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)TICE OF DEED_.RESTRICTIONS:::The underslgne&,Ynders�tandsAhet this p rmit may.,beYsuoject•to"deed"restK.fcttons -::w:
<br /> tic z r ,v ¢
<br /> Lich may be;more irestrictive then Gctunty+re8ilatfortsF 7he''und®rs1gned'`asttmes:'respnsibllity;for compliance with any
<br /> iplicable:dead'restrictions:.
<br /> dLICENSED°:GONTRAC.IEORS:AND •CONTRi4CTOR .RESPONSfE1LITIE$: -1f the owns'• ties fi(red'Ya`coititractor.or
<br /> ntractors to undertake work,.the ;ma ;be dquiredhto be licensed:in,.accidrdance.:_withstate:and loEalxregulations If tFie'
<br /> mtractor;ls;not-'licensed"as lrequlred f y;law, both the`owner and:contractor may'l a cited for'a`7 isdemeanorviolation
<br /> ider state law. if the owner or lntdridbd!;c;6ii a.Ctori-ew.uneertaln.as"to what'licensing.requirements,may.'apply yfor`the'<
<br /> ended'work,:they-are'advised-td-.ontact-tFie.:Fasco Comity:Bulldlhg;InspectionrDlvlslon-l:Icensing:Saction at-727=847- J .
<br /> 08. Furthermore; If'tfte owner-- W filPed'a'contrectoF or contractors, he`is adVlsed to have the ,contractor(s).aign.,,
<br /> rtlons of the;"contractor Block".;of this.applicetlon for.which,they wlll•be,: esponsible.. rlf.:you, as'..the`onrnetstgn"as`'the
<br /> ntractor;:thafmay;tie an'indlcatlon that"he is'notr.propeHy ltcenseit'and is''not"entitled to pemiitting privileges in Pasco
<br /> runty. _ -,---..._..---
<br /> MspoR roisi wPAd UTILITIES_IMRAC'C ArvyA.EaouitCE RECOVERY fEE3:°The,untlerslotii d urtiderstands .
<br /> 3tTrans Transportation Fees.and_Recourse Recovery.Fees:milty-apply.tc:'thti-. nstructlon of;new.;buildin s,,ichange„of-,f,,.; .
<br /> p 9 :,. .
<br /> e in existing buildings, or'ezpan'siotr of iiisti :,builtlings, as specified.in Pasco County Ordinance number 99-07 and
<br /> 1-07, as amended.,-The,undersigned also understands, thelt`such fees ;as,tnay`be:due;;rwilh be id'enZified at thettime''of
<br /> rmitting. It is 1101her'understood that Transportallon.Impact"Fees andi Rescurce,Reca;►sry,Fees,must be paid-prior to
<br /> sluing a"certificate•ofoccupancy"'gr final�t..power.release:'>:If`the proJedt,doesnof;lnvolvea=.certificate.of occupancy or�: _'<°�•�•�'�`' ,
<br /> al power;releases the f k"Muttt bbfiaid,'.pdot:to permit Isseance. ,FtJrthermore;>ff:Pasck-Count-Water/Sewerrimpact
<br /> 3s are due,..tliey:must be paid.ptor to'permlt-lss4ance-in accordance:with;applicable:Pascti:County,ordinances:
<br /> )NSTRUCTION`L'IEN"I M'(0mowi'T93,1 lorlda Statutes,slate amended): if valuation of work Is$2,500,0.Qior'mo.e;'
<br /> rtify that, I, ..the.__applicant,::have-.Been:provided-with:-a:copy_of.:;the, Florida Construction`Llen:Lew--Homeowner's
<br /> otection Guide" prepared'by the'Florlda_Department of Agriculture and Consumer-Affairs.. if the applicant Is sorheoner.
<br /> her than the"owner". I certify.that;;I:haw,e;,tibtaifidd a'copy:of..the:above•..descrli ed'dbcu ent and;prorniee;In gQod:faithao;
<br /> raver it to the'otnirte prtor-toRcomittencemerit`` `.�; h.` ;
<br /> )NTRACTOR'S/OWNER'S AFFIDAVIT: 1.certity.,that-all-•the information in,this.2appilcatton Is accuratd:and that all work
<br /> II'be done in compliance with ail.applicable'lava':regtilattng construction, zoning and.landw development. Application is
<br /> ireby made to obtain;a,.permit.,;to.:;do.,wotk nand liistallotion as indicafed:.•,:;I'cettlfy`drat no work;:or tnstdllation'has
<br /> immenced'prior to`Issuance of a pe ffi`i0 n"' that`all°work will be performed-to meeUstandards:dUall laws regulating-
<br /> ,nstruction, County and City codes, zoning regulations, and land development!regulations,;Ih-the' Ju-risdiction..�.1;,also
<br /> irtify that I understand that the regulations of other,government agencies may•apply to the_intended.work, and that It is
<br /> d responsibility to Identify;what.actions t.mugttake-to be,in:.conlpllance..,S.uch.agencies'include b,utlare:not limited-to:
<br /> Department of EnvironmenildPrt5tt3cH€in-Cypress:`Bayliead§ Wetl'and,Areas.and Environmentally Sensitive
<br /> Lands,WaterMastewater Treatment.
