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o+a yes J2o City of Zephyr?1i113,Permit Application Fn*a+saeaaoz+
<br /> BrrBd fig Oepartinaa
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<br /> NOTICE OF DEED RESTRICTIONS:The u/merstoned unaerstmas that this irwari;l maybe subjecl to'deed' whcti may be rode restrfdFie
<br /> oar cotKtty regubbons,7ho Undpisignes aswmes fespmrs bUy for compiance vith any apptcable deal re"ions.
<br /> UHUCFI)SEO CONTRACTORS AND COWMCTOR RE6 C6519)L1TIF-o;a dtc onT.a h=hired a eont acto,or eaasroeioc�to undortake wsxk,they
<br /> may be reoulred to be 5;ansed rn aeeordanee W 14 stab and local reoulations.Ir tiro COMMeler IS fiat r:rmhtad DS ra)tlted W 1014/,bash tho mm-f no
<br /> contractor may be sled for a misdemcnow notation under stole ImY.11 lhe.oWner or intended Cw1ractor Oro oneenain 29 to wfrot k0oriro requiremmr c
<br /> may apply far Me aden+tad wvk.they are aovised to corlWcl too Pr County
<br /> ice Coty BuIldl Insp tg ection Divtslorr—Ucensfrrg Sect on or M-aaT-wog.
<br /> Fu•t:.e„nmo,itt>.e ewsa.I,aa Iwod a eena.oehor or eenlrneiere.ha io asdvi^-oil to 1sa,ra iho txrtrufot(a)eiah porfione of ltro'contiaclas Blow or t)ds
<br /> applteaGvn for VAdch envy vri11 be respwhs de if you,as the Qmmef sign as the contractor,Ural may be an fndcz5oo thal he is not property licensed and Is
<br /> nol entitled to permi:rng pnv,leges in Pasco County.
<br /> TRANSPORTATION IMPACTIUTILiTIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
<br /> Ih317txKM4alian fmmld Foot find Recourse Rsxovety Foes maynppytn Me rwnslnictirn of nevW)&nos,rhanos of use In exiOrsoWklrios,or
<br /> expansion of eNSFrig buldingS,as spatted In Pasco CoJnty Ordinance mmbed 89U7 and 9DC7,as a m.sorldrd.The undersigned 0*2 tfrkcistands,Owl
<br /> ouch fees,os maybe duo,v sl be Idom!fied at the Yme of pemitring.If Is further understood IhslTrusc(nortapm 4npad Ftec and Retaurp Remarery
<br /> Foes must be paid phur to recoivng V'eeltifr-ala of occupant)!'or final poser mrleasr.g the project does not irnwlre a ctntfinale of occupancy or final
<br /> ' pmwr0-ease,the fees must be pad prior to permit Issuance.Ftribermtxe,11 Pasco CaintyVia:0Sr au impaci fees we due,thcymum to prat prior
<br /> 1 to pcmtl issuance in occodance Wall oMAcable Pasco County,ordoances.
<br /> CONSTRUCTION LIEN LAYS(Chapter 712,Florida Stoluloo,a7 omendod):11 VWazion o1 vmrk is 52,500.00 a moo,I earfily that 1,1"oppkwd,
<br /> hwil been provided Wth o copy of the'Fyo da Construction Lion Loan-1lom 7wric?s Praledaon Guist_prepared by the Florida Oepadmcrd of
<br /> Agkuluue and Consu our Alfahrs.If the apX-caul is steneane ether vaon thu"onneP,I Cully that I have ob aivad a ropy or Ow above desuibmt
<br /> dtcunpnl send Narrise in trend kith to delver it to lhe'VIVItf prior to commencement.
<br /> CONTRACTOR'S1o1VNEWS AFFIDAVIT.I canny that all the taformaton In ttis oppkco5on Is accurate and that on yseek wit be done In com*nw vAM
<br /> i aidapplelam reguiating consVNckon,zoning and land disyc rflont.Appteation 1;hereby made to obiMn apermit to doWWA aW ILstaWarl as
<br /> Indicated.)clarify that no wwk w trun.0mim Ims commened Frio,to i.vhanee of a Pem,S and dart at,cndk vdn bo p-1—ad to me of standards of al
<br /> { laws revatino conswctim County and City codes,zoning reI;&Von&and land developmerllreaulatons to MeludsdkGon,1 oho certify that
<br /> t ualarstand that the regulations of other rlovemmonl roencies may apply to the trren'led anti,ant the.n Is my fespbrtsihFli'to Idently vhml Samos 1
<br /> nml lass;to bu In wrijAhmoe.such ogendcv,lnsiudc bat ono not tmatcdlo:
<br /> - Dopartmnid of Enviforlmontal Proloelion-Cyprasc Aayhaads.Welland Arti2s and Enviranmenlally SP.nsilhin
<br /> Lands.WalellWaslewilerTreatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland Areas, Altering
<br /> Watercourses.
