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<br />ZEPHYRH ILLS BU I LD I f\jC
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<br />FAX
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<br />No.
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<br />NOTIC~ OF DEED'RESTRICTIONS: 'The undersigned under5tands that this permit may be subject to "deed" restrlctlons"
<br />which may be more reWlctlve than County regulations. The undersigned assumes responsibility for complIance wIth any
<br />applicable deed restrictions,' . "
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contreclor or
<br />contractors to undertake worK, they may be required to be licensed in eccordance with state and local regulation5. If the
<br />contractor Is not licensed as required by law, both the owner and contractor may be cited fOl a misdemeanor violation
<br />under state law. If the owner or Intended contractor are uncertain as to what licensing requirements may apply for th,~
<br />Intended ~or'k, they are advised to contact the Pasco County Building Inspecllon Division-Licensing Section at 727~847-
<br />8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
<br />portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br />contractor, that may bean Indication Ihat he Is not properly licensed and Is nofentltled to permitting privileges In PaSCO
<br />~~" " ,
<br />TRANSPORTATION IMPACT/UTIL.ITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact' Fees and Recourse Recovery Fees may apply to the con5truction of new bullding5, change of
<br />use In existing buUdlngs, or expansion of 'exlstil'lg IlUlldings, as spQClfied In Pasco County Ordinance number 89-07 and
<br />90-07, ,aa amended- The undel<llgned also understands, that 51.lch fees, as may be due: will be Identlfled at the time ,of
<br />'permltting, It is further understood that -rransportatlon Impaot Fees and Resource Recovery Fees mUJ>t. be paid prior, to
<br />r~iving a "certificate or occupancy' or final poWer release. If the project doas not involve a certificate of occupancy or
<br />flnal power release, the fees must be paid prior to' permit Issuance. Furthermore" if Pasco County, Water/Sewer Impact
<br />fees ere due, they must.be paid prior to permit Issuance In accordance wlth applicable Pasco County ordlnance5-
<br />CONSTRUCTION LIEN LAW (ChaptBr713; F,lorlda'Statutes, as amended); If valuation of work is $2,600.00 or more, I
<br />, certify' that I, the applicant, have been provided with a copy ,of thE1 .Rodda Conetruction Lief! Law-Homeowner's
<br />Protection GuIde' prepared by the FlorIda Department of Agriculture and Consumer Affairs. If the applicant Is someone
<br />other than the 'owner", I certify that I have obtained a copy, of the above described document and promise In good faith to
<br />deliver it to the .owner" prior to commencement. , ' ' ,
<br />CONTRACTOR'S/OWNER'S AFFlDA VIT; I certify that all the ,Informallon in this application Is accurate and that all work,
<br />will be done in compliance with.ell applicable laws regulating construction, zoning end land ,development. Application is
<br />hereby made to obtain a, permit to do work and Installation ae Indicated,,', I certify that no work or lristallation has
<br />commenced prior to Issuance of a permit and that all work will be performe<lto meet 5tendards of all laws regulallng ,
<br />construction, County and City codes, zoning regulations; and land development regulations In the juriadlcUon. I also
<br />certIfy that I underetilnd that the regulations of other government agencies may apply to the Intended wor!<, and thet It is
<br />my responsibility to Identify what actions I must take to,be In compliance. Slich af/ancles Inolude but are not limited to:
<br />, Department of Environmental Protection-Cyprese Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, WalerJWastewater Treatment. ,
<br />Southwe~t Florida' Water Management District-Welle, Cyp~ess Bayheads, WetlaT]d Areas, Altering
<br />Watercoureoes_ '
<br />Army Corps of Enginears-Seawalls, Docks. Navigable Waterw"ays.
<br />Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Waetewater Treatment,
<br />Septic Tanks. ' "
<br />US Environmental ProteclionAgency-Asbestos abatemenL
<br />, Federal Avlallon Authorlty-Runways.
<br />1 uflderstand that the following restrictions apply to the use offill;
<br />Use of mils not allowed In Rood Zone "V" unless expressly permitted. '
<br />If the flll material is to be used, In Rood Zone ON. It ie understood that a drainage plan addrlilsslng a
<br />"compensating volume. wfil be 5ubmitted at tlri1e of permittlng 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 slem wall
<br />construction, ,I certify that flll will be used only to fill the area within the stem wall.
<br />, , If fill male rial is to be used In any area, I certify that use of SJJch fill' wiD not adversely affect acljacant
<br />: properties. If use of fill Is' found to advereely affect adjacent properties, the owner may be cltad for vlolatlng
<br />the conditions of the building permit Issued under the attached permit applicaUon, 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 ownerofthe'permltting conditions 'set forth In
<br />this affidavit prior to commencing construction. ,I, unde'rstand th<!t a separate permit may be required for elec,trlcal work,
<br />plumbing, signs, wells. poole, air conditionIng, gae, or other installations not specifIcallY Included In the application. . A
<br />'permit Issued shall be construed to be a license to proceed with the work 'and not as authorIty to violate, cancel, alter, or
<br />set aside any proVisions of the technical codee, nor shall Issuance of a permIt prevent the Building Offlclal from thereafter,
<br />requiring a correction of errors ,In plane, construptlon or violations of any codes: 'Every permit i5sued shall become Invalid
<br />unless th.. work authorized by such permit is' commenced withIn six months of permit Issuance" or if work authorlzed by
<br />, the permit Is s!Jspended or abandoned for a period of six (6) months after the lime the work 'is commenced. An extension
<br />, !flay be requested, In writing, from the Building Official for a perio~ not to exceed, ninety (90), days and wUl dem6nstrate
<br />jUJ>tlflable cause for the extension, If work ceases for ninety (90) consecuthiedaye, the Job is considered abandoned.
<br />
<br />WARNING TO-OWNER.: YOUR FAILURE ,TO RECORDA No'TICE OF CO'MMENCEMENTMAY RESULT-IN YOUR
<br />,PAYING TWICE FOR IM~ROVEMENTSTO YOUR PROPERTY. IF you INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR 'LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'nCE OF COMMENCj:MENT.
<br />FI.ORIOA JURAT (F.5., 117.03) , ' '
<br />
<br />OWNER O~ AGENt
<br />SIIb.crlDed and sworn to (or amnned) b'!fore me this
<br />Dy' '
<br />Who I"'are,personally known 10 me or heslhave produced
<br />, _"" Idennncatlon. '
<br />
<br />, coNTRACTOR
<br />SubecJ1bed ..nd swom to (or efflnncd) bstore rnlO,thls
<br />, .bY'
<br />Who Is/are per~onBliy kn<>>'lll to me or has/nave p",duced
<br />, ' --.lIS IdenilflcaUon.
<br />
<br />" Notary publlo
<br />
<br />.Notlry pUblic
<br />
<br />Conirni~~lon No.
<br />CommisSion NO.
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<br />N"",s 01 Notary typed, Pl'intell or stamp...:!
<br />
<br />Ni>me 01 NOlBry \yp..d, prtnlsd or etsmped
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<br />~ S1:6 ATTACJ.j.E'n ~ 71f;.R-
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