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<br />A, NOTIC~ OF DEED RESTRICTIONS
<br />The und'ersi"'gned understands t~at this pexDLit; m,:ty be subject ::to "deed restrictions" which
<br />may be more restrictive than City' J;"egulat:ions. The lmdersi.gned aSllumes responsibility tor
<br />cOlDpliance with any applioable deed rostt:ici:iol1s.
<br />B. UNLICENSED CONTRACTORS AND CONTRAGTOH RmsPoNsIBIl.ITIIl:S
<br />If the owner has hired a contractor OJ~ conb:aclcors to undertake work, they May b~ required
<br />,to be licensed in accordance with state Iilnd looal regulations. If the contractor is not
<br />licensed as required by law, both the owner and contraotor may be oi.ted for a mdsdemeanor
<br />violation under state law. If the owne:r; or in1:ended contraotor are unoertain as to what
<br />licensing requirehlents may apply for the intended work, they are advised to contact the
<br />City of Zephyr-,ills Building Depart~ent, 8U'-708-6611.
<br />Furthermore" if the owner has hired a cont.rclotor or: contractors, he is advised to have the
<br />contraotor(s) sign portions of the "Contractor Seotions" of this application for whioh they
<br />will be responsible. If you, as the owner IligllS as 'the contr,otor, you are indicating that
<br />you, rather than the oontractor, are responeible for the work. If the contractor wishes
<br />you to sign as contractor that may be an 1ncUclltion that he is not properly l1censed and is
<br />not entitled to perntl.tting pri-Vileges in thel City of Zephyrhills.
<br />C. TRAH~PORTATION IMPACT FBBS AND UTILITY CONNECTION FI!:ES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTEI\ 113, FLORIllA. STATUTE~, M>>fENDED)
<br />'I certify that I, the applicant, have been p,roVided with a copy of "Florida' II Construction
<br />lien Law - Homeowner's Protection Guide" pre'paJ:ed by the Florida Department of Agriculture
<br />and Consumer Affa1rs. If the applicant is so~ione other that the "owner", I cerify that I
<br />bave obtained a copy of the above described doclument and promise in good faith to deliver
<br />it to the "owner" prior to commenoement.
<br />E. CONTRACTOR' S/OWNER' S AFIl'IDAVIT
<br />I certify that all the information in this application Is accurate and that all work will
<br />be ~one in compliance with allap'plicable laws regUlating construction, zoning, and land
<br />development.
<br />App11cation is hereby made to obtain a penm1t to do work and installation as indicated. I
<br />certity that no work or installation has oommenced prior to issuanoe of a permit and that
<br />all work will be perfor-med to meet standards of all laws regulating construction, City
<br />codes, zo~in~ regulations, a~d land development regulations in the jurisdiotion, I also
<br />certify that I understand that the regulations of other gover~ntal agencies may apply to
<br />the intended work, and that it 1.s my responsibility to identify what actions I must take to
<br />be in complianoe. Such agencies include but are not limited to: *Departhlent of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment, '
<br />*B.outhwest I'lorlda Water Management Dilltriat'-Wells, CypJ:ellS Bayheadlll, Wetland Areas,
<br />Altering Wateroourses
<br />*Army Corps of Ilngineers-Seawal.ls, Docks, Na'lTigable Waterways
<br />*Department of Health , Rehabilitative Services, EnVironmental Health Uni~-Wells!
<br />Wastewater Treatment, Sept~c Tanks
<br />*u. s. Environmental Protection AgenoY-AIIbestl:>s iabatement
<br />I also certify that, if ;till material ia to be Illsed in Flood Zone ~'A" or "A, etc. II # it is
<br />understood that a drainage plan addressin9 a "clompensating volume" will be submitted whioh
<br />is prepared by a professional engineer registerll!d in the State of Florida prior to pe.r:mit
<br />issuanae,
<br />A permit issued shall be construed to be a llcenae to proceed with' the.work tlnd not as
<br />author1ty to v10late, cancel, alter, or set asiele any provisions of the teohnioal codes,
<br />nor IIhall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of' errors in plans, construotion, or violation. of any oode. Bvery.permit
<br />iSllued ahall beQome invalid unless the work authorized by 8uch pe~t is commeno~d within
<br />six months of i..uance, or if' work authorizecl by the permit is SUspended or abandoned for a
<br />period of six months after the time the work ia oommenced. One 90 day extension of ti~e
<br />,may be allowed for the pe~t with f.,.e oharge oj~ $15.00. The extension shall be requested
<br />in writing to the Blll1ding Offioial.An appl~oVod inspeqtion .ust be logged during e.ach six
<br />month period, or the projeot will be considel~d abandoned. \ '
<br />WARNING TO OWNBRa YOUR FAILURE TO RBt;::ORD A NOTICB OF CONMBNCBHIlNT MAY RBSULT IN YOUR
<br />PAYING TWICE rOR IMPROVEMMTS TO YOUR PROPERTY. IF YOU INTI!lHD TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LBNDIR OR AN ATTOIUfIY BlrolUS RICORDIHH YOUR NOTICE OF COHMBHCIMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT HElD TO RECORD AND POST J,- "NOTICE OF COHHENCI!:HI!:HT"'.
<br />
<br />vvnu~r~w~~ OF P~RMIT AFFIDAVIT
<br />
<br />SIGNNrURill OWNER OR AGENT
<br />
<br />flIGHATURill CONTRAcTOR
<br />
<br />.r,'"
<br />
<br />STATE Oil' FLORIUA
<br />COUNTY OF ,
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />ac)J:nowledged
<br />, 19~
<br />
<br />(name of person aoknotfledged)
<br />'q who is p~rsonally known to me, or
<br />
<br />acknowledged
<br />, I!L-
<br />
<br />flTATIl OF FLORIDA
<br />GOUNTY OF .
<br />'Jlhe foregoing instr..ent wa.
<br />Eletore Ille this ~ay of
<br />by
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoOdid Odid not take an oath.
<br />
<br />(name of person acknOwledged)
<br />[Lha is personally known to me, or
<br />
<br />o who' has produce~
<br />, (type of identifioationl
<br />and who Ddid DUd not take im oath.
<br />
<br />Signature of person tak1ng acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, pr1nted or stamped
<br />
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