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<br /> OE DEED RE •hs-1.-:,
<br /> NOTiDE. STRICTtONS: 'fire undersiyned:understands;that;this Deemit.rnav beYstab'ect. ti "`
<br /> j/'�'•�, {j :to:,deed-resicfians�-
<br /> � 1,,..7,..R'f t • �. :..;i'lr+K ::1:r�.';r- .:k• iY^•!"'i.',�'.
<br /> ��_,;:;u..;:: ...;:,
<br /> which.rna"be`more:restflctivet an$'Coi�''t.:re'ulations���:>��aa�u�de>'st'`nad'aassum�esr�s o slbiii`4�'af�cocti�.ilance:v�ithan.
<br /> UNLtCENSED`-CONTRAC'FORS AND CONTRKCTOR RESP:ONSIB'iL:ITIES If rile owner iias~ ireda°sontractor'or
<br /> contractors to undertake work hy„ma : e.requir '-`io besiicenseid in accordanmc cewith:sta#e;:andaomcasl remgulaatiornvs o=cliaft tattine.contractor.isnot.`Iicensed�asreurew -both'the wn
<br /> underVate law. 'I€the owner or-intended:contractor,.are,Uncertain as,:to what,licensing sego rert ei#:firrxay�appt�:for
<br /> R R ,r
<br /> intended workr:they:are.advised#o conl�act the:Pasch Coun#y'BrllijingInspection.[}rv�sioricerising;S.ectior�a#7274,7-
<br /> 8009.;•Furfherrnore; "if the owner iias-°hired''a°contractor or contractors, he is advised to 1have,the,cornea tgr(s}
<br /> portions,of the "contractor Block"..of this application,for.which.they.:wlll:be.respon,sibl&--Jf you,.68,the owner sigh as
<br /> contractor; that may be an indication#ha#he'is not property`ticensed and Vis not entitled to permitting privileges,inhPascoy
<br /> County. -
<br /> TRANSP.ORTATION-IMRACTtUT1LiTiES�iMP.ACT AND RESOURCE RECOVERY"FE6:''Thd Uhd ri signed.understands:-
<br /> that Transportation impact Fees and Recourse Recovery Fees<maY.apply to,>the construction,of._new,;bt?iltlings;
<br /> use in l existing'buildings,:sor expansion of:eiist'iri tauiidings, as specified in Pasco County Ordinance number 89'-07 and
<br /> 90-07, as amended.. The undersigned°also.understands; #hat.sucla.<fees,-as&,may be:due; wiltties identified-'aVtfi;eft rie of :
<br /> permitting. -1t is further understood tiiatjfranspartation impact Fees°'and Resource�Recovery,.Fees must be paid:prior:to
<br /> receivltg a 'certificate of occupancy or finai,,power release: 'if#he.project:does not.involve;a:coitficate of:occnpdnpjta ; Kx
<br /> finali:power-.release;;the:feees=must be:;paid•prior.to-peimi--issuance._:Furffierrrioret i€':,Pasco ota aty WaterfSewer:lmpas#
<br /> fees are.due;.:they must;,b6e paid prior to permit issuance.in:°accordance•with'applicai le 0asco County ordinances.
<br /> CONSTRUCTION LIEN�LAW(Chapter 7l.3;`Florida Statutes,as amended): If valuation of work is$2,5QO.:QQ oz more,a„ >
<br /> certify that 1,-,the:applicant, have':been._provided- with- a:copy;::of:she.:.:"Florida'--Construction*.':Lien_.;Law-:aiorneowner's�
<br /> Protection Guide" prepared�by the florlda'Department of Agricuiture and Consumer:Affairs. if the applicant is;someorae;_:-
<br /> �> .'. ..
<br /> other than the owner", i.certify that i.have obtained a copy of the.°above':;descrbeddocement and:prPmise=inn
<br /> deiiverjit,to'tt elowner":{�rior5to.con merrcirment: '
<br /> CONTRACTOR'S/OWNER'S AFFIDAV : t6t IT:: tify:that-ail=tile rnforrrtation In this application is accurate and'fhat alf work
<br /> will be done in compliance with all appli"ai li0aws regulating construction, zoning:;and:land-:development. Appilcation.Is-
<br /> hereby made to-.obtain-,-a' permit:.ao>.do_,work=and...installation..as'1Ihdica#ed'- 1'certify that no work or.installs#I6Wh'as
<br /> commenced prior-to issuance of*a permit and-that ail work will be performed to-.meet::standards-.of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development`,regulations lri:;tlie jurisdiction. ,-Falso
<br /> certify that I understand 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,to.be in,compliance:.�Such.Agencies lncliude but-rare na#:timited519:11
<br /> Department of Environmental:°:{Protection-Cypress Baytieads; Wetland Areas and Eiivlronmentaily Sensitive
<br /> Lands,WaterMlastewater Treatment.
