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<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersJgned understands that LUll pe,nnJ t may be slIb.leut to "deed restrictions" \-Ih1ch
<br />may be more restrictive than City r'I~<JlIl~t.ioIlS. 'l'he undalS I <Jued assumes responsiblU,ty for
<br />compliance Hlth any applicable dee,,, l~estL.icl:io:IS.
<br />B. UNT,ICENSI!:V CON'1'RACTORS AND CO'J'l' HI\C'l\) F: Ri'!:SPONSIBI [,n'IES
<br />If the O\'iner has hired a contract:,r or ::ont_t::actors to undertake work, they n\ay bereqll:l red
<br />' 1:0 be l:l.censed in accordance ..11th :3t:ate and local J:eglllatJons. If the contractor is not
<br />IJoensed as reqll:l.red by lavl, both ':he o\'mer and contractor may be c:l. ted for a misdemeanor
<br />v:l.olation under state law. If th,= OHflet or ill':ended coutractor are \lIlcertain as to what
<br />licelising requirements may apply Eor the intended Hork, they are advised to contact the
<br />Cil:y of Zephyrldlls BuildIng Depart:ment, 013-788"6611,
<br />F'urt.:hennore, if the owner has h.i1~ed a contracl:or 01: cOlltractors, he is advised to have the
<br />oontracto1.'(s) sign portions of the "Cont.ractor Sections" of thls application for vlh1ch they
<br />Vl1] 1 be responsible. If you, as the mmer 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 [:0 sJgn as contractor that may be an indicatlon that he is not properly licensed and is
<br />lIot entItled to permitting privileges in the City of Zephyrhills.
<br />C. '1'RANSPOR'l'ArnON IMPACT FEES AND U'l'ILITY CONNECTION F.'EES
<br />D. CONS'fRlJC'fUION LIEN LAW (CHAP'1'ER 713, FI,oRIDA S'1'A'1'UTES, AS AMENDED)
<br />J cerUfy that I, the applicant, have been provided w.ith a copy of \\F.'lor.i.da's Constrllct.i.on
<br />1 ien LaH -- Homeowner's Protection Guide" prepared by the Florida Department of Agr1cul ture
<br />and COIIS\1l11er Affairs. If the applJ cant is som~one other that the "owner", I cedfy that I
<br />have obtained a copy of the above descrlbed document and promise in good faith to deLiver
<br />it to the "owner" pri.or to conunencernent.
<br />Po. CON'['RACTOH' S/OWNER' S AFF.'IDAVl'l'
<br />I certify that all the informaUon in this application ls accurate and thaI: all Hark vlll]
<br />be done 1n compiiance HJth all applicable laws reglllating const.ruction, zoning, <lnd land
<br />development.
<br />ApplJcation is IJereby made to obtajn a permit to do work and installation as indicated. I
<br />cerU fy that 110 work or instaLlation has conunenced pr,ior to issuance of a permit and that
<br />all work wiil be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development reglllatJ.ons in the jUl'lsd.ictJon. I also
<br />ce.rt tfy tha t: . I understand that the regulations of other governmental agencies may app ty to
<br />I:be intended work, and that it is my responsibili,ty to ident.ify ",,11at actJons I must: take l:o
<br />be in compliance. SlIcb agenc.ies include bllt are not limited to: *Department of
<br />fi~nvirontnent.:al Regulation-Cypl:ess Bayheads, Wetland Areas and Envlronrnentally Sensitive
<br />r,ands, Water/Wastewater 'l'reatment
<br />*Southwesl: Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />1\1ted,ng Watercourses
<br />*ArlllY Corps of Englneers-Seal'ialls, Docks, Navigable Waterways
<br />*Ilepartlllent: of Health & Rehabilitative Services, Environmental Health Hnlt-Wells,
<br />Wast.ewat.:er 'l'r.eatment, Septic Tanks
<br />....U. S. Environmental Protection Agency-Asbestos abatement:
<br />I also cert.:Jfy that, :l.f flll materJ.al is to be used in Flood Zone "A" or "A,etc.", J.t is
<br />underst.:ood that a drainage plan addressing a "compensat.:.ing volllmetl will be submit.:ted \'Ih1ch
<br />18 prepared by a professional eng.l.neel. regJstered in the state of I!'lorlda prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work <lnd not as
<br />authority to vlolBte, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Bu.U,ding Offlcial from thereafter requlrlng EI
<br />correctioll 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 cm~~nced within
<br />all( months of lss11ance, or if work authod,zed by the permit is suspended or abandoned for a
<br />period of slx months after the time the work is commenced. One 90 day extensioll of time
<br />may be aUoVled for 1:1Ie permit \'lith fee charge of $15.00. '1'he extension shaLl be r.equested
<br />ill writing to the Building Official. An approved inspection must be logged dud ng each all(
<br />month ped.od, or the project Hill be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR IfAII.URE '1'0 RECORD A NO'l'ICE OF COMMENCEMEN'l' MAY RESULT IN YOUR
<br />PAYING TWICE I!'OR IMPROVEMENTS '1'0 YOUR PROPER'1'Y, IE' YOU IN'l'END '1'0 OB'1'AIN FINANCING, CON 3\11,'1'
<br />WITH YOUR r,ENIJER OR AN A'1"1'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER
<br />
<br />
<br />*2, 500 _::_ VAT,U' 1m NOT_~"O 'I'~'C~R~ MID PO''T' :-ail OF ~~:F"""-__~__
<br />
<br />CO.l\;!)!.r~l.'IO~'~S 0:: :?~,PMI'J1 AFF'IDAVTT
<br />
<br />SlGNArl'lJRE: OWNER OR AGENT
<br />
<br />SIGNA'rIJRE: CONTRA.C'rOn
<br />
<br />S'l'A'1'E OF FI,ORIIJA.
<br />COUNr1'Y OF
<br />'J'he forego.ing instrument vias acknowledged
<br />Before me this _____ day of_______, l~_
<br />by _______
<br />(name of person acknowledged)
<br />[] l'iho is personally known to me, or
<br />
<br />STA'l'!!: OF FLORIDA
<br />COUN'I'Y OF ___________
<br />'l'he foregoing instr\1ment was ackno"'lledged
<br />Bafore me this __..slay of--------, 19 _..:..._
<br />
<br />by .____._.___
<br />(name of person acknowledged)
<br />[1ho is personally known t.o me, or
<br />
<br />Dwho has produc~d ,
<br />(type of jdsntification)
<br />and \-Iho Odid Cl:iid not take an oath
<br />
<br />[] who has produced
<br />(type
<br />and who!] dld []dJd lIot
<br />
<br />of identification)
<br />take an oath.
<br />
<br />~_._-_.._-------~._._._._---------_.__._--
<br />
<br />Signature of person taking acknowledgement
<br />
<br />---y_._---------------------~----
<br />
<br />Signature of person taking acknoHledgmentf
<br />
<br />-~._~....-.__.__._----._-_._._----,-_..__.__.~---~~---.-
<br />
<br />Name typed, prillled or stamped
<br />
<br />Name typed, printed or s l:amped
<br />
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