<br />JUL/13/2007/THU 02::S PM ZEPHYRHILLS BUILDING
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<br />FAX No. 813-780-0021
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<br />P. 003
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<br />NOTICE OF OEED RESTRICTIONS: The U1'Iderslgned understands that this permit may be SUbJect to 'deed" restrlctlons"
<br />whk;h may be more restYidlve then Gou!'ily regulations. The u~lgned aseumes ,re.ponslblllty for compliance with any
<br />applicable deed re&trlctions. " . . , .
<br />UNLICENSED. CONTRACTORS AND CONTRACTOR RESPONSIBILmES: If \he owner has hlred a contractor or,
<br />conlractore '0 undertake work. they mllY be AKlUIr~ 10 be bnse<l '" accordance wtlh ~i818 and Iacal regulations. If the
<br />contractor Is notlicenssd as required by laW, both the owner and con1rai;:tOr me, be cIIed (or e misdemeanor violllllon
<br />under , state, law. if the owner or intended contreator ere uncertain 88 to wh~ lloen,lng reqlJlremerrts may epplY (or the
<br />Intended work, they are advisBd to contact the PI18CO County au.dlng Inspection DivilIlOt1--I.ic8nsin9 Section al 727-847~
<br />8009. Furthermore. If the owner haa hired a QOntrec\Of or contraclot$. he 15 adv_ 10 have the conlral!\or(s) sign
<br />portions of the .contraolor Block' of thl& appltoalion for which they.wlll be responsible. If you. as \tie ownsr sign as the
<br />contractor. that may be ari Indication that he Is not properly Ilc:ensed and Is not sntItIed to peml\tllng privneges in Pasco
<br />County. .' ' . '.
<br />'mANSPORTATION IMPACTIUTIUTIES IMPACT AND RESQURCE RECOVERY FEE:S: The undersigned under6land& '
<br />thlill Tranaporbttlon Irripect Fees a,nd Rec;otne Rec;vvery Feee may eppIy to the ~trucUon of neW b",ndlngs, change of
<br />Wie In existing buildlnge. or eXP8f\Slon of 8ldstIng bulldmgli. al lipeGifled in Pasco County OrdInanea numbsr 89-07 and
<br />go-07. 8& emended. The undersigned ".0 underslends. that 8UCn fees. 8& I11lIlY be due. wlU be Idenllfled st \he Ilme of
<br />permitting. Ills further underlltood that lrenspol1ation Impact Fees and Resource RecoVery Fees must be paid prior 10
<br />receiving a .certiflcate of occupancy' or tlnal power ""ease. If the proJeot dotS not"Irwolve a certlncal8 of occupancy or
<br />'t1na1 power n:l,,"e, the feeS must be'p~d 'prlorlo p~lt !nuance. Furthermore, If Pesco County Water/Sewsr Impact
<br />'fees 111'9 due, \hey must be paid prior to permit ie.uance In acoon:lanc:e with eppIic8ble Pllfco ~ty ordinances. .
<br />CONSTRUCTION L1EN LAW (Chapter 713. Florida StaMM, u amended); If v8h.latlon of Wortc Is $2,500.00 or more, I
<br />cer1Ify that I.. \he applk:8nt, , have been provided with a copy of the "Florlda ConstruotiOn Lien Law-Homeowners
<br />. Protectton GUide" pAlpared by the Florida Departm8nt of Agriculture and Coneumer Af't8Irs. If the epplic:an! i8 &Oll1110ne
<br />. other than lhe 'owner", I certIfy that I have obtslned a copY of the above desciibed document and promlse In good faith to
<br />deliver It to the 'owner" prior to commencement., ' "
<br />CONTRAC1'OR'sIOWNI;R'S APFlDAVIT; I certify thst all thelnfOrmalion In this appllcatlon Is aocurate Bnd that all work
<br />Will be done In compllan~ wllh all applicable laWs regullltlng constr\lcUon. ~ and I~d deYelopmenL Appllc1ltlon it
<br />hereby ml1de to obtsJn a psrmit to do wor1< and \rlStBIaUon as Indicated. I C8l1Ify that no work or inF;lalIalion h8&
<br />commenced prior to lssuam;.i of a permit and !hat II~ work will be pBlformad to meelstandards of all taWS regulating'
<br />constl\lclion. COUflIy' end OIty 01KiN. z.onIng rlllQulallons. and lend deVelopment regulations in the JurlsdictlOn. I a1,0
<br />certify that- I ~nderstand ahat'the regulallon& of other government egem;les maY apply \0 Ihe Intended work, l1I'ld, that II ill
<br />my responalblllty to identify whaI agtlOns I must tRIte to be in compliance. Such agencies Include but.e notliti1lled to:
<br />Department of EnvironmenlSl Prol8ctioo-Cypt'9S1 Bay\ulads. WeIhInd Areac and Env~nm<<ltaUy SllASitIve
<br />Lands. WelerlWastvwaterTr8atment. " '
<br />Sou\hwelit florida Waler ~ment DIsn:t-Welle. Cyp..., BayhescSs, Weiland Areas, AlterIi1g
<br />Watercourses.' ,
<br />Army Corps of Engl~re-Seawells, Docks, N8\llgable Wawrwayv. , . ,
<br />Department of Health & RehabUllaliY9 5ervtcelllerwironmental Health UnIt-W811s. Wastewater Treatment.
