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<br />L.UHU.lt .lUH0 UI: PI:.HHIT AI"!"lVAVl'l'
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<br />A.. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictionsN whit:h
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTIV\CTOHS AND CONTIV\CTOR RESPONSIBILl'l'lES
<br />If the owner has hired a cOlltractor or contractors to undertake work, they may be required
<br />to be licensed in act:ordance with stale and local regulations. If the contractor is not
<br />licensed as required by law, hath 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 "Cont~actor 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 "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 cOllunencement.
<br />E. CON'l'Rl\CTOR' S/OWNER' S l\FFlIJl\VIT
<br />I certify thal all the informalion ln 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 />l\pplication is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work 04 installation has cOlmnenced 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, arid 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 my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: "'Department of
<br />F~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Envirorunentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />"'Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />I.Army Corps of Engineers~seawalls, Docks, Navigable Waterways
<br />"'Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />"'U.S. Environmental Protection Agency-Asbestos abatement
<br />1 also certify thal, i.f fill. material l.s lo 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 s~rll be construed to be a license to proceed with the work and not as
<br />authorily lo viol~te, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a pennit 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 conunenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months aft.er the time the work is conunenced. 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE IJO NOT NEEIJ TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />(f#l;/LJAA "~
<br />SIGNl\T E: OWNER OR l\G NT
<br />
<br />SIGNQ~~RA~
<br />
<br />STATE OF FLORIDA-
<br />COUNTY OF ~t-'Q...~c:..o
<br />The foregoing instrument was acknowledged
<br />Before me this ~ day of "=k.b , 1:"g._
<br />by 2,001
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />STATE OF FLORIDA--u
<br />COUNTY OF --T-C4.&:O
<br />The foregoing instrument was acknowledged
<br />Before me this ~day of ~<i..~. , D ~
<br />by '200 I
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />~id not take an oath
<br />
<br />o who has produced
<br />(type
<br />and whoD did Ddid not
<br />
<br />
<br />~
<br />
<br />
<br />Name typed,
<br />
<br />person takiIHL_a~lfiltUsBdgement
<br />,,"r.. SIJ%8l1R"I 08
<br />~'6'+ commission CC8742
<br />"tM;Mv I r25 Jlnn3
<br />printed, ~8'e~ '
<br />
<br />Name .~7_1~c~2ottamped
<br />
<br />~"'''f\''' Expires October 25,2003
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