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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 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 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 of 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 entitted 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 ocGup,ancy"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 /> CONTRACTOWSIOWNEWS 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-Cypre6s*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 W 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 fil.l. 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-it fqUnd 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 setaside 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 ATTORNEY BEFORE RECORDING
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> swo Subscribed and sworn to(or affirmed)before me this Subscribed and 40 ffirme-,6 Vs A,( /
<br /> by J �
<br /> by !��
<br /> _ P,,,,m!
<br /> 4
<br /> Who is/are personally known to me or has/have produced Who is/are personally known to me or hasthave produced
<br /> as Identification. as Identification.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed-otstamped —
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