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<br /> NO'I10E A�DEER RESTRtCT1ANS: The undeeslgn�d,ander�tands=;#h�t;this:��rntifmay,be;subj�c�,to;"deed",restrlcttorts°�.,..� _
<br /> which may�:be�more,rest�icttve<th��County�{fegulat�ons:�The u�de�silgned�'assumes're�ponsitilltty forAcorripliance witfi"any�� ' �"��
<br /> applicable deed rest�ictions. ..: ,..: : __ : , . -.._
<br /> UNLICENSED�CI�NTRACTORS AND CONTR�►.CTOR�RESPONSIBILtTIES: =�If�the °owner`has��hired a contractar or
<br /> contractors ta undertake work�thBy may:be�req�rired�to:�be;_Ilcensed�ln accardance.with state.and_local_regulatlans:-�If the=�� �
<br /> contractor Cs not lti:ensed:.as'�requirad{6y I�iiirt,-bot#r the awner artd��cont�actar�=may-�be�cited for a�cnisdemeanar vlal�tlon
<br /> under state law. If the owneP or Intended�;contr�actor:are:uncertaln �s to wrhat Iicensing.requlrements may��:apply�:�for:'the�, < �
<br /> intended work,they a�e advlseif�#o aiiitact ttie�Pasco�Gat�nty Buitding�tnspectton Dtvis3on--Llcens#ng Sectfon at 727-647-
<br /> ..._ . . .
<br /> 8009. FurfFiermore, tf the owner iias�liired�a conUactor o�contractors, he ts advised to have the cantractar(s),;sign_ _ .
<br /> porkions of the "contractar,.Black" of,this_appllcatlon_for whlch they wlll be-tesponslble.• if:-yau�:as:#he,ownersign`=as the ' '
<br /> contractor, tha#-�may be an indicatlon that'iie°is not p�oper�y Itce�sed�and�is�.nat erit�led tc petiri3ttiiig priulteges In Pasco
<br /> Counly. . . `•` ,� '
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<br /> TRANSPQRTATION•iMP1�GT/UTIL1�lES-IMP�i��C��►Nb-1�ESOUItGE REC�VERY FE�S:"�The undersfgrisd understartds ,
<br /> that Transportation impact Fees and.Reco.urse Recove.ry.Fees may���pply�ta�the:constructlon�of new,buildings,ichange�'of`' `' °�� `�-
<br /> use In ez�sting bulidtngs,�or�expansibn��of-�exlsti�%g'�.aall�ttngs, as specified.!n Pasc� County Ordinance number 89-07 and_
<br /> 90-U�� as amended.,...The. undersigned aiso:understands� ftiait'�such fees��as�may�tie��due;_;�viil�6e ider�t�ied at the�tinie�of�� L '
<br /> permitting. It Is fu�Fier understood that Tra�isportatlon Impact"Fees and�Resoucce:RecoVery�Fees.mus# be paid pria�to
<br /> rece�ving-a"cecf�tcate�of�occupancy"�or flnat�_powe.c.-Eelease:..`1f�Ehe.pro��ct.:does..not Involve:a:certif�cafe of occupancy.'ar�_::. - =�
<br /> final pawer releas�a;.:,the;fees'must;be patd;p�lor#a,permit Iss�tance. Ft��thermare;if Pasco.County Water/Sewer�:lmpact r �-�
<br /> fees are dae,_they.must:be-pald:prior.ta..permifi�lssuance:in_act�ardance uiritfi�apAltaabie Pasco'.County a�il3nances. �
<br /> CONSTRUCTiON`LIEN`LAW"(Ciiep�er 713� Ftor�da Statutes�as amendedj: tf valuatton of work Is$2,5q0.00=,ar more�;i --.
