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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 r
<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 con4ect 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 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,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 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 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$2,560.00'or-more,I certify that I,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 that 1 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'SlOWNER'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 government agencies may apply to the intended work,and that it is my responsibility to identify what_actions I _
<br /> must lake 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/WastewaterTreatment. .
<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"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 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, 1 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 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 technlcal'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 peimlt 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 /> FLORIDAJU WITH YOUR LEN'Qn"" � RNEY BEFORE RECORDING YO OTICE OF C04tMENCEMENT.,
<br /> RAT(F.S.117. 3)
<br /> OWNER OR AGENT CONTRACTOR G— s �
<br /> ubscribed an byw% (nor aS CX1)�`fpre�ne thjs' Subscribed and by orn ( r JE )befor m is �J�.
<br /> Who Isle persyll YknL own tp me oor ha�s/haavvep prroduced .. ,,. Who is/are personally known t me or has/have produced -
<br /> C as identification. as identification.
<br /> �.— Notary Public Notary Public
<br /> Commission o. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ,
<br /> =Osy pueeo ANGELA LAWSON
<br /> Commission#GG 341288
<br /> c� Expires June 22,2023
<br /> IlandedThru Budget Notary SO MA8
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