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<br />A. NOTICE OF DEED RESTRICTIONS
<br />. The undersigned understands lhat this petlit lay be subject to udeed restrictionsu which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility fDr 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 be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 peIlitting 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 uFlorida's Construction Lien Law - HoIeowner's Protection
<br />Guide" prepared by the Florida Departient of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />Downer", I certify that I have obtained a copy Df the above described docUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to coaencelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation 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 has COJJenced prior to issuance of a petlit and that all work will be perfoIJed 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 goveIIllental agenCies JaY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in colpliance. Such agencies include but are not lilited to:
<br />I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Soutbwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />* US EnvirODlental Protection Agency - AsbestDS abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or NA,etc.", it is understood that a drainage plan
<br />addressing a .cOJpeDsating volUle" will be sublitted wbich is prepared by a professiDoal engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be .a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is co.nced within six IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of sixlOntbs after the tile the work is COIIeIlced. One 90 day extension of tile, lay be
<br />allowed for the petlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING '1'0 OIIlfBR: YOUR FAILURB TO RBCORD A NOTICE OF COMMDCEHElft' MAY RESULT IN YOUR PAYING !WI R IMPROVBllDTS TO YOUR
<br />PROPBRTY. IF YOU Ilft'BIm TO OBTAIN FIIlAHCING, COMSU ITH YOUR LEimER OR All A BEFO IMG YOUR MOTICE
<br />COMMBMCEHElft' . OBS UlfDBR $2 UB DO N 1'0 RECORD AHD POST A · E OF
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<br />
<br />LORInA
<br />C OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />
<br />STATE 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 />produced
<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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