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<br /> 03-780-0020 City of Zeohyrhills Permit Application Fax-83-780-0021
<br /> Building Department
<br /> NOTICE qF DEED RESTRICTIONS:The undersigned understands that this permit may be 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 a misdemeanor violation under state law.If the owner or intended contractor are uncertain as to what licensing requirements
<br /> may applyhxtheimangedwork.theyanaadvisndhocontanthePa000CountyBuUding|nepeconOivision--LiconsingSooUonc«727-847 8009.
<br /> Furthermore,if the owner has hired a contractor or contractors,he is advised to have the contractor(s)sign portions uf the"contractor Block"nfthis
<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 /> TR/\@SPORTA7YONIR0P&CT/U-[ULITIES 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 Ordinance number 89-07 and 90-07, as amended.The undersigned also understands,that
<br /> such fees,as may bo due,will beidondfiedou the time ny permitting.|t|»further understood that Transportation Impact Fees and Resource Recovery
<br /> Fees must ba paid prior to receiving a"certificate of or final power release. |fthe project does not involve a certificate of occupancy orfinal
<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 i 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\.the applicant,
<br /> have been provided with m copy o 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 m deliver itto the^mwnor"prior mcommencement.
<br /> cONTRACT0pySuOxVNER.8 AFFIDAVIT:|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 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 standards of all
<br /> laws regulating construction,County and City codes,zoning regulations,and land development regulations in the jurisdiction.I also certify that
<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 tubo|n compliance.Such agencies include but are not limited to:
<br /> - Department ofEnvironmental Protection-Cypress Bayheoda, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management Diatriut4Na||s, Cypress Boyheado, Wetland Aroaa, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks. Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Sen/ivaa/Environmenbs| Health Unit-VVe||o, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authohty-Runvvoym.
<br /> |understand that the following restrictions apply to the use offill:
<br /> - Use of fill ia not allowed jn 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 /> "connpaneoUng volume" will be submitted ot time ofpermitting which is pnapmnad by professional engineer
<br /> licensed by the State CfFlorida.
<br /> - If the fill material is to be used in Flood Zone "/Y' in connection with a permitted building using stem vvg|\
<br /> construction, | certify that fill will be used only tofill the area within the stem wall.
<br /> - If fill material is to be used in any area, | certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent propertiaa, 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 i required.
<br /> K|am the AGENT FOR THE OWNER,|promise in good faith to inform the owner ofthe permitting conditions set forth in this affidavit prior to
<br /> commencing construction. \understand that aseparate permit may be requiredfo | ct i |work,plumbing,signs, || |s,air conditioning, 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 /> WARNING TOOWNER: YOUR FAILURE T0 RECORD A NOTICE CjF COMMENCEMENT MAY RESULT |NYOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER QR AN ATTORNEY BEFORE RECOROINQ YOUR NOTICE QF COMMENCEMENT,
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and yomm to(or affirmed)before methis Subscribed and emmm to(or affirmed)before me this
<br /> b by
<br /> Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
<br /> as identification. as identification.
<br /> Notary Publio NotaryPvboc
<br /> Commission No. Commission No.
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