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<br />A. NOT,ICl!: OF DEED RESTRICTIONS
<br />The unde~.igned underatands that this permit may be subject to ~deed restrictions" which
<br />may-be m~re restrictive than City regulations. The undersigned assumes responsibility 'f.~
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSBD CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contr~ctors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor i.not
<br />licensed as requixed by law, both the owner and contractor may b. cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain ..to what
<br />licensinq requirements may apply tor the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Further.more, if the owner has hired a contraotor or contractors, he is advised to have the
<br />contractor(s) sign portions of the ~Contractor SectIonsN of th1e application for which they
<br />will be responsible. If you, as the owner signs as the oontractor, you are indioating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign a$ contracto~ that may b. an indication that he is not properly licensed and ie
<br />not entitled to pe~tting privileges in the City of Zephyrhills.
<br />r. _ 'l'QlIl.'NRPng't'n'l'TI"Il.' 'T'UO"""'" lJ''IS'''''' ",,'1'"\ 'TmTT Tmv ..................,.............. _...._
<br />
<br />D. CONSTRUC'l'UION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, .AS AMENDED)
<br />I certify that I, the applicant, have been provided with a oopy of "Florida's Construction
<br />lien Law - Homeowner's Protection GuideU prepared by the Florida Department of Agriculture
<br />and Consumer Aff~irs. If the applicant is someone other that the "owneru, 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 oompliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a pe~t to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and tbat
<br />all work. will be p.rto~ed to meet standards of-all laws regulatinq construction, City
<br />code., zoning regulations, and land development regulations in tbe jurisdiction, I also
<br />certify that I understand that the regulations of other governmental agenoies may apply to
<br />the intended work, and that it 1s my responsibility to identify what actions I must take to
<br />be in compliance. Such aljlencies include but are not limited to: *Dep~rtment of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Tr.a~nt
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />~t.rlng Wateroourses
<br />*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 />I also certify that, if fill material is to be used in Flood Zone ~A~ or ~A,etc.N, it is
<br />understood that a drainage plan addressing a ucompensating yolumeN will be submitted whioh
<br />is prepared bf a professional engineer registered in the State. of Florida prior to permit
<br />issuance.
<br />A per.mit Issued shall be construed to be a license to prooeed with the work and not as
<br />auth9rity to violate, cancel, alter, or set aside any prOVisions of the technical codes,
<br />nor shall iSluanee of a per.mit prevent the Building Official trom therea(ter requiring a
<br />oorrection of errors in plans, oonstruction, or violations of any oode. Every per.mit
<br />issued shall became invalid unless the work authorized by suoh pe~t is c~nced within
<br />six months of issuance, or if work authorized by the per.mit is suspendeQ or abandoned for a
<br />period of six months after the time the work is commenoed. One 90 day exten~ion of time
<br />.may be allowed for the permit with fee charge ot $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
<br />PAYING TWICE !!'OR IMPROVi'.MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
<br />WITH YOUR LENDER OR AN ATTORNEY' BEFORE RECORDING YOUA. NOTICE OF COMMEN
<br />$2,500 IN VALUE DO RECORD AND POST A ~NOTICE OF COMMENC
<br />
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<br />
<br />IN YOUR
<br />CING, CONSULT
<br />BS UNDER
<br />
<br />SIGNATURE: CONTRAcTOR
<br />
<br />ST,ATE OF FLORIDA A~r--
<br />COUNTY OF
<br />The foregoing instrument w.~cJnowledljled .'
<br />~;fore mr<I'~Y of (L~t1 , 19 ~I
<br />
<br />,
<br />~ (n~e of person acknowledqed)
<br />~o is personally known to me, or
<br />
<br />
<br />gement
<br />
<br />
<br />on.t~~~D~OW dgment
<br />Notary Public;~tate of Florida
<br />My Comm. Exp, Aug 31. 2002
<br />
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<br />stamped
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<br />SH:J' ON
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<br />SllIH~^Hd3Z jO All)
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<br />V~dGt:ZIIOOZ 'S 'In~'
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