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<br />NOV/27/2007/TUE 02:22 PM
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<br />ZEPHYRHILLS BUILDING
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<br />.FAX No. 813-780-0021
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<br />"NOTICE OF:DEED' RESTRICTIONS: The undersigned undenl\ands lhat this permit may 'be'subJect to "deed", restrictlonll'
<br />whIch may be more restrictive than County regulations; The undersigned assumes' responsibility for compliance with any
<br />, applicable deed re&tricUon&.' .. , ' ' "
<br />'UNLlCENSEll-CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 'If-the owner haS hired a contr~ctor or
<br />conlraotOrll to undertake work; they may be required to 'be licensed In accordance with state and local regulations. ' If the
<br />contraotor Is nol.llce~ed a!! required by law, both the owner and contraetor may' be cited for a misdemeanor vIolation'
<br />: uncler,stat'illaw. If the owner or In,lended ,contractor are uncertaln,ael~:rwhat 1I0enslng requlremenle'may apply for the
<br />Inlended work,they are advised to conlaQt the'Pasco County BuD!ilng IIlSPeotlon,Dlvielon--Llcensing Section at'7:27-847.
<br />'8009. ,,:Furthermore, If the owner,haS hIred a <<x>nlr\1lctor or contraQtors.. he Isadvieed to have the caniraclor(e)"slgn
<br />portlorw of the "oonlraclor alook. of this application for whIch they wUI be responsible. If you, as the 'owner sign as the
<br />contractor, lhat may be an lndl~tfon that he Is not properlY Ilceneed and i9not e~titled to permlltlng prIvileges In PeSco
<br />CoUnty. ' ,,' ','" ',', " ,
<br />'TRANSPORTATION IMPACTJUTILlTIES IMPACT AND RESOURCE ~ECOVERYFEE5: The underelgned understands
<br />thaI Transportatton'lmpact Fees and Recouree .Re~OV'ery,Feee may apply to the construction of new, buildings, change of
<br />uea In e~B\lng bulldlnge. or expansion, of exlsUng buildings, as specil'led In Pasco County O1'dinancEi nUl'\'1ber 89-01 and
<br />00-07, as amended.' The ,underGlgned a160 understands, that8uoh fells, as may be dua, wUl be Identified, at the tIme of"
<br />permitting. It \$'further understood that TraneportQlIon ImpacfFees'ar,d RasolJfCe Recovery FeeS must be plilld PrIor tci
<br />reoervlng "...certlflcate of occupanoy' or final power release. If the, project doee not-Involve 'a certificate of occupancy or
<br />final power raJeaee, the fees must ~e paid prior to permit i6Suanoe. Furthermore. If Pasco county Water/Sewer Impact
<br />:fe&S are, due, they musl be paid prior to pennlt lsSl.!ance in accordanoe!wllh applicable Pasco County ,ordinances. .
<br />'CONSTRUCTION l-IEN LAW (Cl1apter'713, Florftla'Statl.lt9s, e& arnondod): If\laluallon of work Is $2.600.00 or more, I
<br />certifY' thet I, the applicant. hav9 been provl~ea with a copy ~f the 'FlorIda Construction Uen ,Law-Homeowner's
<br />Pl'Qlectton GuIde" prepared by the Florida Department of Agriculture !ind, Consumer Affair&~ If the applloant Is eomeone
<br />oth~r than the .owner", I certify that I hal/e obtained EI copy of the abova described document and prom Is!, in good faith to,
<br />delll/er It to the "owner" prior to cominencemGnl.' ,', '..' ' ,:' " ,
<br />CONTAACTOR'8/0WNER'~ AFFIDAVIT: I oertllY that ell the Informatlon'ln this application Is aeaLi,rate and that all work
<br />wl\1.be done In oompllance with all applloable laws ragulallng oonstructlon, Z9nlng and land development. Appllcallon Is
<br />h,ereby made to obtain a permit to do work and Installation 'as Indicated, I certify that no' work or Installation has
<br />commenced prior IQ Issuance 'of a permit and t"at all work will be performed to meet standards of all laws regUlating
<br />conslrUo\ion, Count)' and City codes, :mnlng regulations; ,and'lana deve!opmenl regulations In the jurisdlclion. I aleo
<br />, certify that I understand that the regulallone .of other govemment agencies may apply w the Intended work, and that It Is
<br />my responsibility to IdentIfy what aellons I must take to be In compliance. Such agencies Include but are not limited to:
<br />Department of Enviro~ml;lntel Protectlon-Cypress Bayheads, Wetland Areas and environmentally Sensitive
<br />Lends, WaterlWastewater Treatment. ' '
<br />'southwest Florida Water Manage!1lent Dislrlct-Wells; Cypress Bayheads, Wetland Areas, Altering
<br />Watercourses,' " '
<br />Army Corps of Engineers-seawalls, Dock~, Navigable Wat9lWSYS. . ' ,
<br />pepartmant of Health '& RehabilitatiVe serviceslEnvirQhmental Heal\h Unit-Wells, Wa5tewater Treatment,
<br />Septla Tanks. ' ' ,," '
<br />US Environmental Proteotion Agency-AEIbe9tos abatement.
