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<br />JUL/13/2007/FRI 11:57 AM
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<br />CHASE GC INC
<br />
<br />FAX No, 727 789 9391
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<br />NOTICE OF DEED RESTRICTIONS: The undersigned underalande Ihat this permit may be subject 10 "dEled" restrlcllons"
<br />which may be more restrictive than County regulatiQne. The undersigned aS8umes responsibility for compliance with any
<br />aPplicable deed reslriclions.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner hes hired a contractor or
<br />contraclors 10 undertake work, they may be required to be licensed In accordance with state end local regulations. If the
<br />contractor is nol licensed as required by law, both the owner and contractor may be ciled for a misdemeanor violation
<br />under state law. If the owner or intended contractor are uncertain as 10 what licensing raqulremllnts may apply for Ihe
<br />inlended work, they are advised to contact Ihe Pasco County Building Inspecllon DIvision-Licensing Seclion at 727-847-
<br />8009. F1ll1herfflore, If the owner has hired a contractor or contractors, he Is advised to have the conlractor(s) sign
<br />portions of Ihe "conlractor Block'" of this epplicalion for which Ihey will be responsible. If you, as Ihe owner sign as the
<br />contractor, thai may be an Indlcalion that he Is not proplll'ty licensed and is not enlllled 10 p4umlttlng privileges in Pasco
<br />County.
<br />TRANSPORTATION INlPACT/UTlLlTIE:S IIVJPAC1' AND RESOURCE RECOVERY FEES: The undersigned understands
<br />thai Transpol1atlon Impact Fees and Rllcourse Recovery Fees lTlay apply to the construction of new buildings, change of
<br />USll In exlsClng buildings, or expansion of exlsllng buildings, as specified in Pesco Counly Ordinance number 89-07 end
<br />90-07, as amended, The undersigned also understands. that such fees, as may be due, will be identified at the lime of
<br />permlltlng. Ills further understood that Transportation Impacl Fees end Resource Recovery Fees must be paid prtor to
<br />receMng a "certlOcate of occupancy" or fmal power release. If Ihe project does nOllnvolve a certificate of occupancy or
<br />final power release. the fees must be paid prior to permit lasuence. Furthermore. If Pasco County Water/Sewer Impact
<br />fees are due, they must be paid prior 10 permit Issuance In accordance with applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter 713, Ftorlda Statutes, as amended): If valuallon 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-Homeowner's
<br />Protection Guide" prepared by the Florida Department of Agrtculture and Consumer Affairs. If the applicant is someone
<br />other than the "owner", I certify that I havll oblalned a copy of the above described document and promise in good faith to
<br />deliver it to the "owner" prior 10 commencement
<br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Information in this application is accurale and Ihat an work
<br />will be done In compliance with all applicable laws regulating construction, zoning and lIind development. Application Is
<br />hereby mada 10 obtain a permit to do work and installation as indicated. I oertify Ihat 00 work or InstallaClon has
<br />commenced prior to Issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br />construction, County and Cily codes. zoning regulations, and land development regulations In Iha. Jurisdiction, I also
<br />certify thaI I understand that the regulations of other government agencies may epply to \tie Intended work, and thaI Ills
<br />my responslblllly \0 Idenllfy what aclions I must take to be in compliance. Such agencIes Include but are nolllmlted to:
<br />Dllpartment of Environmental Protection-Cypress Bayheads, Wetland Areas and Envlronmanlelly Sensitive
<br />Lands, WaterlWastewater Treatment
<br />Southwest Florida Water Management District-Wells. Cypress Bayheeds, Weiland Areas, AlterIng
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls. Docks, Navigable Watetways.
<br />Department of Health & Rehabilitative Services/Environmental Health Unit-Willis, Wastllwater Treatment,
<br />Septic Tanks.
<br />US Environmental Proteclion Agency-Asbestos abatemsnl.
<br />Federal Aviation Authorily-Runweys.
<br />I understand that the following restrictions apply to the use of 011:
<br />Use offill Is not ellowad In Flood Zone 'V' unless expressly permilled.
<br />If the fill material is to be uaed In Flood Zons "A", It Is understood that a drainage plan addressing a
<br />"compensating volume" wtll be submitted altlms of permlltlng which is prepared by a professional engineer
<br />licensed by the State of Flortda,
<br />If the lill materIal Is 10 be used tn Flood Zone "A" in connection with a permitted building using stem wall
<br />construction, I certify IIlal nil wtll be uSlld only to fill the area within the stem wan.
<br />If fill material Is 10 be used In any area, I certify that use of 8uch fin will not adverssJy affect adjacent
<br />propsrtlss. If use of fill is found to adversely affect adjacent properties, Ihe ownar may bll clllld for violating
<br />the condlllons of the building permit issued under the atlached permit appllcatlon, for lots less Ihan ons (1)
<br />acrs which are elevated by fill, an engineered drainage plan Is required.
<br />If I am Ihe AGENT FOR THE OWNER. I promise in good faith to inform the owner of tha parmllllng condlllons set forth in
<br />Ihis affidavll prior 10 commencIng construction. I understand that a separate permit may be required for electrical work,
<br />plumbing, signs, wells. pools, air conditioning, gas, or other instaHations not speclflcelly Inctudlld In Ihll application. A
<br />permlllssued shall be construed to be a license to proceed with the work eod not as authority to violate, cancel. aller, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent ths Building Ofndal from Ihereafter
<br />requiring a correction of errors in plans, construction or violaUone of any codes. Evsry permit Issued shall become Invalid
<br />unlllss Ihe work authorized by such permit is commenced wilhin elx months of permlllssuance. or If work authorized by
<br />the parmllls suspended or abandoned for a period of six (6) months after ttle Ume Ihe work Is commenced. An exlension
<br />may bll requestlld. In wrlllng, from the Building Official for a pariod not to exceed ninety (00) days and wll demonstrate
<br />Justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the Job Is considered abandoned,
<br />
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<br />OWNER OR AGENT
<br />subSClill8cl and &WOm 10 (or efllnnecl) bero,. me this
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<br />CommissIOn No,
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<br />CommissIon No. ~ t>
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<br />P. 003
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