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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may b~ subject 1:0 "deed restrictions"'which
<br />lIlIly.b~. IIl9re ,J;:estrict.ive ,than City regulations. Tite undersigned .assumes responsibility for
<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 contractors to undertclke work, they may be required
<br />to be licensed in accordance wilh slale 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 />Furthe~ore, if the owner has hired a contractor or contractors, he is advised to have. the
<br />contractor(s) sign portions of the "Contractor SectionsN of this' application for which they
<br />. ,...., '../..'
<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 U'rrLITY CONNECTION FEES
<br />D.r..!=ON~TRUCTUION LIEN lAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certffy 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 conanencement.
<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 perlnit to do work and installation as inqicated. . I
<br />certify that no work or installation has conanenced 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 lIealth & Rehabilitative Services, Environmental lIealth 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 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 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'l'TORNEY BEFORE RECORDING YOUR NO'rICE OF COMM E T. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENC
<br />
<br />SIGNATURE: OWNER OR AGENT
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<br />STATB OF' P'LORIDA
<br />'COtJH'1'Y'"/.0F' .
<br />The..foregoing instrument was" acknowledged
<br />Befoore me thi,~ day oJ; , 19...-
<br />by .
<br />-. C~'(name' of'person acknowledged)
<br />Clwho 1spersonally known tome, or
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<br />I NATURE: CONTRACTOR
<br />STATE OF FLORIDA ~a SQ.. C)
<br />COUNTY OF . .
<br />::~o~~re:O~~i.ln.t~~t~..l~d~... ~~I
<br />by ~\'(Jlr\~ . ~fA( V~.:,,,.- ','1v'o .'
<br />~ (name of person acknowledged) ,
<br />tUllho is personally known to me, oor' I;' ;', .i
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<br />o wl~~ has pr~duced
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<br />take an oath.
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<br />.' 0 who has produced
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<br />Olidnot take .an,~oath~)"';'
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