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<br />A. NOTICE OF DEED RESTRICTIONS
<br />~he undersigned understands that this permit may b,t! subject to "deed restrictions" which
<br />IIIiIY,b~'more.J;:estrictive .than City regulations. Tim undersigned assumes responsibility for
<br />compliance with.. any applicable deed res trictions.
<br />B."-UNLICENSED' CONTRACTORS AND CON'fH1\CTOR RESI?ONSU~ILI'l'IES
<br />If the owner has hired a contractor or I::ontra(::torfl to undertake work, they may be requi;ed
<br />to be licensed in accordance wilh sLale and locnl l:egulations. If the contractor is not
<br />l-icensed-as'required by law, both the owner and contractor may be citf,!:d'for 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 tilt! intended ",ork, they are advised to contact the
<br />City of Zephyrhills Building Department,. 813-788-6611. ,'.'
<br />FUrther.more, 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 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 contracto~ wishes
<br />you to sign as contractor that may be an indic:ation 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~i...CON~TRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I ce.rtlfy 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 "o~er", 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 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 perrnit 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 Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />"'Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />.AI tering Watercourses"
<br />"'Army Corps 'of Engineers-Seawalls, Docks, Navigable Waterways
<br />"'Department of lIealth & Rehabilitative Services, Environmental Health Unit-Welfs,
<br />Wastewater Treatment, Septic Tanks
<br />"'U.S. Environmental Protection Agency-J\sbestos 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 "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. Everyper,mit
<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 ~Y RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITII YOUR LENDER OR AN J\'rTORNEY BEFORE RECORDING YOUR NO'rICE OF CO NT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST J\ "NOTICE OF COMMENC
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<br />SIGNATURE: OWNER OR AGENT
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<br />'.' ''-'.,,", ,~',.'
<br />"STATE OF' n.oRIDA
<br />'COUHTY';.OF ,'.
<br />The..foregoing instrument was acknowledged
<br />Before me thi,~ day o~ ' lL.
<br />by .
<br />--"~'(name of'person acknowledged)
<br />[Jwho i.personally known to.me, or
<br />
<br />'t,.,_
<br />
<br />GNATURE: CONTRACT R
<br />
<br />STATE OF FLORIDA\.)~ ~^, tr-..
<br />COUNTY OF :1fL \..)U
<br />The fOregOi.~~? _:~~~ent' wClll. "~le,clJ~~. O<J'
<br />:;for:\:ee )[t~a_y~f~1'_"v~~'
<br />
<br />fs?{, (name of person acknowledged) '"
<br />rho is personally known to me, or' '. "I
<br />
<br />o who has produced
<br />(type of identification)
<br />dnot take .an~oath,ffy,.:,,':O
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<br />~~'{:C:';.,L'
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<br />
<br />[] wh:O has pr~duced
<br />, (type
<br />and whoC) did Ddid not
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<br />of identification)
<br />take an oath.
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<br />signature of person .taking acknowledgement
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<br />Name".typed~ printed or stamped
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