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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to ~deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the ~Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of ~F1orida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the ~owner" prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />cert. i~l tq.q.t ~:,4l1-~E'j!':'\l.i'l}~ that the regulations of other governmental agencies may apply to
<br />2~J.ht~Wb~JY,1.lch{C! ~at it is my responsibility to identify what actions I must take to
<br />be in ~~aBff) Such agencies include but are not limited to: *Department of
<br />Environmeht~I'Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabil.itative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatemept
<br />I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is
<br />understood that a drainage plan addressing a ~compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />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,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR MPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OE COMMENCEMENT. JOBS UNDER
<br />$2,500 E DO NOT NEED RECORD AND POST A ~ OF ENCEMENT".
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<br />COUNTY OF 'fC0 C-r)
<br />The foregoing instrument wav~noWledged.
<br />Befo.L,e-ll1e this~O d~y--9.f.: f:., ~19 'i!i.
<br />by ~c.-l ~ ..:..J a.,../ I :Ill., /" ~ S,
<br />~ame of person acknowledged)
<br />Etho is personally known to me, or
<br />
<br />OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing~nstrument was ~k9Pwledged .
<br />BeJ,9.J:;.e me thi~ ~ of~ VL-E , 19~
<br />by ~c IS .:3" .,~s .&-..::t
<br />~ame of person acknowledged)
<br />ErWho is personally known to me, or
<br />
<br />? (/to t~
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<br />Owho has produced
<br />_~ (type of identification)
<br />and ~ did I"Idid ~t take an oath.
<br />
<br />d O. fJ7ob-
<br />
<br />Signature of person taking acknowledgement
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Odid []:tlC1 not take an oath
<br />
<br />tb-Jt /J frrrL~
<br />
<br />Signature of person taking acknowledgment
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<br />I /1/IL ().
<br />Name typed, printed or ~
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<br />MY . Ie Name
<br />COMMISSION I CCB12727 EXPIRES
<br />March 27, 2003
<br />BONDeD THRU TROY FAIN INSUIlANC~ INC.
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<br />~.~.:~: March 27, 2003
<br />~'1,'i.......:~'o/ BONDED THRU TROY FAIN INSURANC~ INC
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