<br />12/14/2006 THU 16:02 FAX 813 626 9887 W.Jackson & Sons Const.
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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed. restrictions.
<br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />applicablede~ restrictions:
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contractors to undertake work, they may be required to be licensed In accordance with state and lOcal regulations. If the
<br />contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br />understate law. If the owner or intended conlractor'are uncertain as to what licensing rtlquirements may apply for the
<br />intended work, they are lidvised to contact the Pasco County Building Inspection Division-Llcenslng Section at 727-847-
<br />8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br />portions. of the .contractor Block" of this application for which they will be responsible. If yOu, as the owner sign as the
<br />contractor, that may be an Indication that he is not properly licensed and Is not, entitled to permitting privUeges In Pasco
<br />County. .
<br />TRANSPORTATION IMPACTIUTJI,.ITJES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands .
<br />that Transportation Impacl Fees and Recourse Recovery Fees may apply to the construction of new buHdings, change of
<br />use in existing buildings, or expansion of existing bUildings, as specified in Pasco County Ord"lflance number 89-07 and
<br />90-07, as amended. The undersigned also understands, that such fees, as may be due, will be Identified at the time of
<br />permilling. .11 Is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />receiving a "certificate of occupanCy" or final power release. If the project does not involve a certificate of occupancy or
<br />final power release, the fees must be paid prior to permillssuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fees are due, they must be paid prior to permit Issuance in accordance with applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br />certify that I, the applicant, have been provided with a copy of the "ROOda Construction lien Law-Homeowner's
<br />Proiecllon Guide. prepared by the Rorida Departmen( of Agriculture and Consumer Affairs. If the applicant is someone
<br />' other than the "owner", r certify that I have obtained a copy of the above described document and promise in good faith to
<br />deliver It to the "owner" prior to commencement. '
<br />CONTRACTOR'SIOWNER'SAFFIDAVIT: I certify that all the Information in this application is accurate and that all work
<br />will be done in Compliance with all applicable laws regulating construction, Zoning and land development. Application is
<br />hereby made to obtain a panni! to. do work and installalion as indicated. I certify that no work or installation has
<br />comrnern;ed prior to Issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br />construction, County and City codes, zOning regulations. and land development regulations in the jurisdiction. , also
<br />certify that I understand that the regulations of other govemment agencies may apply to the intended work, and ihatlt is
<br />my responsibility to Identify what actions I must take to be in compliance. Such agencies include but are riot limited 10:
<br />,Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, WaterlWastewater Treatment.
<br />Southwest Florida Water Management District-Wells, Cypress Bayheads. Wetland Areas, Altering
<br />Watercourses. , . .
<br />'Army Corps of Engineers-Seams, Docks, Navigable Waterways.
<br />Departmeni of Health & Rehabilitative ServlceslEnvironmental Health Unit~Wells, Wastewater Treatment,
<br />Septic Tanks, '
<br />US Environmental Protection Agency-Asbestos abatement.
<br />Federal Aviation Authority-Runways.
<br />. i understand that the followiilg restrictions apj:lly to the use of fill:
<br />Use of fill is not allowed In Rood Zone "YO unless expressty pennltted. .
<br />If the fill material is to be used in Rood Zone "A", it is understoOd thaI a drainage plan addressing a
<br />.compensating volume" win be submitted at time of permitting which is prepared by a professional engineer
<br />licensed by the State of Florida. ..
<br />If /he fill materlalis to be used In Flood Zone "A" In connection with a peimitted building using slem wall
<br />construction,. I certify that till will be used only to f~1 the. area within the stem wall.
<br />If fill materia'. is 10 be used in any area, I certify that use. of such fill wJ1l not adversely affect adjacent
<br />properties, If use of fill is found to adversely affect adjacent pro~s, /he owner may ~ cited for violating
<br />. , the conditions of the bulding permit issued under the attached permit application, for lots less than one (1)
<br />. acre which areelevated'by till. an engineered drainage plan is required, '
<br />If 'oam the AGENT FOR THE OWNER,I,promise in goOd faith to inform the owner of the pennltti~ conditions s~t forth In
<br />. this affidavit prior to commencing construction. I understand ~at a s.eparate perm~t may ~ reqUired for elec'!ical work,
<br />'plumbing: signs, wells, pools, air conditioning, gas, or other .nslallaIJons not specifically ,~uded.lnthe applrcation. A.
<br />. permit issued shall be construed to be a license to proceed with thEi work and not as authonty to Violate, cancel, aller, or
<br />set aside any provisions of the technical codSs, nor shall ~suance of a permit prevent the Buftdlng Official from ~aft~
<br />requiring a correction ormors in plans, construction or vloi8t~ns o! any codes. Every permH Issued shall becorm: Invalid
<br />unless the work authorized by such permit Is commenced within ~IX months 0.' pennlt issuance, or If work authorized. by
<br />the pennit is suspended or abandoned for a period of six (6) months after the time, the work Is commenced: An extension
<br />may be requested, in writing, from the Bulding Official for a period not to ~eed nln~ty ~90) dars and will demons Ira Ie
<br />justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the JOb IS considered aband(lned.
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<br />WARNING TO OWNER: YOUR FAILURE To RECORD ,A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING 'TWicE FOR ,IMPROVEMENTS TO YOVR PROPERTY, IF YOU INTEND TO O.BTAlN FINANCING, CONSUL T
<br />,. WITH YOUR teNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 117.03) , '...'. . . ~. ~t:l"-~
<br />'l.'J-/' hut.. 'J'fy7Ruf2~/e. CONTRACTOR ~ ,~C'\e-\l...~t\ ~ ~
<br />or aJllrin~~ n:elhls SlmsCllled _,nd ~O~~~,,~
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<br />to I!l8 or haslhave produced Who Isfara personally known III I!l8 Dr t;;,;,;J, ~Produced .
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<br />,;,"f'~'. P.al Grable
<br />,"~~~.-:. Colllllllll~ IDD274973
<br />~~. {I::~ Expires. : Dee 14,2007
<br />-.,~. . " Bonded 1bru
<br />~I'm ,...\. .AdanticBcmr.:liDBCo.,Inc.'
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