<br /> Southwest Florida Water ManaoOmerit Distract:Wells;''-`Cypress= .Bayheads,; Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Carps of Engirisers=S6awails, Docks;•Navigable Waterways. _
<br /> Department:.,of Health;.,-&';Ref abilitative;•Services/Ent+ironmental:�Health,:Unit-Wells;�Was#ewratertTreatment,
<br /> Septic-Tanks;;
<br /> US Environmental Protection Agency-Asbestos.abatement.
<br /> Federal-Av!at!on;Authority-Runways:
<br /> i understand-thatae;foiloviring~restrictions applyta the use of.fili:
<br /> Use of fill.is,no(ailowed in'-Flood Zone"V"unless expressly permitted.
<br /> - If the fill::material:`is to be used An. Flood Zone "A", 'it is understood that a�drainage pian addressing,.a
<br /> compensating volume will be submitted.,at time of permitting which is prepared by a professional engineer
<br /> licensed,tiy:the:State;of Florida. .
<br /> If the'fill,material,:is-to be used in Flood Zone "A"'in connection with a permitted building using..stem.wall..
<br /> construction, l.aertify<that=fill'in►ii1 be used only to fill the area within the:stem wall. ..:.
<br /> if fllf:*rrhaterial,is-..to:be used-In-'any area, i certify that use of suct -fill will not adversely affect adjacent,:... .
<br /> properties. ,if.use of fill.•is found,to'.adversely affect-adjacent properties, the owner may be cited for.vlolat<iig.'.
<br /> the con kbons_:ofAhe°'building permit:issued under--the attached;-permit-application, for'.lots'-less than one {1)
<br /> acre which':are elevated by fill,.an engineered drainage plan is requited.
<br /> If 1 arn.the.AGENT.FOR:THE:OWNER 'I'.;proinise in_good falthto inform_,the owner.ofahe=perniittiirg conditions set forth in
<br /> this affidavlf'prior-to commencing construction. .l.,understand,that.ayseparate permit may be required for electrldal.work;:,
<br /> plumbing, signs,-wells,.,pools,_air,.conditioning,ngas.,..orfoth'VAnstaitations.not specifically included in the application,:; A.,.
<br /> permit issued shall;be coristruedito,be'a'lldensb4b'proceed:`-it .th'd won and not as=authorityr.to viota#e;.cancei, aiter, or
<br /> N '..
<br /> set aside:any provislonsof`the technical,codes, nor shall issuance of a permit prevent the Building Official from.thereafter' ..
<br /> ;1.
<br /> requiring'a<correction�,ofaerr_ors:.in,,pians,:construption.or'vioiatiohs of any:-codes:' Every permit issued sha11 beeorrie invalid
<br /> unless the work authorized'by such permit Is commenced within,six,months of permit Issuance, or if work authorized�by i,
<br /> the permit is-suspended:;orabandoned.;for-;a=iperiod,;of six(6)'months.aftor the time the work!&commenced. .An extension
<br /> may be;requested„_In wnting,:from the Bulkfi'ig`Official fora perlod:not to e�tceed rifiridty.(90)days and will demonstrate
<br /> Justifiable cause for-tile extension...lf work ceases for ninety(90)consecutive days,the job Is considered abandoned. 4
<br /> WARNING'�TO''OWNER:'.:YdUR;xFAILURE fT�O::kR> CO..:D;:A:NOTICE O. COiINMENGEMENT:MAY'RESULT°1N YOUR '
<br /> PAYING TWICE_1rOR1 lt gUf2,P'ROPERTY;,.iF,YOU INTEND'°TO,OBTAPN sFINAN'CiNG`CONSULT
<br /> INITH'YC1UR LENDER`OR AN ATTBRNEY BEM. RECORDING-YOUR'>N6TiCE�OP=}C'OMMEfVDEMENT:
<br /> FLORIDA JLIRAT ,,5&.!1:7.
<br /> • �
<br /> OWNER OR AGENT. t- CONTRACTOR ,
<br /> Subs b and�swo to(or affirm beire me this Subs. om to(or a8irmed} re ni this:
<br /> by
<br /> s are personally,known to me.or ava.._produced Who is/are personalty;knownao.me'or�has/h�av produced.
<br /> as'identiflcatibn. as Identification. _.
<br /> Public Notary Public
<br /> Commission No. '✓ `y Com fission No.
<br /> e -C, c4aitw QuVw(
<br /> 0- Qnme.-, Q'wc�
<br /> Name Name
<br /> Jrr` h
<br /> DEBRAELAINE RUFFELL `�;;r's¢�;`_pEBRA'EL.IIINE RUFFELL'
<br /> Commission#GG 045343 ; ::Commission#GG 045343
<br /> N:•, 'e=Expires November 7,202Q ;; Expires November 7,2020
<br /> "%?o�i;°".'•' BondadThruTroy Fain Insurance 800 385 7019 Bonded Thru Troy Fafi Inawance 600�85'7019
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