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813-78D-0020 City of Zephyrhills Permit Application Fax-8i3-780-0021 <br /> Building Department <br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit may be subject todeed'restrictions'which may be more restrictive <br /> than County regulations.The undersigned assumes responsibility for compliance with any applicable dead restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired a contractor or ooftactiors;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 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-Mg. <br /> Furthermore,R 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 property licensed and is <br /> not entitled to penniffing privileges in Pasco County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands <br /> that Transportation impact Few 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 trvvoW a certificate of occupancy or final <br /> power release,the few 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,as amended).If valuation of work is$2.500.00 or more,I car*that 1.the applicant, <br /> have been provided wilh a copy of the'Florida Construction Lion law—Homeowner's Protection Guider prepared by the Florida Department of <br /> Agriculture and Consumer Affairs.If the applicant is someone other than the lommer',I certify that I have obtained a copy of the above described <br /> document and promise in good fialth to deliver it to the'owner'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 inslatiation as <br /> indicated.I car*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 /> lam 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 Identify what actions I <br /> must take to be in compliance.Such agencies include but are not Itmilaid to: <br /> - Department of Environmental Protection-Cypress Bayheads,Welland Areas and Environmentally Sensitive <br /> Lands,WaterAAfastewater Treatment <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Weiland 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 permitted. <br /> - If the fill material is to be used in Flood Zone W, 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 W 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 fit 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 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,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,canoes,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 emors In plans,constiuction or violations of any codes.Every permit Issued shall become Invalid unless the work <br /> authorbmd by such permit is commenced within six months of permit issuance,or Jfwork authorized by the permit is suspended or abandoned for a <br /> period of sb((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,this 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 1 PROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN,FINANCING,CONSULT <br /> WITH YOJJR LE A�^imwe%' <br /> EFORE RECOR CQMMFNCFMFNT <br /> FLORIDA JURAT(F.S.1 .0 <br /> OWNER OR AGENT CONTRACTOR. <br /> &;Jyand swcirrj=�)b"kZwithis -=nn-4 before <br /> V 7 -X\0 W IN Y <br /> W10 <br /> tome or hasithave produced isfdre to rifelor fosMave produced <br /> fi*I—Tos?�W as identication.' Wtio as identification. <br /> DM ubtic NotaryPublic <br /> .ISSA W- 1 <br /> Commission No. Commission No \J <br /> Name of Notary typed,printed or stamped <br /> ---------- L FIG"E OA <br /> ARA <br /> GG044967 <br /> MyCOMMISSION <br /> r03 2()20 <br /> November <br /> • EXPIRES Nb <br /> -rARA L FIGUEROA My COMMISSION#GG044967, <br /> My 96 <br /> 2 <br /> EXPIRES i <br /> My COMMISSION#GG044 7 <br /> November 03,2020 <br /> 03.20 <br /> 01 November 03.20 0 <br /> EXPIRES Nove <br /> E, <br />