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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permdt may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibilit~ 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 udsdemeanor
<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 ~ortions 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 wishe.
<br />you to sign as contractor that may be an indication that he is not prope~ly'licensed and is
<br />not entitled to permitting privileges in the City of zephyrhills; .
<br />C. TRANSPORTATION IMpACT FEES AND UTILITY CONNECTION FEES
<br />01 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 ~ownerH, I cerify that I
<br />have obtained a copy of the above described document and proudse 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 />certify that' I understand that the regulations of other governmental agencie$ 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 />Environmental Regulation-Cypress BaYQeads, 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 />*Armf Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health , Rehabilitative Services, Environmental Health Unit-W~lis,
<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 in Flood Zone "A" or ~A,etcl", 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 permdt 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 t~e Building Official from thereafter requiring a
<br />correction of errors in plans, construction; or violations of any code. Eve~y pe~t
<br />issued shall become ipva~id_unles8 the work authorized by such permit is'COmmenc~d'~ithin
<br />six months of !ssuance, or if work authorized by the permit is sus~ended 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 p~oject will be considered abandoned. .
<br />wARNING TO OWNERt YOUR F~LURE TO RECORD A NOTICE OF COMMBNCEMEHT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />"ITH YOUR LENDY OR AN ATTORNBY BBI"ORB RECORDING YOUR NOTICB 01' COMMBlICIMBHT i JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
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<br />SIGNATURE s CONTRACTOR
<br />
<br />SIGNATUREs OWNER OR AGENT
<br />
<br />acknowledged
<br />, 19_
<br />
<br />STATE OF FLORIDA '
<br />COUNTY OF
<br />The fore~oing instrument was
<br />Before me this . day of
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this ~ day of,
<br />by
<br />. (name of person
<br />o who is personaily
<br />
<br />acknowledged
<br />, 19.....:.-
<br />
<br />"
<br />acknowledged) (
<br />known ,to me, or
<br />
<br />(name of person acknowledgedf
<br />o,ho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identificatipn)
<br />. and who Ddid DUd not take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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