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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department
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<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-applibable,deed;resbic'tionsi, r_; !•
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired'a,contraotor or contractors to undertake work,they
<br /> may be required to be licensed in accordance with state and local regulations.,If thecontractor Is not licensed os;required by law,both the owner and
<br /> contractor may be cited for a misdemeanor violation under state law.If the owri��or,jntended contractor are•uncertain`as to what I ceris_ g 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 exsting 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'Fee§'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 pemdt1sslrano6 .Furthermore,if Pasco County Water/Sewer Impact fees are due,they must be paid prior
<br /> to permit issuance in accordance with'appiicable 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—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 /> CONTRACTOR'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 /> all applicable laws regulating construction,zoning and land development.Application is hereby'
<br /> 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 dat all work will be performed to meet standards of all
<br /> laws regulating construction,County and City codes,zoning regulations,and land devetoprtient regulations in the jurisdiction.I also certify that I
<br /> understand that the regutattons bf otfier:goverriment agencies rrray a0019 to;the iritehded•wdrk4 and that if.is'tny reePonsjbility 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,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 A Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Envi�,onmeq�l otec i" . Agency-Asbestos abatement. "
<br /> Federal.AVjatiori A �ority-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.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'i§ 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, fog°lots less than one (1)
<br /> acre which are elevated by fill,,an engineered drainage plan is required. .. r..
<br /> If I am the AGENT FOR TWE•OWNER,I'promise in good faith to inform the owner of the permitting conditioAs�set:forth!a this affidavit prior to
<br /> commencing constriction.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 CGM1f ENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y0111INTE D TO OBTAIN FINANCING, CONSULT
<br /> IC
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR UR N,_ CE MMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTR CTOR
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and--swofint(o a ed) efore me this
<br /> by b
<br /> Who is/are personally known to me or has/have produced Who is/are pers ally o to or has/have 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 or stamped
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