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t ..813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department
<br /> Nt3TICE Of DEED RESTRICTIONS:The undeisign>d understands that this permit may be 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 CONTRACTOR RESPONSIBILITIES:If the owner has hired a contractor or contractors to undertake work,they
<br /> -may-be-required to be licensed in accordance with state and local regulations:if the contractoris at-licensed•as required bylaw,-boththe 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 Division—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 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.Recovery Fees may.apply.ta the construction.of new.buildings,.change of.use in.existing.bulidings,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 ImpactFees and Resource Recovery
<br /> Fees must be paid prior-to receiving a"certificate of occupancy'or f ll power release.lithe 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_wiih.appiicable_Pasco Comity_ordinances_
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended):If valuation of work is$2,500.00 or 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
<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 /> COKTRACTORWOWP+EWS AFRDAia M i certidythat afl the information in this application is accurate andthat all work will-be-done irr compliance with
<br /> all applicable laws regulating construction,zoning and land development.Application is hereby made to obtain a permit to do worts 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 t
<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 I
<br /> musttake to be in compliance.Such agencies include-but are not iianitedtoz-
<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 Heath & Rehabilitative Services/EnvironmerAell Health Unit-Wells, Wastewater Treatment
<br /> Septic Tanks.
<br /> US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> [understand that the folicwing restrictions apply to the use-of fill:
<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 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 stemmall.
<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 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..whiclh: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 fo>-111 in uus 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 tabe a[icense-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 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)consecutive days,the-iob.is considered
<br /> abandoned.
<br /> WARNING TO OiFifNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> .PAYING TWICE F R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> T YOUR &MRhJE_Y BEEORE RECORDING YOUR NOTICE
<br /> FLORIDA JURAT(F.S. 1
<br /> OWNER OR AGENT l' CONTRACTOR
<br /> ubs ribed and sworn to a i,rn d before me this ub cribed and sworn to Ivor afiiimed)before me this
<br /> '1 1.0 by '�'QD40 by C Vl bor y e. W . �e GL 1
<br /> Who is/are personally known to mar has/have produced Who is/are personally known to me or has/have produced
<br /> �1 as identification. as identification.
<br /> Notary PublicLtimmE=4 Notary Public
<br /> Commission No. \'Jr 131 110 2+ommission No. 6 C-� 1 y S
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