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1313-780-Ub20 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 maybe 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 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 /> Furthermore,'if the'ownerhas hired a contractor or contractors,he is advised to have the contractors)sign portions of the"contractor Block"of this.
<br /> applicationfor which they will be responsible.If you,as the owner sign as the,contractor,that may be 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 existing buildings,as specified in Pasco County Ordinancer 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 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 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 I,the applicant,
<br /> have been provided with a copy of the"Florida Construction Lien Law—Homeowners 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 a 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 isaccurate 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 apermit 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,:Countyand 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,WaterMastewater 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 /> l.undenitand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not'ailowed In Flood Zone W"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 "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,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 /> 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 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 COMMENCEMENTMAY 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 YOUR NOTICE OF COMMENCEMENT,
<br /> FLORIDA JURAT(F.S.11L.p3)
<br /> OWNER ORAGENT- CONTRACTOR
<br /> *su !;rnl and swom t (or affirmed)before"me this bsc d swo��or a irtned)befonby I -nd)(AV Z r so �1IX kn99wn to me or has/have produced is/ re er�ona y two n tome o as/ ave produced '!( as identification. 9�- as'identification.
<br /> Notary Public Notary Public
<br /> Com 'ssion No. t/ Commi sion No. -
<br /> ,. .
<br /> Name of Notary typed,printed or stamped Name of Notdry typed,printed or.stamped-
<br /> ALICE ANDRADE ��!;VP;/4.,;; ALICE ANDRADE
<br /> '.'Notary Public-State of Florida ••� . Notary.Public-State of Florida
<br /> Co�rtmission#GG,945509 Commission#GG 945509
<br /> My Commission Expires '•. r •� My Commission Expires
<br /> January 08, 2024
<br /> January 08,2024 rrrr�t`
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