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4.
<br /> 813-7e0-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> 1 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 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 slate and local regulations.If the contractor is not licensed as required by law,both the owner and
<br /> contractor may be died for a misdemeanor violation under slate 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 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 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 I,the applicant,
<br /> have been provided with a copy of the"Florida Construction Lien Law—Homeowners 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'SIOWNER'S AFFIDAVIT:I certify that all the information In this application is accurate and that all work Y411 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
<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 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,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 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'ATTORN Y B FOR RECORDING YOUR NOTICE OF COMMENCEMENT-
<br /> FLORIDA JURAT(F-S,117,M) "
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swam to or affirmed before me this b Dyad antl swore(o or ifi tr?{or�,r��1hrS
<br /> by ( ) ��; Y`_Who istare personally known to me orhasthave produced Who iis//are personally known to me or haslhaveproduced
<br /> as identification. as ldenfiftgtion.
<br /> NotaryPubQc---' / /"l�Q Net Public
<br /> Commission No. Commission No. "` J i 61(�J,
<br /> Name of Notary typed,printed or stamped Name of Notary type , led or stamped
<br /> "NoA-1'POI CORI DEE PORASIK
<br /> r° ao-Notary Public-State of Florida
<br /> ;�; Commission # GG 310262
<br /> My Commission Ex Ires
<br /> "�� March 11, 2023
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