<br /> certify that I, the applicant�-have�:been-.provided �wtth �a-copy-of the�°Florida ConsUuctlon� L(en Law--Horneowner's
<br /> Pro#ectton Guide" prepared by,�#tie F�ni�da Depertment�of Ag�lculture and Cansumer.AfFairs. 1#the appllcant is sameo�e .
<br /> other than the"owner", I certffy,that.lwhave�obtained�a'copy.of:the:abavs.desc,ribed;tlocument�and;p�romise�:,intgootl:falth�to
<br /> del�ver 3t to.the�'awner"�.pcioc:to�commencernen#:=°'��.:': . . .` . .,
<br /> CON7RACTOR'SIOWNER•S AFFiDAViT: I.ce�tlfy„th;a#,all.the,lnf.ormatiqn:�,ln�thi�appilaatlon is accurate�nd that all wark
<br /> wil!'be done in comptiance with all appltcable laws regulating construction, zoning and:�land develapment. Appltcatlan is
<br /> hereby made to obtatn..a permit..to,dc�unork:.,and;ihststlation as indt�eEed:.�..t certify that no work`or installatian fias
<br /> aommenced prior to issuance �of.a permit"and thaf�:all�work wlll be perFormed�to meet.standards of all laws regula�ing-
<br /> constnuction, County and C�ty codes, zoning regulati�ns, and land devebpi�ent cegttlatioris=ln the Jurisdlcflon.. 1�ai'so
<br /> certify that I understand that the regulations of other government agenctes may�apply�ta the.intended wark, and that it is
<br /> my�esponslbility to!clen#ify�what,actions 1 must�take:ta besln:.cotrt�lance:__5,uch,agencfes inctude but-are.not ffmited to: s.
<br /> - Department of Et�yironmental FProtection=Cypress.'Bayheads; Wefland Areas and Env(ronmentally Sensitive
<br /> Lands,VU�tedVllastewater Treatment. U
<br /> - Southwest Florida Wa#er Mattagement .�fstrlct 1Nells, Cyptess.'"Bay.�eads� Wetland Areas, Atfaring
<br /> Watercourses. � ;
<br /> - Army Corps of Engfneets-Seawalls, Dacks,Navigable Waterways.
<br /> - Department. of Health;;;� Rehab111tat1v.e,Services/Er�vironmentai:Health Uh1t-Well.s, Wastev�raater�Treatment�, �
<br /> Se�tic Tanks:_ ' � - � . '
<br /> - US Environmental Pra#ection Agency-Asbes#os abatement..:.
<br /> Federal�Aviatton-Authority-Runways�� � � _ �
<br /> !understand.that the:foticiwing;restrlctions�ap;P�y ta the�use af flll:
<br /> - Use offili'is not�ailowed in,Flood;Zone"V"uNess expressly permitted. '
<br /> - If the�:fllf material=!s 'to-b.e usetl"In�-:Flood�Zone. "A", ft. Is underetaod that a drainage plan address[ng a
<br /> "compensating votume"witl bs submltted a#time af-permitting w�iich is prepared by a professional engineef
<br /> Iicensetl by`�he State of:F��arida:.�� - � � �� ;
<br /> - tf th� flll mater#al�ls to:be�used In �lood��one 'A" in>connec�f6n�wlth�a�permltted bultding using stem wa11
<br /> � constcuction,.l certify,that:.fill virlll:bs•used only.to.fill the are�wtthin�the�stem�wali: �
<br /> - !f flA materlai�fs�to be u�ed In any area, i"�c�ttify that .ase. of such flil wifi not advetsety a#fect adjacenf
<br /> ` properties. If use�af fill Is fonnd:to adversety:�f�ect ad)a�ent��properties,.the owner may be`clted for violating
<br /> the condlfions=of.the bulliding-.permit.lssued�under the�attached..�ermlt apptication;�fo�lats�:less�than one (1s�
<br /> acre wlitcfi are elevated�6y tI[t,a�t englneersd dralnage plan Is required.
