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813-7e0-00z0 City of.Zephyrhills'Permit Application Faz-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 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 contractors to undertake 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 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--Licensing Section at 727-847-8009. <br /> Furthermore,if the owner has hired.a contractor or contractors,he is advised.to have the contractors)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 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 construction 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.Itis 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 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'S/OWNERS AFFIDAVIT:I certify that all the inforoation,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 that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all <br /> laws regulating constriction,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,WaterM/astewater 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 &Rehabil itative Services/Environmental Health Unit-W.0% Wastewater Treatment, <br /> Septic Tanks., <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal.Aviation'Authodty-Runways. <br /> I understand that the following restrictions apply to the use of fill:. <br /> Use of fill is not allowed in Flood Zone"W 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 InI this affidavit prior to <br /> commencing construction.I understand that a separate permit may be required for electrical work,'plumbing,signs;yells;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,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from <br /> thereafter requiring 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 permit 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,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 IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY;IF YOU.INTEND TO OBTAIN FINANCING,CONSULT. <br /> EM YOUR LENDER OR AN ATTORNEY BEFQR��ECOR�l� U11 NOTICE OF CQMMENCEMENT. <br /> FLORIDA JURAT(F.S.117.03)' <br /> OWNER OR AGENT CONTRAC716R <br /> !r <br /> Subscribed and swom to(or affirmed)before me this Sugb 'bed an m to or a cane befo <br /> by. 202 by <br /> Who isfare personally known to me or has/have produced o rslare pe nr,alrs� I�v k�n�`to me or hash produced <br /> as identification. as idenfification. <br /> Notary Public Notary Public - <br /> Commission No. Col !as! <br /> Name of Notary typed,printed or stamped ame o o pact,pooled or stamped <br /> pip. <br /> HECTOR RAMOS. <br /> MY COMMISSION#GG 32M <br /> g r 'd EXPIRES:April'l9,'2023 <br /> . . _ �'•.;;of F; "' Bonded Thru Notary Public Undwmlters <br />