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6s3 ret>ooze City of Zephyrhiils Permit Application Fax asp zeaooxt
<br /> Building Department
<br /> NOTICE OF DEED RESTRICTIONS:The undomgned understands that this perms may he sutieel to%Lcd-rKsteCtions•which may tie more rasldCliva
<br /> than County regulations.The undersigned assumes tesponYbAdy for compl,ame with any apphcaofe dead resfrict.ons.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILfTfES U the caner has hired a contractor or conusciorS to unaonake cot k,they
<br /> may be(equireC to be htonsod in accarcance wah state and local regulatons.It the contmctai is not licansad as ramprod by ter,%,both the wirer and
<br /> Contractor may be cited for a m'sidemearer violation under slate low.If the aerior at intended certwctor are uncena;n as to what licensing requirements
<br /> may apply for the intended work.they ore advisco to contact the Pasco County Building Inspection Diaslorr—LKonsing Section at 727.657.8009.
<br /> Furthermore,it Iho owner has hired a Cuntraclar or crnlfatlafs,he is advised to have the contractotts)sign pentane of the'contractor Black'of this
<br /> OpOcalim fct N%n1Jt they wA be le9poniiDte,It ycu,as 00 owner sign as the contractor,that may been md,cancn that no,is not proporly licensed aria is
<br /> not entitled to perm sting pen leges in Pasco County.
<br /> TRANSPORTATION IMPACTIUTILITiES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
<br /> that Transportation Impact Feet,and Raccurse Recovery Fees may apply to the construction of rukv buildings,change of use In existing bvidngS,Of
<br /> expansion of existing buikr+rigs,a$Specified in Pasco County Ordinance number 69-07 and 90.07,as amended.The undersigned also understands,that
<br /> such fees.as may be loos wil be Gemlied at the Pilo of permitting,It is further understood that Transpenetion Impact Fees and Resource Roeavory
<br /> Fees must be pa'a prior to fecewh9 a•ceniGcate cl ectaperci or final poxcr release.R art:project does net involve a ccm5cate of occupancy of final
<br /> Pa mr release.the fees must be paid prior to pempA rssumce.Frcthenrere.it Passe Ccunty Wa:ev'Sewor impact fees are due,they must be paid prier
<br /> to Perm.t issuance m accorcance with appacable Pasco Cauntyord,nances.
<br /> CONSTRUCTION LIEN LAW iChoplor 713,Florlca Statutes,aS amended):it valualmn Cr wa+k is$2,500.00 or rhoru.I cendr,12,311.the appticariL
<br /> have been pro:nded writ a copy at the-FiorrJa Construction Loon Lae,-Horrcowners Ptetecbon G3fdC•p:epareu by the rlonda Departmenl of
<br /> Agriculture and Consumer Alfaes,It the appli:am is uxneoneother than the'evince.I cattily trial I have obtained a copy of the ahead descnood
<br /> document and promise it goad f.wh to dctwcr it is iho ch h.er poor to comm+encament.
<br /> CONTRACTOR'SfOWNER'S AFFIDAVIT i ccn.ty teat rSs tau:rrfarr:anon m ins applcation is accuraru and taw:an wore von bo dare in eomptanco van
<br /> all opahtabla censlvcl ate,ran rig and lard ua+t:47puient.AppfiraGoq is hCteb'y mods to obtain a permit led*wail,and mslabnhon as
<br /> ihdiratbc.l cony that rib war o•insloachan has com.narced prior to issuance Of a permit and Itw!ag'wak Nei be performed 10 meet standards of all
<br /> taus regulating construct an.Coway and City cases,rn.rrl regutat•Oris.and Land doNotopment tegutaVans in irm iurisd.ctlon,l also,comfy that i
<br /> understand mat Ire regulatixs of cihcr,a+'amt+cnt agenc.es may apply to to intended w atk,and that it is my respo iSty to idaably what adians I
<br /> must take to train crrnpbance.Sucn age-icie,irdade ban ate not tlmlledto.
<br /> Department of Environmental Protection-Cypress SayheadS,Welland Areas and Environmentally Sensitive
<br /> Lands,WateriVirastewaterTreatment.
<br /> Southwest Florida Water Management District-Wells, Cypress Sayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls,Decks,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 lo;iamig rosincliCps apply to tha use of fill
<br /> Use of rill is not allowed in Flood Zane-V"unless expressly permitted,
<br /> If the Gil material is to be used in Flood Zone "A if is understood that a drainage plan addressing a
<br /> 'compensa&ng 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 rill material is to be used in Flood Zone'A"in connection with a permitted building using stem wall
<br /> construction,I certify that f+tat will be used only to fill the area within the stemwaii
<br /> If fill material is to be used in any area, i certify that use of Sucn rill 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 undo:the attached permit application,for lots less than one(1)
<br /> acro whicn are elevated by fill,an engineered drainage plan is required.
<br /> It I am the AGENT FOR THE OWNER,I atomise in goad farm to infann U:c ear,uv of the permitting ccnild'ons set forth in cis affidavit pact to
<br /> commencing consirJc!0n.1 understand mai a separate permit may no rarfOred for elechi:al v,ork,plum'Jirg,signs,emits,pools.air conditioning.gas,or
<br /> other Installations not spec+t'Cany intludad in the oppi.tation.A permit issued shag be tonsitued to be a Icense to proceed+pith the walk and flat as
<br /> authority to violate,cancel,r711cf,at Set awde any pftvisions of the tethni:at=OS,act snap issuance of a perrm.t prevent the Building Official from
<br /> thereafter retjOring a correction of errors in plars,COnSIM0 On or v-owicns of any codes.Every perrril issue!snail become invalid unless the work
<br /> authorized by such parndt is COmmenced Winin six months Of permit issuance,at it wank aulhorired by the Derma is suspcneed or abandoned for b
<br /> period of six(6)martins allot Ine lime To v,--rk is commenced.An extension may to requested,in wrong,from lee Bmlaeig Official for a penod not to
<br /> exceed finally(90)days and A,11 demonstrate i"fifwble cause to,the extens on.(f,%g*ceases for ninety 190)conseculne days:do lob Is considered
<br /> abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY,IF YOU INTEND TO OBTAIN FINANCING,C
<br /> gy11H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COWINaENTG,^MFF a+T
<br /> FLORIDA JURAT(F.S.�117Y.03) "\,, 1 /yt//� �,J It+✓
<br /> OWNER OR AGENT c jA
<br /> Substfibod and sworn to far plfi"ndd)bolo'"me this �Subs�dt•od and svmmil�ll(iirrmee.0 before this tL
<br /> 1(�4/ 0?1 by Michelle D Stewart Au hof ed Signer �"�-1 by.._ 14
<br /> W1W 1ysglra.ppgonaliy known to me orhasihave produced Who Waco personally known to rnb or haslhava pradute0
<br /> AL Driver S License as iaenwicahaa as identification. ,
<br /> Notary Public ��'�✓1--a`� w�' '►--=Z1-,t}wJl6..0 P No:aR 11%
<br /> Commission No, r 1 Commission No. v
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<br /> rvt1CMEL LOGADJ
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