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813.780-0020 City of Zephyrhills Permit Application Fax-613-780.0021
<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 assures responsibility for compliance with any applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has tired a contractor or contractors to undertake work,they
<br /> may be required to be licensed in accordance with state and local regulailans.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 contact the Pasco County Building Inspection Diviston—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 fcensed and is
<br /> not entitled to permitting privileges in Pasco County.
<br /> TRANSPORTATION IMPACTluT(LmES 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,cis runended):if valuation of work is$2,500.00 or more.I certify that I,the applicant,
<br /> have been provided with a copy of the'Florida Construction Lien lave—Homeowners Protection Gtdde'prepared by the Florida Department of
<br /> Agriculture and ConskmnerAffairs.If the applicant is someone other than the'owner",I certlly that I 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'SIOWNER'S AFFIDAVIT.I cerh7y 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 judsdictlon.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 responsibtrty to identity what actions 1
<br /> must take to be in compliance.Such agencies include but are not rafted to:
<br /> - Department of Environmental Protection-Cypress Bayheads,Welland Areas and Environmentally Sensitive
<br /> Lands,WaterMastewater Treatment. II
<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 Serview[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'T 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 1 am the AGENT FOR THE OWNER,I proriise 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 technical codes,nor shall Issuance of a permit prevent the Building ORidal from
<br /> thereafter requiring a correction of errors in plans,construction or violations of any codes.Every pemntt Issued shall become invalid unless the work
<br /> authorized by such permit is commenced wi@dn 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 extecalon 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 wdensionn.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 YQUR LENDER OR AN ATTO_RNEY BEFORE RECORDING-YOUR NOTICE OF GOMMENGEMENT.
<br /> FLORIDA JURAT(F.S.117.03),
<br /> OWNER OR AG CONTRACTOR .I'IZ4/L
<br /> Subs bed and swam to(or a kmned)before me this Subscribed and swo`mt to(or affirmed)before rry}�e this
<br /> 7 3 by Dau i��Qii?zrt/r Z/=s try. Elmer Pltc I7
<br /> Who Ware personalty(mown to me or haslhave produced Who islare pamonaly known tome or haViave produced
<br /> as Identification. rem /t.rbronr as iderdiftcation.
<br /> Notary Public �y�/[ Notary Public
<br /> Commission No. Commission No. / 7 Z 5 7 Z
<br /> T�d.JrcC L�lur�l'1Gi✓l ,
<br /> Name of Notary ,printed or stamped are of Notary typed,paned or am
<br /> <a ., DAVID D.CLEMANN
<br /> - MY COMMISSION#GG 974572
<br /> a• rii
<br /> _� PP`.•` EXPIRES:March 31,2024
<br /> ,'•Flip F��•'; Bonded TAN Notary Public Underwriters
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