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813.7804)020 City of Zephyfhills Permit Application Fax-813-780.0021
<br /> Building Department
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this pormM may be subject to"deed'festrealans"which may be more restrictive
<br /> Man County regulations.The undersigned assures responsibRy for compliance with any oppGeabkn 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 faw,both the owner and
<br /> contractor may be cried for an tisdamearsor viotatron under state haw If the owner or intended contractor am uncertain as to what tkansing requiremonls
<br /> may apply for the Intended work.they are advised to contact the Pasco County Building Inspection Ovlsion—Licensing Section at 727.847-8009.
<br /> Furthermore,if tho owner has hired a contractor or contractors,he is advised to have the conbactor(s)sign portions of tho'contractor 81ock'of thts
<br /> application for witch theywO be responsible.if you.as the owner sign as the contractor,that may be an indicatian that he is not properly licensed and is
<br /> not entitled to pert it ft 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 Ordinance number 89-87 and 9047.as amended,The undersignod also understands,that
<br /> such fees,as may be due,will be identified at the firm 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 foal power ralsasa.it the project does not Involve a certificate of occupancy or final
<br /> power reins&.the fees must be paid prior to permit issuance.Furthermore.if Pasco CountyWatmlSaysr Impact lees are duo,they must be paid prior
<br /> to Penn*issuance In accordance wth applicable Pasco county ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713.FtoridaAtatutes,as amended):If valuation of work is$2,500A0 at more,1 certify that 1,the applicant,
<br /> have boon provided with a copy of the"Florida Construction Lion Law-Homeowroes Protection Guido'prepared by the Florida Depadrnent of
<br /> Agriculture and Consumer Affairs.If the applicant is so moo no other than the owner.I certify that 1 have obtained o copy of the above described
<br /> document and promise in good faith to deliver ittothe owner prior tocomimencemont
<br /> CONTRACTOWSrOWNER'S AFFIDAVIT i cerlity that all the Wonratton in this appticaficrt 13 accurate and that all work will be done in complkance with
<br /> all applicable laws regulating eonstrudtan,zoning and land development.Application is hereby mode to obtain a permit to do work and Installation as
<br /> Indicated.t eeREy that no work or installation has comnnenced prior to issuance of a permit and that of work will be performod to meet standards of all
<br /> Taws regulating construction.County and 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 b idertr7yY*,w actions I
<br /> mud 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,Water)Wastewater 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 /> 1 understand that the following restrictions apply to the use of fist:
<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 'X. 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 wait
<br /> construction,1 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 Intonm the owner of the perm aing conditions set forth in this affidavit prior to
<br /> commencing construction.I understand that a separate perms mry be required for electrical vrotk,plumbing.signs.welts,pools,air conditioning,gas,or
<br /> other installations not specifically included in the application.A Pena Issued shall be construed to be a license to proceed with the work and not as
<br /> authority to violate,cancel,ewer,or set aside any previsions of the technical codes,nor shall Issuance of a permit prevent the Building Ofricial from
<br /> thereafter requiring a cormotion of wrors in plans,construction or violations of any codes.Every permit issued shag become invalid unless the waste
<br /> authorized by such pemdt Is commenced within six months of pomrit tssuarco,or W work authorized by the perms is suspended or abandoned for a
<br /> period of six(lit)mbndns 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 domorctratto juctirabb cause for the extension.If work coasos 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 FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOIpR Li:NDER OR AN ATrQRNEY BEFORE REGORDiNG YOUR NOTICE OF -OMM ,NCEfNEhiT_
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWh4R OR AGENT CONTRACTOR
<br /> Subscribed and swam to(or attar oo before me this awom to(or before me th,
<br /> blr
<br /> Who islaro parsorally known to mo orhaslhave produced CM bs/ re personalty tome r ha produced
<br /> as Ideruricatiom as Identification.
<br /> Notary Public Notary Public
<br /> Commission No. Commission NoNam .
<br /> of Notary typed,printed or stamped Name of o tedor jiarm�p r—
<br /> aed �yC
<br /> AN
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<br /> :'r �•; EVIKS:March23.2021
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