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813-780.0020.. City of.Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned-understands that this permit may be;subject to"deed restrictions"which may be more.:re'strictive
<br /> than County regulations.The undersigned assumes responsibility for compliance with any applicable deed restrictions.
<br /> UNUCENSED.CONTRACTORS AND.CONTRACTOR RESPONSIBILITIES:If the owner,has:hired_a contractor or contractors.tovndertake work,they
<br /> may be required to be licensed In accordance with state and local regulations.If the contractor is not licensed as required by law,both the owner and
<br /> contractor.may be-oited for a misdemeanor violation under state law.If the owner or intended contractor ere uncertain as to,what licensing requirements
<br /> may apply for the-intended work.-they are advised to contact the Pasco County Building inspection Division--Licensing Section at 727-847-$009.
<br /> Furthermore,if the owner has hired a contractor,or-contractors,he is advised to have the contractor(s)sign portions of the'contractor•Block°.,of.this; ;,. ...
<br /> application for which they will be responsible.If you,as the'owne�sign as the contractor,that may be an indication that he is not properly licensed and is
<br /> not entitled to permitting privileges-in Pasco County. -
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
<br /> that.Transportation Impact-Fees and Recourse.Recovery Fees may apply to.the oonstruetion of new buildings;change of-use In existing buildings,or
<br /> expansion of existing buildings,as specified in Pasco County Ordinance 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 prior to receiving a"certificate of occupancy"or final power release.If the project does not involve a certificate of occupancy or final
<br /> power release,the fees must be paid prior to permit Issuance.Furthermore,If Pasco.County Water/Sewer Impact fees are due,they:must be paid,prior
<br /> to permit issuance in accordance with applicable;Pasco County ordlnances: ' - ' ' - - - - -
<br /> CONSTRUCTION LIEN LAW(Chapter 113,Florida atatubas',as amended):If valuation of work is$2,600.00 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_:obtalned a copy of the above described
<br /> document.and promise.in good faith to deliver.it to-the"owner"prior to commencement.
<br /> CONTRACTOR'SfOWNER'S AFFIDAVIT:Lcertify.thatall 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 obtain a permit to do work and.Installation as
<br /> indicated.I certify thatno.work or.in his commenced prior to issuance of a permlt and that all work will be performed to meet standards of all
<br /> laws regulating construction,County and ICity 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 1'
<br /> must-take to be in complianoe..Such agencies include but are not limited to; -
<br /> Department of'Environmental Protection-Cypress Bayheads,;Wetland.Areas and Environmentally.Sensitive
<br /> Lands,WaterMastewater Treatment.'
<br /> Southwest Florida Water Management District-Wells, Cypress Bayfieads, 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 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 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 applications 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,1,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 specifically 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,.aiter,or set aside any provisions of the-techniial.codes,nor shall issuance of a permit prevent the Building Official from
<br /> thereafter requiring a correction of errors in plane,constriction 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 permit Issuance,or If work authorized by the permit is suspended or abandoned for a
<br /> period of.slx.(6)months after the time the work:is commenced:An extension may be requested,In 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)consecutive days,the job is considered
<br /> abandoned. ,;•.
<br /> WARNING TO OWNER:_YOUR FAILURE TO,RECORD A,NOTICE.OF:.COMMENCEMENT MAY--RESULT.INy YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS10 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM"EhGEMEtiT
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OWNER OR AGENT CONTRACTOR -
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn-to(or affirmed)before me this
<br /> by by
<br /> Who islare personally known-to he or has/have produced - - Who Istare personally known to me or has/have produced
<br /> as identiflcatlon. as Identification.
<br /> Notary Public Notary Public
<br /> Commission No: Commission No.`
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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