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613-780-0020 City of Zephyrhills Permit Application Fax-M-780-0021
<br /> Building Department
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit may be subject to'deed'restdclione which may be more restrictive
<br /> than County regulations.The undersigned assumes responsibility for compliatico with any applicalKe deed restdClons.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired a contractoror 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 slate law.,((the owner or intended contractor are uncertain as to what licensing requirements
<br /> may apply for the intended work,they are advised to contact(he Pasco County Building Inspection Division—Licensing Section at 727-847-8009,
<br /> Furthor4nofe,i(llu owner ties hired a contractor or contractors,he is advised to have the contmctof(s)sign portions of the"contractor Block',a[•lhis
<br /> application far whilcll tlfey 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 permilling privileges Id 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-D7,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 Fees and Resource Recovery
<br /> 'Foos must be paid pilot to recelvifig a'cetOuoare 6f 6=paficy'orfirtal powerrelease.if the project•fides not Involve a certificslo of occupancy 6r final
<br /> IW,.ver release,the'ioCs must be'gold pdoi to petmU.Issaance,.Furifictmore,if Pucco County WalorlSe' r impact fees aredu0,they must be paid Fdor
<br /> ld permit issuance in accoidance;vdlti appl ca le Pasco County ordinances•
<br /> CONSTRUCTION LIEN LAW(Cbopter-719,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'Flodda 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 fo the"owner'prior to commencement.
<br /> CONTRACTOR`SIOWNEWS AFFIDAVIT:I certify Ihat,all the information In this application is accurate and that all work will be done,ln compliance with
<br /> all applicable laws regulating construction,zoning and land development,Applicalon Is hereby made to obtain a permit to.do work and lnssAalion as
<br /> indicated.I certify that no work or Installation has commenced prior to issuanco,of a permit.and that all vrorf.wjii b6.p_rforflted'lo meet standards of all
<br /> taws 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 govemment agencies may apply to the Intended work,and that it is my responsibility to Identify what actions 1
<br /> must take 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 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 resldcllons 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 /> 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 stemwail.
<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,requinid,
<br /> Ill am the AGENT FOR THE OWNER,I promise In good faith to inform Ihe_tilvnerof the permuting coisdifions set forth in this affidavit prior to
<br /> commencing construction.I understand(hate separate permit maybe 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,alter,or set aside any provisions of the technical codes,norshall Issuance of a permit prevent the Building Official from
<br /> thereafter requiring a correction of errors in plans,donstructidn orvio)attuns of any.codds.Every pormlflssydd shall become Invalid uniess the work
<br /> authorized by such penpif fs,commenced within six months of pertrilt issuance,or it work authmfied*the"permills`suspotided of ebandoned fora
<br /> period of six(6)months after the time the work is commenced.An extension maybe requested,In writing,from the eulldlgg Ofgclal for a'parlud notdo
<br /> exceed ninety(90)days and will demonstrate justifiable cause for the extension.if v&k ceases for ninety(90)consecuuve:daysi'he 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 /> xjtlTFt YOtfR LENbF�j`OR AN'ATTORNEY-B .FORE'RECORQING YYOU�O33GE OF COMMENCEMENT
<br /> ,FLORIDAJVFAT.,(F.S;;117;03)"
<br /> OWNER OR AGENT ',CO!NTRACTOR
<br /> Subscdbed an bswam to(or affirmed)before me this SubscriEedund m' (ar r ed).betaN ma.lhis•
<br /> y ►t t�
<br /> Who islare personally known to me or hasfhave pioduced lhhii;lslero'ptitsoltally kn Yr41 ta;me or}irrztjravapiudue�id
<br /> 4ildenfificallon. ii ttfanfi(t dloa}
<br /> Nolii"ry,Pub�c NolaryPublic
<br /> ommission_No'
<br /> Commission ido. �"•�''`-- = - -
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<br /> amnai otruylypad;pf(nta or5iwnped NattleotNotary•'lyped orstampaq
<br /> �;arup. CORE DEE PORASiK
<br /> Notary Public-State 0f Florida
<br /> Commission P GG 310262
<br /> ?,pares My Cdhimi�sion Expires
<br /> !fill' March 'I'l, 2023
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