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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit Iiay be subject to "deed restrictions" which
<br />may be more :restrictive thall City regulations. The undersigned aSSUID;:'!S responsibility for
<br />compliance with any applicable deed rest:rl.ctions.
<br />B. UNLICgNSED COt-j"TRACTORS AND CONTRACTOR RESPONSIBILITIES
<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 thb corltractor is not
<br />licensed as required by law, both the owner and contractor may be cit.ed for a, misdemeanor
<br />violation under state law. If the owner or intended contractor are uhcert~i~ as to what
<br />licensing 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 t~e 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 respcnsible. 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 i~
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANS20R'l'ATIOj~ IMPACT FEES AND UTILITY CONNECTION F'EES
<br />D. CONSTRUC~UION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS 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 COnSUITler Affa1rs. If the applicant is someone other that the "owr;er", I cerify that I
<br />have obtained a copy of the above described document and promise in gqod faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR's/OWNER'S AFFIDAVIT
<br />I certify that ali the information in this application is
<br />be done in compliance with all applicable laws regulating
<br />development. ,
<br />Application is hetleby made to obtain a permit 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 aqencies may apply to
<br />the intended work, and that it is my responsibility to identify what aictions 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/Wast~water Treatment
<br />*Southwest Flotida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses .
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Se.rvices, Environmental Health !Jnit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. S. Envi't'omnental Protection A.gency-Asbestos abatement
<br />I also ceJtify that, it tj~l material is to be used in F~ood ~one "A" or "A,etc.", it is
<br />understood that a ,drainage plan addressing a "compensating volume" will be 'submitted which
<br />is prepared by a Jrofessional engineer registered in the State of Florida prio~ to permit
<br />
<br />I
<br />accurate and tha~ all work will
<br />construction, zoning, and land
<br />
<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 permit
<br />issued shall.pecome invalid unless the work authorized by such permit .ts 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 tj,me 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 NOTICE OF COMMENC.EMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IE YOU INTEND TO OBTAIN FI~AN~ING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEEORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN Vp.--LU;;': DO NOT NEED TO RECORp AND POST A "NOTICE OF COMMENCEMENT".
<br />'/'Ja/z~~=LL)~~
<br />~K~ ex)
<br />
<br />SIGNATURE: OWNER OR AGENT CONTRACTOR
<br />
<br />STATE: OF ~'LORI~ " n....... STATE OF FLORIDA. -J") <- ,/} 0
<br />COUNTY OF~'~ ~ COUNTY OF '~::::/::::Q';;;:JJ:~_
<br />The foregoing instrument was acknowledged The foregoing instr~ment was acknowledged
<br />Before ~\e _ ::ei. s ~ay of ~~ -f , },.g~O(Jd-- Before me. this &S nay of ..JIA./l~ , H-~
<br />by f'4\~~~~~"\- ____olct U.\IruI1'\ by ,,---r(j.VJYl fl.yyjr~
<br />(name of person acknowledged) / (name of person acknowledged)
<br />Owho is personally known to me, or 0Iho is personally kn9WI1 to me, or
<br />
<br />
<br />~o has produce'd~"" L("o lJ.<:..
<br />, (type of identification)
<br />id not take an oath.
<br />
<br />o who has produced I
<br />(type of lidentification)
<br />~i at take an oath
<br />o
<br />
<br />
<br />
<br />acknowle~
<br />
<br />....
<br />
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