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INOTICIE.OF'DEED RESTRICTIONS: The undersigne¢.understands..xhat this�permit.may besubje�t�to,°aeea";resfri,cbbns;�;Aa � <br /> , ` which may:,tie�more cest�icEive'than_Co"tinty:�egula�ion's:�Th�.unf�ersigne2f��ssur�es r�sponsiblti.ty�fo�•campliance v�ntk►:any �� <br /> applicatile deed restrictions. . - , �`"{:f��"':"�"''�'" ' <br /> UNLiCEMSED:COIdTRAGTORS i4PID'COAITI�ACT.OR RESP,ONSIBILITiES: =1f�tiie�=owirer�tias-tiiiecf�a�contractor or <br /> cant�actors to undertake work,they,;ma��;be4,r•.equi4ed;to be!licensed:in accordattce with state;and?.loeak_re$u.lation's;�>lf:tti'e�-s ` <br /> _,..,,.. ,...�..,.. <br /> contractor is•nbt:ticensed.as;requlretl°lay'law, tiot}i:the owmer�and`eoFlUactor:map=Be�eit�d�for;a�misdemeaiiurviolation � <br /> under sfate�law. lf fhe owner or,i�ten�etl,cant�actor are uncertain as,to what..(icensing�requi�ements;+i�iajr�ap�Si�y:;fqr;�thie,�?i <br /> �,.,�,-.. <br /> intended wotk,.they.are advised to cont�ct�'fhe'l?asco.County Buil�ding�lnspecfion"Division�icensing Sectio�at 727-847- � � <br /> 8009. Fur�hertnore, if the owner fias°hireii'-a ooritiaistbr Or confractor's, he'ts aclvised to ihave ttie,.contractQ[{s�.;�sign;;�,,,- . <br /> -{„-•_ ;�,<s; r . ; <br /> portians of the°contractor Btock°of.this applicafion:for which.they.witl.be responsible. If you,`as:ttie;o,uvrier sigr'r;asZthi�e� `; :. ;# <br /> cantractot,"tt�at may 6e an indication th2t he•is not propeily licensed and'f's not entitled`to permitEing prlvileges In Pyasco,a"r.: <br /> County. ' � , : <br /> TRANSPORTATtON tMPACTI.UTiLiTiES iMPACT AND RESOURCE RECOVERY FEES: The under§igned.undecstands _ ., ., ; <br /> Pti=F�;'e';Ta'; `. <br /> that Transparta#ion impact Fees and Recourse Recovery Fees�may.appty to�fhe construction.of.new buildings,�Change�o�~--�.:: ;; , <br /> use 3n existing buildings,.or-,expansian of:e�ci�fing'tiuitdings,as specified in Pasca County Ordinance number 89-07�and � ` " <br /> "2air'���-r;�. .� <br /> 90-07,as amended: 7'he�vndersigned a[so'undersfands,.that such:fees,as;tnay,b:e.due,will be;idenf'rfied�at:the��timerof��� �; ; . <br /> perm9tting. tf fs fuct3�er understood#iiaYTranspor#atian tinpact•Fees�and Resource:R`ecovery Fees must be pald p�ior,to ` - . <br /> receiving.a°certifificate oRaccupanc�'ar finai.pawer retease.,If the.project does not invotve:a certificate df accup�rrcy5or}=3i� � <br /> final:pawer release;the�fees:must be:paii!prioc to permit issuance..sFurtttermore,.if Fasco Cbu�tq W�ater/S�wter;�lmpaet�:��- ' ° <br /> fees are due,tfiey,..musf,be.paid prior to perrrtit issuance in accoriiance-wifh�apptiaaibie_Pasco County ordinances. . <br /> GONSTRUGTlON'LtEN IAYV{ChapferTt3;Ftorida Statutas,as amended): tf valuation of work is$2,5.0.0.00,or-more„1�,.:. <br /> certify that i, the appiicant, have been_provided with�a copy:of.�fhe""Ftorida "Cons#ruation.`�ien Lav�—HomeownePs � <br /> Protection Guide"prepar�d�by ttie Fiorida department of Agricuttare and Consumer�Affairs. If the app(icant�is;s.ome,o�e:;, <br /> aiher than the"owner",i certify that i_have.o6tained a copy of the above"descri�ed�documenf and pio►nis'e::in.good`#a(th�to <br /> deliver.it to tii'e:"iswner":prior:#o:coininenceinerit . , <br /> CONTRACTQR'S/OWNER'S AFFIDAVIT:: t�certify.that-alt the informafion in tfiis appticatian is accurate and"that aIT work <br /> � wili be done in compiiance with aii applicabte`laws reguiafing construction,zanirig and tand-development. Applicatian is <br /> ( hereby made to obtain•a.permit�:ta-.do:twork-and fnstaitation,as indica#ed. i certify ffiaf no wor(c or.insfallati'oii�has <br /> eommenced prior io Issuance of a pemiit arsd-that ati work wifl be perFormed to.meet standards�of all laws regulating_ <br /> 4 constructiort, County and City codes, zaning regufations, and land devetopment regutafions i�r�fhe jurisdiction. I:�also _ <br /> certify ihat!understand thaE the regulatfans of other gavernmenf agencies may apply fo the intended work,and that it is - k? <br /> my responstbtllty to identify what acHons i must take to be in compiiance.