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<br />COIWJ 'l'.LUI~~ or' l'l;;HM.L'l' ^VI"llJ^Vl'l'
<br />A, N01'ICE OF DEED RES'l'RIC'j'IONS
<br />The undersigned understands that this permit may b,e subject to "deed restrictions" wh.ich
<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 contJ:actors to undertake work, they may be required
<br />to be licensed in accordance with state and loc<ll J:egulations. 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, 813-788-661l.
<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 contJ:actor that may be an indication that he is not properly lic,ensed 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 "Florida'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 infoJ:mation in this application is accurate and that all work will
<br />be done in compl~ance with all applicable laws regulating construction, zoning, and land
<br />development,
<br />Application is hereby made to obtain a penllit to do work and installation as inqicated" 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 />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is IllY responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Dayheads, 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 WateJ:ways
<br />*Department of Health & Rehabilitative SeJ:vices, Environmental Health Unit-Well,s,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used ill 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 pJ:oceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any pJ:ovisions 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 permdt
<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 chaJ:ge 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 c01\sidered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR TT RNEY BEFORE RECORDING YOUR NOTICE OF COMMENC T JOBS UNDER
<br />$2 500 IN VALUE DO N '1' N '1'0 RECORD AND POST A "NOTICE OF COMMENCEME
<br />
<br />
<br />
<br />w.
<br />
<br />
<br />CONTRACTOR
<br />
<br />STATE OF FLORIDADQ C'
<br />COUNTY OF l :5 0
<br />The foregoing inp,trument was aC,knowledged
<br />Befor~ me this '-(rJ,I\ ~ay Of.r-()CJ"Dber-, 1!!Po..Jl:oO
<br />by ,Je'f or'Y\e ~ n..r (;
<br />n( (name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />STATE OF FLORIDA A 6
<br />COUNTY OF U CO
<br />The foregoing intlrument was()ackn~Wledged .~
<br />Before me this ~ of eJcfnbPr, ~~
<br />by -'era (Y'lf' W ' {(e,rr
<br />\on (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />~id not take an oath
<br />
<br />Owho has produced
<br />( type
<br />Odid no
<br />
<br />
<br />of identification)
<br />take an oath.
<br />
<br />
<br />ture of person taking acknowledgement
<br />
<br />~ 0 B~OWN
<br />Name type M.CStMfoflllMwldFd
<br />
<br />My comm, expo ~. 26. 21m
<br />Comm. No. CC870680
<br />
<br />"ELISA D, BROWN
<br />Name l:.ypecfto~'.cS*otsfQeekIIed
<br />My comm, exp, Sept. 26. 2003
<br />Comrn. No, CC870680
<br />
<br />..&.-
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