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<br />CONL','.'J.'!.O\'S 0," ,?,'!:"u,'-",.'.".' A,~':~'.'_')j\V-'.','.'
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th. undersigned understands that t:h:lI3 pE!rmit may h,! eu:oJect 1:0 "deed restrictions" which
<br />may be more restrictive than City r.egulcltions. ']'hle und.ersiqned assumes responsibility for
<br />compliance with any applicable deE!d J:,!strictions.
<br />B. UNLICENSED CONTRACTORS AND CON'l'AACTOR RESPONSIBIIJITIES
<br />If the owner has hired a contractor o.r contractor,s to under-I:.:lke work, they may be required
<br />to be licensed in accordance with 51::a te and local .regula tion;s. I f the contractor is not
<br />licensed as required by law, both the o~mer and c:ontrac-I:or may be cited for a misdemeanor
<br />violation under state law. If thE! ownel: or intend.!d contrac:ll:or are uncertain as to what
<br />licensing requirements may apply fOjr thE! intended klork, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-'6611.
<br />Furthermore, if the owner has hirE!d a contractor Ojr con1:ractors, he is advised to have the
<br />contractor (s) sign portions of thE! "Contractor SE!ctions'" of this application for which they
<br />will be responsible. If you, as t:he owner sign.s as th,e contractor, you are indicating that
<br />you, rather than the contractor, are responsible for th.! work. If the contractor wishes
<br />you to sign as contractor that may be an indicati.on tha11: he is not properly licensed and is
<br />not entitled to permitting privileges in the City IJf Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNEC:T10N FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORID.1\ S'rATUTES, 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 docunlent 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 rE!gulating 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 nIl laws regulating construction, City
<br />codes, zoning regulations, and land development l:egulations 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 />Environmental 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 & 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.", 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 Bui.lding Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every penmit
<br />issued shall become invalid unless the work authoz:ized by such permit is commenced within
<br />six months of issuanc~, 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WI'rR YOUR LlNDIR OR AN ATTORNEY Bl!'.FORE RECORDING YOUR NOTICE OF CD4MEIICEMBH'f. .ION UJlDER
<br />
<br />:'fIH VALUE 00 NDT;g~CORD MU FOSTA~H7,OF~:~~CEMEN~ ~
<br />
<br />
<br />;r1~;~R AGENT S,tC~~ONTRACTOR.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instr~ent wa~acknowledged
<br />Before ~e this ~fJ.y of J u..'1 ' ~ r
<br />by ,-'--::)fA.7~VlVlf' ~V'
<br />(name of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />STATE OF FLORIDA na
<br />COUNTY OF SC.O
<br />The foregoing instrument was acknowledged
<br />Before me thiS~ay of ,:r~ ,~r
<br />by .5u.z:..a1/\ n-i' yo
<br />~ (name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />Pasco
<br />
<br />D who has produced
<br />(type
<br />~id not
<br />
<br />identifi.cati.on)
<br />oath.
<br />
<br />D who has produced
<br />(type of identification)
<br />Ddid g:lid n take an oath
<br />
<br />
<br />
<br />Name typed,
<br />
<br />
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