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<br />a. NOTICE OF DEED RESTRICTIONS
<br />T~e undersigned understands that this permit may be subject to ~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 REB~ONBIBILITIEB
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with st~te and ~ocal ~~g~lat~ons. .If.~e contractor is not
<br />l~cenAad.~s required by law, both the owner ~~C9,ntractor .~Y be*:aited for a misdemeanor
<br />'" t'!vi'hlaotion under state law. It the owner or intend~d 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 ~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 .e an indication that he is not properly licensed and is
<br />not entitleq to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHA~TER 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 commencement. J
<br />E. CONTRACTOR' S/OWNER' S AJ!'FIDAVlT h _4... #. ~~ ..,
<br />,,~ ie....~l!tl\at ..~f.~t\~~v.~tteb..;'Jb.,~Tti" appUtJt.toi\: is IIcf:urate and that all work will
<br />J ~b1~on~ ifi.damplrlnce wieh 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 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 an~~vjronmentally Sensitive
<br />Lands, Water/Wastewater Treatment ,'.., .
<br />*Southwest Florida Water Management District-Wells, Cyp~ess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Anny Corps of Engineers-Seawalis, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental ~rotection 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 ~compensatingvolume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to pennit
<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 Building Offic~al from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every perndt
<br />issued shall become invalid unless the work author~zed by such pe~t is commenced within
<br />six months of issuance, 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 ex~ension.shall be requested
<br />in writing to the Building Official. An approved inspection ~ust be logged during each six
<br />. \.. \. ."
<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 COMMENcI!:MENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICg OF C~NCEMEN~"~ .
<br />
<br />. .".
<br />
<br />SIGNATURE: OWNER OR AGENT'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<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 instrument was acknowledged
<br />Before me this ~ay of------, 19
<br />by
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who [Jdid Diid not take an oath
<br />
<br />(name of person ackno~ledged)
<br />'0 who is personally known to me, or
<br />
<br />of identification)
<br />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 sta~ed
<br />
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