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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The uns;lersigned understands that this permil!: In.ay b.,! sl..lb:)o~ct to "deed restrictions" which
<br />~y.be., lIl9J::e ,J;:est;rict.i ve ' than City r'!gula tions .'I'iu! ul:ld,!.rsigned assumes responsibility for
<br />c,qmp,liance.. with" any applicable deed restricticm:3.
<br />. B."".UNLICENSED. CONTRACTORS AND CONTIV\CTOR RI::SI?QNSUHLITJC!i::S
<br />If the owner has hired a contractor OJ: contJcac::l:c>rfl to undert:clke work, they may be required
<br />to be licensed in accordance wilh slale and loc;"l J:eyulations. If the contractor is not
<br />licensed as. required by law, both the owner and contra<::tor may be cit~d for a misd~eanor
<br />violation.under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply fox: the intended work,. they are advised to contact the
<br />City of Zephyrhills Building Department, 81:l-788-6611.
<br />FUrthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />co~~ra~~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,; r.. the r. 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 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~;,., ,CON1JT~UCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certi.fy that I, the applicant, have been provided with a. copy of "Florida's Construction
<br />lie~ L.aw.~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. 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 inqicated. . I
<br />certify that no work or installation has conunenced 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" regu~ations, 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 En~ironmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />. .Altering WaterccSurses:.
<br />*Axmy Corps 'of Engineers-Seawalls, Docks, Navigable Waterways
<br />.Department of llealth & Rehabilitative Services, Environmental Health Unit-Welt-s,
<br />Wastewater Treatment, Sep~ic Tanks
<br />.U.S. Environmental Protection Agency-Asbestos 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 />1s 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 />~~rr~ctionof errors in plans, construction, or violations of any code. Every pe.rmit
<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 '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 A'l'TORNEY BEFORE RECORDING YOUR NO'rICE OF COMM NT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENC
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<br />S~GNA'1'URBI OWNER OR AGENT
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<br />. 'S'lATS ~Ol: -FLoRIDA
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<br />The".foregoing instrument 'was . acknowledged
<br />Before me this day of , 1~
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<br />--:~'(n..-o{'person acknowledged)
<br />o who' 'is personally known to. me, or
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<br />o wb~ ha~'p~~uced
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<br />and whoCdidCdid not take an oath.
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<br />GNATURE: CONTRACTOR
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<br />STATE OF FLORIDA '/) ('J" l["\
<br />COUNTY OF =-.t:Q 2. ~
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<br />~~~o;~r:gO~~isi ~:~t ~a Wl:d9~~(
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<br />by (, ....
<br />~ (name of person acknowledged)
<br />('-\Nho is personally known to me, or'
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<br />.' C who has produced
<br />(type of identification)
<br />Dtid not take. an'oathtli4"~".~;
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<br />~ AUG 012005
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<br />H...~typed, p~lnted or stamped
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