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813=780 oozo Cityof ZephyrhiUs'Permit Application Fax-e1a•7so=oo21
<br /> Building Department .
<br /> ::NOTICE OF,DEED RESTRICTIONS:The undersigned understands that this permit maybe subject to`deed"restrictions''which maybe more restrictive,
<br /> than County regulations.The undersigned assumes'responsibility for compliance with any applicable deCd'restrictions:' '
<br /> UNLICENSED CONTRACTORS AND CONTRACTORRESPONSIBILITIES:If the ownerhas hired a contractor or.conlraclors 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 taw,both the owner,and.
<br /> contractor may be cited for a misdemeanor violation under state taw,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 Divislonr Licensing Section at 727-847.8009.
<br /> Furthermore,if the owneChas'hired a contractor or contractors,he is advisedao have the contractor(s)sign portions of the"contractor Block'of this
<br /> application for which they'vAl ba 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 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 existing building's,or
<br /> expansion of existing buildings;as specified in Pasco County Ordinance number 89.07 and 90.07,as emended.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 WatedSewer 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 S2,500.00or 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'I
<br /> Agdcuiture and Consumer Affairs.If the:applicant is someone other than the"owner,I certify that:l have obtained a copy of lhe'above described,
<br /> document and promise in"good faith to deliver it to the"ownef prior to commencement.
<br /> CONTRACTOR'SIOWNER'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 identitywhat actions 1 .:.
<br /> must take to be in compliance.Such•agencies include but are nol•limited to:
<br /> - Department"of:Environmentat Protection-Cypress Bayheads, Wetland Areas and:Environmentally.Sensitive.:. .
<br /> ::Lands,WaterMastewaterTreatment.
<br /> Southwest, Florida Water Management District-Wells, -Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engirieers-Seawatis,'Docks,Navigable Waterways:
<br /> Depailrient 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 following restrictions apply to the use of filly
<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 plari;addressing q.
<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 steiTi,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 maybe Cited for violating
<br /> the conditions of the buildingpermit 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 /> Ill am the AGENT FOR THE OWNER,1 promise trrgood faith to inform the owner of the permitting conditidns set forth athis 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 specificagy included in the_appllcation.A permit issued shall be construed to be a license to proceed with the wo"rk'and"not as
<br /> authority to violate,cancel,alter,or set aside any provisions of the technical codes;nor shall issuance ofa permit prevent the Building Official from
<br /> thereafter requiring a correction of errors in plans,construction or violations of any codes.Every'pernit 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)'crorsecNive 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'LENDER OR'AN ATTORNE-Y,BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,
<br /> FLORIDA JURAT(F.S.117. a ...
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to,(or affirmed)before me this Subscribed and sworn,to(or affirmed)before me this
<br /> by by
<br /> Who.Were personally known to me or has/have produced:: Who istare personally known to me or hasihave produced
<br /> as identification. as identification.
<br /> Notary Public Notary Public
<br /> Commission No: Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed,or stamped
<br />
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