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813-760-0020 City of Zephyrhills Permit Application Fax-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 contractor(s)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 property licensed and is
<br /> not entitled to permitting privileges in Pasco County,
<br /> TRANSPORTATION IMPACTlUTILITIES 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 he 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"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't aw--Homeowner's Protection Gulde'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 itto the"owner'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT:I 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 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 most standards of all
<br /> laws regulating construction,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 timitedto:
<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 Engineers-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-
<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 in this affidavit prior to
<br /> commencing construction.I understand that a separate permit may be required for electrical work,plumbing,signs,wells,pools,air conditioning,gas,or
<br /> other installations not specifically Included in the apprrcation.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 sic(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 extenslon.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 /> WITH XQUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N9110E OF COMMENCEMENT
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT // CONTRACTOR ��
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who is/are personally known to me or has/have produced Who istare personally known to me or has/have produced
<br /> as identification. as Identification.
<br /> If >41t
<br /> A^� Notary Public //��� (Q/1 l �l\ Notary Public
<br /> 67
<br /> Commission No. Commission No. 1,.,�G -{ (0 a6c)
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> ,W Poe Notary Public State of Florida MEE]
<br /> ry State of Florida
<br /> r° +^ Laurie K Kraus
<br /> My Commission GG 196200 usExpires 0311412022 ion GG 196200 412022
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