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at3.780-ooze City of Zephyrhitls Permit Application Fax-e13-7804=1
<br /> Building Department
<br /> r
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this Permit may be subject to'deed'restrictions'wtdch may be more rostrictW
<br /> than County regulations.The undersigned assumes responsibility for comptiance 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 stato and local rogutatlons.If the contractor Is not licensed as required by law,both the owner and
<br /> corntractormay be cited for a misdemeanor violation under state law.If the owner or intended contractor are uncertain as to what licensing requirements
<br /> may apply for the intended work,they ate advised to contact the Pasco County Bulkfing Inspection Oivsfon--Lkonsing Section at 727-e47-6009.
<br /> Furthermore.ff the owner has hired a cortraitor or contractors.he is advised to have the contactor(s)sign portions of the^contractor Bbck'of this
<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 property licensed and is
<br /> not entitled to parmkbng privileges in Pasco County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
<br /> that Transportation Impact Foos and Recourse Recovery Fees Tray apply to the construction of now buildings,change of use in existing buildings,or
<br /> expansion of existing buildigs.as specified in Pasco County Ordinance number e9-07 and 90-07.as amended.The undersigned also understands.that
<br /> such fees,as may be due.will be identified at the time of perniting.It is further understood that Transportation impact Fees and Resource Recovery
<br /> Foos must be paid prior to receiving a'cedificate of ocoupaney or final power release.if the project does not involve a certificate of occupancy or final
<br /> power release,the fees nwst be paid prior to peril issuance.Furthermore,if Pasco County VffateNBewer Impact fees are due•they neat be paid prior
<br /> to permit issuanco In accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended}If valuation of work Is$2.5W.00 or more.I certify that I,the applicant,
<br /> have boon provided with a copy ofthe'Floridn Construction Lion Low—Homeamer's Protection Guide'prepared by the Florida Department of
<br /> Agriculture and Consumer Affairs.If the applicant is someone other than Ihe'ownet'•1 certify that I have obtained a copy of the above described
<br /> document and promise In good faith to deliver it to the'owanor-prior to commencoment.
<br /> CONTRACTOR'SiOWNER'S AFFIDAVIT:1 certify that at 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 dovolopmont Application is hereby made to obtain a permit to do work and irstatlation as
<br /> iMicated.1 certify that no work or instahtion 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 tho jurisdiction.I also eeddy that I
<br /> understand that fho regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify whet actions 1
<br /> must hake 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 ServicesfEnvironmental Heafth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement
<br /> - Federal Aviation Authority-Runways.
<br /> understand tha
<br /> t the following restrictions epplyto 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 wall
<br /> construction,I certify that fill will be used only to fill the area within the stem wall.
<br /> - 1f 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 thta AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting condtions setforth in this affidavit prior to
<br /> cortarmanckag construction.)understand that a separate permit may be required for electrical work,plumbing,signs,wells,pooh,air conditioning,gas,or
<br /> other Installations not specifically included in the application.A pamdt issued shall be construed to be a kense to proceed with the work and not as
<br /> authority to violate,cancel,alter,or sot aside any provisions of the tochnieal codes,nor shag issuance of a pamdt prevent the Building Official Boa
<br /> thereafter requiring a correction of enars in plans,construction or violations of any codes.Every permit issued shag become Irnvaid unless the work
<br /> authodzed by such permit is commenced within see months of permit Issuance,or i work otdhorizod by the permit is suspended or abandoned for a
<br /> period of sloe(6)months after the time the work is commenced.An extension may be requested.in waiting,from the Building Official for a period not to
<br /> exceed ninety(90)days and will domonsttato justlfrablo cause for the extension.If work ceases for nitnty(90)comewtivo 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 YOLK LENDER RAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR ►X..
<br /> Subscribed and sworn to(or affrrmeM before me this S b;tub94.2 swom to(or ffi fare mq t
<br /> by /- v"�z-LU by (��e /Y/ /-/t, �,S'
<br /> Who is/are porsonally known to ma or hasthave produced �4Rdlf (mown oy r ha ve pr uced-
<br /> as identification. ' ���� as Identification_
<br /> Notary Public fgrt=� Notary Public
<br /> COnemlSSien No. Commission No.
<br /> Name of Notary typed,pnntod or stamped Namo P ,prim or starnpf
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