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8113 7ao-0izo. City of Zephyrhilis.Permit Application Fax-813r780-0W21
<br /> .Building Department
<br /> NOTIdE'OF DEED RESTRICTIONS..Tha undersigned understands that this'permit may be subject to"deed'restrictions'which may be more restktivi - -
<br /> than county'regulatioris..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 gonbactors.to,undertake work they.
<br /> "maybe f64�aired to be licensed In,accoidah-vbmith state and local regulations:If the contractor is not licensed as required by laH,both the owner and ,
<br /> "contiactormay be'citedfora misdemeanorviolati6n understate law.Ifthe ownerorimended comractor am uncertain as to what ficensing 6quiramems
<br /> _ - - May apply foittie'iniended ivorli;[hey are advised to contact the Pasco County Building lnspectioriDivision--Licensing Section at 727-847-80M.
<br /> Furthermore;ff the owner'has hired a'c6ntractoror contractors,he is advised to have the contractor(s)sign'portions 6fthe'OntractorBidek'of the . . -
<br /> _ .application forwhieh theywill be responsible.If you;las ttie.owner sign as the contactor,thatmay bean indication that he is not properly licensed and is -
<br /> _ not anbiledta perm@ting privileges in Pasco County. ' - -
<br /> TRANSP.ORTATiON:IMPACT%UTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
<br /> that Transportation Irnpact Fees and Recourse Recovery,Fees may,apply to the construction of nevi buildings;change of use in ezlstingtiuildings.or
<br /> 'expaoslon'of existing buildings,as specked in Pasco County Ordinance number 89-07 and 90-07;as amended.The undersigned'also understands,that' ,
<br /> such fees;as may be due;tixll,t�e;identified atthe tune of permitting:It is further,understeod that Transportation lmpa64 Fees and Resource.Recovery.
<br /> Fees must be paid prior to receuvkg a"certificate of occupancy orfinal power release:If the project does notinvolve acertifcate of.occupancy or final ,
<br /> power release,the fees;must be paid prior to permit issuance:Furthermore;If Pasco County WaterlSumr Impact fees are due;they must be paid prior
<br /> - ,to'it'ssuance in accordance With applicable Pasco,County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713i Florida Statutes;as-amended):;If valuation cf wvrk is SZ=.00 or m6re•I certiily Drat I,the applicant,
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<br /> - - -• 'have been provded'Wtti a'copy of the'Flofida Construction Lien Law—Homeowner's Protection Guide'prepared by the Florida Departrrfentoll -
<br /> Agdcultbie and ConsumeiAffa rs._If the'appiicant is someone other than the°owne ,I certify that I ftave'obtained a cop of the above described
<br /> b. doGuumentOnd pmmisein good faith tv deliver l to the'awner'prior to commencement
<br /> -CONTRACTORWOWNER'S AFFIDAVIT:1 certify that all the infomratior in this application is accurate and that as workwill be-done in compliance with'
<br /> - - ali appi"catxe Yaws regulating construction,zoning and land development Application is hereby made to obtain apemiitto do work and iislafiffiion as
<br /> _ - indicatetl.1 certiry that no work orInstaflation has commenced prior to Issuance of a permit and that all work vnll be performed-to treat standards of all -
<br /> _ laws regulatkrg constrw_tion,County and City codes,zoning regulations,and land development regulations in the jurisdiction.{.also cedify.thatl
<br /> understand that the,regulabors of other government agencies may apply to.the intended work,and that it is my responsibility to identify whait actions I .
<br /> musttake to be m compliance.Such agendas include but are notlimitedto: - -
<br /> Departrnent:of Environmental ProtectiorrCypress Bayheads,Wetland Areas and Environmentally.Sensitive
<br /> -Larids;WatenWastewatgr Treatment.
<br /> " - - Southwest Florida Water Management 'District-Wells, Cypress Bayheads, Wetland Areas, Altering •_
<br /> Watercourses:'
<br /> Army-Carps of Engineers�eawalls,Docks,Navigable Waterways.
<br /> ;Deparfm`ent-of Health.A Rehabilitative Services/Environmental Health,Unit-Wells: Wastewater Treatment;
<br /> Septic Tanks..
<br /> - ;US'Environmental.Protection-Agency-Asbestos abatement.
<br /> - Federal"Aviation Auttiority-Runways.
<br /> understand that the fol!vwingrestrictionsapplytotheuseoffilt
<br /> Use.of fill Is ndt allowed in Flood Zone"tP'uniess.expresslypermitted.,
<br /> Ifthe fill.material is to qe used.in Rood"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 bXjhe 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 frll.the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill vVilh not._adversely affect-adjacent,
<br /> properties.if use of fill-is found to'adversely affect adjacent properties;the owner may be'cited for ytolating.
<br /> the',conditions of the buildin r g per issued under the,attached permit application,for-lots less-than one-(1)
<br /> al
<br /> acre-Which are.elevated'by,frll„ari engineered.drainage plan is required.
<br /> _ •If I am the AGENT FOR THE OWNER.I promise in good faith toinfrm o the owner of the permitting conditions sat forth in this affidavit prior to '
<br /> - - commencing constructica-I'understand that a separate permit may be required for electrical work'plumbing,signs,walls,poels,mircomfdinning,gas,or ,
<br /> other installations"notspecifically included in the application.A permit issued shell be construed to be a license to proceed with the work and not as
<br /> ' _ - 'authority to violate,cancel,aber;of set aside any provisions of the tactinirai'codes;nor shall rssuanceof a permit preyant the Building Offr.:ial from
<br /> _ ther'eaftej_requidrIg 6 coal&Ioh of errots'in plans,construction ormielations of any codes.Every parnit 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 orebandcried fof a
<br /> _ - - period of six(6)months after the time the ewrk is commenced.An extension may be requested,in writeig,from the Building Official for a period motto -
<br /> - -- .-- exceed ninety(90)days and will demonstrate justifiable cause for the extension:If vork ceases for ninety(90)consecutive days,the'job is considered - .-
<br /> : - - abandoned.-
<br /> WARNING.TO,OWNER:YOUR FAILURE TO RECORD A NOTICE OF MMENC ENT MAY RESULT 9N YO R
<br /> PAYINGTVi(IC IMPROV MENT TO,YOUR PROPERTY.IF YO INT ND TOO TAIN' 1 AN$ING CON LT
<br /> O CE
<br /> FL40RIDA•JEIr2AT( 5.'t 7.03)
<br /> ' OwNEROR:AGE fit/" CONTRACTOR "
<br /> �; u 'n v (i affirmed) re.mg I.is _ •c dar,¢6worn tot VA fore
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<br /> Who knownto a or haslhave produced �' ho-Glare Pe ally ,awn a dr hayllav2 produced
<br /> 8s Identification. as ftlenbYieatlort - _ - -
<br /> ' :- j'10✓Notay Public %tary-Pubfic
<br /> Commission No. �(`7.yi� fV .. Commission t'w. �. .
<br /> erne o tary.ry .pe prmte or Ste -- amiT me oFriolarytyped,Printed orstamped -
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<br /> EMiLY H.MEDINA LAY COMMISSION#GG 227056
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<br /> ..M1C.Oh4M1.StON#f,GG227058 :'ice.,;;. EXPIRES:June 11,2022,
<br /> �:•.�yt-,�� EXPIRES:)tine 11,2o22 l '%4;oi Fig' Bonded Tlw Notary Public Underxriters
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<br /> V`r'p�?oc3.8cnded:TliN'Nc!."ary? ��
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