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at t-7st'o'r City of Zephyrhills Permit:Applitaffon Faxals•roo-MI <br /> Building Department <br /> ' NOTICE OF DEED REMCTIONS:The undersigned understands W Oft pemtit may to m#d to lewr resuklilonp°'which may be more restrictive <br /> than County.regulailons..The tuidersigxed&amiss fespanzitlitt+y lateempitrace Wth any app2=111 4cadros'uki amt <br /> UNUCENSEO CONTRACTORS AND CONYRACMR RESPOtislc.3 ITIES.tt ti tr aamurhav tdrud o corftcovar or centradcru fo undattake work they <br /> may be required to be licensed In accordance Wit atatam4 fecal tegidations:If the etmtfocieris rtat flcenzed as requited by tux,both the omor and <br /> contractor maybe cited for o misdotneeriorvkta&on understate taw ttthe awror orintisufed conlractar rue uncectaL►as to.what licensing nequfromonts <br /> may.apply`tor(he Intended vmtk,they are art4wdto contact the,Fi3 a'County:tl6:2av?a5pcCVo3t7,utsion 4$ Sectiou'at727-847 8009. <br /> Funhamn,mirtheovneritashiredacantraGtaror tiacirssfiaktirlwdtohav¢thecoteJudot(:)''Vgnf + s tha'cuntradorittoceofthis <br /> application for with they tvrll be responsible.R you,as i to awnetsign as the Wtltracta,that maybe co btdSgliari ths!he Is not property i caned and is <br /> not entitled to permitting pdWetiea in Pascal Cotraty, <br /> TRANSPORTATION IMPA"UTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands <br /> that Tranapodatton inip.•tet Fees and Racoiuse Rotavery Forts may apply to the cbn59'atxlon'af now bulhfHtgs„cbange of use in o4sting buihrtnps,or <br /> Opansion of wdWiap,IsviOngs,cis specified in Fas�coco nttyr Qtd 1.lnence numbairS and 90-0.as arnanded The tmdatsigned also undanstuitds,that <br /> such lees,as may be duo,Nil}Ito identmad a the tittle on mmmlag.a is tumor understatA that Iran postatim rr gzr t Foos and Resource Recovery <br /> Feoi trafsf ba:paid priist to rocoiviirg a'cxr3 ttta4e of o aacy"of fttrit poww 1ofdrxso.if the pile's dcoz no!i4"3i;a a tnttiCtt2te at occupancy or final <br /> pwvor mleasa,the Ines must be paid prittoo viumft tsstatnce.Fudhermaro,if Pnsca courtly WiiiatiS war hit;4 torso are due,way must bo paid pour, <br /> toperinil Issuance lreaanrdanceviAh aWlcatga Pz*ca County ordinah r 4 <br /> C4514STRUCUO?I UEN.LAW(Chapter 713,.Florida Statutes,ai am44dodp if valuation at nixk is%2:5'rC`M w moto.I testify that 1,the applicant, <br /> have barn piw4xd,.%Ah a copy of ma"RwLa Ccrzfaiticrt Uin t x:-41c~;emwers Prdlt�lon Gaide ptup&W by b'�FtwWa C"a-tmeat of <br /> Agrfcultune and ConsumerAffairts.If the opittimat Is somettlo Ether than the clamor.i certify not I hmmolftlsco a vpy of the above t a cribud <br /> documonl and promise in good faith to dativer It ro the'a vn ee prior to commencomunt. <br /> COUTRACTOR'StOWNS-I`S AFfiDAVIT:I cart ly that all tbv hictraatldn In.this app ftcnticii fi ucattuf-i aria that uI sulk V43 be dens In comp1ahre Wilt <br /> all apgikabfo imvs(vilutaling ccnzisuci:on:zoning and find et{rMtpmant.Appiication Is horaby made to aWala,a peirtir to do work and inst.•tlWimht as <br /> Indtcalad,I cattily that im watts or instalmim has conir un rsmdtid prW to Issutrt of a permit aad thiiall iva.