<br /> Southwest Florida Water Monagement-:::District Wells, Cypress.. 'Bay`:hea ls, 'Wetland. Areas, Altering
<br /> Watercourses:
<br /> Army Corps of Engineers=Seawalfs Docks, Navigable Waterways.
<br /> Department of Health;:&;:ReMabilitathre.:Servlces1Environmental,Health.Unit:WelLs,;;Wastewater Treatment;
<br /> US Environmental Protection Agency-Asbestos abatement..
<br /> Federal Avlatlon:Authorily,=Runways:
<br /> inderstand that the:follow)ng restrlctlons apply to''ihe use-of fill:'
<br /> Use of fill is not allowed in Flood;Z.one"V"unless expressly.permitted.
<br /> If-the fill•,material- 11` to:be:;used�ln:-:flood-.Zone..W it 1s indersldad-that a drainage' plan addressing a
<br /> "compensating volume".will be submitted at time;of:permitting which is prepared by a professional engineer '
<br /> licensed bythe;State•of;Flgtida:
<br /> If tho-fill..r6fikal�_Is=_to;:be.u`s_ed in Flood Zone "A" in+connectiort•with W permitted building using stem wall
<br /> construction, (_certify that fill wall:bwused only.to fill the-area,.withinAheretem.wall.
<br /> if,fill material to be used in`.any area;'1`certify that..use. of such'fill will.not adversely affect ad)acent
<br /> properties. If use.9f fill Is found to adversely...affect'°ad)aEent-properties,,the owner may be'cited for.violating• . ,
<br /> the condWons`of_�tFe"tiuilding>permit issued under the attacfied..permit;application, for:sots._less than.one (1)
<br /> acre which-a'ar"levafed 1byfllk. act engineered drainage plan'ls required:.
<br /> am the AGENT,,FOR.THE,=OWNER;.'I.,r!Vmk6 in good faith to Inform=the owner,of the..permitting:conditiormset forth in
<br /> s affidavit prior to-comm®i cing-construction: understand that aiseperate permit may be required for electrical work;
<br /> imbing, signs, wells,:poolsi_air..condttloning,. gas,..or�;othe'r Instaiietlons not•specifically included-in.the application. •A
<br /> ,rmit Issued shalt be construed:to'b6,-,W license:to-proceed with tF a.work and not as authoNty to:violate,_cancel,.:alter, or
<br /> t aside any provislons ofi't6 ididhoi'caI.:codes;-nor shall Issuance if'e.perrnit.pcevent the Building Official from thereafter
<br /> quiring a correction-of errors-In_plans constr�ction.orvlolatlons-of anycodes. Eyery.pormit_issuod;shgll bacome-invalld
<br /> less the workauthor`ized by such permit:�is-conirtienced withimsfx.months-of•permit issuance, or if work authorized by
<br /> 3 permit is suspended.or..abandoned•for;.aa';period�of-six•(6)montFis aRer"the time the work is commenced. An extension
<br /> ay be requested, In.writing;.:from.the:Building;Oiflclal fon a period not,td.exceed:ninety-90):days•and-.wilt detfnonstrata
<br /> diftable cause for:the extension If Work,ceaqeA,fdr niholy.(90)consecutive:days,..thb Job:ls•considered abandoned.
<br /> ARNING TO'OWNER:' YOUR;.FAILURE;TCI'RSC:ORQ A,NOTICE<.OFsCOMI ENCEMENT:MAY RESULT•tIN=YOUR..
<br /> 1YING TWICE,FOR IMPROVEMENT 'S,Tfl YOUEt PKOPERT F:::IF°:YO.t1 I1 T VD Ta::MMAINr,,FINaANC1NG :CONSULT
<br /> T U :A T TO 8 Fa. tStZkGO ® G` Q CL E M
<br /> )RIDAJURAT(F.S:t1.7..03) r
<br /> fNER OR AGENT CdNTRACtOR- ��—�
<br /> )scribed and swom to(or aflinned)'before me this Sufi drl ed'and'svwm tolor aflinnedpbefore:me thl9'
<br /> by 3 8 by.. .�T�n✓/�f �t /�T�itr
<br /> o isfare personally known tome or-heslhi:atfon.eve produced. Whols/am.personallyImowm•to m6Ior:has1have;0roducsd.
<br /> aeadentlfl - as'ldentlflaatlon.
<br /> Notary Public .� Notary Public
<br /> nmisslon No:" Gbmmisslon.No.
<br /> -no of Notary typed,printed or stamped Name ad.odnjqd or stamped
<br /> DEBRA ELAINE RUFFELL
<br /> • * Commission#GG 045343
<br /> rv:Expires November 7,2020
<br /> ''•.R;;;°' BondedThruTmY Fain lnsurancee0o.385.7019
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