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<br />CUNJJJ 1'.tUI~:'; ()J:' l'l';HM1'J.' AJ:'J:'lIJ^Vl'1'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may b~ subject to "deed restrictions" which
<br />may .be. more ,~estrict.ive ,than City regulations. The undersigned assumes responsibility for
<br />compliance with. any applicable deed restrictions.
<br />B. ,,- UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILI1'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance wiLh sLaLe and locnl regulations. If the contractor is not
<br />~icensedas required by law, both the owner and contractor may be cit~dfor a misdemeanor
<br />violation'under sta~e law. If the owner or intended contractor are uncertain.as to' what
<br />",. licensing requirements may apply for the iutended 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 />,co~~rac.~or(s) sign portions of the "Contractor Sections" of this' application for which the~
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you,; ra.ther than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly li!=.ensed and i.l!
<br />not entitled to'permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D~,..,~ON~TRUCTUION 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 "owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to del~ver
<br />it to the "owner" prior to conunencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I ce~tify that all the information in this application is accurate and that all work will
<br />be done in compl~ance with all applicable laws regulating construction, zoning, and land
<br />development. .
<br />Application is hereby made to obtain a perlnit to do work and installation as in4icated. . I
<br />certify that no work or installation has conunenced prior to iss.uance 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~ctions 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-WeltS,
<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 "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 licensp. to proceed with the work and notas
<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 Official from thereafter requiring a
<br />correction 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 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 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 />WITII YOUR LENDER OR AN A'rTORNE'l BEFORE RECORDING YOUR NO'rICE OF COMMENC ENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND pos'r ^ "NOTICE OF COMMENC NT.
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />GNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA \1 <.; <!.D
<br />COUNTY OF ~,
<br />The foregoing inst~ent w~~c~~~ed~~Oci
<br />
<br />:;fore ~~i1:~-,~ . ~,o6::'~r~~~-:',~,~~
<br />
<br />(name of person acknowledged) .
<br />~ho is personally known to me, or' ';'..
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<br />?!,,~~~"" ~ , ':
<br />
<br />'STATB;.'oF'~noJu:DA .
<br />'COUH'l'Y1i-OF
<br />The -.foregoing instrument was acknowledged
<br />Before me thi,~ day o~ , 1 L
<br />by .
<br />-- ~~'(name' ot person acknowledged)
<br />Owho i8 personally known tome, or
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<br />o wh~ has pr~duced
<br />(type
<br />and whoOdid Odid not
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<br />of identification)
<br />take an oath.
<br />
<br />.' 0 who has produced
<br />(type of identification)
<br />Olidnot take.an~oathfll~'''''>
<br />
<br />S19nature of person .taking acknowledgement
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<br />Name";typed~ printed or stamped
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