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8134.80:b620 City of Zephyrhills Permit Application Fax-SM780-02i
<br /> Building Department
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this pdrnril may be su6ject to."deed'reatdctlone°which may be more restrictive
<br /> than County regulations:The undersigned assumes reapanai6i(izy for compliance with any.applicable deed restrictions.
<br /> UNLICENSED,CONTRACTORS`AND CONTRACTOR RESPONSIBi,LITIES:if the owner has hired a contractor orcontfactors W undertake:wbtk,they
<br /> may be required'to'be licensed In accordance with state and toed regula5ons If the conkaclai 9oansed ea requlred,by low,both the owner and
<br /> contractor maybe cited for a misdemeanor violation under state law. Is_not If the owner or intended contractor are uncertain as to what licensing requirements,
<br /> may apply for the latehdad work,they are advised to'contact the Pasco.County Building inspection Olvtalon—Lttsnsing Sectich at 727;847-8009:
<br /> Fulthormarei ffthe owner has hired a contractor or contractors:he'ts advised to have the.conkactor(s)sign portions of the"contractor Blower this
<br /> application for which they,w0 be responsible.If you,as the owner Sinus the contractor,that may be an Indication that he Is not property licensed and Is
<br /> not entitled to permitting privileges in Pasco County.
<br /> TRANSPORTATION.iMPACTIUTILITIES IMPACT:AND RESOURCE RECOVERY FEES:The undersigned understands
<br /> that Tmnaportation impact Foes and Racourae Re'covery'Fees may appty,io the conatrucHon a<now tiuildinga,change of use,tn erdsOng bufld npg or
<br /> expannlon;of existing bulldings;ss specived,in Deice County Ordinanco.number 89.0and 80-07;as'ernended,The t ideraigned also understands,that
<br /> such fees,as may be due,will be Identified at thepme ofpormit8ng,It Is further understood that Tranaportationpea'Im Teos and Resource Recovery
<br /> Fees must be paid prior td receiving a'certificotb of cocupancy"or flnai power rrlease:If`the project does not invotva a cortdtcata.or ocarpancy orl'olai
<br /> ppowar.ralease,thot�as moat ba paid pdarto pemfit issuance:Furthermore,it Pasco Chanty Wat®dSetYBr impagtfees are due,they must be paid poor
<br /> to permit Issuance In accordance with applicable Pasco Countyordinancos:
<br /> CONSTRUCTION"LIEN LAW(chapter 713,Florida Statutes,as ainonded)i If valuation of work Is E2,500.00'o[mome I certHyihat(the opparant,
<br /> have been provided with a copy of the"Florida Construction Lien Latv--Hdmeawndrs Prolaction Gulde'prepared by the Florida Deparment of
<br /> Agriculture Affairs.if the applicant is someone other thin 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 lecommerlounierit.
<br /> CONTRACTOR!SIOWNER'S AFFIDAVIT:I car9ty that all the information in this applicationis accurate and that etl.work will be done In compliance witil
<br /> all sppilcable laws.regulatfng construction,zonhig and lend'devslopmeid:Application Is hereby made to obtain ape nit to do work and instigation as
<br /> Indicated.I crertify that no'work or Instatiation has commenced prior to issuenceof a_permit and that SOwark Wfl-ba performed to meet standards of ail
<br /> IMAM)egula0ng construction;County and City codes,zoning regulations,and.land development regulations in the jurisdiction.I also certify that I
<br /> understand that theregulations'of other government agencies may apply to the intended work,and that it fa my responalbllity to Iderd ty what actions I
<br /> must tokoAo be In comptionce.Such agencies Include but are not llrnitsd to:
<br /> Department of Environmental Protection-Cypress Bayheads,Weiland Areas,and Environmentally Sensitive
<br /> Lands,WaterlWastewaterTreatment.
<br /> Southwest Florida Water Management District-Wells, Cypress. Bayheads, Wetland Areas, Altering.
<br /> Watercourses.
