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<br />Oct 18 2007 11:01AM
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<br />American Hurricane Specia
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<br />3525922009
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<br />p.3
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<br />NonCE OF DEED RESTRICTIONS: The undersigned understands that this pennil may be subject to "deed' restrictions"
<br />which may be more restrictive than County regulations. The undersigled assumes resJXlnsibility for compliance with any
<br />applicable deed restrictions.
<br />UNLICENSED CONTRACTORS AND CON'TRACTOR RESPONSIBIUnES: If the owner has hired a con1ractor or
<br />contractors 10 undertake work. they may be required to be licensed in accordance with state and local regulations. If the
<br />contractor is nollicensed as required by law, both the owner and contractor may be cited lor a misdemeanor violation
<br />under state law. lIthe owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br />intended work, they are advised to contact \he Pasco County Building Inspection Division-Licensing Section at 727~847-
<br />8009. Furthermore, if the owner has hired a contractor or contractors, he is advisee! to have the contraclDr(s) sign
<br />portions of the "contractor Block" of ttois application for whiCh they w~1 be responsible, If you, as the OWller sign as the
<br />contraClor, Ihal may be an indication thai he is not property licensed and is not entiUed 10 permining privileges in Pasoo
<br />County.
<br />TRANSPORTATION IMPACT/UTlUTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transpor1ation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br />use in existing bLildings, or expansion of existing bLildings, as specified in Pasco County Ordinance number 89-07 and
<br />90-07, as amended, The undersigned also understll'lds, thai such fees. as may be due, will be identified at the lime of
<br />permitting. It is further understood that Transpor1l11ion Impact Fees and Resource Recollery Fees must be paid prior to
<br />receiving a "certificate of occupancy" or final power release. If the project does not involve a certHicate of occupancy or
<br />final power release, the fees must be paid prior to permit issuance, Flnhermore. if Pasco County WaterlSewer Impacl
<br />lees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordi nances,
<br />CONSTRUCTION LIEN LAW (Chapter 713, Florida SUtut.., as amended): If valuation of work is $2,500,00 or more. I
<br />certify that I, the applicanl, have been provided with a copy of the .Florida Construction Lien L.<M--Homeowner's
<br />Protection Guide. prepared by the Florida Oepartmenl 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 dOClnlent and promise in good faith to
<br />deliver illo lhe "owner" prior 10 commencement.
<br />CONTRAClOR'SfOWNER'S AFFIDAVIT: I certify that all lhe information in this application is accurate and that aD work
<br />will be done in compliance with all applicable laws regulating eonstruction, zoning and land development. Application is
<br />hereby made to oblain a permit 10 do work and inslallation as indicated, I certify that no work or inSlallation has
<br />commenced prior to issuance 01 a pennil and that all work will be performed to meet standards of all laws regulating
<br />construction, Coll1ty 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 lIgencies may appty tD the intended work, and that it is
<br />my responsibility to identify whal actions I musllake to be in compliance. Such agenCies include but are not limited 10,
<br />Department of Environmental PrOlection-Cypress Bayheads, Wetland Areas and Environmentally Sensilive
<br />Lands, WaterNoJastewaler Treatment
<br />Southwest Florida Water Management Oistrid-Wells, Cypress Bayheads. Wetland Areas, Altering
<br />Watercourses.
<br />Army COfllS of Engineers-Seawalls, Docks. Navigable Waterways,
<br />Department 01 Health & Rehabilftative ServicesJEnvironmental Health Unit-Wells, Wastewater Treatment,
<br />Septic Tanks,
<br />US Environmental Protection Agency-Asbestos abatement.
<br />Federal Aviation Authortty-Runways,
<br />J understand Iha1the following restrictions apply to the use of fill:
<br />Use of fill is not allowed in Flood Zone "V unless expressly permtted_
<br />If Ihe fill material is 10 be used in Flood Zone "N, il is understood that a drainage plan addressing a
<br />"compensating volume" will be submitted al time of permilling which is prepared by a professional engineer
<br />licensed by the Slate of Florida.
<br />If the fill malerial is to be used in Flood Zone 'W' in connection with a permitled building using slem wall
<br />construction, I certify that fill will be used only to fill the area within the stem wall.
<br />If fill material is 10 be used in any area, I oertify that use of such fill will not adversely affect adjacent
<br />properties, If use of fill is found to adversely affect adjacent properties, Ihe owner may be cited for violating
<br />the conditions of Ihe building permit issued umter the attached pennit allplicalion, for lols less than one (1)
<br />acre which are elevaled by fill, an engineered drainage plan is required.
<br />III am the AGENT FOR THE OWNER, i promise in good faith to inform the owner of the permitting conditions set for1h in
<br />this affidavit prior to commencing construction. I understand lhat a separate permil may be required for electrical work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or olher installations nol specifically ii'lCluded in the application, A
<br />permil issued shall be construed to be a license to proceed with the work and not as authority to vielllle, cancel, alter, or
<br />set aside any provisions of the technical codes, nOr sh811 issuance of a permit preventlhe Building Official from thereafter
<br />requiring a correction of errors in plans. construction or violations of any codes. Every permit issued shall become invalid
<br />unless the woltt authori:zed by such permit is commenced within six months of penni! issuance, or if work authorized by
<br />the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />may be requesled, 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 ninely (90) c:a'lSeC\Jllve days, lhe job is considered abandoned.
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<br />CONTRACTOR
<br />Sub.crlbed and _Ofn 10 (or atlirmOO) ""lore melhis
<br />by
<br />Who Is/are personally known to me or ,asihave proo..ced
<br />8S iden1Wication,
<br />
<br />Notary Public
<br />
<br />CommllIStO!'1 No
<br />
<br />a. Inted or Slam
<br />
<br />Name 01 Notary :yped, printed or stamped
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<br />Q)~ CHERVLM.$NVOER
<br />'*, :wl tIY COUMl. SSION, DO 275313
<br />" :' EXPIRES: Dealmber t5, 2007
<br />J/f.. ecn..dTlvuPi_...........Agonqo
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