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81377B0-0020 City of Zephyrhills Permit Application' : Fax-813-780=o021
<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 bylaw,both the owner and
<br /> contractor may be cited for misdemeanor violation understate 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 maybe an indication that he is not properly licensed and is
<br /> not entitled to permitting privileges in Pasco County.
<br /> TRANSPORTATION IMPACT%UTILITIES 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;oe
<br /> expansion.of'existtng 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 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 finatpower 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 1,the applicant,
<br /> have been Provided with a.copy'of the"Florida 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 thatt 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/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 meet 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.govemment agencies may apply to the intended work,and that it my responsibility to identify.what actions
<br /> must take to be'in compliance.Such agencies include but are not limited to:,
<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 iristallations 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 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 six(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 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 /> WITH YOUR LE R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEbJT_
<br /> FLORIDA JURAT(F.S.117. 3) '
<br /> OWNER R AGENT l��((.� � CONTRACTOR
<br /> �ds t or a[firtr%- a re me.thls Subscribed and sworn to(or affirmed)b q me is
<br /> �/�( /�I ,� by t_ f.c Y IJ�iS
<br /> W o is or h /have produced Who is/are personally known to me or has/hav6 produced ,
<br /> as identification, as identification.
<br /> Notary Public Notary Public
<br /> Commiss' n No: Commission No.
<br /> Name of Notary.typed,printed or stamped Name of Notary typed,printed,or stamped
<br /> �>��ou'•.•: EVELYN LOSADA-VALDIVIA
<br /> o cep
<br /> WPM
<br /> ;?• Notary Public-State of Florida.
<br /> -
<br /> Commission Commission A GG303570
<br /> My Comm.Expires Feb 19,2023,
<br /> Bonded through National Notary Assn.
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