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<br />Tbe,undersigned understands that this perlit lay be subject to "deed restrictions" whicb lay be !lOre restrictive than efty
<br />regulations. Yhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors. to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay bl!
<br />cited for a lisdl!leanor violation. under state law, If the owner or intended contractor are uncertain as to what licens:ing
<br />requirl!lents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, ,:813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zephyrhills,
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - BOIeowner's Prote,ction
<br />Guide" prepared by the Florida Departl~nt of Agriculture and COnSlln-er Aff~ire, If the applicant is sOIeone other than the
<br />.owner", I certify that I ,have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllenceJent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a perait and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIlllleDtal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in colpliance. Such agencies include but are not liaited to:
<br />* Departlent of EnviroDllental Regulation - Cypress Bayheads, Wetland Areas and EnviroDllentally Sensitive Lands,
<br />Water/Wastewater Yreatllent
<br />* Southwest Florida Water ManageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Al'IY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Yreatllent, Septic Yanks
<br />* US EnvirODllental Protection Agency - Asbestos abatl!ll!llt .
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainage plan
<br />addressing a .cOllpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />1\ permit issued shall be construed to be il license to proceed wIth tile work anJ ilot as Quthority to violate, cancel alt.er, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official fIOl thexeafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued shall beCDe i.nvalid
<br />unless tbe work authorized by sucb perlit is COllBDCed within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOnths after the tile the IIOrk is coaenced. One 90 day extension of tille, laY be
<br />allowed for the peIlit with fee charge of $15.00. 'fbe extension shall be requested in writing to the Building Official.. An
<br />approved inspection IlUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARMING YO OWKEH: YOUR FAILURE 'f0 RECORD A NOfICE OF COIIMEHCEMm MAY RESUL'f IN YOUR PAYING 'fIIICE FOR IMPHOYEMEIft'S 'f0 YOUR
<br />PROPERTY. IF YOU IIft'EHD YO OBtAIN FINANCING, CONSULY WI'fH YOUR LENDER OR AN AnORREY BEFORE RECORDING YOUR NO'I'ICE OF
<br />COMMENCEMm. JOBS UNDER $2,500 IN VALUE DO NO'I' NEED 'f0 RECORD AND POS! A .'NO'I'ICE OF C<JIMINCEMEIft'''.
<br />
<br />SIGNATURE: COIft'RACfOR
<br />
<br />SIGNA'fURi: OWER OR AGE1ft'
<br />
<br />SYAYE OF FLORIDA
<br />COUII'fY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SYATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />p:J:Oducad
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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