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813-700-0020 City OfZephyFhillS Permit Application Fo«-813-780-0021
<br /> Building Department
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<br /> NOTICE VF DEED RESTRICTIONS:Theundersigned understands that this permit may be subject to"deed"restrictions"which may be more restrictive
<br /> than County regulations.The undersignedassumes responsibility applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired a contractor ur contractors|o 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 contractor(s)sign portions of the"contractor Block"ofthio
<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,oo 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 Uo paid prior t receiving a"certificate of occupancy"or final power release, If the not involve m certificate m occupancy orfinal,
<br /> power release,the fees must ue paid prior m permit issuance.Furthermore,n Pasco County Water/Sewer Impact fees are due,they must ue paid prior
<br /> m 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 1,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| have obtained o copy of the above described
<br /> document and promise in good faith to deliver it to the"owner"prior to commencement.
<br /> C0NTRxCTOn'SK]xVNER'S AFFIDAVIT: |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 obtain a permit todo work and installation oo
<br /> indicated.|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 construction,County and City codes,zoning regulations,and land development regulations in the jurisdiction.I also certify that
<br /> understand that the regulations of other government agencies may apply to the intended work,ar)d that it is my responsibility to identify what actions|
<br /> must take k/bein compliance.Such agencies include but are not-limited to:
<br /> ' Department 0fEnvironmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management Disthnt-Wo||a. Cypress 8ayhmodn, Wetland Areoo, Altering
<br /> Watercourses.
<br /> - Army Corps ofEnginaaro-SeavvaUa. Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Sarvioea/Environmental Health Unit-VVeUe, Wastewater Treatment,
<br /> Septic Tanks.
<br /> ' US Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authority'Runvvoya
<br /> )undomtand that the following restrictions apply tn the use vffill:
<br /> Use of fill io 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 o
<br /> "compensating volume" will be submitted at time of permitting which in prepared by a professional engineer
<br /> licensed by the State ofFlorida.
<br /> If the fill mnobaho| is to,be used in Flood Zone ''A" in connection with a permitted building using obamn vveU
<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, \ certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent propadian, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots |oas than one (1)
<br /> acre which are elevated by 0\, on 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 /> commencingst nU |understandtht a separate permitm 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,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 /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 0F COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. |F YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER QR AN ATTORNEY BEFQRE RECORDING YOUR NGTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and swor r affir ed)before me this
<br /> Who is/are personally known to me or has/have produced Who is/are personalry known to me or has/have produced
<br /> as identification. Florida nrix/pr'-q I irt-n.-,e —as identification.
<br /> Notary Public ��.Notary Public
<br /> Commission No. (.�mmis ion No. =07331
<br /> Daniel Corona --- — —
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> DullwComm
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