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
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