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' 813-780-0020 City of Zephyrhills Permit Application Fax-913-780-0021
<br /> Building Department ,
<br /> NOTICE OF DEED RESTii1CTI0NS:The undersigned understands that this permit may,be subject to"deeW restrictions"which may be more restrictive
<br /> than County regulations,The undersigned assumes responstbliiiy.forccmpliance with any applicable deed restrictions.
<br /> UNLICENSED CONTRAC fOitS ANQ CONTRACTOR FtESPONSIBILiT(ES:if the owner lias'hired.a contractor orcontractors to undertake work,.they
<br /> m'ay be required to be Iicensed'In accordence.vrith 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 birder sfate taw.tf the?owner or intended contractor are uncerialn as,16 what licensing requirements
<br /> may apply.for the Intended'worit,,ttiey cre advised to contact the Pasco Gouriiy Building inspection Division�lcensing Section at727-847-8009.
<br /> Furthermore,if the owner.has fiiret7'a contractor or contractors,he is advised,to have the-contractbr(s)sign-portionii of the"contractor Biddle.of this
<br /> application for which theywill;be responsible;'if you,as`the owner sign as the contractor,that maybe an'.Indication that:he is not ptoPeriy'Iicensed and Is
<br /> i not entitled to permitting privileges in Pasco County.
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<br /> TRANSPORTATION iMPACTIUTiLiTIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned,understands
<br /> that Transportation pan ,'Impart Fees and Recourse Recovery Fees may apply to the construction othew-buildings,change
<br /> rsig
<br /> of useln,existing buildings,or.
<br /> exsion of existing buildings,as specified in Pasco County Ordinance number 6.9707 and 9Q-07,as amend6d.T,he.undened also understands;that
<br /> such fees,as may be due,will ba Identified atthe time of permitting.it is further understood that Transportation Impact Fees and Resource Recovery
<br /> Fees must be paid.pdor to receiving a"certificate.of occupancy+"or final power release.If the praJectdoes not Invoiveta certificate,of obco ansy or final
<br /> power,retease,,the fees:must be paid prior to.permit Issuance.'Furthermore,if-Pasco County Water/Sewer impact fees'are d_ue;'they musYbe.pald prior
<br /> to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,FlorldaStatutes,as ainarided) If valuation of work is$E;500:00 or more,i certify that I;;the applicant,
<br /> have been provided with a copy of the"Florida Construction Llen Law--Homeowner's ProtectionGulde"prepared.by the.Florida Department of
<br /> Agriculture and Consumer Affairs.11the applicant is someone;other thamthe"owner",I cerrrfy#tiaf I have obtained a copy of the�above described.
<br /> document and promise in good'falth'to deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: 'certifythat all the information in.this appiicatlon.ls accurate and that all work will be done;Incompliance,with
<br /> all applicable saws regulating construction,zoning and Iand development:,Appiication is herebymade to obtain'a pet it to do work,and tnstaiiation as.
<br /> indicated.I certify that no work or installailon has commenced.prior to Issuance of a permft-,and,that all work will be'performed t6ineet'standards ofall
<br /> laws regulating-construction,Countyand City codes,zoning regulations,anddand development reguiations in the°jutisdiotion.i also certify that.l
<br /> understand that the regulations of othergovemment'agencies.may apply,to the Intended work,antl that ills my responsibility to identify what actions t
<br /> i must take to be in compliance.Such,a9encles indude but are not limited to:
<br /> Department-of Environmentai Protection-'Cypress Bayheads, Wetland Areas and°Environmentally Sensitive
<br /> Lands,WaterN-v6stewater Treatment.
<br /> Southwest Florida Water Management District-Wells, .Cypress 13ayhea0s, fttland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-SeaWalls,pocks,Navigable Waterways.
<br /> Department of Health & Rehabilitative SeririceslEnvironrnental, 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 offiik
<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 bei 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 fit 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 1 am the,AGENT FOR TFtE 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 required for electrical vrork;'plumblog,signs;wells;pools,air conditioning,gas,or
<br /> other installations not specifically Mcluded'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;after,or set aside any provisions of the technical.codes,nor shall isstrance:of a permit prevent.the Building.Officiat 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 permitissuance,or if work allthbHzed'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 Ofticiat fora period not to
<br /> exceed ninety(90)days and will demonstratejustifiable 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.dk IMPROVEMENT'S.TO YOUR�PROPERTY.IF YOU IN D TO.OBTAIN'FINANCING,CONSULT
<br /> NE CORDING YO;; :.
<br /> FLORIDA JURAT(F.S.,1.17.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and'swom to(or-affirmed)before me this Subscribed and to(or, ):before melhis i
<br /> by totltr� � A- v„ea65 .
<br /> Wools/are personally known to me orha6/have=produced �y Wtio.tslare personally known tom of has/have produced
<br /> as identification. "��"` as identification.
<br /> Notary Public ubllc
<br /> TERESA C&LE
<br /> Commission No. Commission No.
<br /> �»
<br /> ;••.e. Cotnmissipn.*GG.046504,
<br /> Name of Notary typed;printed or stamped Name ofNotary typed;; omm. xpr
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