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<br />COIWITJONS OF' PEHMl'l' AI:'n/JAVI'l'
<br />A. NOTICE OF' DEED HF;S'l'IUCTIONS
<br />'I'he undersigned understands that this permit may be subject to "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 CONTHACTORS AN/J CONTAACTOH HESPONSIBll.l'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed ill accordallce with slaLe and local regulalions. If the contractor is not
<br />licensed as requi.r:ed by law, both the oWller and cOlltractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply fOI: the intended wUlk, they are advised to contact the
<br />City of Zephyrhills Building Department, 013-760-6611.
<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 contractor that may be an indication that he is not properly licensed 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 (ClIl\PTEH ., 13, F'j,ORIUA STATUTES, l\S 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 deliver
<br />it to the "owner" prior to conunencement.
<br />E. CONTRACTon' S/OWNEH' S AFF'IDAVIT
<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 permit to do work and installation as indit:ated. I
<br />certify that no work or installation has cOllunenced 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 understatld 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 Envirorullentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />"'Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"'Anny Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />"'Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection A9".ncy-Asbestos abatement
<br />I also certify that, if fill material is to be used in F'lood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volwue" 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, callcel, 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 permit
<br />issued shall become invalid unless the work authorized by such permit is cOJlunenced 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 cOllunenced. 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 tile Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNEH: YOUR FAILURE TO RECORU A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS '1'0 YOUH PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED '1'0 RECOHD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNA'rURE: OWNER on AGENT
<br />
<br />SIGNATURE:
<br />
<br />CON'rRAc'rOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknowledged
<br />19_
<br />
<br />STATE OF FLOIUDA
<br />COUNTY OF
<br />'1'he foregoing instrument was
<br />Before me this _day of
<br />by
<br />
<br />acknowledged
<br />, 19-=-
<br />
<br />(name of person acknowledged)
<br />o who is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(name of person acknowledged)
<br />Gho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Odid [}::lid not take an oath
<br />
<br />o who has produced
<br />(type
<br />and whoO did Odid not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
<br />..
<br />..
<br />
<br />\
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