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813-780.0020 City of Zephyrhills Permit Application Fax-813-780.0021 <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 assumes responsibilityfor compliance with any applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:tithe 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 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 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 Black"of this <br /> application for which they will be responsible.If you,as the owner sign as the contractor,that maybe an Indication that he Is not property 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 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 recelving 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,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 /> 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 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 identify what actions I <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,WaterMastewater 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 flit <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 "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, 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,cancel,after,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 9 work authorized by the permit Is suspended or abandoned for a <br /> period of sbr(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 /> WITH YOUR LENDER QR AN ATTORNEY BEFORE RECORDIN —'h3&'Q-n^0Qe"MMENCEMENT. <br /> FLORIDA JURAT(F.S.117.03) <br /> a <br /> OWNER OR AGENT CONTRACTOR <br /> SYb d mom to(or affirmed)before me this Suhscr ed anxJ sworn to(or rmed before me this <br /> 1— by Al FRED MAGDONALD by nnanFr verFc <br /> Who Ware personally known to me or hasihave produced W Is/ personally known to me or hasthave produced <br /> ideatification. as identification. <br /> Iry Public Notary Publd <br /> mission No. GG249046 mmisSion No. GG249046 <br /> DANIELLE RUTLEDGE DANIELLE RUTLEDGE <br /> 3 <br /> Name of Notary typed printed or stamped Name of Notary typed,printed or stamped <br /> MIEOtt tate of Florida <br /> utledge �� Notary Public State of Florida <br /> n GG 249048 IN Danielle N Rutledge <br /> 2022 4 r My Commission GG 249046 <br /> �a Expires 08115/2022 <br />