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<br />A. 'NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be sub:lect 1:0 "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESJ?ONSIBILITIE5
<br />If the owner has hired a contractor or contractors to undertilke work, they may be required
<br />to be licensed in accordance with st~te ~nd local regulationtl. If the contractor is not
<br />licensed as required by law, both the owner and contractor mOlY be cited for a misdemeanor
<br />violation under state law. It the owner or intended contrac1:or are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact tne
<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 />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 contraptor that may be an indication that he is not properly licensed and is
<br />not entitle4 to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT nES AND UTILITY CONNECTION FEES
<br />., .
<br />. D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS MlDDED)
<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 deliver
<br />it to the "owner" prior to commencement. J
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVlT
<br />I certify 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 pe~it to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance 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 actions 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 Bayheadsf Wetland Areas,
<br />Altering Watercourses
<br />*Ar.my Corps of Engineers-Seawalls, DOcks, Navigable Waterways
<br />*Department of Health i Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S.Environmental J?rotection Agency-Asbestos 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 s~mitted 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. Every perndt
<br />issued shall become invalid unless the work a~thorized by such pe~t 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 NOTIC~ OF COMMENCEMENT .MAY RESULT IN YOUR
<br />PAYING TWICE FoR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCI!:MENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
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<br />SIGNATURE: OWNER OR AGENT. SIGNATURE: CONTRACTOR
<br />
<br />STA~E OF FLORO;, STATE OF FLORI~
<br />COUNTY OF. - a.5~.n COUNTY OF ~~j1
<br />. The foregoing inst~ument was acknowledged The foregoing ins~~, ent was~ ..,ACkp ololledged
<br />Before me this ~- alay of rCI5 , ~O~_. Before me this 4-day ~f) r ~h' ' ~~
<br />by -~71!//lR'!7:z/L-<-t!-//. by ~Tt.J~ . wr~ .
<br />(name of person ackno~ledged) (name of person acknowledged)
<br />o who is personally }l:npwii to me, or Gho is personally kn<?,.wp to met' or / ,- _
<br />tu;ytJo -79?-If-a?s/,-o J/ r.ulfpo- 9'l-r...J _
<br />~o has produced P-J. ])PJvt-;?~) I<!.- ~~ho has produced FJ ))./Il. - ~!J'7 0
<br />, . (type of identification) ~ (type of identification)
<br />did ot oath. . who Odi ~~jIi not a an oath .
<br />
<br />.L. "....lA, u.......L.J.. ,r1.l:' C .J.. Vft V ~t -.1.-
<br />
<br />
<br />
<br />Name
<br />
<br />"2 Bebb. SWetJa,d
<br />t~ 'it~ri'fl~:~~~;:rRES
<br />
<br />~1'...;;;" BONDED THRU TROVFAIN INSURANC~ INC
<br />'~',?f.11""
<br />
<br />Signature of person t ing acknowledgme
<br />
<br />"~'''''''' Bobble Swetland
<br />. Q. lAY mMMI!:SION-I CC893160 EXPIRES
<br />Name typo ntedF~
<br />'-'~~,ilI,' " BONDED THIlU TROYFpjij'NWoike. IN<:.
<br />
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