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<br />08/09/2007 10:02
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<br />3525674454
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<br />MIBAR
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<br />PAGE 03/08
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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 />applicable deed restrictions.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: 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 />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 Divlslon-Licenslng Section at 727-847-
<br />8009, Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contl1lctor(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 privileges in Pasco
<br />County.
<br />TRANSPORTATION IMPACTlUTlLmes IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br />use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance 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 />permitting. 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 certificate 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 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 "Florida Construction Lien Law-Homeowner's
<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 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'S/OWNER'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 permit to do work and installation as indicated. I. certify that no work or Installation 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 City codes, zoning regulations, and land development regulations In the Jurisdiction. '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 but are not limited to:
<br />Department of Environmental Protection-Cypress Bayheacls, 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 Englneers-SeawallS, Docks, Navigable Waterways.
<br />Department of Health & Rehabilitative Services/Environmental 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 following restrictions apply to the use of fill:
<br />Use offill Is not allowed in Flood Zone '\1" unless expressly permitted.
<br />If the fill material is to be used in Flood Zone "A", it Is understood 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 by the Slate of Florida.
<br />If the fill material Is to be used in FloocJ Zone "A" in connection with a permitted building using stem wall
<br />construction, I certify that fill will be used only to fill the area within the stem wall.
<br />If fill ~aterial is to be ~sed in any area, J certify th~ use of such fill will not adversely affect adjacent
<br />properties. If use of fill ~s :ound to .a~versely affect adjacent properties, the owner may be cited for violating
<br />the con~ltIons of the budding pelTTllt I.SSued under the attached permit application, for lots less than one (1)
<br />acre which are elevated by fill, an engineered drainage plan Is required.
<br />If ! am the AGENT FOR THE ~WNER, I promise in goocffaith to inform the owner of the permitting condItions set forth In
<br />thiS af,fidavlt. prior to commencln.g cons~n. I understand that a separate permit may be requIred for electrical work,
<br />plum~I':'9' signs, wells, pools, air conditioning, gas, or other Installations not specifically included in the application. A
<br />pennlt Issued shall be construed to be a license to proceed with the work and not as authority to violate cancel alter or
<br />set aside any pro~sions of the .technical codes, nor shall issuance of a permit prevent the BUilding Offjcl~1 from t~ereafter
<br />requlnng a correction o~ errors .n plans, con~truction or viOlatio~s o~ any codes. Every permit issued shall become invalid
<br />unless th.e .work authonzed by such permIt IS C?mmen~ wlttlln SIX months of permit Issuance, or If work authorized by
<br />the permit IS suspe~decl ~~ abandoned for a period of SIX (6) months after the time the work is commenced, An extension
<br />ma~ be requested. In writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br />Justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br />
<br />
<br />CONTRACTOR
<br />JiIIbs~ and s~ (or:J'"'r> ~re me lhh;
<br />~by All . In.
<br />Who is/areJ!elSonallY knQWllIo me .or has/h8ve produced
<br />as ldentlficaUon,
<br />
<br />ic
<br />
<br />
<br />Notary Public
<br />
<br />Nlme of Notery
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