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$�3asa-oa2o City of Zephyrhi((s Permit Application Fax-813-780-0021
<br /> NOTICE OF DEED RESTRICTIONS: The undersignediaurogie��mm��h�t this permit may be subject to"deed" r�strictiar�s"
<br /> which may be mare restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> appficable deed restrictians.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBlLITIES: ff the awner has hired a�contracfar ar
<br /> contractors;to undertake work,,they may be required to be licensed in accordance with state and loc�l reg;ulations. If the
<br /> contractor is not licensed as'required by law, both the owner and can�ractar'may be ci#ed for a misdemeanor violation
<br /> under state 1�w. !f the owner_or intended contractor are uncertain as to,what li�ensir�� requirements �rr�y-apply far the
<br /> intended wark, they�areadvised to contact the Pasco County Building Inspection Division-Licensing Section at'727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor{s} sign
<br /> portions af the "contractor Block" af fhis app(ication for which #hey 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 privilsges in Pasco
<br /> County. •
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY�FEES� The undersigned understands
<br /> that Transpartation lmpact Fees and Recourse Recave.ry F�es may apply.to the.cons�ruction•of"netinr buildings, change of
<br /> use in existing bui[dings, or expansion of existing �uildings, as specified in Pasco County Ordinance number. 89-Q7 and
<br /> 90-07, as amended;, The undersigned also,understands, that such fees, as may be;due�wilf,be identi€ied at the #ime of
<br /> permitting. ' It is further uriderstood that firansportation Impact Fees and Resource Recavery Fees must be paid prior ta
<br /> receiving a "certificate of occupancy" ar final power release. If the praject daes nat invalve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. fiurthermore, if Pasca Gaunty Water/Sevusr lmpact
<br /> fees are due,fhey must be paid prior to permit issuance in accordance with applicabfe Pasco Caunty ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500A0 or more, I
<br /> certify that 1, the applicant, have been providect with a copy of the °Flarida Gonstruction �ien Law—Nomeowner's
<br /> Protec#ion Guide" prepared by the Flarida Department of Agriculture.and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", !certifar#hatl_hav�e obtained a copyof;the above�tdBSCTi�?'ec! ciocurrae�it'and pramise in goad faith to
<br /> deliver it to the"awneru 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 a11 applicable laws regulating canstruction, 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 ar installatian, has
<br /> comrnenced prior to issuance of a permit and that all work will be performed ta meet`standards of all laws regulating
<br /> constructian, County and City codes, zoning regulations, and (and development regulations in the jurisdiction. I 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 ta identify whaf actions 1 must take to be in compliance. Such agencies include but are not iimited to:
<br /> - Department af Environmental Pratection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wel�s, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercaurses, � •
<br /> - Army Corps of Engineers-SeawaNs, Docks, Navigable Waterways.
<br /> - Department qf Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectibn Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply#o the use of fi(I:
<br /> - � Use of�ill is nat allowed�in�Flood��one."V'•�3nless expressly permitted. -_ .. � , .. � ;
<br /> - !f the fill material is to be used in F1ood Zone "A", it is understaod that a drainage"�plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is p[epahed;6�r:a-�professional engineer
<br /> licensed�by the Sfate of Florida. ' ' � .
<br /> - 1f the �II material is ta be used in Flood Zone "A° in connection with a perrnitted buiiding using stem wal{
<br /> construction, I certify that fill will be used only to fill the area within the s#em wall. ,
<br /> - If fil! material is ta be used in any area, 1 certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the awner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one {1}
<br /> acre which are elevated by fi11, an engineered drainage plan is required. '
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set farth in '
<br /> this affidavit priar ta commencing construction. 1 understand thaf a separate permit may be required for electrical work, �
<br /> plumbing, signs, we�ls, pools, air conditioning, gas, or other installatians not specifically included in the application. A +
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, ar ,
<br /> -sef aside any provisions of fhe technical codes, nor shall issuanee of a permit prevent the Building O�cial from thereafter
<br /> requiring a carrectian of errors in plans, construction ar violations af any codes. Every permit issued shall become invalid
<br /> unless the work authorized by`such permit is commenced within six months of permif issuance, or if wark authorized by
<br /> the permit is suspended or abandoned for a period af six(6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building O�cial for a periad not to exceed ninety (90) days and wi!! demonstrate
<br /> justifable cause for the extension. if work ceases far ninety(90}consecutive days,the job is considered abandoned.
<br /> WARNENG TO OWNER: YOUR FAILURE TQ RECORD A NUTICE OF Ct3MMENCEMENT MAY RESULT tN YOUR _
<br /> PAYING TWICE FOR 1MPROVEMEMTS TO YOUR PROPERTY. IF YOU INl'END TO OBTAIN FINANCING, CONSULT
<br /> WITH YC?UR LENDER OR AN ATTORNEY BEFORE RECORDlNG YOUR N TICE UF CQ ENCEMENT.
<br /> F�ORlDA JURAT(F.S.417.03} � � '
<br /> OWNER QR AGEN7�'{��'D rYlit Gt�:�,�� CONTRACT L:+G��""—
<br /> Subscribed and swo to{or affirmed}before me t is Subscribe nd sworn (or aifirmed}before me this
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<br /> Wh�is/are oersnnallv�k -own to me o�has/have.produced o is/ar er onally known to me or has/have produced
<br /> ""� as identiftcation, as identifcafion.
<br /> � tary Public � Notary Public
<br /> Commission No.__,,,�.� ��2`� Gommission No. � Q
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