<br />Septic Tanks. ' .
<br />US Envlronm$fllal ProtectIon AgBncy-~1l1os ebatemenl
<br />Federal Aviation Authorlty-Runweys. .
<br />. I understand thallhe follOWing reelrlctlon6 apply 10 the Ulle of fill:'
<br />Us".of fill 16 nOt 81lowed In Flood ZOne V unless expreesly permitted. ' "
<br />If the rill material ill to bEt used In Rood Zone "A-, It ~ understOod that B drainage plan addlll6slnV a
<br />'compensaliMO volume: will be aubmllled at time of permitting whlDh ie preplRd by Ii professional BIlginesr
<br />IiCllilllSed by the State of Flortda., ' .' '
<br />If Ihe ml material Is to be Uled In Flood ZOne 'A" in con~n with.. permitted bU~dIng U6lng .tem wan
<br />conalruotlon, I certify that fill will be used only to tlII the area wIIht". the &lem WIlli. . ,
<br />If ffll mlltet1al 18 to be used In any area, I C40lJtIfy that use r:A llLdl ftn will 'lot adverseI)' affect adjacent
<br />, propertlee. If UGe of fills found to adver.Mlly ~ lId~ propertial, the owner mey be'dted for violating
<br />the condilions of the building permit lesued under the attached permit application, for lots less It1el'I one (1)
<br />. acre which we eI8vatSd by r~I. an anglRe8nld drainage plan Is required. '
<br />If I em the AGENT FOR THE OWNl:R; t proml8& In'good faith to Worm the owrier or the permitting conditIonS let fDr1h tn
<br />this aftIdavlt prior tg oommenclng construdlon. 'I underetend lhat a separate permit may be rvquhd for electrical work;
<br />plumbing. signs, wells, pools, sir oondIlionIn9. gas. or other iristallaUonG nol speoillcally lnoIuded in the spptiGellon. A
<br />permit i'lluad shall be conslnled \Q be a lIcene'e tv proQ88d with the wurk and not ell authority 1a"vIOIate. cancel, aI,ter, or
<br />. set aside any provi&\one of Ihe technical cadell. nor shall 'Issuance of a permit prevent tie BulIdInIJ OfIIcial from thereafter
<br />requiring B cooGCIion of IIITOl'I In plans, construction or violations of any codes. Every permit ..sued shall bel;ome Invalid
<br />unless the work authorlzBd by suoh ptIrmllls r;OI1lmenc:ed within elx months of permit iBSUl!II)C8, 01l'1 work authoriad by
<br />the permit ,. suspended or abandoned for II period of sill. (8) monlh& alter thellm~ the work Is commenc;ed. An extension.
<br />may be feqUestuO. In wr1Iing. bI1'l the BuildIng. 0fIId1l1 for a pertod not to ex.ceed ninety (90) days and. wnl demonstrate
<br />juetlllable caUlS" for the extension.. If worlt Oli~ fo".nlnely, 11l9} co~ days, ~ Is COC'S~ t1bandoned.
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<br />, WARNING TO OWMER.: YOUR FAILURE TO RECORD A NonCE OF COMMENCEMeNT MAY RESl.!LT IN YOUR
<br />, PAYING twiCE FOR IMPROVEr.'IENTS TO YOUR PROPERTY; IF YOU IM'TaID TO OBT~ F_"ClNG. CONSULT
<br />R N R FO Y 'u C
<br />F\,ORlD JURAT (I';S. 117.03)
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<br />OWNIR Oft AGENT
<br />S\lb$UIIIlId and l;WOm to (or 8llItm8d) baro..1'/I8 Ihb
<br />. by .
<br />WtIO I$/elll perw_11jI kllOWi1lo me or hnlhllYe pmdoad
<br />8s1dt1"r!IIlceIan.
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<br />III_IY. PullllC
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<br />--r!"'~ publo
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<br />Com/Ills$lOn No.
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<br />~MlRIan No.
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<br />, _ ofNoIsJy typed. pt1nIed or~
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<br />Mame. of NoIary .typed. prlnled or sl\lnlpecI
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