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<br /> NOTICE OP DEED RESTRICTIONS:. The undersigned undergtands�;th�t;this;:p�rmif,.may.;be,subJect to,�deed",oesUictlons"._,:..�,_,:w.
<br /> which may be=more=r.est�(ctiverthan�County�,cegulatCons�:��The underslgnea-�assumes"resp�nsibillty�for�compilanca w�tFr any
<br /> appNcable.deed�restrictions. ;. �.. � ,,.. .. : � , � = -�
<br /> UNLICENSED-CONTRACTORS AND CONTRACTOR-RESPONSI�ILITIES: =°If the-�owner has°��hired���a`contractar or
<br /> contractors to undertake work, they, may;be<cequired<to.:�be;Ilcensed•in:accordance.with_state�.and;local_regulations: �If�the� -� �'= -
<br /> contractor Is not Itcensed�as�requlred:;tiy IeVir, both'the owner and<contractor�mey be�cited for�a��misdemeanor violatlon
<br /> under state law. If the owner or Intended��contractor;are_:uncertaln as to what Iicensing,requirements.;may:�appty��for':the- - �
<br /> intended work, they are advised"to contact the�Pasco County Bullding4lnspection Dlvlslon--t_icensing Section at 727-847-
<br /> 8009. FurtHermore, If tfie ovirner�fias'hired�a conhactor'or contractors, he Is advlsed to have the contractor(s);,4s(gn ,
<br /> portions of the "contractor Block" of.this,.application.for,which.they WvilL.be.resp.onsible.. If-you;as.#he ovime�'$ign'�a§�the '
<br /> cont�actor; that-may be an Indicatlon thaf'he is not.prope�ly Iicen"sed"and��is not'�entitled"t:o_perrriitting privileges in Pasco
<br /> County. - � � `' � - �
<br /> TRANSPORTATION.IMPACTlIITILITIES°rMPAC'��ANf�RESOURCE RECOVERY�FEES:��The understgnediinderstands
<br /> thatTransportation Impact Fees and.Reco.urse Recove.ry;Fees may�;applya�to�t�e:constructton.of new buildings�-change'of" `- � �
<br /> use in exis8ng buitdings, oc�ezpansi�n,of�existi�i�g;buildings, a§ specffied.in Pasco County Ordinance number�9-07 and
<br /> 90-07, as amended..;.The. undersigned aiso;•understands, thaif.such fees;.;as,ina�be��due;,wlll,be Identtf(ed at the�time°-of� � �
<br /> permitting. It is furtFier understood that Tra�sportatlon Impact'Fees and�Resource:Recovery�Fees.mu�t be pald prbr to
<br /> receEving-a "cerEfficate,of�occupancy"�or flnal�-power;release: :If�the.proj�ck:does=not:Involve�a::certfficate of occupanby'o����• '� � �
<br /> finai power-release;,_the;fees�rnu�t;be paid,prtor to.permit tssua�ice. Ft��thermore;�if Pasco,:County�Water/Sewe�,impact - ,. •
<br /> fees are due,..they mustr be<pald::pNor#o pe[mit_I'ssuance;in,accordance wltli:appllcable;Pasco'.County-ordinances. •
<br /> CONSTRUCTION"LIEN�LAW�(Chapter 713��F.lor�da Statutes,as amended): If valuadon of work is$2,500.00;,or mo�e�:I� . . �
<br /> certify that I, the �applicant,_have:-been-.provided�with-a-copy=of the��"Florida=Construction Lien:Law_=-Homeowner's
<br /> Protectfon Guide" prepared by�the Flo�ida Deparfinent�of Agriculture and Consumer AHairs. If the applicant is someone- -
<br /> other than the"owner", I certif�r:that,l=h�ve�.obtained`a'`copy.of:the�above.rfescrlti"eddocu�ent�and;;p.r.omis�:in,good:faith.to
<br /> deliver It to.the`ownec":p�ioc:to<coinmencement:�''� `� ` ` �� ` � -
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certily.�,tti:at�all,th�;inf.ormatlon:ln�thi.s applicatlon is accurate and that all work
<br /> will'be done in compliance with all.applicable�laws regulating constructlon, zoning and�land�devetopment. Applicatton is
<br /> hereby made to obtain .a permik�,�to;do.work,.;and�`installation as indl�eted:•� -1� certifji that no work ror tnstallatton Fias
<br /> commenced p�lor to Issuance'of a permif"and that.all work will be pertormed to meet-standards-of all laws regulating-
<br /> construction, County and City codes, zoning regulations, and land development cegalatlons�tn the jurisd(ction. 1=a1'so�
<br /> certify 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 identify�what.actions I must take:b be,in�cortlpliance.. S.uch:agencles_include but-are.not Ilmited to: �
<br /> - Department of E►lvironmental=Protection=Cypress.'Bayhead��, WeNand Areas and Ern(ronmentally Sensitive
<br /> Lands,WaterMlastewater Treatment. •
<br /> - Southwest Florida Water Management� .District-Wells, Cypress.'+Bay�eads; Wetland Areas, Altering
<br /> Watercourses. �
<br /> - Army Corps of Engineer"s=Seawalls, Dacks, IVavigable Waterways.