<br /> _ Army Corps of Englneors Seawalls,Docks,Navigable Waterways.
<br /> Department of Health R Rehabilitative ServiceslEnviionmenlal Health Unit-WeAs, Wastewater Treatment,
<br /> Seplic Tanks.
<br /> - US Environmental Protection Agency-Asbeslos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand tkmt the facrotng mstc1cyors apply to the ese 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 is underslood that a drolnoge plan addressing a
<br /> 'conipenooling volume"%%ig be submilted of time of parmilfing wbleb is prepared by in professional onginear
<br /> bcensed by the Slate of Florida.
<br /> - 11 the fig material Is to be used In Flood Zone'A In connection With a perinilted building using Stem wall
<br /> construction.I certify that Till vn'll be used only to fill tie area within the stemwall.
<br /> - 0 fill material is to be used to any area, I certify that use of such fill will nal adversely affect adjacent
<br /> Properties.if use of hU is round to adversely affect adjacent properties,the owner may be died for viofaling
<br /> Uto conditions of the building permit issued under the attached permit opplicaton,for lots loss than one(1)
<br /> sore which are elevated by fill•an engineered drainage plan is required.
<br /> i It 1 am the ASEfir FOR 7NE OWJI ER,I protrise in goad fain to Inform the omw or the peragning conditions set faM In Ili*afridakil pier to
<br /> eannencng cohn•.ruohxn I tlriderstaw anal a separate pamA may be regWred far clrA loaf vvuk,plwnbing,ah,)ns,vrcR:a pod,l,er rarrd.Vcrl;ng,gas,ce
<br /> ` o0"tnstafia:m3 not apv.TJf cagy Included In file applira"arn A permit Issued spat be constmed to Ire n Icense to proceed wilts the wads end not as
<br /> u trority to%iota.,carrot,Willi,w set aside any prodsharm or the technical codes,soy shall issuance of a pond:prevenl the Building OSu4al from
<br /> t eroahru raWl:na a wrection of errors in plans,awshr_Von or Violsllons of any codes,Every permit Isvied shat become InvWid urgers the anvil
<br /> outhori ed by such permit is commenced vStiin six man0n of pemid Issunme,or If work authaind by the PemM Is wspended or abandoned far a
<br /> period of six(e)morr%5 after the tune the Mutk Is commenced.An extemton may be requested,in sm.1549,from tie et ITT Official for a pedw twt to
<br /> exceed nirloy(M days and tsd)demonsha:e justfable pt'se for the exterisim If work ceases for finery(90)conww:r a days.the job is corn dried
<br /> I olaersdascd.
<br /> 1 WARNING TO OWNER,YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT BN-foUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN(FINANCING,CONSULT
<br /> FLORIOAJURAT(F.S. 3)
<br /> iOYINERORAG !� CONTRACTOR 4�M7clrJ/ �r�S /ol
<br /> 6ubscdbcd rnd r o 0 aroma t'rus Dubscribcd a, m to jar• adj bcfw 'i� / �� /?U
<br /> in l
<br /> Who IYara psmtmalty known to ma or hzJhara produced VJAo Isarar psrs�onacv knoNn io me m ova pradaeed
<br /> kmy.raf on. asiderrUfcal on.
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<br /> f ro a y Pub4c Notary,Pubic
<br /> Con s-�axs No. dec, I y�i 1 Camnis:on No.
<br /> andu 1-?0 11;n(7
<br /> amcor NWiwy typed,printedorstam aura of N Diary typed,paswaorslarnpea ;_>:'- :•• DAP.LE�!=L-c'J,'EUX
<br /> =�I I!o;a ypub!1c-Sa5.
<br /> .1,ccp0Ida
<br /> Car,-M;s!i0;-GC i 13777
<br /> h4yCOMM.Exri•,sJ:o1;.i02
<br /> ; , AMANDA MANION :ee;hrcu_`Adtrcrathc;a:knc.
<br /> :tip State of Florida•Notary Public
<br /> :•(i�'�•� Commission a GG 146925 EX03'1'Vfl1
<br /> a5non41My Commission ExRTresax3•wwo),iwSeptember 28, 2021 a!ss!wwo��rN Va
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