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<br /> NOTtCE OF DEED RESTRICTIONS: The undersigned understands that,this;permit may b,e su,bj�ct.to".deed°µrestriction�s"�'i;': ;
<br /> which,,may.rbe;more.restrictive;than:County regulations:-°'The�undersigned��assumes responsibility�'�fo�.campliance with any ' ,k
<br /> applica�le deed restrictions. ..:,,�,;� ,.,-.,.+,a� �;t
<br /> UNLICENSED:CONTRACTORS AND CONTRACT4R RESP.ONSIBILITIES:-- If-tfie�>owrier=hasr iiired`•��a�-=contractor or '
<br /> contractors to undertake work, they may�be required.to be licensed in accordance with state and�Ioeah cegulatians:.�-:If.tiie=:��� �f;
<br /> contractor is not licensed:as rEquired�bjr`law; botfi the owner:an+d:eontraafor-may�be�cifed}�for=a:iriisderrieanor vicilation, >;;?
<br /> under sfate law. If the owner or intended:contFactor are.uncectain as to what licensing requicements;�may,apply=for��tlie`k��';`���
<br /> �d�h�;p •. .:,.:,v...<
<br /> intended work,.#hey_are=advised to�confact ffie'Pasco County Bailding lnspection°Division-=Licensing Sec#ion at 727-847- ' :'I
<br /> 8009. Fur-therrnore, if the owner has hirec7Ya� contrac#or ar cont�acto�s, he is advised #o�have the contractar,.(s.);-sign...r;; ;�
<br /> portions of the "contractor Bfack°of this ap{�lication.#or which tFtey vtri(t.be responsible. :If,you, as°'tFie`owner$sign as�ttie�'� '�;;�
<br /> contractor., that may tie an indication=thaf he-is nat properly licensed�and is not eri#itled to permit#ing�privileges,iri,Pasco:„_:;�`
<br /> County. � __ , ._.-_:.,. �,t;
<br /> TRANSPORTATION IMPAC7/.UTILITIES�IMPACT AND RESOURCE RECOVERY FEES:� The undersigned under.stands '�
<br /> that Transportatian impact Fees and Recourse Recovery Fees,�may:apply to:the constructian of new.buildings, chan�ge-°of�s��":;�;
<br /> ... .�_. ;.
<br /> use in existing build�ngs,,or;exp.ans'ron:of.:existing buildings, as specified in Fasco County Ordinance number 89=07:an;d �;,
<br /> 9Q-07, as amended, `fhe,undersignee! also.ur►derstancls,�that such.:fees, as_may,be.due, will�be identified��at�the;tiirrie�of���°='f
<br /> permitting. `It is further�understood that Transpartation Impact Fees��and ResourcerRecovery.Fees rnus# be paid;pcior to
<br /> receiving.a "certificate-of�occupanc�'or.final.power release. If the.project does not involve a'ceitificate of oc:cupaiisy';o�+tk-> �+}
<br /> final power release,_the fees°:must be..paid prior_to permit issuance. ;Furthermore, if Pasco-County WateclSewer�-lmPact�,-�-- X
<br /> fees are due,.they:,must 6e paid priorto permit:issuan�ae in accordance with�applicable.P�asco Cou.nty ordinances. � �
<br /> C�NSTRUCTfON=i�IEN-LA1tV{Chapter 713;Florida Statutes,as amended): If valuation af work is$2,500.O,Q.or;mor:e,�(:-�,;- ;
<br /> ce�tify that 1, the_applicant, .haVe .been�rvprovided with a copy-of #he °Fiorida Construetian::Lien .Law--Flameawnes's
<br /> protection Guide" prepared�by tt"ie Florida Department of Agriculture and Gonsumer Affairs. ff the applicant is someone„ _
<br /> ather than the"awner",:l certify.that L�have obtained a copy of the above'd'e'scribed tlocument and promise•�n good4faith`to,'; �
<br /> deliver it.to.the-?�awner":pr.ior:to coinmencement. � � � �
<br /> CONTRACTOR'S/4WNER'S AFFIDAV.(T:�;I:certify that all the inforrnation in this application is accurate and that alf work
<br /> wi11 be dane in comp('rance with alt�appl'icable'laws regu(ating constructian, zoning and land�development. Application,is
<br /> hereby made to-abtain;,a�„permit to do. work and installatian as indicated. I�certify that no�wrork or.insfaiiation= has
<br /> commenced priar.-tci issuance of a permi# and that a!1 wark will be performed ta meet standards of afl laws regulating
<br /> constructian, Caunty and City codes, zoning regulations, and land develaprnen# regulations in,the jurisdiction. ; !.also� -
<br /> certify that I understand that the regulations of other goverr�ment agencies may apply ta th� intended work, and that it is �
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include:but are not�limited,,ta:
<br /> - ,Depactmen# of Environmental;"Rrotectian-Cypress Sayfieads; Wetland Areas and Environmentally Sensitive '
<br /> i.ands,WaterNllastewa,ter Treatmen#. � �
<br /> - Southwest Florida Water Manag�ment District 1Ne!!s, Gypress .8ayheads, Weiland Areas, Alterirrg �
<br /> Watercourses, t -
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable 1Naterways, '
<br /> - Departmen# of Health �& Rehabilitative Services/Environmental Health Wnit-Wells, Wastewat�:r.Treatment,
<br /> Sep#ie:Tanks. !