<br /> - Depar#ment of Health�'.8- ReY�abilitative,Ser.viceslEnvironrreenfal. Health Unit Well.s. Wastevuater�Treatment', �
<br /> Septio Tanks:.. :__ . � - . , , � �
<br /> - US Environmental Protection Agency-Asbestos abatement. ,• • �
<br /> - Federal:Av.latton:Authority,=Runways�� ��.� • � � i
<br /> I understand.that the following.restrlctions apply`to the use of flll:
<br /> - Use of fill Is not ailowed in.Flood:Zone"V"unless expressly permitted. '
<br /> - If the-:flll"material� is to��be used."In--�Flood�Zone. "A", It. is understood that a drainage plan addressing a
<br /> °compensating volume" will be submitted at�ime of�:permitting which ts prepared by a professional engineer.
<br /> Ilcensed by�he=State�=of Flotida:.� � � � • , - �
<br /> - If th� flll�materlal��ts-to be�used In Flood yone "A" in�connection�with�a���ermltted building using stem wall
<br /> ' construction, i_certify that.flll:wJll:b.e used only.to.fill the area within�th��stem=wall: �
<br /> - If fill mate�lal�is to�be used=ln any area, P�certffy that .use. of such flil wlll not adve�sely affect adjacent
<br /> properties. If,use of flll Is found to adversely:�ffect adJacent�properties,.the owner may be cited for violating
<br /> the condltions_of.the building:permit Issued-under the�at�ached._�ermit��pplicatfon;•for.lots less�than:one (1i)
<br /> acre wfiich are elevated�tiy flll, a�engineered dralnage plan is required. • �
<br /> If i am the AGENT FOit THE OWNER, I�promise In good faith to inform the owner of-the:permitttng conditlons set forth In
<br /> this affidavit�prior to�commenoing constructlon. I understand thet�a�aeparate perm(t may be requlred for elecMcal work,
<br /> r�n�..,.,.,.
<br /> plumbing, signs,_welis,.pools;_ air_conditioning,.gas, or othe� Install�tfons no!•spec�icaily included�in.the application. .A �,
<br /> permit issued shail be conshued to�be�a�license'to�proceed wtth tFie:virork and not-as:authoMty to.violate;�:cancel, alter, o�
<br /> set aside any�provisions of the.techn(cal codes;�nor shall issuance�of a.permit.pcevent the Bulldirig Oi�icial from thereafte�
<br /> requiring a correction.af ercors In:plans, consCniction.or violatlons of any codes:��Every-permit-Issued shall become inva0id
<br /> unless the wrork authorized.by such permtt.•Is-commenced•within sf�c,months of permit Issuance, or If work authorized by
<br /> the permlt(s suspended or-.aba�doned-for a�;period of:�six(�)�months.aRer the:time_the�wo�k�ts commenced. An extenston
<br /> may be requested, In writing,�.from tNe`�uilding,Offlc(al�for � period.not.to exceed�ninety�(90) days a�d will demonstrate
<br /> justi��ble cause for.�the extension. If wark ceases.for ninety(90)cons.ecutive days...the Job�is considered aba�doned. ;�
<br /> WARNING TO OWNER: YO.UR._FAILWRE•TO.,.R�EC,ORQ:A;.MOTICE:OF:�COMMEMCEMEMT�.NFAY�RESULT�IN YOUR
<br />• PAYING 7WICE,I=OR IMPROVEMENTS�TO YOUEt�=.PROPER7Y: ��IF°YO.U{INTEWD:T���O��AIN=FIPFAt�EFNG;'CONSULT
<br /> __1AlIT YOUR�.�ND R�A. �� _�"�.. R� .� �Al��i ����� Sm�= -OU�' . ,;C -0 ` ',.� E -�Et"�9 � �. - - -- -- `-- -
<br /> FLORIOA JURA�(F.S:117.03) �� � � � ' ' � - -
<br /> OWNER OR AOENT CONTRACTO
<br /> Subscxibed and swom to(or a rtne @�o e me this Subscribed and'swom� rmed)� re�1[�e ttitg
<br /> _��bY �JA-�U ' .�H� � �o`�—[A .1'l..by... ��'�� ��V��
<br /> Who Isfa ersonall me or.hes/heve produced Who(s/are .ersonally No •to me-or haslhave.•produced
<br /> G�;Q,1,�f�9j U,[X�� as Identlflcatlon. �i 1 .r �n_ O�P�as Identlficatlon. -. •�
<br /> � Notery Public . ��c1� �Vla� Nofary Public ,
<br /> ommisslon No: Comrnlss on.No._ C�U�fYLQ'�v�
<br /> � IT-�� _
<br /> ame o Motary typed,printed or stamped Name of No ry typed,printed or stamped
<br /> �s'" RA ELAINE RUFFELL' ����,
<br /> .:�;-
<br /> ,,ol.;w�; DEB �; •��,,DEBRAEU`,��•.��..: •'`'� I. -
<br /> _,t. ' , •� �:Commission#GG 045343 x ;,,_Commissir.r:. ;5;:�;)-t�:,._3
<br /> y�;,��=Expires November 7,2020 �' '. o� ,�
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