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813-780m20 City of ZephyfitNs Pernriit.Application Fax034110-43021
<br /> Building Department
<br /> Nov=OF DEED REs'r anoNS The urvierptgned understands that this pemdtmaq be subject to deed'resb1cbcns'.vhfth may bemore eeshkthre
<br /> !tram Courtly regulations:The u ndardtinad assumes resporsifrrlibr for compliance with any aypitcable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPON5IBILITiF&:'if the owner has hired s CantmCbor or a ontractors to undedafca work,they
<br /> may be required to be licensed In a mmla ms with state and local'teyrWons.If the mrdra"is not Hoensed asretgatrad bylaw,both the owner and
<br /> contradw may be cited foramisdemeffir tolation understate taw.lflhemxmor Intended contractorareuncertainastowhatfrersbrgrequRemerds
<br /> may apply for the intended work they are advised to contactthe Pasco Carty Building inspection Vl isioit�tir ertsi"Section at 727-847-W09.
<br /> Furthermore,dfha owner has hired a contractor or cw4nictors,he Is advised to have the contractoiftsign,portions of qrs`contractor BlotW ofthis
<br /> application for watch they W be respor s-ML it you,as the.ownar slgn as the contractor.'that may bean Ndiaation that heisrrat property lloonsed and is
<br /> not entdted to penmt1i privileges in Pasco County.
<br /> TRANSPORTATION-IMPACT/UTILI LIES PAPACT AND RESOURCE RECOVERY FEES:The undersigned understands'
<br /> chat Trairsporta8an pnpar#Feels and Rsearme Recovdry mete apply to the carstaxtIon of new but! 9,change of use-in edsft buHdhngs,or
<br /> w4tarrslort ofexSslirhg Iwikkings,as spebcfred in.Persco.Coedhly Chtrutanca mambes88 QT and 9D 07.as amartdod The onderslgned aiso undatstards tttst
<br /> such tees.es mi3y badue vii9 5A idefntifiad at!fie time cd pairalGng.k is turibet.randorstood dratTrarsportatkin impact Fees and Resource Recovery
<br /> Foos,,vest be paid prior tit receiving a'ceftitita3te ofoaxq►mnear arflrat powrtr releaser U Ube project does not involve a certificate or occupancy or final
<br /> povear release,the fees must be paidpnor to permit issueroe.Furtherrrnare,if Pasco Courtly Waterl"aew er impactiedsse due,'they mustbo paid prior
<br /> to pemhhR tssuanae to aoa with apptk�bie Pasco Courtly ardknaces. -
<br /> COPSSTRUCiION L1EN i AW(Chaptsr Ti9,Fte»tds St46vtas,as aneandcd):tfvafuatian of work is$2,500.00 or mom I cedffy time 1.the applicant,
<br /> tbave 4ehen provtded.wih a copy aF iha.'Fiotida Ctinstrrbcticvh LienLaw-HahmowneYs Prateotton Guide prepared by the.Florida Oeparhnent of
<br /> Agrlctdture arnd Coriscstter Aftaits.HOhe'appiinarht Is saneorne trdter guar rice"oaA>eP,l oer6ry that.I ban obtalreed a copy ofthe above described
<br /> 7,c,,O,7-
<br /> ppendR t3a ccunds and that all wrork will be done in Carlo e'aeth lawsmade b obta ina permit to do wok and installation es
<br /> rtify d RW ai work will ire performed to meet standards of all
<br /> gregulatlons in thejurjsdiC6orn.l also oartifjt that I
<br /> caidertand
<br /> that the regulations atothen 9wemhmert agettoies may apply to the krtmtded work and-that it is my responsibililyto werd+Tyv ud actions I
<br /> must take to be in oompliahce Suchendts itrdude but are not itmftebd to
<br /> Department of Environmental Protection-Cypress Bayheads,Welland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewraferTreatment.
<br /> Southwest Florida Water Management District wells, Cypress Bayheads. Welland Areas; Altering
<br /> Watercourses: -
<br /> Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> Department of Health & Rehabilitative SiervioestEnvironrnental Health Unit-Wells;Wastawater Treatment,
<br /> SeptlldT'anks.
<br /> US Environmental ProtettiottAgency-Asbestos abatement.
<br /> Federal Aviation Autliortly-Runways.
<br /> I understand that the fcim.M resbipions epply tothe use of511:
<br /> Use of fill is tmt.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 /> "e+ompensating 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 Rood Zone.A7 in connection,with a permitted building using stem wall
<br /> Construction,i certify that All 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. adfect adjacent
<br /> properties:if use of fill is found to adversely atfeet-adjacent.properties;tlme-owner may be-cited for.vjolatlrlg
<br /> -the conditions of the building petmit'issued raider the attached'permit application,for lots less than one(1)
<br /> acre which are elevated by fill.-an-engineered drainage.plan Is required.
<br /> tf i am the AGENT FOR THE OWNER,i promise in goof faith to irdonn the owrneaof the.permitting cwftcns sen forth in this affidavit prior to
<br /> commencing construction.r understand that a separate permit maybe required for electrical work;ptumbintk signs,weils.pods,air condiftft,gas.or
<br /> other trstallations not specltkwAy included in the application.A permit Issued.shad be construed to be a kcerse.to proceed with.the work and not as
<br /> authority,to Violate;cancel,alter,or set aside any provisions cf tha tech nicalcodes,norshail issuance of a parmhit pnsverd the'BdNfmg Official from
<br /> thereafter requiring a correction al eirars in plans.constructlorr or violations-of arty codes.Every pt'mut Issued shalt become invalid unless the work
<br /> autl abed by such petmg is cmnmenaed witidn surmmths of pe ark b3uance,or if work eunwdzed by the pemd!is suspendedorabarkloped for a
<br /> period of sbc(6)months after the time the wanit is eomritenced_An a tensiommay be requested.in waiting.from the 13nildbng OtWcial for a perod MID
<br /> exceed ninety(90 days endwill demonstrate justdiable cram for the extenskm.It worts ceases for ninety(90).eonsecutho days.the jab is considered
<br /> abandoned.
<br /> WARNING TO OWNER:,YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY-RESULT IN YOUR
<br /> PAYINIG TWICE FOR 1NlPRi?5►EiMIEl1TS TO YOUR PROPERLY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOLK'LENDER OR AN ATTORNEY BEFORRECORDING Y fR NOTICE OF GQWENCEIAEMM
<br /> FLORMAJURAT(F.S.117.03)
<br /> OWNER OR AGENT tdN!RAC "
<br /> Subsctibet andswant to(or airumed):belbre we this
<br /> Is rt by eel) meQsy,
<br /> Who lsrare,pexswmly knmm to me orthsslhave prod=W �Parsdnall !tonne wb p-Utced
<br /> as identifkallon. as ldentitication.
<br /> i
<br /> Nobuy Public i j�}t w.'7 Notary Public
<br /> commission No Nor I""I 4 0
<br /> lneKtry � F�to tanam
<br /> e 01461sly type%primed ea stamped t tonne of Notary W00.pmed arstanwed
<br /> SHERRY A FINCHAM
<br /> NOTARY PUBLIC
<br /> REG.#142670
<br /> COMMONWEALTH OF VIRGINIA
<br /> MY COMMISSION EXPIRES 05131/2024
<br /> ti�
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