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<br />CVIWJ '.I.'.lUI~:; ().I~' .L'EH,M.1.'J.' ^VI~'1.l)^V).'.':
<br />,A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may ~e
<br />ma.Y,be, mo.re ,.t;:estrict.ive ,than City regulations. The
<br />compliance with. any applicable deed restrictions.
<br />B.'-UNLICENSED' CONTRACTORS AND CONTRACTOR RESPONSIBILI'l'IES
<br />If the owner has hired a contractor or contJ:actors to undert:clke work, they may be required
<br />to be licensed in accordance with slale and locol regulatiorw. If the contractor is not
<br />licensed as'required by law, both the owner and contractor may be cit~d:for a misdemeanor
<br />violation' under sta~e law. If the owner or intended contrac:tor 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 />co~~ra~~or(s) sign portions of the "Contractor SectionsN 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 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.;.. .CONST.RUCTUION 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 GuideN prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "ownerN, 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 commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIVAVIT
<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 permit 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 include but are not limited to: .Department of
<br />Environmental RegUlation-Cypress Dayheads, 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-Welfs,
<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 perm1t'
<br />issuance. .
<br />A perm1t 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 />co.rrectionof errors in plans, construction, or violations of any code. Every perm1t
<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 />WITII YOUR LENDER OR AN A'rTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMM C T".
<br />
<br />subject 1:0 "deed restrictions" which
<br />undE~.rsi~Jned assumes responsibility for
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />';-,1\..':'::
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<br />'STATB '-'OF ''-FI;OIuDA''
<br />COUNTY'/.OF '.
<br />The:.foregoing instrument was acknowledged
<br />Before me thi~ day o~ ' 1~
<br />b .
<br />.Y
<br />--''-:'(nameof'person acknowledged)
<br />Owho is personally known tome, or
<br />
<br />.....:~~'f~': ,';.i .
<br />
<br />STATE OF FLORIDA '~('\ Q...D
<br />COUNTY OF ---=tQ.~
<br />The foregoing in~~~.entwaor~~..Wledge.d..,.
<br />:;fore m:{h;~~~_~J?K...!f._,;.,~1
<br />
<br />(name of person acknowledged) .
<br />~10 is personally known to me" or:' ,',","-,
<br />
<br />.' 0 who has produced
<br />(type
<br />Olidno
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<br />o wh~ has pr~duced
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<br />and whoCJ did Ddid not
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<br />of identification)
<br />take an oath.
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<br />of identification)
<br />takean.~o.thlll~~:""1i
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<br />Siinature of person .taking acknowledgement
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<br />Hame'; typed~ printed or stamped
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