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<br />CUIWJ 'l'.lUI~:'; (JJ:' l'l';HM.lT AVI:'l.1JAV1'l'
<br />A. . NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may b~ subject to "deed restrictions" which
<br />may ,be. mo.reJ:,estrict,ive ,than City regulations. The undersigned assumes responsibility for
<br />compliance with.. any applicable deed res trictions.
<br />B. ,'-UNLICENSED . CONTRACTORS AND CON'rAAC'fOR RESPONSIBILl'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they JRaY be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />l:icensed as required by law, both the owner and contractor may be cit~d:for a misdemeanor
<br />violation'under state law. If the owner or intended 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 />.. ',. "'.1'
<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 contractor that may be an indication that he is not properly li~ensed and is
<br />not entitled to.' permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D.(" ,CONSTRUCTUION 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 AFFIUAVIT
<br />I ce~tify 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 perlnit to do work and installation as in4icated. . I
<br />certify that no work or installation has commenced 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 in~lude 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 mat~rial is to be used in Flood Zone "A" or "A,etc.H, 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 Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Everypermit
<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 '1'0 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 />WITIl YOUR LENDER OR AN A'M'ORNEY BEFORE RECORDING YOUR NO'rICE OF COMM ENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENC
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATi:for'''FLORIDA
<br />COUH1'Y1iOr ','
<br />The..foregoing instrument was acknowledged
<br />Before me thi,~ day o~ ' 1~
<br />by .
<br />--c'-:'(name. ot"person acknowledged)
<br />[Jwho is personally known tome, or
<br />
<br />STATE OF FLORID~ ,~ ~
<br />COUNTY OF (l
<br />The foregoing i~~ent wa;_'~9~le.dge~_1
<br />:~fore m~t:~~~ _ ~;~5:',?~
<br />
<br />(name of person acknowledged) .
<br />~ho is personally known to me, or";';' .j
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<br />of identification)
<br />take an oath.
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<br />o who has produced
<br />(type of identification)
<br />id Otidnot take an ,~oath~1!"'';-i
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<br />Name:', typed! printed or stamped
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