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;st3aao-oozo City'of Zephyrhills Permit Application Fax-elsaao-oo21
<br /> `Building.Department
<br /> NOTICE OF DEED RESTRICTIONS:The'undersigned understands thatthis permit may be subject to"deed",restrictions"Which may be more restrictive
<br /> than County"regulation's.The undersigned.assumes responsibility.foccompliance With any applicable deed restrictions.
<br /> UNLICENSED,CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired"a contractor_or conVactors to undertake work,they:
<br /> may,lie;regiaiied to be licensed ih acoordanoe with state"and,local regulations:"Ii,,th'e contractor is not licensed as required.by law,both the ownerand';.
<br /> conVactor.;may be cited for a misdemeanor violation"under state law.If the owner or intended contractor'aie uncertain as towhat 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 /> 'Furtheftnore,if the owner has hired a contractor orpontractors„he is advised to have the contracfor(s)sign portions of the"contractor Block"bf,this
<br /> application.for wh'ich.they willbe.responsible.Ifyou;as the owner sign as the cont ractor,.that may he an indication that he is not properly licensed and.is not entitled to;pgmri tting 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 6se'6 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°certficate 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 M;Florida Statutes,"as amended):If valuation of work'is$2,560.00 or more;I certify,that9,the,applicant
<br /> '.have been_provided with a copy of the"F-lor-ida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of
<br /> Agriculture and.Consumer.Affairs:Ii'the applicant is someone other than the"owner",'I certify that I have obtained a copy of th_e.above d'esciibi d -
<br /> document and promise in good Jeith to deliver it to the"owner"prior to commencement-
<br /> 'CONTRACTOR'S/OWNER'S AFFIDAVIT:"I certfy 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" "
<br /> indicated.I certify that'no,work or installation has commenced prior to issuance of a permit and that all work will be'perforn ed tomeet standards of ail
<br /> laws regulating construction;County and City codes,zoning regulations,and land development regulations in the jurisdiction.l'also certify that I.
<br /> 'understand that the,regulations of other government agencies mb`y apply to the intended work;and that It is my responsibility to'identrfy Met actions I
<br /> must
<br /> must take to be in compliance.Such agencies include Put are not limited to:
<br /> Department of'Environmental.Protection-Cypress Bayheads,Wetland Areas and.Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> Southwest Florida Water .Management 'District-Wells, Cypress Bayheads, Wetland Areas, Altering.
<br /> Watercourses.. .
<br /> Army Corps of,Engineer"s-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:.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"-pro fessional_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, -certify-that fill will be used only.to fill.the area within,the stemwall."-
<br /> If=fill material is,to:be Used in-any" area,.) certify,that;use'.of, such fill will not adversely affect adjacent,.
<br /> 0r0 perties,�If`use of:fill,is..fou,nd fo'adyersely.affect adjacent properties;fhe'owner,may,tie'cited'for violating,;::..:_.
<br /> ,the conditions of the-building'permit issued:Under the attached permitapplication,for-lots less than one,(1)
<br /> acr_e.which are elevated by fill,an.engineered drainage plan is required:-•,_ `;
<br /> If I am"the AGENT FOR THE,OWNER„I,promise in,good,fadh to,inform the owner of the permitting conditions set forth in this affidavit prior to,
<br /> commencing construction:I understand hat a separate permit may be required for electrical work,plumbing,signs,vmIls,_pools,air.conditioning,gas,or
<br /> `other installations_not specifically included in the-application.A permit issued shall-be construed to be alicense to proceed''it_h the workand'not as-
<br /> authoidyto'violate,cancel,alter,-or set aside any provisions of the technical codes;nor shall issuance of-a.permR'preve.ntthe Buildingo.fficiallfrom
<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 /> WARN ING'TO,OWNER:-YOUR FAILURE TO.RE CORD'A'NOTICE.OF-COMMENCEMENT MAY,`RESULT IN.YOUR
<br /> PAYING:TWICE"FOR IMPROVEMENTS'TO YOUR PROPERTY."IF.YOU INTEND TO",OBT IN FINANCING;CONSULT
<br /> WITH YOU
<br /> FLORIDA JURAT(F.S.117.03)" "
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed,and sworn to(or affirmed)before me this .- . Subscribed and swor or i tl bef r
<br /> by ." by
<br /> Who istare personally known to me or has/have produced Who is/are,personally known to me or hasthave produced
<br /> as identfication. X ass identification.ti
<br /> Notary Public:.- . ` lei t Y ." Notary Public.'
<br /> Commission No: Commission
<br /> Name of Notary typed,printed or stamped -Name Note a ;
<br /> ' DESISLAVA"KOLAWN
<br /> Notary Public-'State.of-Florida'
<br /> ',per�t��.e'�,My.Comin.Expir s SepS10 2020 `.
<br />
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