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Feb 12 20,07:28p Residential Roofing Depot <br /> 8634502071 p•2 <br /> 813-78OM2o City of Zephyrhills Permit Application Fas-a13.71304021 <br /> Buildiva Deoarbnent <br /> NOTICE OF DEED RESTRICTIONS:Tho undersigned understands that ihis permit may be-subject to`daed'restrictions'which may be more restrictive <br /> then County regulationo.Tha undersigned assumes responsir/ay for compliance with any applicable doed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:if the owner has hired a contractor or contractors to undertake work,tney <br /> maybe required to be licensed in accordance with state and local regulators.If the contrevtorts not 3censed as required by taw,bosh the owner ane <br /> contractor maybe cited for a misdemeanor violation uncer state lane.tithe owner or intended contractor are uncertain as to w..W licensing requirements <br /> may apply fortho inlendadwom,they are advised to contact the Pasco County Building Inspection Olvisbn—Licensing Section at 727-897-1300e. <br /> Furthermore,if the owner has hired u contractor or contractors,he is advised to have the corftcfor(s)sign portions of the*contra"Bloch of this <br /> appgeatim for which they will be responsible.If you,as the owner sign as the contractor,that may be an Indication that he is not properly licensed and is <br /> not entitled to pe milling privileges ir,Pasco County. <br /> TRANSPORTATION iMPACTIUTILITiES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands <br /> that Transportation'mpact Fees and Recourse Recovery Fear may apatyto the construction of new buildings,charge of use In existing buildings,or <br /> expansion of existing buildings,as sarrAed in Pasco County Ordirence nimber89.07 and 90.07,as amended.The undersigned also unde..rstands,that <br /> such leas,as may be due,wi l be identified at the time of permitting.It is further understood that Transportation impact Few and Resource Recovery <br /> Fees must be paid prioto receiving a"certificate of occupancy or final power release.If the project does not involve a certificate of occupancy urinal <br /> power release,the fees must be pact prior to permit issuance.Furthermore,if Pasco Calmly Wafe:lSewer 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 Staltutes,as amended).It valuation of worts is$2,500.00 or more,I certify that 1,the applicant, <br /> have been provided with a copy of tw'Florida Construction Lien Lay—Homeawners Protection Gulde'prepared by the Florida Department of <br /> Agriculture and Consumer Affairs.if ate 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 tte%%war prior to commencement. <br /> CONTRACTOR'SiCWNER'S AFFIDAVIT.I certify that arl the Inlomiatlon in this application is accurate and that all work will be done in compliance with <br /> sit applicable lays regula"construction,zoning and land development Application is hereby made to obtain a permit to do work art i tnremmr r <br /> Indicated I certify that no work rainsra>r.*+nha�«. <br /> nppsy ro me rnnardod work,and that It is my responsibill sty to Idertlly what actors i <br /> must We to be in compliance.Such agencies Include but are not limited to. <br /> - Department of Environmental Prate ction-Cypress Sayheads, Wetland Areas and Environmertally Sensitive <br /> Lands,Water/WastewaterTreatmeni. <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 ServiceslEnvirOnmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> US Environmentaf 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 alloyed in Flood Zone'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 lime of permitting which is prepared by a professional engineer <br /> licensed by the Slate of Florida. <br /> - If the fill material;s to be used in Flood Zone`A"in connection with a permitted building using stem wall <br /> construction,i Certify thatfilt will be used onlyto 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 an the AGENT FOR THE OWNER,I promise at good faith to Inform the owner of t^se permitting con0ons set forth in this affidavit prior to <br /> cornmencing construction.t understand that a separate penni:maybe required for electrical wort,plumbing,signs,wells,pools,afr corditodng,gas,o, <br /> other Installations not specifically Inch doh In the application.A pe hat Issued shall be construed to be a license to proceed with.he work and nor as <br /> authority to violate,cancel,alter;or set aside any prousians of the technical codas,nor shall Issuance of a pemnit prevent the Building OTicial from <br /> thereafter requiring a correction of errors in plans,construction or violations of any codes.Every permit Issued short became invalid unless the work <br /> authorzed by such permit is commenced within six months of permit issuance,or y ncrk authorized by the permit is suspended or abandoned for a <br /> period of sk(6)months after the Pane the rnork is commenced.An extension maybe regL*stad,in writing,from the Building Official fora period nat to <br /> exceed ninety[go)days and will derncnstrate Just.fialle cause for the extensiom Fwark cases fo-ninety(90)consecutive 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 /> FLORICA JURAT(F.&117.03) <br /> OWNER OR AGENT CONTRACTO <br /> Subscribed and sworn to(or affirmed)before me this ,� ubSq _ b and o be ai 1 <br /> Who Were personally known to ma orhashtava produced W ho,,stat<p=aaai�w LI2 ma or ha a produces V' <br /> as iden0cation. as identification. <br /> Notary Public L/t. r V`v Notary Public <br /> Comn"on No. Commission tvc. 3 44fl — <br /> Name of Notary typed,printed or stamped Na-mr of stalary typed,pinned or stamped <br /> T <br /> =Ewe <br /> F-ri <br />