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813-78a0828 City Of ZeplryritillS Permit Application Fax-813-780.0821:
<br /> BulunG[SaparbneM
<br /> NOTICE OF DEED RESTRICTIONS:The uotaralgned undemisnds that thIs petrol may bebublect to-does'ractriottonv which may ba more restrtaive
<br /> 018n County tegutalions.7ire undaraigmhadassumes rospanribiiilyfor cosnp!ianta wKttairy appi{cabtadeed reswollons.
<br /> !lFithM.
<br /> coribelctor or cormaIXore to undertake work,they
<br /> "adas required by law,both aloe owner and
<br /> ayare uncertain as to wbatIfoansing taqufromartts
<br /> rthensing section at727-847•SM.
<br /> it the owner has h red a sxmtractor or Conbardors,ha is advised to have the coniractor(s)sign portions o€the-bommclorBwr o€this
<br /> tion forwhirat they w38'be respenslbla.!f yxm,as the owner sigdas the mxinbaClbf,that mhay ba an in�oaeon that'ha Is not property licensed am.Is
<br /> trot erfitred td permit6hipf prrol�ges in Pasco County.
<br /> TRANSPORTATION iMIPACT/UTILITIES IMPACT AN RESOURCE RECOVERY FETES:The undersigned itrrderstands
<br /> that Transportation impact fees and Rene Recovery Peas may apply to the construction Of new butidings,change of use in wdsllng bt4angs,ar
<br /> eVansion of wdsting bulidirsgs,as specified In Pasco County ortrinanou riumbeir89-o7 and oov,as amended.The undersigned also understands,that
<br /> such fees,as may be due,will,be identified at the ttma of permitting.It Is further undsrslood that Transportation Impact saes and Resource Recovery
<br /> Fees must be pail pdar te receiving a'cerOiNate of bccupan W or Gnat power Marie.it the pmjed does not involve a Carrdkate of occupancy or final
<br /> pb,hw release,the is"must be paid prior to permit issuance.Funhcrmore,It Pasco County Water/Sawer Impact fees are due,they must be Paid Prior
<br /> to permit issuance in accordance v.tth applicable Posm County ordinances,
<br /> CONSTRUCTION LIEN LAW(chapter 713,Florida Statutsa,an ammondodj If valuation of wank Is S2,500.01)of more,I certify that 1.the applicant.
<br /> have been providorl with a copy of the`h'lorida Construction Lien late—tiomeo»mels Protection Gulde"prepared by the Frodda Departnent of
<br /> Agricutalre end Consumer Affairs.If the applicant Is someone other tires the=rn+mer.I certify that I Pave obbtained a copy of floc above described
<br /> document and promise In good Win to deliver it to the-awareP prior to commencement.
<br /> CONTRACTORWOWNER'S AFROAVrr:I wTffy that all the Inrorme*m In this application to soctesta and that all weds will be dome in compliance with
<br /> cif applicable taws regulating construction,zoning and land development.Apptilaiton Is hereby mode to obtain a permit to dowork and Installation as
<br /> Indicated I ccrttfy that no walk or Installatim has commenced prior to issuance of a pem*and that all wok will be performed to meat standards of all
<br /> lane regulating omstmotton,County and City codes.zoning regtitations,and land devetpment teaulat ons in the,Jurtsd dlon.t also caft that I
<br /> understand that the requiallots of other govammant agencies may apply to the Wwrhded work,wW Dar It is my responsibility to idantify what actions I
<br /> must take to be in compliance.Such agendesinclude but are not limited to:
<br /> - Department of Environmental Protecliort-Cypress Bayheads.Weiland Areas and Environmentally Setftlitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlaftd Areas, Altering,
<br /> Watercourses.
<br /> - Army Corps of Engfneers-Seawains,Docks.Navigable-Waterways.
<br /> Department of Health &Rehabilitative Services/Environmerdal health unit-Welts, WasieWater Treatment,
<br /> Septic Tanks.
<br /> US Environmental Protection;Agency-Asbestos abatement,
<br /> - Federal Aviation Authortty-Runways.
<br /> I undemisrmd thsdthe Imlow ng 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"A"in connection with a permitted building using stem wail
<br /> construetion,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 ill will not adversely affect adjacent
<br /> properties.If use of fill is found to adversely affect"Jacent properties,the owner may be cited for violating
<br /> the conditions.of the building permit issued under floe attached penrift application,for lots less than one(1)
<br /> acre which are elevated,by fill,an engineered drainage lot an Is required.
<br /> It i am the ACHM FOR THE OWNER,t promise in good faith to inform the awrw of the pannittingramdtions set forth in ads ailldavit prior to
<br /> oormmramcimgeonstruGion I understand that a separate permit maybe required for elect"work,plumbing,signs,wells,pools,air commdi0oriing,gas,or
<br /> other insulations not specirdroaityiridaded in the application.A permit i8suad shah be ConvIrlmd to be a license to proceed m'3h the worts and not as
<br /> andhwrW to violate,cancel,alter,or set aside any provisions of the technical codes,nor shell issuance of is permit prevent the ftftng ofridw from
<br /> thereafter raqutdng a iaorection aterrors to plans,constnicuon at vkrta0ons of arty codes.Every pamuit issued shaft 6acane Invard unless the wore
<br /> su0rorized b'9 such.pemmttit b commermped within six months of pemrh tssuatmCa,o d words aumomlzad by time permit is suspended or elmandruied tar a
<br /> parted of six(8)trhort0t�after the dma the work is commerscad.An oxtatmsion may be regirastad,in writirrg,fnxmt the SuHdBtg tali#dat fora parted txmt is
<br /> ozcaed nlnary(go)days stud well damohsirata Jtnstitiaae Cause fo 0ma extansian,It work ceases for ninety(gp)consecutive days,the lob fm;constderad
<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 /> �fT�t YO IlijWQER OR A EFOR19 la 98011 O.YQUE it;_UE 1XIMM N. Ml'ICI*
<br /> FLORIDAJtrRAT(P, 417.o3)
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<br /> Nmaw Pubiio Natary'NutmIic
<br /> Cornarilssfauh No.� tsaton NO.
<br /> t .pienaearstamp +ytYim orstamped
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<br /> i5'; YpUt+,• DAWN FINGERS
<br /> to eY¢t�, DAWN FINGERS *:A- XV
<br /> *: MY COMMISSION#GG M69
<br /> MY COMMISSION#GG 946469 - EXPIRES:January 12.2024
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<br /> o EXPIRES:January 12,2024 Bonded Thru NotaryPubifcUnde s
<br /> Bonded Thru Notary Public Underwriters f
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