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813-780-0020 ., City Ot Zephyrhills Permit Application Fax-813-780.0021
<br /> Building Department
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit maybe subject to"deed"restrictions'which maybe more restrictive
<br /> than County regulations.The undersigned assumes responsibility for compliance with any applicable deed restrictions.
<br /> t1NLICENSED 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 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 /> r ;Furthermore,.if.tlie 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 tie;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 peiiniifing privileges in Pasco County.
<br /> ""TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
<br /> ;that Transportation Impact Fees and Recourse Recove Fees may apply to the construction of new buildings,change of use in existing buildings,or
<br /> ezPansion of exisiing.buildings,as specified in Pasco County Ordinance number 89-07 and 90.07,as amended.The undersigned also understands,that
<br /> such fees,as maybe 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 patd 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 /> -tom,CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended):If valuation of work is$2,500.00 or more,I certify that t,the applicant,
<br /> L'f-`kki a been provided with a copy of the"Florida Construction Lien Law—Homeowner's Protection Guide prepared by the Florida Department of
<br /> i
<br /> Agnculture 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 /> db"NTRACTOR'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 /> ail 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 ttiat 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 /> r`Paws 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,WaterNVastewater Treatment.
<br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> '' r��' ' •Wate�co�rses.
<br /> Ariijy,Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> Department of,Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> or. Septic Tanks:
<br /> US:Environmental Protection Agency-Asbestos abatement.
<br /> - iFederal,Aviafion Authority-Runways.
<br /> Iluriderstand that the following restrictions apply to the use of fill:
<br /> Tf, - -Us&''of fill is not-'allowed in Flood Zone"V"unless expressly permitted.
<br /> .fill:material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "corilpensating'volume°will be submitted at time of permitting which is prepared by a professional engineer
<br /> t,
<br /> lic0ris$8,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 /> ,Crt construction'_1 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 /> <<;; ;plopeties;lf its"e 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 /> %t' acYe:'which are elevated by fill,an engineered drainage plan is required.
<br /> - '`li);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 suchlpermit 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 wilt demonstrate justifiable cause for the extension.If work ceases for ninety(90)consecutive days,the job is considered
<br /> abandoned.
<br /> .. V RNING MQ OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE>F,IJRAMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> VITH YOUR.LEfJDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FfiORIDAJURAT';(F:S:d�7,03)'OWNER OR AGENT. �
<br /> CONTRACTOR
<br /> Subscn d and swgato"&a rimed)before me thk Subscri V and swo" or affirmed)before rt�e jhis
<br /> a21 by " L by .JZ M/�r Mtn 0 d�t
<br /> f,Who is/are ersona I 'kh&n.to' ,or has/have produce Who is/are personally known to mept has/have produced
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<br /> ,,as identification. as Identification.
<br /> platy Public I i _ `�C�� Notary Public
<br /> ` C� es
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<br /> i rr Commission No. . Commission No.
<br /> game of Notary,typed.printed^or stamped Name of Notary typed,printed or stamped
<br /> THERESA GEORGE
<br /> x �v� THERESAGEORGE
<br /> MY COMMISSION#GG 977521
<br /> MY COMMISSION#GG 977521
<br /> EXPIRES:May 612024
<br /> r;:,', >•ad�jc;;':. uanded'Thru Notary Public Underwriters =;> P�: EXPIRES:May 6,2024
<br /> Fpr.�6: Bonded Thru Notary Public Underwriters
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