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813-780-0020 City of Zephyrh iIl[S.PermitApplication -- Fax-813-780-0021"
<br /> Building Department
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned un8britands that this permit maybe 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 CON TRACTOR,RESPONSIBILITIES:If the owner has,hired a contractor or contractors to undertake work,they --
<br /> may be required to be licensed in acco�dance'with state and local regulations.-If the,contractor is not licensed as required by law,both the owner and
<br /> contractor may be cited fora misdemeanor violation under state,Iaw._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 Division—Licensing Secflon'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 Recovey 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,is 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 Fe as.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'certiricate 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 Statute's;as amended):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 Law-Homeowner's Protection Guide"prepared bythe Florida Department'of
<br /> Agriculture and Consumer Affairs.If the applicant is someone other than the"owner",I certify 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'S/OWNER'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 inset standards of all.
<br /> laws regulating construction,County and City.codes,zoning regulations,and land development regulations in the jurisdiction.l 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
<br /> must take 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/Wastewater 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 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 P. Y 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
<br /> '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; n the ower may tie 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,'piumbing;signs,wells,pools,air conditioning,gas,or.
<br /> other:instaliaiions 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 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 permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned fora '
<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 /> FLORIDA JURAT(F.S.117.03)
<br /> LENA REMINGTON, -
<br /> OWNER OR AGENT CONTRACT R PIPER'AGENT)
<br /> Subscribed and swom to(or affirmed)before me this Subscribed an sw to(or affirmed)before is
<br /> by 71 _Ml1M20bv �
<br /> Who is/are personally known tome or has/have produced Who is/ar ersona known tome. as/have 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 orstamped
<br /> r Notary Public State of Florida
<br /> Mariana Isabel Sadorf -
<br /> + My'Commission GG 342256
<br /> or R . Expires 06/06/2023
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