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<br />co~m:'.':'IO~;S U? ?EPV3:T AF'F''::DAVI'J:'
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'h~ underslgned understands that t.b:L13 pe,nnJ t mat' be subject :~o "deed restrictions" whlch
<br />may be l1Iore restt'ictive than City n~qll] Clt:iOllS. 'I'he 11l1(h'lrslgned assumes responsib:t lity for
<br />compliance Hith any applicable deE!dcest.rlcti:JIleI.
<br />B. UNLICENSED CON'l'R1\C'l'ORS AND CON'l'HAC'1'ClH RH:S PON Ei 181 LI'l'IE;S
<br />If the OHner has hired a contractor or contr:a::::t.U1S to undertake work, they nlay be required
<br />, Lo be licensed ln accordance viJ tb ala te and loca 1 .regulat lons. 1: f the contractor .i s not
<br />liaensed as requi red by law, both the o,'lIler and contractor may be al ted for a misdemeanor
<br />violation under state law. I f thE! OHner or intended contractor are uncertai n as to what
<br />licellsillg requirements llIay apply fOJ: thE! intenclecl \'/01:1;:, they are advised to contact the
<br />City of Zephyrhills Bul.ldlng Department, 013-788"6611.
<br />Furthermore, if the o\~ner has hired a contt'actot' or contractors, he is advised to have the
<br />oontractor (s) sign portions of the "Contractot' Sections" of this application for \1hich they
<br />will be responsible. If you, as the owner signs as the contractor, you are indioating tllat
<br />you, rather than the contractor, are responsible fOl- the work. I f the contractor wishes
<br />YOll to slgn as contractor that may be an indicatiol1 that he is not properly LIcensed and i.s
<br />Hot entitled to permitting privileges ill the City of Zephyrhills.
<br />C. 'l'RANSPOR'l'A'rION IMPAC'l' FEES AllIJ U'l'ILITY CONNEC'l'ION FEES
<br />n. CONS'l'RUC'I'l1ION I,IEN LAW (CH1\P'l'ER '713, FLORIDA S'l'A'rUTES, AS AMENDED)
<br />I cerli fy that I, the applicant, have been proviqed with a copy of "Ii'lorida's Construction
<br />lien Law -- !I0I1leo\111er'S Protection Guide" prepared by the Jl'lorida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerJfy that I
<br />have obtained a copy of the above descrlbed document and promise in good faith to deliver
<br />it to the "owner" prior to commencemel1t.
<br />E. CON'l'HAC'!'OR' S/OWNEH' S AFE'IDAVIT
<br />1 certify that all the il1formation in this application Is accurate and that all Hork \~ill
<br />be done in compliance with all applicable laws regulating construction, zoning, alld land
<br />development:.
<br />Application is her.ehy m~de to obtain a permit to do work and installation as indicated. I
<br />certi fy that no Hork or instaliation has commenced prior to issuance of a perm.H: aud that
<br />all work will be performed to meet standards of all laws regulating constructioll, City
<br />eodes, zoning regulatlons, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies IIIay apply to
<br />the lntended work, and that it is my responsibility to identify \'Ihat actions I must take to
<br />be .in compliance. Such agencles include but are not limited to: "'Department of
<br />Elnvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />l,ands, Water IWas teHa I:er '!'reatrnent
<br />"'Southwest: Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"'Army Corps of Engineers-SeaHalls, Docks, Navigable Waterways
<br />"'Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater '1'reatment, Septic 'I'anks
<br />*U.S. Enviromnental Protection Agency-Asbestos abatement
<br />1: also certify that, if fill material is to be used in Flood Zone "AH or "A,etc.H, it is
<br />understood that a drainage plan addressing a "compensating volume" will be submttted Hhlch
<br />is prepared IlY a professional engineer registered in the state of Florida prior to permit
<br />issuanoe.
<br />A permit j BSlled shall be construed to be a license to proceed Hith the \-lOrk and not as
<br />authorlt.y t.o vlolate, 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, construotio/1, or violations of any oode. Every permit
<br />issued shall beoome invalid unless the work authorized by suoh permit is cOllunenced witld n
<br />sllt months of issuanoe, or. 1f work author1zed by the perm1t is suspended or abandoned for a
<br />period of slx months after the time the work is conunenced. One 90 day extenslon of t hila
<br />may be allowed for the permit with fee charge of $15.00. '1'he extension shall be requested
<br />in Vlri ting to the Building Official. An approved inspection must be logged dud ng each sl}{
<br />month period, or the project will be considered abandoned.
<br />WARNING 'l'0 OWNER: YOUR FAlI.URE TO RECORD A NOTICE OF. COMMI!:NCEMEN'1' MAY RESUJ,'I' III YOUR
<br />I?AYING 'I'WICE B'OR INPROVEMEN'1'S TO YOUR I?ROPER'l'Y. IF YOU 1:N'l'E',ND '1'0 OR/l'AIN FINANCING, CONSUL'l'
<br />WITH YOUR 1.ENDER OR AN A'I"l'ORNEY BEIfORE RECORDING YOUR NO'I'ICE OF COMMENCEMENT. ,JOBS UNnER
<br />$2,50U IN VAI.UE DO NO'1' NEED '1'0 RECORD AND I?OS'I' A "NO'l'ICE OF . ')MMENC
<br />
<br />
<br />SIGNA'I'UREI OWNER OR AGENT
<br />
<br />STA'l'E OF FI.ORIDA
<br />COUN'l'Y OF_______________
<br />'I'he foregoing instrument VIas ackno\'lledged
<br />Before me this __.slay of--.----, 19_~
<br />
<br />by _____._____
<br />(name of person acknowledged)
<br />Chho is personally known to me, or
<br />
<br />[] who has produced________.,___
<br />(type of identification)
<br />and who Ddid DUd not take an oath
<br />
<br />S'l'1\'l'E OF E'I,oRTU1\
<br />COUN'l'Y OF
<br />The foregoing instrument was ackllowledged
<br />Before me this ______ day of _' . l~_
<br />by
<br />(name of person ackno~~ledged)
<br />[lwho is personally knowrt to m~, or
<br />
<br />LJwho has produced
<br />(type
<br />and who!] dId Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Slgnature of person taklng acknowledgment!
<br />
<br />NaJl~~-typ;d~--pr-L;t-ed- or'-;t-;~p;d--------_n
<br />
<br />--------.-------...- "----.,.--"---------
<br />Name typed, printed or stanved
<br />
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