81 3-780-OD20 City7.80-0021
<br /> of Ze'phyrhills Permit.Application- FOX-813-
<br /> ,
<br /> Building Department
<br /> NOTICE OF DEED RESTRICTIONS.ThO`underslgmed iundbrstands that this permit maybe subject to"deikl'restrictions".Which may be more restrictive
<br /> than County'regulallons.the undersigned assumes responsibility f6rcompliarice with any applicabledeed restrictions.
<br /> UNUdENSED CONTRACTORS AND CONTRACTOR RESPONstatLITIEV.If theowner has hired a conuactoror contractors to undertake work,they
<br /> n accordance s:iequlr6d by, bath the:owner and
<br /> m��t)d-ribquir��'tobe,,lt6b'sedtn nce with-state and local regulations.If.the is not licensed a
<br /> contractor may be cited lo r 6 mitdameanorviolatibn under state law.1f the owner or Intended contractor are uncertain-as to What licensing requirementsz
<br /> may,apply for the intended work,,I-hey are advised to contact the Pas6i:;:County Building Inspe cfioh�T)iv1sJdnw-I_icensIng section at 727-U7-800-9.
<br /> F6rlhermore,if the owner has hired.a contractor or contractors,he Is'-iidvIs&d to have(he coritradtor(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 pi roperly licensed and.is
<br /> hot entitled to permitting Privileges In P4sco'County.
<br /> TRANSPORTATION IMPACT/UTILITIES'IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
<br /> n Z and couise Recovery JcA6 construction of pew-buildings;change of use in existing buildings,or,
<br /> ilied in
<br /> Pasco the �rleh 'i"Pe Feesat th Um
<br /> Tra sexisting
<br /> on
<br /> Cre
<br /> Ildin as 8
<br /> W8 0 x` �b s p
<br /> on 'ti g umber 89-07 and M07,as amended.The undersigned also understands,,that
<br /> expansion
<br /> xp I f a sh6r understood that Transportation Impact Fs es and Resourco�Ri6&6ry
<br /> such fees;
<br /> ees as may du 11
<br /> 0
<br /> Fees a 8 prior
<br /> 9-a oerilfic�ta of occupancy°or final ar,release..if the project does not Mv6tva-a-certificate of-occupancy ortinal
<br /> P:a release,
<br /> b Id pn mu - to rin
<br /> r me "he-fass'must
<br /> be �prior W it issuance.Furthefritore,If Pasco C6untyVitater/S6wei Impact fees are due,they must,be paid,prior
<br /> to pen t imuanw In 8=0�anca with
<br /> applicable Pa
<br /> CONSTRUCTION LIEN LAW
<br /> (Chapter
<br /> 713 Ro.da 'ad):If valuation of work Is$2,500.00 or more,I certify that 1.the ap loapt,
<br /> py
<br /> h be 'ro I I a v of a`FloridaFlo a a
<br /> , a s
<br /> have been provlde�d Vift a copy of the*Florida C�4onsftruc n Law-Hom own es-PnotecilonGulde prepared by th Florida Departmehibf
<br /> Agriculture and Consumer Affairs.if the iapplicant is someone other than the"awner"i'l cerW th it 1 have-obtained*a,copy.of the above described
<br /> document and promise In good faith to.deliver It to.the.'awher'prior to commencement
<br /> coNTRAcToWsrowwrs AFF=viri certify that all the information In this application is accurate and that all work Vill-be done In-aimplianea.with
<br /> all applicable Ia1ws-*uIatIng construction,zoning and land development Application is'hereby.mad6to,obtain I a permit I to do work triii.installation as
<br /> Indicated.I cetft that no:work-or Installation has commenced Orlortolssuaftce of a permit and that all Work will b6performed-to meet standards ofall
<br /> laws iegulitlag conisthictioh,County and City codes,zoning regulations,and land developmentregulations,in theJ urisdictioii.I also,certify that I
<br /> understand,that the regulations of ottiergdvernment agencies may apply,to the intended work,amidthat it Is my responsibility to identify.What actions I
<br /> must take to be in compliance..Such-agencies indlud6 but are.not limited to:
<br /> Deparfiiiehfof EhViTonmitntal Protection-Cypress:Bayheads, Wptland.Areas:and Environmentally:Sensitive
<br /> Lands,WaterlWastewater Treatment,
<br /> Southwest Florida Water
<br /> ater Management' -District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> s-
<br /> Army Corp- of Engineers-Seawalls, Docks;Navigable Waterways.
