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<br />A. NOTICE OF DEED RESTRICTIONS
<br />- . The, unders.igned understands that tin I! pe:nnj t 103~' be .9l1bj eut to "deed restrictions" whJch
<br />may be mor.e restrictive tha.n City n~qulE,t:io:!s, 'l'hemdl'lt'sl qned assumes responsib.t lj,ty for.
<br />compLLance w1 th any applicable deE!d cestric l:ioIlEi.
<br />B. UNI,ICENSED CON'1'R1\C'rORS AND COH'l'Hl\C'l'OH RillSPOUSJBn,l'!'U:s
<br />If the o\~ner has hired a contracte,r OJ: c:ontracl:ots to undertake work, they may be required
<br />to be licensed in accordance with s\:ute and lo,:::al J:egulatloIlS. If the contractor 1s not
<br />l.icensed as required by laH, both thH Ol'mel:' and contractor may be oi ted for a misdemeanor
<br />violation under state laH, If the (Hmel or intended contractor are uncertain as to Hhat
<br />licensing requirements may apply for the int.ended \York, they are advised to contact the
<br />CUy of Zephyrhills BuJlding Department, 013-'7138'-6611.
<br />Fur.thermore, If the owner has hired a contractor or contractors, he ls advised to have the
<br />contractor (s) sign portions of the "Contractor Sections" of this application for vlhich they
<br />Hill 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 Hork. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. 'l'RANSPOR'1'A'rTON IMPAC'!, FEES AND UTILITY CONNEC'l'ION FEES
<br />D. CONsrrRlJC'l'UION 1rIEN LAW (CHAP'l'ER 713, FI,oRIDA S'I'A'l'UTES, AS N1ENDED)
<br />I certi.fy that I, the applicant, have been provided \-lith a copy of "F.'lorida's Constr1lction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affai..rs. If the applJcant is someone other that the "owner", I ced_fy 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 conunencernent.
<br />E:, CON'I'H1\C'I'OR' S/OWNER' S AFF'IDAVl'l'
<br />I certify that all the information .in this application is accurate and thal: all Hork vlil]
<br />be done .in compU,ance with all applicable laws regulating construction, zonlng, and land
<br />development.
<br />ApplJcatlon is lJereby made to obtain a permlt to do work and installatlon as lndicated. I
<br />cerUfy that: no work or installation has conunenced p.r.tor to issuance of a permit: and t.hat
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and laud development regulations in the jurlsdictjon. I also
<br />certi fy tltat I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify vlhat actions I must take to
<br />be in compl.l.ance. SlIch agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitlve
<br />Lands, Water/Wastewater 'l'reatment.
<br />"Southwest: Florida Water Managemellt District-Wells, Cypr~ss Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"Army Corps of Engillsers-Seawalls, Docks, Navigable Waterways
<br />"Department: of Health & Rehabilitative Serv.ices, Envirollmental Health Unit-Wells,
<br />Wastewater Treatment, Septic 'ranks
<br />*U.S. Environmental Protection Agency-ASbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "AU or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volumeu wl11 be submltted vlhJ.ch
<br />is prepared i)y a professional engineer reglstered in the State of Florida prior to permlt
<br />issuance.
<br />A pennlt isslled shall he construed to be a license to proceed Hith ~he 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 permtt prevent the Bu.u,dIng Official from thereafter requJr.tng a
<br />con:ection of errors in plans, construction, or violations of any code. Every permit
<br />issued shall. become invalid unless the work authorized by such permit is commenced witld 1\
<br />SlIt months of issuance, or if \'iOrk authorJzed by the permJt is suspended or abandoned for a
<br />period of six mOllths after the time the work is conunenced. One 90 day extension of time
<br />may be alloVled for tile permit with fee charge of $15.00. 'l'he extension shall be requested
<br />ill wri I:ing to the Bull ding Official. An approved Inspection mllst be logged dud ng each si>t
<br />month period, or the project Hill be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAIl,URE '1'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUI,'I' HI YOUR
<br />PAYING TWICE F'C>R IMPROVEMENTS '1'0 YOUR PROPER'l'Y, IF' YOU IN'l'END TO OB'I'AIN FINANCING, CONSIJUl'
<br />WITH YOUR I,ENlJER OR AN A'I"1'ORNEY BETfOR!!', RECORDING YOUR NOTICE OF COMMENCEMEN'l'. ,JOBS UNDER
<br />$2,500 I N VALLIE DO NO'I' NEED '1'0 RECORD AND POST A "NO'l'ICE OF COMMENCEME:N'I'''.
<br />
<br />CO}\~;):.'~l."IOPS O~ ;-?~PM1T AFF'~~DAVIT
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<br />SIGNATURE: OWNER On. AGENT
<br />
<br />SIGNA'l'URE: CON'rR1\CTOR
<br />
<br />S'l'A'1'E OF FLORIDA
<br />COUN'l'Y OF ____
<br />'l'he forego.ing instrument vias acknowledged
<br />Before me this _'__'_ day of______, 19_
<br />by ____
<br />(name of person acknowledged)
<br />[JHho is personally knowri to m~, or
<br />
<br />[]who has produced
<br />(type
<br />and \-lho[] cHd [JdJd not
<br />
<br />STA'l'E: OF FLORIDA
<br />COUN'I'Y OF _____,_____
<br />'rhe foregoing instrument was acknovlledged
<br />Before me this _.J1ay of------, 19 _..~
<br />
<br />by ______,_,___
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />o \-lho has produced _____.._,___..__
<br />(type of identLficatlon)
<br />and Hho [Jdld C}Ud not take an oath
<br />
<br />of identification)
<br />take an oath.
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<br />Signature of person taking acknowledgement
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<br />Signature of person taking acknowledgment!
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<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, pr~nted or s l:amped
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