-.8uch agencies include buf are npt limited;to: ° t? <br /> - ,Department of Envlronme�tat�:Rr'otection-C}rpress Bayfieads;Wetiand Areas and Environmentaliy Sensitive ;a <br /> ' Lands,WaterlWastewater Treatment. ` ��1 <br /> I - Southwest Flor'tda Water tutanag�ment District Weiis, Cypress .Bayheads, Wetiand Areas, Attering �:� <br /> Watercourses. • ' ,` <br /> � Army Carps of Engirieers�Seawails,Dacks,Navigabie UVaterways. _ <br /> - Department of Health.,8� Rehabilitative.ServiceslEnvEronmeMaf .Health Unit Welis, Wastewa#er Treatment,` <br /> Septic Tanks. <br /> - US Environrnental Pcotection Agency-Asbestos abatement �� <br /> Federa)Aviation:Auttiority-Runways. <br /> I understand that�.thefollowing restrlcflons apply fo the use of til1: , <br /> - Use of fiU Is not allowed in Flood Zone"V"unless expressly permitted. <br /> - If the fill material is tfl be used in Flood Zone "A", it Is uniierstqod that a drainage ptan addressing a, <br /> I "compensating volume"will be submitted at time.of psrmitting which is prepared by a ptofessional engineer`� <br /> licensed by the'State of Flarida. <br /> � - If th'e fill material is to be used (n Flood Zone "A° in connectian wittt a pemtitied buitding using stem wail: <br /> �', constructlon,l certify.that fill will be used only ta fill the area wlth9n the siem wa1L <br /> - If fill rriaterial is-to be used in any area, I certify that use of such fil! will nat adversety affect adjacent, <br /> properties. If use 6f fill Is found to adv,ersely affect-adjacent properties,the owner may be cited tor violating{ - <br /> the cori¢itions of the`buiiding;perm[t issued under the�attachsd.pe[mit:appllcation,for.lots�less than one(1}� � <br /> acre whicli are elevated by fill,an engineered drainage plan is requi�ed. � - ;� <br /> ' tf t am the AGfNT FOR,THE OWNER;4 pramise,in_good faith to inforrri the ow�er of.the permitti�g conditians set forth in; � � ;, <br /> #his affidavif prior fo commencing consfruckion. I understand that,a�separats permlf may be required for electrical.work,� :` i� <br /> � piumbing, signs,welts,;poois, air,conditioning,.gas..ar otfie�'[nsCaUattons not specitically included in the application; A; =j; ;,� <br /> permit issued shati`be construed�fo'tie a IPcense''to proceed witli the work and not as authority.to violats,.ca�cel,alter,ar� - y <br /> set aside any provisions of'tfie�technicai codes,nor shall issuance af a permit prevent the Buiiding Otflefal from tEiereafter; -_: �� <br /> requiring a correcfion of ercors.in�.plans;�construction or,violations of any coii'es. �Every permit lssuedshall became Invalid� = `� <br /> uniess the wrork authorized by such permit is commenced within six months af permit issuance,or if work authorized by ::s �� <br /> the permit is suspend,ed.or abagdoned for.a period.:crf six(6)months aTter the time the work i�commenced, An extension` �' k� <br /> ma be re uestefi,In�writin ,.from{he Buiidin �t�'6iat for a eriod nafto�exceed nine �0 'da and wiU dertionstrate� :�� <br /> Y Q 9 9 P tY( ) YS <br /> Jastt�abte cause for ti�e extension. tf.work ceases for ninety(90)consecutive days,the job is considered abandoned. � ;' �� <br /> WARNlNCa TO�OYYNER: YOUR;�AItURErTiO R�CORD,A N4T'ICE,OE C.QMMEN.�'i.EMEhiT•MA�Y RESULT IN YOUR' ; M`A <br /> PAYING,TWICE'F4R,1{Vfi'l3;Q1►ENtEt±1°f.SaT.-Q Y�Qt!li:PROP�RI'1F.�.IF YOEJiII�t?i'Ef�ID'TC1'OBTAtAI'flNAtdCtNG;CONSULI'� <br /> WI7'H YCI[�a"GENDEFt t>R 1►RI A'lTiDRNEY BEF�RE REGORDINfi Yt�t1R�N0'FiG�'OF1C8M NCEINIEhIT. � <br /> FLORIDAJURA7':{F.S.117.03) .. ` - - ,,, <br /> i <br /> QWNER OR AGEN7 COWTRACTO <br /> 5ubscrfbed and'swom fo(otafffrtnedj beiare me thts 9 b c' nd rr�ta(or affirtne e1'o m hi� <br /> bY by( �mt'S�`pY ._ � <br /> ✓Vho fs/are personally knawn to me ar haslhave pmduced ` �VYha ars petsonaily_knowi�to.me or haslhava produced <br /> as Identlflcatlon. as IdentlflcaUon � <br /> I � <br /> fNotary Public �'~`-����Q' otary Pnbltc <br /> :ommtssion No. Commt ton No, v � <br /> � V <br /> Iame of Notary iyped,pdnted or stamped Name of , •am e <br /> - �'�>q",r��u�a'„/. �C1CF`}RA E�}i h1E RUFFELi: <br /> ='�'�'���CO�`ntriis�iart#GG 042020 <br /> � =N� �.�xplPos N��vember7, <br /> . <br /> �'"„�g�����,���tlntlod7hti7royFa1nlnsutance804-385-70t8 <br /> � .----=r - - - -- � .,.�..-_ _- _._..� _ i <br /> �--v-_�_�.�:.:__-::. � _.:- _._._. ._.-_�-:•_,_-.�..�� =- <br /> _ ;.. _ .-�M�, ... <br />