<br /> Department- of Health- Rehabilitative ServicestEnvironmemal Health Unit Wellsi Wastewater Treatra6riti,
<br /> Septic.Tanks:
<br /> 08 Environmental Protection-Agency Astiestos abatement.
<br /> Federal Aviation Authority Runways:
<br /> I understand_ that the following restrictions apply.to the use of fill:
<br /> Use of fill not allowed in:Floodlone'V.unlessex expressly:fill material
<br /> pressly -that 6 If the m al -is:to be used In Flood Zone W, it.-is understood drainage plan addressin
<br /> . . - . I addressing a,
<br /> "corhp6nsafing.volume"will be submitted.at time of permitting which is prepared-by a professional &nglneer
<br /> licensed by-1the%Statfi,of-Florida:
<br /> • If the fili'mate.rial is:'to-be used In Flood,Zone "A7.in connection Vfth-w permitted building using stem wall
<br /> construction,I certify that fill will be used only.to.filithe area within the.stemwall.
<br /> :If fill_rrlbterla'fis-to be used In.:any area,,I certify-that use of suctvfill Will.riot adversely affect adjacent
<br /> properties. If use of fill is found to adversely-affect adjacent-properties, the•owner may be,citedz for violating
<br /> the-conditions of.th.0 buildirid6errit:jssued I under-.the r attached permit'app
<br /> application,.for lots less than one (I)-
<br /> acre which-are.elevated by fill,an engineer6d.drainage plan is required.
<br /> Iflarri the AGENT FORTHEOWNEIVI promise In-good faith toinform the ownerof the permitftconditlon affidavit prior to
<br /> s set forth in this - '
<br /> commencing constructional understand theta separate permit may bii,fequired for electrical work,�plurnblng',signs;.Wells'.r pootS,air conditioning,gas,or
<br /> other Installations not 9,Declficalfv Included In tha'applicatlon,A permit issued shall be construed to b94 license:to proceed.with the Work and not as
<br /> authority to violate,cancel,_alter, set aside any provisions of the technical codes,nor s.hall-issuance of-d 0efinit Prevent the'Bullding:OlficW from
<br /> thereafter requiring a correction of errors In plans,'constructl.on or. permit violations of any codes.;Every It-Issued shall become Invalid unless",work
<br /> authorized by such.'parmit is commenced withinsix moriths"'of pohnit-iisuance.:or if work'authorized by the permit is suspended-or abandoned for a
<br /> period.of'six(6)months after the tin a the work-is commenced.An extension may be requested,in wfifingi from the,Building Official for 6 period not to
<br /> exceed ninety(00)day*rind imill derranutmtejUsuflablarCaUSS for Uisextension.ItWoMceases-fdr nlnely'(90)c6ns6&t&edaA thejob is considered
<br /> . ev -
<br /> abandoned.
<br /> WARNING TO-OWNER-:YOUR'.FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA
<br /> Y RESULT:IN YOUR '
<br /> PAYING TWICE ObR IMPROVEMENT'S TO,YOUR PROJERTY.417 YOU 04TENDO OBTAIN FINANCING' CONSULT
<br /> WITH YOUR" RtigX EIEFO . ..... tI CO M MCI Ehm
<br /> FLORIDA JURAT(F4.1 17.W
<br /> _rlOWNER OR oNTRAcTop, zlll�_
<br /> .1 - — Y qsu( - =0
<br /> � d and swo aefore m ti scribed and ad this, b vrom reffiffn fo
<br /> s T' r W.5
<br /> e I&A by'l. f-I LF-9, mffirm
<br /> th
<br /> own to me or hds/have,produced Wfpnietare r haiql -cad
<br /> M ou i�;- ..'ron. k own t6 a or na,(have 1frodu
<br /> as Identification.. ��-Ideniification.
<br /> 0%
<br /> Notary Public State of FI
<br /> ell.AN- l4elin'Sonniel'_rd * Public
<br /> my Gni ommifull
<br /> : Notary P0110
<br /> .co- 0 Expir6s,IW64/20
<br /> 0 coM-la's/d NO1.2
<br />
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