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1113-780-0020 City of Zephyrhilts Permit Application Fax-813-780•0021
<br /> Building Department
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit may be subject to"deed'restrictions"which may be more restrictive
<br /> then County regulations.The undersigned assumes responsibility fcr compliance with any applicable dead restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:if the owner her 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 we*,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 Brock'of this
<br /> application for which they wilt 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 /> 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 89-07 and 90-07,as amended,The undersigned also understands,that
<br /> such fees,as may be due,will be identified at the time of permitting.It is further understood that Transportation Impact Foos and Resource Recovery
<br /> Fees must be paid prior to receiving a"certificate of occupancy ar foal power release.If 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 Water/Saver 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,I certify that I,the applicant,
<br /> have been provided with a copy of the"Florida Construction Lien Law—Homearmer's Protection Guida"prepared by the Florida Department of
<br /> Agriculture and Consumer Affairs.If the applicant is someone other than the`caner',I certify that I have obtained a copy of the above described
<br /> document and promise in good faith to deliver it to the-owner"prior to commencement.
<br /> CONTRACTORS/OWNER'S AFFIDAVIT:I certify that all the information in this application is accurate and that all work will be done in compliance with
<br /> at 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 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 take to be In compliance.Such agencies Include but we 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 /> i 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 /> - 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 /> - 9 the fill material is to be used in Flood Zone"A" in connection with a permitted building using stem wail
<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 ittl 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 permit may be required for electrical work,plumbing,signs,wells,pools,air conditioning,gas,or
<br /> other installations not specifically included in the application.A permit issued shall be construed to be a license to proceed with the work and not as
<br /> authority to violate•cancel,after,or set aside any provisions of the technical codes,nor shalt 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 A ork authorized by the permit is suspended or abandoned for a
<br /> period of six(6)moths after the time the work is commenced.An extension may be:equested,in writing,from the Building Official for a period not to
<br /> exceed ninety(90)days and will demonstrate justifiable cause for the extension.It 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 ' Y RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND T AI INANCING,CONSULT
<br /> WiTH YOUR LENDER OR AN ATTORNEY RF�.E RECQR[D_IMG• J�2,N0TIl^ ,
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNERORAGENT Au � tfrrr� CONTRACTi}R -
<br /> Subscribed and sworn to(or affirmed)befor rdthis Subscribl and swor`-to(or affirmed before me this .
<br /> 12 ft 2f1 by KRISTJ LEFFFRTS etby �C•�
<br /> Who isfare personally known o me or hasthave produced who i re person allyr knows to me or hasthave produced
<br /> FL
<br /> DL as identification, �" lh�E as Identification.
<br /> 4 ,f?
<br /> s,j_�_'4�. I Notary Public C c6�iC�r Notary Public
<br /> Commission No.-'% �p1� Commissioni(ro. G-G �`1
<br /> C@t+R�.twe QlAt1 (ii5 JC.C(: U41AkWe- iikA1 torte 5
<br /> Name of Notary typed.printed or stamped Name of Notary typed,printed or stamped
<br /> If 'rt ,..t;. u , .lA+..f.:i.:t_ ._SC�L: " I r•t'•Notary FUbliC-State of Florid ;.AM tJI ca
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<br /> t s/atary FU-i—z"Zile Fl. s
<br /> Commission it GG 330 7B '" h.,_ „ cf �rirs
<br /> e r:ti Ct.rliriiss;u l rr CG 330
<br /> May Commission Expiro: 176
<br /> gram August 30,2023 ` � r,,.,ih., Arc
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