<br />APR/10/2007/TUE 01 :20 PM ZEPHYRHILLS BUILDING
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<br />FAX No, 813-780-0021
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<br />p, 002
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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "dEl8d" restrictions"
<br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />applicable deed resbictlons. ' ,
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />,contractors to undertake wol1t, they may be required to be licensed In accordance with state and local regulations- if ,the
<br />contractor 18 not licensed as required by law, bOth the owner and contractor may be 9ited for a misdemeanor violation
<br />under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br />intended work. they are advised to contact the Pasco County Building Inspection Divislori-Licensing SecUon ai 727-847-
<br />8009. Furthermore, If the owner has hired a contractor or contractors, he is advised io have the contrador{s) sign
<br />portions of the "conlractor Block. of this application for which they will be responsible., If you. as the owner sign as the
<br />contractor, Ihat may ,be an Indication that he Is not properly licensed and is not entttled to permitting prIVileges in Pasco
<br />County. ' '
<br />TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />, that Transportation Impact' Fees and Recourse Recovery Fees may apply to the construcllon of new buildings, change of
<br />use in existlng buildings, or expansion of existing buildings. as specified in Pasco County Ordinance number 89-07 and
<br />90-07, as amended. The undenllgned also understands, that such fees, as may be due, Will be identlfled at the time of
<br />permltllng. It 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 cert,ilicate of occupancy or
<br />final power release, the fees must be paid prior to permit issuance. 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 Statut.., .. 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 .FlorIda Construction Lien Law-HomeoWner1s
<br />Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br />other than the "owner", I certify that 1 hav,e obtained a copy of the above described document and promise in good faith to
<br />deliver illo the .owner" prior to commencement. ' , '
<br />c;ONTRACTOR'810WNE!R'S AFFIDAVIT: '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 pennit \0 do wol1t and installation as Indicated. I certify that no work or Installation has
<br />commenCed prior to issuance of a permit and thet all work will be performed to meet standards of all laws regulatirm
<br />construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction., I also
<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 include bui are notUmlted to:
<br />Department of Environmental Protection:-cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment.
<br />_ ' Southwest Florida Waler Management DIstrict-Wells, Cypress Bayheads; Wetland Areas, Altering
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls, Dooks, Navigable WatelWays.
<br />Department of Health & Rehabilitative Services/environmental Health linlt-Wells, Wastewater Treatment.
<br />Septic Tanks.
<br />US Environmental Protection Agency-Asbestos abatement.
<br />Federal Aviation Authority.Runways. '
<br />t understand that the following restrictions apply to the use at fill:
<br />Use of fill is not alloWed In Flood Zone "V" unless expressly permitted.
<br />- , If the flll material is to be used In Flood Zone "A", It is understood that a drainage plan addressing a
<br />"compensating volume" will be eubmitted at time of pennitting Which Is prepared by a profeSsional eriglneer
<br />licensed by 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, , certify thai fill will be uaed only to fill the area within the stem well.
<br />If fin material Is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br />,properties. If use of fill Is found to advenlely affect adjacent properttea, the owner may be cited for violating
<br />the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br />acre which are elevated by fill, an englneered drainage plan 18 required.
<br />If I am the AGENT FOR THE OWN~, I promise in good faitI' to Inform the owner of the permitting condltlons set forth In
<br />this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br />plumbing, signs, wells, pools, aIr conditioning, gas, or other installations not speCifically Included in the application. A
<br />pennit issued shall be construed to be a license to proceed wlth the work and not as authority to violate, cancel, alter. or
<br />set aside any provisions of the technical codas, nor shall issuance of a permit. prevent the Budding Official from thereafter
<br />requiring a correctlon of errors In plans, construction or vlolaUons of any codes. Every permit issued shall become invalid
<br />unless the work authorized by such permit is commenced within, six months at permit iSBuance. or if work authorlzed by
<br />the permit is suspanded or abandoned for a period of six (6) months after the time the work Is commenced_ An extension
<br />may be requnted, In writing. from lhe Building Ofrlcial for a period not to exceed ninety (90) days and will demonstrete
<br />justifiable cause for the exlension. If work ceases for ninety (90) consecutive days, the job Is considered abandoned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />, PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO 0 ~1t4 FI '
<br />R F REC
<br />FLORIDA JURAT (F.S. 117,03)
<br />
<br />OWNI!R OR AGENT
<br />SUIl$c!lbed and sworn to (or aMAned) before me \hili
<br />by'
<br />1Nho IsIare personally known III me or haslhave produoed
<br />all idenllllcalon.
<br />
<br />Notary Public
<br />
<br />
<br />Public '
<br />
<br />Commission No.
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<br />Name of Notary typed. prIntlld or stamped
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<br />NlII1Ie lIf Notary , ~ or stamped Bobbie Swetland
<br />{*f E"] MY CbMMISSION # 00268763 EXPIRES
<br />~.j,.,...~"j F~bruary 22, 2008 '
<br />-",.~::.' oONDED THRU TROV FAIN INSURANCE, INC
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