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813-780-6020 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 worki ,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 owneil I 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 requirpments <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 his <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 license d and is <br /> not entitled to permitting privileges in Pasco County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned under�lands <br /> that Transportation Impact.Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing building S,or <br /> expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and.90-07,as amended.The undersigned also uZdersta'ds*th t <br /> � <br /> commencingsuch fees,as may be due,will be identified at the time of permitting.It is further understood that Transportation Impact Fees and Resou Re ve; a <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 occupancigr 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, Int, <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 describec <br /> document and promise in good faith to deliver it to the"owner"prior to commencement <br /> CONTRACTOWSIOWNER!S AFFIDAVIT:I certify that all the information In this application is accurate and that all work will be done in compile ice 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 standardsl of all <br /> laws regulating construction,County and City codes,zoning regulations,and land development regulations in the jurisdiction.I also certify that 11 <br /> understand that the regulations of other government agencies may apply-to the Intended work,and that It is myresponsibility 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 S nsitive <br /> Lands,WaterMastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Tre <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 "N', 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 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 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 /> other Installations not specifically included in the application.A permit issued shall be construed to be a license to proceed with the work and n 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 v iork <br /> authorized by such permit Is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned f)r a <br /> period of six(6)months after the time the work is commenced.An extension may be requested,in wiriting,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 come idered <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 11_� YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY 1JEFORE RECORDING YOUR NOTICE OF COMMr=NC <br /> OWNER OR AGENT CONTRACTOR <br /> Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me <br /> Who is/are personally known to me or has/have produced Who is/are personally known to me or hastliave produced <br /> asidentification. as identification. <br /> ,Notary Public Notary Ptiblic <br /> Commission No. Commission No <br /> Nam <br /> Nam <br /> _------' ._--'_--- _-__ _------^ .-_--''--_ _-_-_ -'- <br /> | <br />