*vA fro pzafotmnd to most stnrntaids of all <br /> tans roaulaling eonstr1 e0M..Couatyand laity codes',zardstgt,iegalutldns,and lead devd#rnard rugulations In the kidsdctlon.I alto.certify.that I <br /> understand that lno ttigaiaiiosis of other govantirauitagen ties M4 apply to Ute irdantiod ti wfi;an3ltrattT is my.ra partsibdity to identiiytvttaT actions i <br /> must lake to be in compliance.Stitchagendas include but are not limited Ia. <br /> - Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive <br /> Lands,WaterANastewater 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 /> - Depdrtment of Health & Rehabilitative ServiceslEriv"ironfiienfai 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 vbtum&'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 wail <br /> construction,I certify that fill wilt be,used only to fill the area within the stemwall. <br /> - If fill-material is to be.used it) 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 prdpeoes,the ovrner may be cited for violating <br /> the conditions of the building permit Issued under the attached permit tappfication, for lots loss than one(1) <br /> acre which are elevated by tilt,an engineered drainage plan is required. <br /> If f am the AGENT FOR THE OWNER,I pmrr sar fin good faith to Warm the arnter of the petrnItring c uattlmis sat forth to this zdrkta4it prier to <br /> commencing codistitretren.I unilb stitnd that a sapmale peardjt may bts required for aterttical v?vrk p',tnalaig.stiWm rdis.pools;air cc telflonlati.sas,of <br /> other instatf dlons not upectlion7y bictadud In the apfftation,.A perm3Issued shaft b,5 coostcuad to biz a komo to pradded vdth the tw*and not its <br /> authority to'vtolate,cancel,,slier,or sol aside airy provisio of.the teci alcat codes,trot 511311 it utar of zc permit pm vnt the Bulkthig Olfiddi trem <br /> thereafter requiring a correction of ants In.plan;,consirz c£ns<zn orvlotaficas of W Codes.Every permiit Waled shall become fnvaud caress lire work <br /> aWhartzadbysudrpermitiscotnrnancedtdthhrsitmanttisotPonttt xutrca,ore7cvmkatftlt6rLroobyReapantIs-,=pcndddorubandcaodfora <br /> porisd of six(0)months art f tha time rhe.vrak Is camme"ced.An oxtaiicf4n may be requested,in vaWns.tram the"ding Official for a petted not to <br /> exceed gl:iely tJ0)days and 07t do notiaUrrttr juslifi;b},cxusefor the oxtensIbm,!f t%vk caa w for tarfo (W)corx6t ke d:Ws.thelab is consiilerad <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 U INTEND TO OBTAIN FINANC NG;C6 SULT <br /> WITH)tagg LENDER BAN PA OF <br /> RORiDA JURAT(F.S.117.03) <br /> OWNER OR AGENT COVTRACTOR <br /> der• t7,tr •ilia s1+w rrhf(t �f rrn bet .e t Su6:.txib'd and soar ref{ar ttstb rv: batore n e this <br /> "�.. by <br /> 1A :Jar •onalty knax. o ma orb vn pradutx i UL isfom persafal3y latecan to nu .ha�Jhavu produced <br /> 11, <br /> as tdenGficalian is ldeniifua8an. <br /> h'ot ggpublic � notafyPubk <br /> Commission No— 7'3 5y Commission too. �N�I�.�5_,r <br /> Name or tey typed,pTrat orstarrtped mate,o .Notary pad"prl-t��l"!'otsimrfped'-- <br /> try <br /> Note ry Public Salto of Fronde NaitaJy public State of Fiaida <br /> , � Brianna N Reyes Brianna N Reyes <br /> }3 < Il illy Commission HH'0!7354 � My Co mt7ti�3on HH 017354 <br /> Expirtta 07rO112024 � Expiroti,07101,12024 <br /> ,r�;�. 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