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<br />A. NOTICE OF DEED RESTRICTIONS
<br />f The und'ersigned understands that this pennit may be sub:lect 1i:O "deed restrictions" which
<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 RESJ?ONSIBII.ITIJ!iS
<br />If the owner has hired a contractor or contractors to undertake work, they .ay be required
<br />to be licensed in'accordance with st~te ~nd local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contraotor may be oited for a misdemeanor
<br />violation under state law. If the owner or intended contra'~tor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact t~e
<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 "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 contraptor that may be an indication that he is not properly licensed and is
<br />not entitleq to pennitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUIQN LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AttENDED)
<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 Agricultrtre
<br />and Consumer Affalrs. 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. J
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVlT
<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 pennit to do work and installation as indicated. I
<br />certify thae no work or installation has commenced prior to issuance of a pennit and that
<br />all work will be perfonmed to meet standards of all laws regulating construotion, City
<br />code~, 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 my responsibility to identify what actions I must take to
<br />be in oompliance. 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 Distriot-Wells, Cyp~ess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Anny corps of Bngineers-Seawalis, 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 "oompensating'volume" will be s~bm1tted which
<br />is prepared by a professional engineer registered in the State of Florida prior to peomit
<br />issuance.
<br />A perRdt issued shall be construed to be a license to prooeed with' the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the teohnical codes,
<br />nor shall issuance of a permit prevent the Building Offic~al from thereafter requiring a
<br />corr~ction 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 commenoe~ within
<br />six months of issua~ce, or if work authorized 'by the perRdt is suspended or abandoned for a
<br />period of six months after the time the work 1s comm.nced. One 90 day extension of time
<br />may be allowed for the permdtwith fee charge of $15.00. The extension shall be requested,
<br />in writing to the Building Offioial. An approved inspection must be logged during each six
<br />month period, or the projeot will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTIC~ OF COMMEHCEMENT ,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 COMMENCi:MENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD .AND POST A "NQTICE OF COMMENCEMENT".
<br />
<br />--~.._--........._....- -I,;. .J;.......~......1...J.. n..t:/:'J.,'..J.fi..V}_'.':
<br />
<br />SIGNATURE I OWNER OR AGENT'
<br />
<br />SIGNATURE I CONTIU\CTOR
<br />
<br />STATE 01' FLORIDA
<br />COUNTY OJ!'
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknowledged
<br />, 1!L-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF.
<br />The foregoing ins~rument was
<br />Before me this ~ay of
<br />by
<br />
<br />acknowledged
<br />, 19
<br />
<br />(name of person aokno~ledged)
<br />'0 who is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(n~e of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Ddid [}lid not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledqment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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