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813=78aoMD_ -Ctfy ofZephyrhiils Permit Applfication Fax-813 7erFna21
<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 restrirdons.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:if the owner has hired a contractor or contractors to undertake work,they
<br /> maybe required to be licensed in.accordance with state and local,regulations_If the contractor is not licensed as required bylaw,-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 contractors)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 IMPACTAJTILMES 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 9M7,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*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 pernitissuance_Furthemtore,if Pasco County Water/Sewer Impactfees 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 car*that I,the applicant,
<br /> have been provided with a copy of the'Flodda 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 I have obtained a copy of the above described
<br /> document and promise in good faith to deliver it to the'owner'prior to commencement
<br /> CONTRACTOR'S/OWNEWS AFFIDAVIT:I certify,that all the information in this application Is accurate and that all work will be done in com plianoe 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 meet standards of all
<br /> laws regulating construction,County and City codes,zoning regulations,and tend 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 limited to:
<br /> Department-&-Environmental-Protection-Cypress-Bayheads,Weliand-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 ofEngineers-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"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'aftime of permitting which is prepared-by a professibnal'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-wilt-not'adversely affect`adjacent-
<br /> properties.if use of fili 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 t promise in good faith to inform the owner of the permitting orinditions 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 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 pernit issued shall became 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.stx(6)months after the.time the..work.is commenced.An extension may.be requested,in.writing,from.the-Building.Officia4for 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 /> 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 /> WI TH YO UR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO-nr E OF COMMENCEMENT_
<br /> FLORIDAJURAT(F.S.117.03) SERGE' S AIR CONDITIONING, INC.
<br /> OWNER ORAGENT CONTRACTOR r ,r
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and rmed), me
<br /> by - by _ _ '��=
<br /> Who is/are personally known to me or has/have produced Who islare perso y known to r ve duced
<br /> as identification. =44 0 PNI A enlfication.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> SARA VAZOUEZ
<br /> Name of Notary typed,printed or stamped Name of Notary typed or 63 Oft
<br /> ExPir83 November 14,2022
<br /> flforftp��e oerldadihuBudpot Notary Sw*#&
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