<br /> Army,Carps of Engineers-Seawails,,Docks;Navigable Waterways:
<br /> Department of..Health & Rehabilitative Senrices/Environmental..Hdaith Unit-Wells,,;Wastewater Treatment,
<br /> ,Septic-Tenks,
<br /> US Environmental Protection Agency-Asbestos"abatement,
<br /> - Federal Aviatton*Authority-Runways.,
<br /> I understand that the following restrictions apply to the-use:offill:,
<br /> Use"bf.fitt is not allowed In Flood Zone,"T uniess'expressly permitted.
<br /> If th .fill mliterial.is to be used in Flood Zone "A", it is,.understood that a drainage-plan addressing a
<br /> ,"oompensofing volume"will be submitted at time of permitting whtch is prepared by a;professlonat engineer
<br /> Etcensed'by the State of Florida..
<br /> it the fill material is to be used in Flood Zone.9A"In Connection with a permitted'building,using stem wail
<br /> construction,I certify that fill will be used only to fill the area Within the'stem wall:
<br /> !f filt:rttaterial is to be used lit any area, I..cerUfy that use.of such fill will`not:adversely affect adjacent
<br /> properties:if use offili is found to adverseiy,affect-adjacent properties,the owner may be Cited for violating
<br /> the conditions of the building permit issued'.under the attached penntt applioation`,for lots less-than one(1)
<br /> acre which<are elevated by fill,an engineered dralriage+plan is required.
<br /> If i am the AGENT.FOR•THE OWNER,I promise in goad faith to Inlarm tije ovineraf the parmllting.canditions set forth In this affidavit prior to,
<br /> commencing ctihsinrctioit:I understand that a separate permit may W.roqufred for electrical work,plumbing,signs,wells,"p'ools:air cbtsitioning,gas,of
<br /> other Inatalleteno not specifically included in the apptica0an.A permit Issued shoY.be construed to.be a'license to proceed with the work and not as
<br /> authority to irlotata,cancel,after,or set aside any provisions of the technical codes,nor shall lastiance of a permit prevent the Building Of ictelfrom
<br /> thereafter motring.a'eorrectlon of errors in plans,construction or violations of any codes:Every'permit Issued shall baeoma Invelid unless the work.
<br /> authorized by.suchpermit is commenced withln six months of permit Issuance,or if work authorized by the permit is suspended or abandoned for a;
<br /> peded,61 sir(8)'month9 alter the,time lire work Is commenced:An exionsion may,bo rcryuosted:In writing,from'the Building 011116e1 for a Pomod not to
<br /> eireeed nlnely(90)days and will demonstrate justifiable cause for the extension.If.work censes for ninety(90)consecutive days;the Job Is considered
<br /> abandoned'-
<br /> WARNING TO OWNER:YOUR FAILURE TO RECORD A N NT OTICE OF.COMMENCEME MAY RESULT IN YOUR'.
<br /> PAYING'TWICE FOR IMPROVEMENTS TO YQUR PROPERTY,IF YOU INTEND TO-OBTAIN FINANCING,CONSULT
<br /> WITH Yta iR END R:41 Al ATTai2N }'l3EFt�RE -Ybljk.NgMCE'dF'GOMMENGEMENT
<br /> FLORIDA'JURAT¢,S.'1111.03) b%)" ONTRACTOR,
<br /> e o to d}befora7ne th u6srribed and.swom fo(or a0irmed)before the this
<br /> 01;� ¢ y t by
<br /> Whd Islam personally own to me or produced Who Istare personally known to me or hosfhave produced
<br /> a a identification. as identification.
<br /> PAJ it " 4(L_hf R+totery Public Notary Public
<br /> Cam Stan No. Commission No.
<br /> amo of atery type p ad or skamper Name of Notary Wed,printed or stamped
<br /> ,�;: ••s =F�RXIMICEXIMICENote ofFlorldaG i t 2909,,;; Pts Oct3.202t' nattx�aryAstn.
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