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<br />CUNUl'!'HJNS UJ!' I?EHMIT AlflUUJ\.Vl'.l'
<br />A, NOTICE OF D'.D RESTRICTIONS ~I,.';".,:.'.'.,
<br />The' und'er'signed understands that thi8 permit may be subject ,to "deed rest:d.ctions" whIch. I:
<br />may be more restrictJ.ve than City regulatJ.ons. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS 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 the contractor is not
<br />licenood .. requIred by low, bo<b <he owner and con<rao<or may be cUed for 0 mIodemeanor i
<br />violation under state law. If the owner or intended contractor are uncertain 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 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 which they
<br />will be respon8ible. 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 wish@s
<br />you to slgu al!l contractor that may be IUl lnd1catlon that he ls not properly U caused and ll!l
<br />not entltled to permitting privileges 1n the City of 7.ephyrhllls.
<br />C. TRl\NSPOR'fA'rION IMPACT FEES AND U'fII.rfY CONNECTION FEES
<br />D. CONS'fRUC'fUION LIEN L1\W (CHAPTER 713, FLORIDA S'rATUTFoS, 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 Consumer AffaJ.rs. If the applicant is someone other that the "owner", T cerlfy 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 commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all ap.plicable laws ~egulating construction, zoning, and land
<br />development.
<br />Application is hereby 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 perfo~med to meet standards of all laws regulating construction, City
<br />codes, zonlng regulations, and land development regulations in the JurIsdIctIon. I a190
<br />certify that'1 understand that the regulations of othe~ governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I tRIISt: take lo
<br />be in complJ.ance. Such agencies include but are not limited to: "Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Area8 and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypl:'eS8 Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />"Department of Health , Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbe8tos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan add~essing a "compensating volume" wlll be submitted whidl
<br />is p~epared by a professional engineer reglstered in the State of Florlda prior to permit
<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 become invalid unless the work authorized by Buch permlt 1s connnenced withln
<br />'six months of issuance, or if work authorized by the permtt is suspended or abandoned for a
<br />period of six months after the time the work is commenced. One 90 day extenslon of time
<br />may be allowed for the permit with fee charge of $15.00. The extenslon shall be requested
<br />in writing to the Building Official. An approved in8pection must be logged durlng each six
<br />month period, or the project will be conside~ed abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 I~XOO NOT NE.D TO CORD AND POST A "Nfi~~
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<br />fflG-;;;;;;;;;: ~~~R OR AGENT SrnNATURE: CONTRACTOR
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<br />STATE OF FLORI~f' s; STATE OF FLORIDA
<br />COUNTY OF '. a.~, COUNTY OF
<br />The foregoing ins "rument wa8~cknowledged The foregoing inst~ument was acknowledged
<br />Before u~ this;o d y 0 ({/ aJT , ~~efore me this --'pay of 19
<br />by ~, by
<br />(name of pe~80n ackno~ledged) (name of person acknowledged)
<br />Dwho is personally known to me, or [1ho is personally known to me, or
<br />
<br />~ producedn]),L IJ/f:;0?77b1JJ-?O Owho has produced
<br />. r (type of identification) (type of identification)
<br />and/ oOd1.d not ta an oath. and who Odld OUd not take an oath
<br />l
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<br />Signature
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<br />Signature of person taking acknowledgment
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<br />Name typed, prlnted or stamped
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<br />Name typed, prlnted or stamped
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