<br /> - US Enviranmental Protection Agency-Asbestos abatement. ,
<br /> - Federa!Aviation Au#hority-Runways. `
<br /> I understand that�the following restrictians apply ta the use of fill: �
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. �
<br /> - . if the fiii material: is to be used in. Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensa#ing va(ume"will be submitted at time af permitting which is prepared by a professional engineer "
<br /> licensed°by the State of Fforida. - � �
<br /> - If the fll material is to be used in Flood 2one "A" in cannection with a permitted building using stein wall
<br /> canstruction, I certifythat-fill�will be used only to f!l.the area.within the stem wall. �
<br /> - If fill� material is-to•:be used in .any area, I certify that use of such�fill will not adversely a�fect adjacent
<br /> prope�ties. If use of filt is found to adversely affect adjacent properties, the awner may be cited for violating
<br /> the condifions of;#Fie bailding;permit`issued under the attached permit.appiication, for Iots less than one (1) `
<br /> acre which aTe elevated by fll, an engineered drainage plan is required.
<br /> If! am the AGENT FOR THE QWNER;:1�promise i�good faith ta inform the�owner af-the permitfing conditians set forth in
<br /> this affidavit prior�to cammencing coriskniction. �! understand that a separate permi# may be required €or electricai�work, `
<br /> plumbing, signs, wells, poals,,,air,conditioning, gas,.or othe� installations not specifically included in the application. A , �
<br /> permit issued shall-:be eonstrued�to=6e a license-to proceed with the work and not as authority.to violate, cancel, alter, or
<br /> set aside any provisions of"the technical codes, nor shatl issuance of a permif prevent the Buiiding Official from the�eafter
<br /> requiring a correction of.errors�in�ptaris;construction or vialations af any codes. Every permi#issued shali became invatid
<br /> unless #he work authorized by such permit is commenced within six months af perrttiE issuance, or if work authoriied by
<br /> the permit is suspended.or abandoned#or a•periad,of-six(6�monfhs after the time the wark i�`commenced. An extens4on
<br /> may 6e requested, in writing, from the Building�Offlcial for a period nat ta-exceed ninety(90�tlays and will demonstrate
<br /> justifiable cause for#he extension. lf wark ceases for ninety(90)consecu#ive days, the job is considered abandoned`
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<br /> WARNlNG TQ OWNER:. YOUR.FAILURE TO REC..4,,RD.A.Nf3TIC� OF GOMMENCEMENT MAY�RESULT IN Yt3UR
<br /> PAYING TWlCE`FOR lMPRQYEMENTS�TO YOUR:�PRQRERTY...!�YQU';.INTEND=TC1 OBTAIN FtNANCING,CONSULT
<br /> WITH Y�DUR'LENDER C!R AN ATTQRN�V��FORE_R�r�RnQ�l�-Y�?��?=!�Q'fil�l����y�QORla�#E�:�L�llt��Y1MP:-.--_�`- - -- - -
<br /> � FLi3FtiDA 3URAT(F.S.'117.03) • ' `
<br /> OWNER OR AGEN�����y�yC G� C.ONTRACTO�"�ClG�(� G'v_�, �--
<br /> Subscribe�i and swom to or affirmed befare me s Subscribed and swom to or affirmed before e this H .
<br /> �f/�/j�S'by �L���jt��,1 �6��.'...�' ��:�t,�,�,_by �f�.l�i'}�.�� ����
<br /> Who is/are personally known#o me or has/have produced Who t lare personally knawn to me or has/have.produced •
<br /> ;,�,_(C'Q/��-, as identification. � . �;�C.Q el:�___._+ as identification. `
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<br /> _ .� �"����,,� otary Pablic h Notary Pubtic
<br /> Co mission No.__i� t%� c1..� Commissian o.��� �j//,r,,.7�(�.�
<br /> � '� �
<br /> Name f Rlota ped,printed or stamped Name of Notary typed,printed.or stamped
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<br /> :a���'::�o�`==DEBRA ELAINE RUFFELt � DEBRA ELAfNE RtlFF�C�,
<br /> ��Gommissian#GG 045343 �,+ �Cammfsslpn#GG Q���
<br /> ,., _; :Qe=Expires iUovember 7,2020 �X trs N
<br /> '%fiQ;�;°�'� Bor�edThruTroyFalnlnsurance600-385�I019 ,, � ���rvember7,Zp2Q
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