<br /> pf i am the AGENT FOR THE OYYNER, I�promise In good faith to(nfarm th�owner of�the permitttng condftlans set forth tn
<br /> this atfidavtt`prior to comrrter�cing constructlan. ! understand tha#a=separate petmtt may be requtred#or etect�cal work`,
<br /> ptumbing,_.signs� wetis,rpools;. air.conditioning,.ga�s,'or ather install''�ttons no�.speciftcaily lnciuded�in.the��pplication. �A
<br /> permit Issued'"shall be construed to'be'a�Iicer�se`��to�pioceed vvlth ttie;work and nakras:.authoNty.to:violate,�'c�ncel� alte�� o� .
<br /> set astde any�provistans oF the.#eclinlcal.cad+��;�nor sha11 issuance3of a.perrntt.prevent the Bulldirig t�iictat fram thereaftet
<br /> �equiring a co�rectlan af.errors._in plans; _consttuctian orviolations of•any codes:�.Everypermf#I.s"sued sfiall�become invalid
<br /> unless ihe work aa#ho�fzed.by such perrnit:�is.co�rtmenced�wlthin si�c..m�r.t#hs of�pennJt Isst�attce, or tf tnrark aufhorizecf by
<br /> #he pe�mit is suspended or.�bandoned-for:a:period.of�sin�)�manffis:after,,the,time the�work�ts commen�ed. An eactenslon
<br /> may be requested, in writing;:fiam.'ttie:Bulltling,Offlclal for a period:,not-to-exceed`�nlnely�(90)'�days�and w1N demonstrate
<br /> �ustffiable cause for.�the extension�. If r�ork cease�.for r�inety{90)cons.ecutive day.sr..the)ob�is considered aba�tdoned. ;
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<br /> 1M�4RNlNG TO OWNf�: YQUt�..FA1I.URE.Tt�,,RE�C.O�tD�Ax�1U�TIGE:OF.•COMM��IGEMEI�T:MAY-RESUCT IN YdUR
<br /> PAYING TWICE;I=CMR:IMPROVEMEN'�S�TO:�YOUR;PRC�PERTY::�I��YO.U�INTEND:TQ'ABTAIN�FIN��1EiNG;'CONSULT
<br /> W1T, . _ U ` �N '�'�'i'� Pi � F�AR�� �� �.:. i34� ' - ��:� :'� ' �. L ,
<br /> F{.ORIbA,lURA�'•-tF.S:1.47.D3} -- . . . , _
<br /> OWNER OR Al3E[�!� � � CONTRpCTO
<br /> Subs b �Y (o rma b re me fhls �E� /bed and'swa = (ot fli � +efore me ftii . .
<br /> s� 2. ��y... . �
<br /> Wlio�s(a personally , to.me or haslhave produced �+o.lslace Rersonally knoum•ttt or has/have�pmditced � ,
<br /> ss idenNBca�qn, � t1T%G1�� l C r"'9d1lZ-_� as idenHBcation. _ �
<br /> t . • . .. "
<br /> Publlc . G ,���"'�, OQJ2.� a.t��u�.f' Notary Public, �,
<br /> Commisslon Na:` C m�lssfan.Na._. L� c;�C`�I ��� . � .
<br /> U .� ✓'� �-�l�Q�e i2�./,���
<br /> IVame of Ptat� .�� Name of�lolary typed,prlMed or stemped
<br /> •���P�:"•- DEBRAELAINERUFFELL . ,��,, ��
<br /> , wm� �`�;:Commissian#GG Q45343 �vst�;�DE9RA ELAINE RUFFELL
<br /> ;,,�:o;:Explres November�,2020 �{' s.�Commission#GG 0453d3
<br /> �� '••F�;�;�'� Bondnd Thru hoy F�in Irourance BOa36�-�019 , ;g��xplres November 7,2020
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<br /> � .,°���,`' BondBdThtuTroyFainl�urat�800,985»7019
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