<br />:. Feaer,1 Aviation Authority-Runways. ,
<br />I understan~ that the following re5trlctiQris iapply to the use of fill;', '
<br />Uee of 111115 not allowed In Flood ,Zone 'V" unless expreesfy permitted. ,.'
<br />, If the 'flil material Ie 10' be: USeQ In Flood Zone "A", It III understood thai a dralnege plan addreslOlng a
<br />, ' '"compensating voluma" will be submitted at time of permItting which Is prepared by a profe9s1'onal engineer
<br />licensed by lhe ~\ateof FIQrlda, , .... ' ': " ':,
<br />If the flllm~terlaf Is to be used In' FIQod la,tle "A" In connedion with a permitted bullo\og using slemwell
<br />constr.uction, 1 ce;rtlfy thaI nil will be used onry 10' fill the ar9B within the stem wall. '
<br />If, fill matertal Is ,to be used in any area, I certify lhat use of such flll will not adversely alfect adJacenl
<br />, pr~partleEi. If uS!3 of r.lls found to adversely affect adJacent 'prc~rtles, the owner may be cited for vIolatIng
<br />the conditione of ,I he building p&'mlt 15$ued under the attached permit applicaUon,,{or lots lellS than one (1)
<br />acre which are elevaled by fill. al'l engIneered drainage jJlan Is required. ' .
<br />If I ilm the AGENt FOR THE OWNi::R, I promIse In good faith to In~orm,the owner of the parmlltlng conditions eet forth In
<br />thIs effldavlt pr10r to commencing construotion. I underetand lhat a liieparate permIt may be rsql.ll,re~ for' electrloal work.
<br />plul'T)bl,ng, signs, welle. poolS, air conditioning, gas, or olher Installations not speolfically Included In the application. 'A
<br />perml\ I,,!sued shall be coristrued 10 be a'license 10 proceed with the work, and not ae authority to, vlolete, cancel, slter, or
<br />sel astde any proitlsiol1S of the technical codes. nor shall Issuance of a permit prevent the BuDding Official from .thareafter
<br />requiring a correction of errore In plane. construction or violation,S of any codes. Every permillssued shall become Invalid
<br />unlee&'lhe work authorized by such permit Is c~mmenC8d within siX months of permit 'i~susnoe. or If work aUthorized by ,
<br />the permllls suspended or abandoned for a period of siX (6) monlhs after the time the WQrk Is cQmmence~, An extensIon
<br />may be,requBstfi;ld; In wrIting, from the BuildIng OfficIal for a perlod'not to exceed ninety (90),days and will demonstrate'
<br />~o"'.~. ,."'" fa< ... .""MIon' .If _k """'" f".I"'~. (oo,"'.,,""',. doyo, ","!"b ~ ""..- .',:.d..... .
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<br />WARNING TO OWl'lER:' yoUR FAILURE-rO RECORO A NOTICE OF COMMENCEMeNT MAY RE1.SULT IN YOUR
<br />PAYING -MICE FOR IMPROVEMENTS TO YOUR PROPf:RlY.' if yoU INTE':ND TO OBTAIN FiNANCING, CONSUl. T '
<br />lyE' E "'N 11 y E 0 c 0 'G 0' R OT E F a C Nl ' T '
<br />FLOR10AJURAT(F,S,111.03) "
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<br />oWNER OR AGENt
<br />SUbsl;lllbe<;lsnd;(" to (or "Ilirrned) baiera me thl$ ,
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<br />Wl\Q Islarll pe1llona11y known '10 m. or hile/lIBYa,produced
<br />, ' as ldenUIk;8 n,
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<br />, CONTRACTOR '
<br />subs~b9d,sfld sworn' 10 (or alfim1ed) befc,e ",e !hig,'
<br />, by , , ,', '
<br />Who tslaropersonallyl<rICWKl \0 mil or hee/hllVe IlrodlJced
<br />8$ Idenllliealloll,
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<br />Nol;ory PIJIlUC
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<br />Iary public '
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<br />f;ommi.8Ion,l'lo.
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<br />ANIA
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<br />. ~m~ 01 Nol8ry lYPed. printed or atan1ped
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<br />P. 003
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