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<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may b~
<br />IalIY be.lIl9J:;e . ~estrict.i ve . than cn y regula tions . The
<br />. . c.pmpliance. with. any applicable deed restrictions.
<br />B......UNLICENSED. CONTRACTORS AND CON'rn1\CTOR RESPONSIBILI1'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licen.ed....required by law, both the owner and contractor may be cit~d.for a misd~anor
<br />viol.tion'under st.te law. If the owner or intended contractor are uncertain as to what
<br />",. licen.ing requirements may apply for the intended work, they are advised to contact the
<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 />.co~~~a~~or(8) 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,; r.ther. than the contractor, are responsible for the work. If the contractor wishes
<br />you to .ign 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 UTILITY CONNECTION FEES
<br />D~;;.. .CON~'l'.RUCTUION 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 ~w.:-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 convnencement.
<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 perlnit to do work and installation as in41cated. . 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 />code., zoning" regul:~tions, and land development regulations in the jurisdiction. I also.
<br />certify th.t 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 Dayheads, Wetland Areas and Environmentally Sensitive
<br />L.nd., Water/Wastewater Treatment
<br />*Southwe.t Florid. Water Management District-Wells, Cypress Bayheads, Wetland Axeas,
<br />. .Altering Watercourses..
<br />*Axmy Corp. 'of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Dep.rtment of lIealth & Rehabilitative Services, Environmental Health Unit-WeltS,
<br />W..tew.ter Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-.1\sbestos abatement
<br />I also certify that, if fill mat~rial 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 />i. prep. red by a profession.l engineer registered in the State of Florida prior to permit.
<br />i..uance. .
<br />A pe~t i.sued shall be construed to be a license to proceed with the work and not ..
<br />authority to' violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor .h.ll i.suance of a permit prevent the Building Official from thereafter requiring a
<br />c~rr~ct10n .of errors in plans, construction, or violations of .ny code. Everypermit
<br />.i..ued'.hall. become invalid unless the work authorized by such permit is commenced within
<br />six month. of issuance, or if work authorized by the permit is suspended or abandoned. for a
<br />period of .ix months after the time the work is commenced. One 90 day extension of time
<br />may be .llowed 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 '1'0 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 />WITIl YOUR LENDER OR AN J\'l'TORNEY BEFORE RECORDING YOUR NO'rICE OF COMMENC ENT. JOBS UNDER
<br />$2,500. IN VALUE DO NO'r NEED '1'0 RECORD AND pos'r 1\ \ NO'l'lCE OF COMMEN E
<br />
<br />subject 1:0 "deed restrictions" which
<br />undersigned assumes respqnsibility for
<br />.. ~ ~
<br />
<br />
<br />~~!~i~~~~~'" i -:" ,
<br />
<br />SI.G.NATUREI OWNER OR AGENT
<br />~~:'. '~i.f-\."--~~.:Jr~~_:::~'~;~f"',:' - ., .., ~. "'..: .
<br />
<br />::.~~~.~,~.."..... ':';i;',.,;:,.'
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<br />The""'foregoing instrument w.s .. acknowledged
<br />Before methi,~ day of , 19_
<br />by. .. ... . .' .
<br />...~.,;*(~- ot'per.on acknowledged)
<br />o who':'1a'peJ:.on.lly known to me, or
<br />.....'. '; -" ,
<br />.....,t'.':"\.......,.,-.r".~"....:...::.r-. _.
<br />o wh~ h.~.p;~uced
<br />. <,. (type of identification)
<br />.nd whoClclidCld1d not t.ke an oath.
<br />
<br />o~~;'~1!~~ (
<br />
<br />(name of person acknowledged)
<br />is personally known to me, or'
<br />
<br />o who has produced
<br />(type of identification)
<br />Oiid not take. an .0athlli"~'~.';;
<br />~
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<br />Signature of per.on taking acknowledgement
<br />.................~ 1 - IJ.~_ '.............'-'..."~.. -~ " .. .
<br />
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<br />.C~.......
<br />. . COMMISSION . DD04685A
<br />ElCPIIES A1JG 01 2005
<br />amp~~
<br />
<br />N~~~tJP.8d! p~1nted or st.mped
<br />
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<br />.;,.~s:-- .
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