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813 M-0020 City of Zephyrhllls Permit Application Fax-813-7W-0021
<br /> Budding Department
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this pemmt may be subject to"deed'restrictions'whirh may be more 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 apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing section at 727.847-8009.
<br /> Furthermore,if the owner has hired a contractor or contractors,he is advised to have the contractor(s)sign portions of the'contractor Block'of this
<br /> apprica*m 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 /> TRANSPORTATION iMPACTAJITILITIES 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 /> tlJ[iJar15n"r ui vlYburry uu,iuu yb.Obat+a.:i1'L—;i.r rma:V a,an."riy a�rui,rm r,.v rrwr.utu oav+ m1u airiwi,as mrra,ruuu.irro urwieaiai Rsai uov uirucr aim rue,urni
<br /> such fees,as may be due,will be identified at the time of permitting.It is further understood that Transportation Impact Fees and Resouree Recovery
<br /> Fees must be paid prior to receiving a'certificate of occupancy'or final power release.It the project does not involve a certificate of occupancy or final
<br /> power release,the fees must be paid prior to permit issuance.Furthermore,if Pasco County WatedSawer Impact fees are due,they must be paid prior
<br /> to permit issuance in 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,f certify that I,the applicant,
<br /> have been provided with a copy of the"Florida Construction Lien Law—Horneawner's Protection Guide'prepared by the Florida Department of
<br /> Agdcufture 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 aiid promise in good faith tD deliver it to the"owner'prior to commencement.
<br /> CONTRACTOR'SIOWNEWS AFFIDAVIT:I 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 worts wit be performed to meet standards of all
<br /> laws regulating construction.County and City comes,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 to identify what actions I
<br /> must take to be in compliance.Such agencies include but are not lunitedto:
<br /> - Department of Environmental Protection-Gypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Sayheads, Welland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks,Navigable Waterways.
<br /> - _IlPnarfrtna�st of Health R RPhafiilitatJ'vB $anrirraSlFnyjmnmPntal I-Igal} t Intl-WaILg WacfPwatar TrpsiriaRt,
<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 fill:
<br /> Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> 1f 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 watt
<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 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 1 am the AGENT FOR THE OWNER,I promise in good faith to inlorm the owner of the permitting conditions set forth in this affidavit prior to
<br /> commencing cornstrucfiom I understand that a separate permit may be required for elwatrical work,plumbing,signs,wells,pools,air conditioning,gas,or
<br /> other installations not specifically included in the application.A permit issued shad be construed to be a license to proceed with the work and not as
<br /> authority to violate.cancel,attar,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 offers in plans,construction or violations of any codes.Every permit issued stall 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 fhe time the work is commenced.An extension may be requested.in writing,from the Bolding Official for a period not to
<br /> exceed ninety(RD)days and will demonstrate justifiable cause for the exension.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 FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_
<br /> FLORIDA JURAT(F.S.117.03) 00
<br /> OWNER OR AGENT i/.(Z,t'-1"[n l �tTRACTOR_` ��
<br /> tSu�scri and t Paffi )be re me this Subscribed ands '-to(or`afimmed)before me this
<br /> `t a by
<br /> Who Ware personally known to me or hasthave produced WINaVM nFJk(bgn to me or hasihave produced
<br /> as Identification• as identification.
<br /> NOTARY PUBLIC-tilAIr Or NEW VeRI(
<br /> No. 01 DAb254746
<br /> 41 Ap. A& Notary Public Qualified in Erie County Notary Public
<br /> My Commission Expires ono 43.
<br /> Cotmni�ion No_ b l (p�5 -1 L4 Ly Commission Na
<br /> g d dLg:60 OZ K oea
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