|
813.780.0020 City of Zephyrhills Permit Application Fox-813.780-0021
<br /> Building Department
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this peril may be subject to'deed'restrictions'which may be more restrictive
<br /> than County regulations.The undersigned assumes resporisbiliity 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 tiled for a misdemeanor violation understate 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—Llcensing Section at 727-847-8009.,
<br /> Furthermore,it the owner has tilted a contractor or contractors,he is advised to have the contrectogs)sign portions of the-contractor Block-of this
<br /> application for which theywill 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY-FEES:The undersigned understands
<br /> [hat Transportation Impact Foes 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,Thal
<br /> such fees,as may be due,will be identified at the time of permitting.It is further understood that Transportation Impact Fees and Resource Recovery
<br /> Fees must be paid prior to receiving a'cerfificate of occupancy"or final power release.If the project does not involve a certificate of occupancy or final
<br /> power release,the fees must be paid prior to peril issuance.Furthermore.if Pasco County Water/Sewer Impact fees are duo,they must be paid prior
<br /> to peril 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,I certify that 1,the applicant,
<br /> have been provided with a copy of the'Florida Construction Lien Law—Homeowners 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 to deliver it to[he'owner prior to commencement.
<br /> CONTRACTOR'SIOWNER'S 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.1 certify that no work or installation has commenced prior to issuance of a peril 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 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 lake to bain compliance.Such agencies include but are not limited to:
<br /> Department of Environmental Protection,Cypress Bayheads,Weiland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Weiland 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 /> I understand that the following restrictions apply to the use of rill:
<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 Slate 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 /> 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 inform the owner of the permitting conditions set forth in this affidavit prior to
<br /> commencing construction.I understand that a separate peril may be required for electrical work,plumbing,signs,wells,pools,air conditioning,gas,or
<br /> other Installations not specifically included In the application.A peril 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(8)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 forninely(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) -
<br /> OWNER ORAGENT CONTRACTOR " Q
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and swo to for affirmed beta .me this f'
<br /> by (tAMA
<br /> Who islare personally known to me or hasihave produced he Ware a on y known to me or has avelroduced
<br /> as identification. as identification.
<br /> Notary Public Notary Public
<br /> Commission No. mmission No. 61 ar
<br /> Name of Notary typed•printed or stamped Name of Notary typed,printed or stamped
<br /> Notary Public State of Florida
<br /> Matthew LeStarge
<br /> My tom
<br /> mission GG Expires 04 09/2022 205154
<br />
|