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<br /> $13-780-0020 City of Zephyrhills Permit Api:lication Fax-913-78C.W21
<br /> Building Department
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this parm!t may be subject to"dead'rootrietims"w filch may be more restrictive
<br /> than Courtly regulations.The undersigned assumes rosponsibhily for compliance with any cbp.Toable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:IftF.e a:nar has hired a contractor or contractors to undertake v.'adc,they
<br /> maybe required to be licensed In accordance with state and least reaularlons.If the contra oris not licensed as required by late,both the owner and
<br /> contractor may be cited for a misdemeanor vlolalion understate law.If the oansror intended contractor are uncertain as to what licensing requirements
<br /> may apply'or Cie intended vrork,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 c*factor(s)Sign PON=of the'Contractor Elock of this
<br /> application for which they will be responsible.If you.as the owner sign as the contactor,that i may bean indication that he Is not properlyficernsed and Is
<br /> to
<br /> not entitled to permitting privileges Pasco County,
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
<br /> gmtTmnsportation Impact Fees and Recourse Recovery Fens may apply to the constructio'of nevi buildings,charge of use In existing buildings,or
<br /> expansion of existing buildings,as specified in Pasco County Ordinance number SM7 and 0-07,as amended The undersigned also understands,that
<br /> such fees,as may bo due,will be Iden9:Tad at the time of perrMng.It is further understood that Transportation impact Fees and Resource Recovery
<br /> Fees must be paid prior to recefvirg a'cerfiricats of occupancy"crfinal power release.If thel project does not involve a wrlificate of oarrpancy or final
<br /> power release.the leas must be paid prior to permit issuance.Fu:ie.Tnore,if Pasco CounryWater/Sewer Impac'fees are due•they must be paid prior
<br /> to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter713,Florida Statutes,as amended):If valuation a lwork is$2.500.00 or more.I certify that I,the applicant,
<br /> have been provided with a copy of the'Florida Construction Lien Lava—Homeowner's Protection C.Ide"prepared by the Florida Department of
<br /> Agriculture and Cersumer Affairs.If the applicant is someone other than the"owner•,I aerfif}that I hove obtained a copy of[he above described
<br /> document any promise in good faith to delver it t0 the Anvrief prior to cc,nmencement.
<br /> CONTRACTOWSiOWNER'S AFFIDAVIT.I certify that all this Information in this application 19 accurate and that all week will be done in compliance with
<br /> all applicable laws mqulating construction,zoning and fond dovelopmenLApplication 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 a(htl that aft work wi l be pe formed to meet staldants Of all
<br /> laws regulating construction.Colony and Clly codes,zoning regulaliats,and land development regulations In the judsd'ction.I also corny that I
<br /> understcnd that the regulations of ether government agencies may apply to the Intended rnrk,and that it is my responsibility to Identirywiiat actions I
<br /> must take to be In compliance.Such agencies include but are not Imlledto:
<br /> - Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
<br /> - Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wefts, C ress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls,Docks,Navigable Watery ys_
<br /> Department of Health & Rehabilitative Services/Environme tal Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental Protection Agency-Asbestos abatement
<br /> Federal Aviation Authority-Runways.
<br /> 1 understand that the fullardng restrictions applyto the use of fill:
<br /> Use of fill is not allowed in Flood Zone°V'unless expressly pe(mitted.
<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 rnaterial is to be used in Flood Zone"A°in connecltion with a permitted building using stem wag
<br /> construction,i certify that fill will be used onlyto fill the area wi fn the stemwall.
<br /> If fill metorial is to be used In any area, I certify that use lof 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(squired.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform the ownerof the permmihing conditions set forth in this affidavit prior to
<br /> commencing construction,I understand[hate separate permit may be required for efechical viark,plumbing,signs,wetL^,pools,alr conditioning,pas,or
<br /> other instellatans not specifically Included in the application.A permit Issued shall be construtld to be a license to proceed with the work,and not as
<br /> authority tovielate,cancel,alter,or set aside any provisicrs of the technical codes•nor shall Issuance of a permit prevent lite Butding Offigalfrom
<br /> thereafter requiring a correction of errors In plans,construction ervforaGons of any codes.Ev*.permit issued shall become Invol-d unless the bola
<br /> authorized by such permit is commenced within six months of permit issuance•or if work authorized by the permit is suspended crabandoned for a
<br /> period oFarx(0)months after the time the wotrt Is commenced.An extension maybe requested,in writing,from the Building Official fora period not to
<br /> exceed nnel(90)days and coil:demonstrate justifiable reuse for the extension.If v.,ork ceases for ninety(93)ccnsecu5ve days,thojob is conskIcicd
<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�NTEND TO OBTAIN FINANCING,CONSULT
<br /> U -_ER OR AN ATTORNEY BEFORE R
<br /> FLOMDAJUR31'm,1 7.03)
<br /> OWNERORA ! CONTRACTOR r
<br /> Subscribed and (cr atftnne)W_f re this S scri6 d and awo 0 or aN ) e sto_z_Zo21Da a �a s_k / "fi
<br /> If A
<br /> Who isfare person211yknown to me hasfh produced /0 ip rsanaly known' e or hasihave produced
<br /> ,�\ ¢s lde F.. on. I as idenuf n.
<br /> ``►/ �NotaryPubiic __ bits
<br /> .lssion No Commission No._ I
<br /> Name of Not arytyped,printed or Stamped Nameai Nctary pe, rantedors m of
<br /> SYLVIA WEBER FALL
<br /> �t Notary Public State of Florida
<br /> Notary Public-State of Florida
<br /> t; commissbn s GG 9 Tracy L Agrtef `
<br /> or tti", M 53343 My Cametisston HH 001503--
<br /> Y Comm,Expires Jan 30,2024 Bonded through National Notary Assn. Expires 0511912024
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