-to ,:,
<br /> deliver it to.tfie�`owner":�p�ioc:to�comrriencemerit�� "�. � ' `� � '� - .•'- .
<br /> CONTRACTOR'S10WNER'S AFFIDAVIT: f.certi�y:�,th:at�.all�the:information':I��thls applicatlon is accurate.and that all work
<br /> will�be done in compliance w(th ail.appitcable laws regulating constructlon� zoninp and:•land development. Appltcatton_is
<br /> hereby made toxobtain,a .permit�,�to.do._:work,:,and�Installation as indt�efed:.�,.-I, ce�tify that no worksor Installatton fia"s
<br /> commenced prior to issuance of a perrriit`and that:atl work will be pertormed�to meet standards-of ail laws regulating�_
<br /> constructlon, County and City codes, zoning regulatiQns, and land development tegulations�tn the jurtsdiction. I al'so ..
<br /> certify that I understand that the regulations of other�governm�nt agencies may�apply�to the intended work, and that it is
<br /> my respons(bility to identifjr�what.actions I must take:to be�in:.carnpliar�ce: S.uch:agencles Include but are.not Ilmited to: ���
<br /> - Depa�tment of Er�v(ronmental�Prctection=Cypress.'Bayhead�, INetland Areas and Envfronmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Fiorida Water Management: .Distr(ct Vllells, Cypress.'�Baybeads;- Wetland Areas, Alter�ng
<br /> Watercourses. � �
<br /> - Army Corps of Engtneers-Seawalls, Docks, Navigatile Waterways. � ,
<br /> - Department of Health'.& ReY�abllitative�ServiceslEnvironmen#al=.Health Unit:Weils, Wastev�rater-Treatment, �
<br /> Septlo Tanks.___ ._": '� � ' _ - _ '
<br /> - US Envi�onmental�Protection Agency-Asbestos abatement,,
<br /> Federal Av,latlon.Authority-Rurnvays:� ,-, - , �
<br /> I understand.that the.folloiiv�ng�reskictlons apply`to tFie"use of flIL••
<br /> - Use of fill Is not allowed in�Flood,Zo,ne"V"unless expressly,permttted. �
<br /> - if the-:fill mate�lal is to 6.e�used�In_:Flood Zone. "A", �It. is understood that a drainage plan addressing �
<br /> "compensat(ng volumep will be submitted at#ime of permitting which Is prepared by a professional enginee�
<br /> Ilcensed by�he State of`Florida: � � �
<br /> - If ih� flll�materlal�_is to�be used in Flood Zone 'A" In�connection�with�a�{�ermitted building using stem wall
<br /> constructton,,I certiry th�t f[Il:uvall=b.e used oniy.to.fill the area w(thin the�stem�wali: � �
<br /> - if flll materlal (s to be used in�any area, I �c�rtify that .use. of such flll will not adversely affect adJacent
<br /> properties. If use of flll is found to adversely:�f�ect adJacent�properties,.the owner may be clted for vlolating
<br /> the�condllions.of..the building:permit Issued�under ihe atEached._permit application;�for:lots�:less�than.one (1:)
<br /> acre wfiich a�e elevated��by flll,a�r engineered dralnag�plan is required. . .
<br /> If 1 am the AGENT FOR TFIE;OYYNER, I�promise In good faith to tnform the owner of-the permitting conditloas set forth in
<br /> this affidavtt�prior to commencing construction. i understand thet a�separate permlt may be requlred for elecMcal work,
<br /> rm.. .,,...
<br /> plumbing, signs,.wells,.pools;. air,conditioning, .gas,��or otMer tnstall�tlons nol,spec�ically included�in the appNcation. .A
<br /> permit Issued shalf be construed to��be'�a�license�to��proceed with tFie�work and not�as:authority�to:vlolate;��`cancel, alter, or
<br /> set aside any"provistons of the technical codes; nor shall tssuance�of a.permit.prevent the Bulldirig O#ficial from thereafte� �
<br /> requirin.g a coRectton Qf errors in..plans, consttuction or violat(ons of-any codes.�.Every permit�Issued shall•become invalid
<br /> uniess the work authorized by such permit:�ls-commenced•wtth(n sGc.months of�permit Issuance, or if work authorized by
<br /> the pemnft is suspended or.aba�doned-for:a;period.of six•f�)montfis.after:the#Ime the�wo�k�is cominenced. An extension
<br /> may be requested, In wrtt(ng,:,from.the;Bullding,Offlclal for a period:not.to.exceed�ntnety�(90) days ai�d wiil demonstrate
<br /> justifiable;cause tor�the extension�. If work.ceases.for n(nety{90)cons.ecutive:day.s�..the)ob�is considered aba�doned. _
<br /> VdVARNIIVG TO OWNER: YOUR..FAILIJRE.•TQ..REC.ORD A�-MOTIGE O�.�COMMENCEMEI�T-NFAY RESULT IN�YOUit
<br /> PAYING TNICE;FOR:•IMPROVEMEN�'S T�;XOUR:PRQPER7Y.���IF°YO.U�IN�fEND�TO'�BTAIN�FINA(�E1NG;'CONSULT
<br /> WIT U . D O. AN ATfO FOR�� -OR�1 ��� OU � � �C �'O �'� �•�' � T' �
<br />_ FLORIDA JURA��(F.S::1.17 3) _ — --- _ - :, -_�----- --- — --- - --- -- -- = — -- - - -- - -----
<br /> OWNER OR AOENT CONTRACTO �
<br /> Sub cxlbed nd swom to(or aflirtned)bei�o ��e�hIs Subs bed and'swom�to(ot�a(flnned)��befcre me g �
<br />� /?�j2l��by �7��. H�xl1L� .by... ,_G2�5�- /�l/'2/cc.>
<br /> i sf�are�qr�onally kn ��o�rt�s or.has/have produced Who. are nally knowm•to . ,or hasRreve�produced •
<br /> ��ll/KK-\ "L-!C���J��s identlflcatlpn. � as IdentlBcadon. -. '
<br /> ublic . , Notary Publlc
<br /> Commisslo No: ��t(�j��5�1L� C m19slon�Na 6 �
<br /> � Q�1� � � �P�ic� G/Q��,e �u�f�!l
<br /> Name ot No ' Name of Notery lyped n ed or atam ed
<br /> <��e¢�; DEBRAELAINERUFFELL •�w����;4, DEBRAELAINERUFFELL
<br /> I :� °;:Commission#GG 045343 s��"''••:'. _
<br /> I ��P.`Expires November 7,2020 =.; ..Commission#GG 045343
<br /> �� '%�'P,';;;°p' BondedThruTroyFainlNurance800�385�7019 =9;�P;ExpiresNovember7,2020
<br /> - , •�°;,;;.�•' Bonded Thru T�oy Fain Insurance 800-38�70t 9
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