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�ity ofZephyrhills�Building Permit Applicarion Page 2 http://www.flvec.com/pasco/content/UrlView.aspx?id=]707
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<br /> N0T10E OF DEED RESTRIC110NS: The undersigned understands that this permit may be subject to"deed"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliai
<br /> app6cable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a c
<br /> contractors to undertake w�ork,they may be required to be licensed in accordance with state and bcal regula
<br /> contractor is not icensed as required by law, both the owner and contractor may be cited for a misdemea
<br /> under state law. If the owner or irrtended contractor are uncertain as to what licensing requirements may �
<br /> intended work, they are advised to contac�the Pasco County Building k�spection Division—Licensing Section
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contr�
<br /> portions of the "contractor Bbck" of this app5cation for which they will be responsible. If you, as the owner
<br /> contractor, that may be an indicafion that he is not properly icensed and is not entitled to permitting privilec
<br /> County.
<br /> TRANSPORTATION IMPACT/UT1LtT1ES INPACT AND RESOURCE RECOVERY FEES: The undersigned
<br /> that Transportation Impac� Fees and Recourse Recovery Fees may apply to the construction of new building
<br /> use in e�asting buildings, or e�ansion of e�asting buildings, as specified in Pasco County Ordinance numbe
<br /> 90.Q7, as amended. The undersigned also understands, that such fees, as may be due, will be identified a •
<br /> permitting. It is furthe�understood that Transportation Mnpact Fees and Resource Recovery Fees must be
<br /> receiving a "certficate of occupancy' or final power release. If the project does not involve a certificate of o
<br /> frnal power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counry Water/S�
<br /> fees are due,they must be paid prior to permit issuance in accordance with appicable Pasco County ordinanc
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): ffvaluation of work is $2,500.(
<br /> certify that I, the appicant, have been provided with a copy of the �Florida Construction Lien Law—H
<br /> Protection Guide" prepared by the Fbrida Deparhnent of Agriculture and Consumer Affairs. If the appicarit
<br /> other than the "owner", I certify that 1 have obtained a copy of the above described document and promise in �
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all the information in this application is accurate and
<br /> will be done in compliance with all appicable laws regulating construdion, zoning and land devebpment. A
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or insl
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all law
<br /> construction, County and Ciry codes, zoning regufations, and fand devebpment regulations in the jurisdic
<br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work, ;
<br /> my responsibility to identify what actions I must take to be in compiance. Such agencies include but are not ii
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmenta
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Are;
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Heath & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater
<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 albwed in Fbod Zone"V" unless e�ressly permitted.
<br /> - If the fill material is to be used in Fbod Zone �A", it is understood that a drainage plan a
<br /> "compensating vo�ame" will be submitted at 4me of permitting which is prepared by a professioi
<br /> licensed by the State of F lorida.
<br /> - If the fill material is to be used in Fbod Zone "A" in connection with a permitted building usir
<br /> construction, I certify that fill will be used onyto fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I certiiy that use of such fill will not adversely aff�
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited
<br /> the conditions of the building permit issued under the attached permit application, for bts less 1
<br /> acre which are elevated byfill, an engineered drainage plan is required.
<br /> If 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting condition�
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for ele
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inc�ded in the ap
<br /> permit issued shall be construed to be a �cense to proceed with the work and not as authoriry to violate, can
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall be�
<br /> unless the work authorized by such permit is commenced within six mor�ths of permit issuance, or if work a�
<br /> the permit is suspended or abandoned for a period of six(6)months after tt�e time the work is commenced. E
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninery(90) days and will �
<br /> justifiable cause for the e�ension. ff work ceases for ninety(90) consecutive da�,the job is considered aban
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMNENCEMENT MAY RESUL
<br /> PAYING TWICE FOR IMPROVENENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N0110E OF COMMENCEMENT.
<br /> FLOR�A JURAT(F.S.117. } _
<br /> OWNER OR AGENT � • C�l/ COMRACTOR ' G � -
<br /> Subscribed and sw (or af�rmed} efore me tYrs S�.bscribed and o(or a�irme b e e this
<br /> �N`tJ��ZC�3 b'�I � �sc 1�� ��� ��`�J.`.��20�'�
<br /> WFa islare ersona 4mown to me or haslhave produced Wtb is/are personal�k�to me or haslF�produced
<br /> � as idertification as idertific n.
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<br />�� V��� ;:a� «��: CELESTE K.VALOEZ `pS�'RY PuB��i� CELESTE K.VALDEZ �
<br /> Y� . �,: Notary Public-State of Florida _ _. ;r; :°= Notar y Public-State of F l o r i d
<br /> ;��f o�;My Comm.Expires Jun 14,2014 ;,A; o,;My Comm.Expires Jun 14,2014
<br /> ��iFOFF���'� Cammission#EE 440 "� P Commission#EE 440
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