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<br />A. NO'l'ICE OF' DEED REB'I'RIC'l'IONS
<br />'J'he undersJgned understands that thlll pennit may be subject to "deed restrictions" vlhich
<br />may be lOore restrictive than City n~glllations. The undersigned assumes responsibility for
<br />compLi.ance HJth any applJcable deed restrictions.
<br />B. UNI,ICENSED CONr1'Rp.CTORS AND CONTHlICTOH RESPONSIBIT"I'l'IES
<br />If the o~~ner has hi.r.ed a contractor or contractors to undertake work, they may bereqld red
<br />1:0 be licensed in accordance vl1th state and local 1:egll1atJons, If the contractor 1.s not
<br />lJoensed as requlred by law, both the ai-mer and contraotor may be cited for a misdemeanor
<br />violation ulIder state law, If the O\-mer or intended contraotor are uncertaJn as to what
<br />licellsing requirements may apply for the intended Iwrk, they are advised to contact the
<br />City of ZephyrhJlls BuJlding Department, 013-788'-6611.
<br />F'urtheunore, if the 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 vlhleh they
<br />will be responsible. 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 w.lshes
<br />YOII to 8Jgn as contractor that may be an indlcation that he is not properly licensed and is
<br />!lot entitled to penni\:ting privileges In the Clty of Zephyrhills.
<br />C. '1'RANSPOR'l'Ar1'TON IMPAC'l' FEES AND U'l'ILITY CONNECTION FEES
<br />D. CONS'fRtJC'1'UION LIEN LAW (CHAP'l'ER '713, FI,ORIDA S'1'A'I'UTES, AS ANENDED)
<br />I certify that I, the applicant, have been provlded vlith a copy of "F.'lor,i,da's Constrllctlon
<br />lien Law - Homeowner's Protection Gulde" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applJcant ls someone other that the "owner", I ce.d.fy that I
<br />have obta1ned a copy of the above descrlbed document: and promlse ln good faith to deliver
<br />it to t.he "owner" prlor to commencement.
<br />E. CON'!'HAC'l'OH' S/OWNER' S AFFIDAVIT
<br />1 certify that: all the informaUon in this appIicatJon is accurate and that all Hork vlil.1
<br />be done in compliance \dth all applicable laws reglllating construction, zoning, and land
<br />development.
<br />Application is Ilereby made to obtaJn a permlt to do work and installation as indicated. I
<br />certify that no Hork or installation has commenced pr.ior to issuance of a perm1t: and that:
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and laud development regll1ations in the jurisd.ictlon. I also
<br />certify tltatI understand that the regulations of other governmental agencies may apply to
<br />the intellded vlOrk, and that it is my responsibility to ldent.ify vlhat aet.ions I must take 1:0
<br />be in compliance. 8uch agencies lnclude but are not limited to: *Department of
<br />Ellvironmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensit.ive
<br />Lands, Water/Wastewal:er 'rreatment
<br />*Southwest Florida Water Managemellt District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercollrses
<br />*Army Corps of El1gil1eers-Bea\~alls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater 'l'r.eatment, Septic '.ranks
<br />"'U. S. Envir:onmental Pt'otectioll Agency-Asbestos abatement
<br />I also oert:ify that, if fill material 1.s to be used in Flood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addressJng a "compensat.ing volume" w.ill be subm.itted HhJ.ch
<br />is prepared by a professional eng.l.neer regJstered in the state of Florj,da prior to permit
<br />issuance.
<br />A permit jsslled shall be construed to be a license to proceed with the work and not as
<br />authod ty to violate, caneel, alter, or set aside any provisions of the technical. codes,
<br />nor shall .issuance of a permi.t prevent the BuJlding Official from thereafter requir1ng a
<br />correcU,on of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by suoh permit is comlTlenced witld n
<br />silt months of issuance, or if \~ork authorized by the permit is suspended or abandoned for a
<br />period of six months after the tJme the work is commenced. One 90 day extension of time
<br />may be a.110wed for tile permit with fee charge of $15.00. The extension shall be requested
<br />ill writing \:0 the Building Official. An approved inspection must be logged during each 8JH
<br />month pedod, or the proj ect will be considered abandoned.
<br />WARNING 'J'O OWNER: YOUR FAII,HRE '1'0 RECORD A NOTICE OF COMMENCEMEN'1' MAY RESUL'1' IN YOIm
<br />PAYING TWICE F.'OH IMPROVEMENTS '1'0 YOUR PROPER'1'Y, IIi' YOU IH'l'END TO OB'l'AIN FINANCING, CONSIJI.'l'
<br />WITH YOUR l,ENDER OR AN A'f'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEt1EN'l'. ,JOBS UNDER
<br />$2,500 IN VAI.tIE DO NO'I' NEED '1'0 RECORD AND POS'lr A "NO'l'ICE OF COHMENCEME:W1'".
<br />
<br />CCHlDI'J'IONS OF PERMI'l' AFF'IDAVIT
<br />
<br />.._--~-_._-_._---~--_._------.._._-
<br />
<br />SlGNAr1'lJRE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONr1'RAC'l'OH
<br />
<br />S'l'Arl'F. OF l!'I.ORIDA
<br />COUNTY OF ___.
<br />The foregoing instrument was acknowledged
<br />Before me this ___ day of ________, 19_
<br />by__
<br />(name of persoll acknowledged)
<br />[J I-Iho is personally known to me, or
<br />
<br />STA'1'E OF FLORIDA
<br />COUN'l'Y OF _________
<br />'l'hf'l foregolng instrument was acknowledged
<br />Bafore me this __--slay of--------_, 19
<br />by
<br />(name of person acknowledged)
<br />C1bo is personally known to me, or
<br />
<br />[] who ha s produced
<br />(type
<br />and who(] dld (]dJd not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced ._'______,.__
<br />(type of irlentificationl
<br />and who Odic! DUd not take an oath
<br />
<br />~-~--~-------~._-_._--_._----_._-----
<br />
<br />Signature of person taking acknowledgement
<br />
<br />------------..-----.----
<br />
<br />Signature of person taking ackno~lledgment I
<br />
<br />-~._---.-~.-'-----...--~-~-----.-.-~---.---.---_______N__..
<br />
<br />Nalne typed, printed or stamped
<br />
<br />Name typed, pr.! n ted or s l:ampec!
<br />
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