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813 780-0020 City of Zephyrhills Permit Application Fax-s13-7tw-0o21
<br /> Building Department
<br /> NOTICE OF OEM RESTRICTIONS:The undersigned understands that this permit may be subject to'ftL"resirictions'which may be more restrictive
<br /> than County regulations.The undersigned assumes resporsIblstyfor compliance With any applicable deed restricgons.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:Iffhe otvnerhas lured it contractor or con radom to undertake work,they
<br /> may be required to be licensed in accordance with state and Iep!regulations.If the contractor Is not licensed as required by law,both the ewer and
<br /> contractor may be piled for a n&Aemeanor violation under stale law.8the owner or Intended contractor are uncertain as to what GcerrWrig requirements
<br /> may apply for the Intended anrk,they are advised to contact ftte Pasco County Building Inspection Divlston—Licensing section at 727-847-SWO.
<br /> Furthermore,if the mvner has hired a contractor oreontractars,he is advised to have the contractors)sign portions of the"contractor Block"of this
<br /> application for which they YA be responsible.If you.as the owner sign as the contractor,that may be an Indication that he s not property licensed and is
<br /> not entitled to permtiing privileges In Pasco County.
<br /> TRANSPORTATION IMPACTIUTILITIES 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 wdsting buildings,or
<br /> expansion of exisdng buildIMA as specified In Pasco County Ordinance number 89-07 and 90-07,as amended.Tha undersigned also understands,that
<br /> such fees,as may be due.will be Identified at the fume of permitting.It is fudl>er tutdostood that7mansportailan Impact Fees and Resource Recovery
<br /> Foss must be meld prior to recahryng a'ear88eate,of occupancy*or final power release.If the project does not Inydvo a certificate of occupancy or final
<br /> power release,the fees must be paid prior to permit issuance.Furthermore,If Pasco County WateRSewer Impact fees are due,they must be paid prior
<br /> to permit issuance in accordance with applicable Pasco county ordinances.
<br /> CONSTRUCTION LIEN LAW(Chaptarlri3,Florida Statutas,as amended):If valuetim of work Is$2.M.00 or more,i certify that I,the applicant,
<br /> have been provided with a copy orthe'Flodda Construction Lien Law—Homeowners Protection Gulder prepared by the Florida Department of
<br /> Agricukuroand ComumarAll0a8.If the applicant Is somaone other than the'mtina{,I certify that I have obtained a copy of the above described
<br /> document and promise In goad faith to deliver it to the"armor°prior to commencemanl.
<br /> CONTRACTOWSfOWNER'S AFFIDAVIT:I certify that all the Information in this application Is accurate and that all work vA9 be done In compliance VAlh
<br /> all applicable leas reguie tug construction,zoning and land development.Application Is hereby made to obtain a pomdt to do work and Instailadw as
<br /> Weaned.i cor8fy that no wads orInstallation has commenced prior to issuance of a permit and that all work will be pa to meet standards of all
<br /> lays ragulatingconstruction,County and City coda3,zoning reputations,and land davefopmAnt rogufatlons in 0ha jurisdiction.I also certi,yfhat I
<br /> understand that the regulations of other government agencies may apply to the Intended work,and that It ld my responsibility to Identify what actions I
<br /> must fake to be in compliance.Such agencies include but era not limited to;
<br /> Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater 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 ServiCeslEnvironmental 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 fdkWng resbictiorsc 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 enginmr
<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 fell the area within the stem viall.
<br /> if fill material is to be used in any area, f 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(i)
<br /> acre which are elevated by fell,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 afLda,4t prior to
<br /> cornmenoing construction.I understand that a separate permit may be required for electrical work,plumbing,signs,wells,pools,air candfo i ng,gas,or
<br /> curer irutalallms not specifically,included in the application.A permit Issued shall be construed to be a license to proceed vith the work and not as
<br /> authority to violate.cancel,after.or set aside any provisions of the technical codes,nor shag Issuance or a permit prevent the BuMmg O tidal from
<br /> thereafter requiring a waoction of errors In plans,construction or violations of any codes.Every permit issued share become invaid unless the work
<br /> sAorU:ed by suds permit Is corwaxed vvithkm six moths of peril Issuance,or if work authorized by the permit Is suspended or abandoned for a
<br /> period of six(6)months after the line the work is commenced An extension may be requested,N writing.from the Building Official for a period rot to
<br /> exceed ninety(90)days and will dernonshale jusUeabte cause for the extension,if work ceases for ninety(90)carts-I-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 TWIC£FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> FLORIDA.IURAT(FS.ti_0 �
<br /> OWNER OR AGENT // CONTRACT
<br /> 4 d pvuo (craffrmed)b me this Subsoil err to ore me Is
<br /> WhoWerem tjnaAvkrrkr+ lomaorhasfhavepmduced Who aropos yknmnlromeorhasihavepro uced
<br /> as idenErcallom as Identification,
<br /> Notary Public r� �( Notary Public
<br /> CommissfRn NNo.
<br /> NA MG o Notary eel,prided or stamped Nar a of No type,printed or slampe
<br /> �qYa' ELIZABETHNAStlTI ':r�~r EMILYA.WSIP-L
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<br /> MY COMMISSION#GG 932233 MY CdMM1SSlON fb0 239709
<br /> ," EXPIRES:February 28,2024 °�`� TIRF.3:Aiovftmber 18,2D2a
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