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• assreo-0 ze Crgof Zephyrhills Permit Applicallca :2.a13aeo4az1 <br /> 69Qng Deparomr: <br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands(hat this permit may be subject to'deed"resbldions' <br /> which may be more.restrictive than County Mutations.The undersigned assumes responsibW for compliance with any <br /> applicable dead resvietlw-m. <br /> UNLICENSED COiu..TRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or <br /> oentrac+ors to undertake wore,they may be required to be licensed in mince with stale and local regulations. if the <br /> contractor Is not ficensea 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 wor!;they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-&47- <br /> 8009. Furthermore,':f the onmer has hired a contractor or contractors,he is advised to have the contractor(s)sign <br /> portions of the"contractor Block'of this application for which they will be fmponsTlfe. If you,as itte owner sign es the <br /> contractor,that may be an indication that he is not properly licensed and is not entrJed to parmlifrg privileges In Pasco <br /> County. <br /> TRA14SPORTATION IMPACTIUTILIM 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 eldsfing buildings,or expansion of existing buildings;as specified in Pasco County Ordinance number 8907 and <br /> 90-07,as amended. The undersigned arao understands,that such tees,as may be due,wig be identified at the time of <br /> permitting. It is further und3rstood that TransporWan Impact Fees and Resotem Recovery Fees must be paid prior to <br /> ruceWIng a'certificate of occupancy'or final power release. If the project does not involve a cedditastc of occupancy or <br /> final power release,the fees must be paid prior to permit Issuance. Furtheimora,if Pasco County Water/Sewer tcppact <br /> fees are due,they roust be paid prior to permit issuance in accordance% t app5cabie Pasco County ordinances. <br /> CONSTRUCTION UEN LAIN(Chapter 713,Florida Statutes,as amended): If valuation of wwk is$2,500.D0 or mare,1 <br /> certify that I,tie app5rar:t have been provided with a copy of the'Florida Corstniction Lien Law—Homeownses <br /> Protection Guide"prepared by the Florida Department of Agderldua and Consumer Aflalm. tf the appllcard Is somsons <br /> other than the'owner',I certify that 1 have obtained a copy of the above described document and promise in good faith to <br /> deliver It to the'awrier'prior to commencement. <br /> CONTRACTOR'SIOWNER'S AFFIDAVIT:l certify that or,the kdormmation In this application is accurate and that air work <br /> will be done in Compliance with all applicable laws regulating consruction,zoning and land development. Application is <br /> hereby made to obtain a permit In do work and Instigation as Indlcated. I certify that no work or installation has <br /> Commenced prior to asuance of a permit and that all work will be perfomrxf to meet starrdardg of all laws regulafir>g <br /> construction,County and City codes,zoning regulations and land development regulations in the jtrisdiction. 1 also <br /> certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is <br /> rry responsibility to Wentify what actions 1 must take orb be in compliance.Such agencies include but are not limited to: <br /> - DCpartmerd cf EmvaonmenEal ProlecliorkCypress Bayheads,Wetland Areas and Environmentally Sensitive <br /> Lands.WatwMastewctarTreeiment. <br /> - Southwest Florida Water Management District-Wefts, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineero-Seaweils,Dodo,Navigabla Waterways. <br /> - Department of Health tl Rehabilitative ServicaslEmrkohre1418i Health Unl•Wells,Wastarmter Treatment, <br /> Septic Tanks. . <br /> - US EnvironrEntal Protection Agency Asbestos abatement. <br /> Federal Aviation Ault=y-Runways. <br /> I understand that the following restrictions apply to the use of fig:- <br /> Use of fill is not allowed in Flood Zone unless expressly permitted. <br /> if the fill material is to be used'ir,flood Zone°A,it is understood that a drahatga plan addressing a <br /> 'compmsa8ng volume'vAl be submWA at time of pearldirig which is prepared by a professional engineer <br /> licensed by the State of Florida, <br /> It the tii!maternal is to be used In Flood Zone'A'in cormBption with a permitted building using stem wall <br /> construction,I certify that in will be used only to fill the area v4thln the stem wall. <br /> If 0 material le to be used in any area.1 cnCty that t3b of such fill will not adversely affect adjacent <br /> properties. If use offill is found to adversely effect adjacent properties,bia owner may be(.tied for violating <br /> the conditions of the bu'AdhN permit issued under the attached permit application,for lots less than one(i) <br /> acre which are elevated by fill,an encifneered drainage plan is required. <br /> If I am the AGLWT FOR THE OWNER,1 promise in good faith to inform the aw.w of the permitting conditions eat forth in <br /> this affidavit prior to commencing uvtsirucuon. I understand that a separate permit may be required for electrical work, <br /> plumbing,signs,ciella,pools,air cond.-tioning,gas,or other Installations not spastically includcd In the e;plkation. A <br /> permit Issued shall be construed'to be a license to proceed with the wv irk and not as authority to vidala,cancel,alter,or <br /> set aside any pmvWrins of the technical codes•nor shag issuance of a penult prevent the 8mldirg ON',cial from thereafter <br /> requiring a correction of erro s In plans•construction or vidations of any ch dos. Every permit!anted shag became Invalid <br /> unless the work authorized by such permit is Commenced within sic morrths of permit.issuance,or N wok atdhormBd by <br /> the permit Is suspended or cbandoned for a pef,:rh of six(6)mo n'tu;after the fma.the work is ccrnmenced.An extension <br /> may be requested,In writing,from the Building Official for a PEdOd not to ez oed ninety(90)days and will demonstrate <br /> Justifiable cause for the extension. If work ceases for ninety(90)corisec five days,ate job is ca sidared abandoned. <br /> WARNING TO OWNER: YOUR FAiLURE TO RECORD A NOTICE OF COMNEFICEIBENT MAY RESULT.IN YOUR <br /> PAYING TWi-CE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU i4TEND TO OBTAIN FINANCING,CONSULT <br /> 4�TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO{�f�Nt TlCE OF Crty,�nENCEt}.'IENT rr••--�� �+ ���)/ <br /> FrtlR'OA JLRAT EF.a.117A3) C�/^ <br /> 01arNEtt OR AgENr CONTRACTC���=e� "-�'/r'. ,Y1Iv l�{/ -�--•�" <br /> Subccritaad erd:_^.bmlo for affnrayl baWo me d:� aworrh:o( bob me <br /> Ex ply <br /> yreo ki[rre p•mmi9y kheaaho-As <br /> 1, , ,e!w iKfla4y iahawn fo coo orlee:eve . <br /> peNM.eu ea6m. <br /> tiat.yPua@c 'Nosy P,dric <br /> Core,,"an No-_ Commi s4m:No. <br /> aa.'Nn1�;:ypar:,Pei>;a�etarpnt Nano dVVanatsm;0.W-� , -"'.!'+"""'�`y.• <br /> iscy <br /> OCHELLE J.LW <br /> :* } r,;: <br /> LEL'r2riibcr 1b,201B <br /> corA;d Tim rrav Fenlnsimn-0 33'5d019 <br /> I <br />