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813-780.0020 City of Zephyrhills.Permit Application Far-s13-76o-0112e <br /> Building:Department <br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit maybe subject to"deed"restrictions"which may be more restrictive <br /> than County regulations.The undersigned assumes responsibility for compliance with any applicable.deed restrictions. <br /> UNLICENSED•CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired a contractor or conlractors to undertake work,they <br /> may be required to be licensed in accordance with state and local regulations,tf the'contractor rs,not licensed as required by,law,both the owner and <br /> contractor maybe cited for a misdemeanor violation under state law.If the owner or intended contractor are uncertain as to what licensing requirements <br /> may.apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Llcensi8g Section at 727-847-8009. <br /> Furthermore,if the owner has hired a contractor or contractors,he is advised to have the eontractor(s)sign portions of the'contractor Block"of this <br /> application for which they will be responsible:If you,as the owner sign as the contractor,that may be anti dication that he is not properly licensed and Is <br /> not entitled to permitting privileges In Pasco County. <br /> TRANSPORTATION IMPACTlUTILITIES,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 use'In existing buildings,or <br /> expansion of existing buildings,as specified in Pasco County Ord nance.number 89-07 and 90-07.as amended.The undersigned also understands,that <br /> such fees,as may be due,will be identified at the time of permitting.It is further understood that.Transportation Impact Fees and Resource Recovery <br /> Fees must be paid Odor to receiving, permit <br /> or final,power release.If the project does not involve a certthcale of occupancy or final <br /> power release,the fees must be paid prior to pet issuance.Furthermore,if Pasco County WatedBewer Impact fees are due,they must be paid prior <br /> to permit Issuance in accordance with applicable Pasco,County ordinances. <br /> CONSTRUCTION LIEN LAW,(Chapter 713,Florida Statutes,as amended):If valuation of work is$2,500.00 or more,I certify that I;the applicant, <br /> have been provided with a copy of the"Florida Construction Lien Law—Homeowner's Protection Guide prepared by the Florida Department of <br /> Agriculture and Consumer Affairs.If the applicant is someone other than the"owner,I certify that I have obtained a copy of the above described <br /> document and promise in good faith to deliver it to the"owner prior to commencement <br /> CONTRACTOR'SIOW NER'S AFFIDAVIT:I certify that all the information in:this application is accurate and that all work will be done in compliance with <br /> all applicable laws regulating construction,zoning and land development.Application is hereby made'to obta n a pertnil to do work and installation as <br /> indicated.I certify that no work or installation has commenced pdor to issuance of a permit and that ail work will be performed to:meet standards of all <br /> laws regulating construction,County and City codes,zoning regulations,and land development regulations in the jurisdiction.I also certify that I <br /> understand that the regulations of other government agencies may apply to the Intended work,and that it is my responsibility to identify what actions I <br /> must take to be in compliance.Such agencies include but are not limited to: <br /> Department of Environmental Protection-Cypress.Bayheads,Wetland Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> Army Corps of Engineers-Seawalls,-Docks,Navigable Waterways. <br /> Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> US Environmental Protection Agency-Asbestos abatement. <br /> Federal Aviation Authority-Runways. <br /> I understand that the following restrictions apply to the use of fill: <br /> - Use of fill is not allowed in Flood2one"V"unless expressly permitted. <br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a <br /> "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer <br /> licensed by the State of Florida. <br /> - If the fill material is to be used in Flood Zone "A"in connection with a permitted building using stem wall <br /> construction,I certify that fill will be used only.to fill the-area within the stem wall. <br /> - If fill material is to be used in any,area, I 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 owner 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 fill,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 forth in this affidavit prior to <br /> commencing construction.I understand that a separate permit may be required for electrical work,plumbing;signs,wells,pools,air conditioning,gas,or <br /> other installations not specifidally included in the application.A permit issued shall be construed to be a license to proceed with the work and not as <br /> authority to violate,cancel,alter,or set aside any provisions of the tectinical codes,nor shall Issuance of a permit prevent the Building Offtdal from <br /> thereafter reiluiring a correction of errors in plans,construction or violations of any codes.Every permit Issued shall become invalid unless the work <br /> authorized by such permit is commenced within six months-of pemiil issuance,or if work authorized by the permit is suspended or abandoned for a <br /> period of six.(6)months°after the time the work Is commenced.An extension may be requested;to writing,from the Building Official for a period not to <br /> exceed ninety(90)days and will demonstrate justifiable cause for the extension.If work ceases for ninety(90)ipansecutive days,the job is considered <br /> 'abandoned. <br /> WARNING TO OWNER:YOUR FAILURE TO RECORD A.NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS,TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LEN )RINEY BEFORE ECORDING YOU <br /> FLORIDA JURAT(F.S.117.03) <br /> OWNER OR AGENT CONTRACTOR J.� <br /> Subscribed and sworn to(or affirmed)before me this. S 'bed nd to or a S /r 1 1 <br /> by b <br /> Who islare personally known to orhasfhave produced -Who isfareCersonally known me or haslhave produ d <br /> as identification. as identification. <br /> Notary Public /' X(A f/OAS -'` c Notary Public <br /> Commission No, Commission No. <br /> Name of Notary typed;printed or stamped Name of Notary typed,primed or stamped <br /> Notary Public State of Florida <br /> Lauren Marie Willmar <br /> Y., <br /> MyCommission GG 040056 Expires 1211612023 <br />