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<br />C()l\T:JIT!C)YS ~J~ PS~?~L~T l\FFT.DAVI'~
<br />
<br />A. NO'Hem OF DEED RESTRICTIONS
<br />The'unde~signed understands that this permit may be suhject to "deed restrictionsn ~hich-
<br />may be more rel'ltrictive than city r'egulations. Th.:! '\ndersigned assumesrespoTleibility for:
<br />compliance with any applicable deed restrictions.
<br />B. tJNt,ICENSED CON'fRACTORS AND CON'I'ru\CTUR RESPONSlBILITIES
<br />If the owner has hired a contr~ctor 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 />licensed as required by law, both the owner and contractor may be cited for a miAdemeanor
<br />vio.1.atton under state la'-'1. If the' owner or: intended contractor are uncertain as to Nhat
<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 contrRctors, he is advised to have the
<br />co"tr~ctor(s) sign portions of the "Contractor Sectionsn of this application for whicll they
<br />will b~ responsible. If you, ~s the owner Rign~ as the contractor, you are indicating that
<br />you, rather than the contractor, ate responsible for the work. 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 elltitled to permitting privileges in the city of Zephyrhills.
<br />C. TRANSPORT1\TIoN IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONS'1'RUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Constructj.on
<br />lien l,aw - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />alld Consumer Affairs. If the applicant is someone other that the "owner", I carify that!
<br />have obtaifled a copy of the above described document and promise in good faith to deliver
<br />:I.t to the "owner" prior to commencement.
<br />E. CONTRAC'l'OR' S/OWNER' S AFFIDAVIT
<br />J certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulatin~ construction, zoning, and land
<br />development.
<br />Appl1dation 1~ h~teby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or insti:\llation has commenced prior to issuance of a permit and that
<br />all work will be p~rformed to meet standard~ of all laws regulating construotion, City
<br />codea~ zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that t understand that the regulations of other governmental agencies may appJ.y to
<br />the .intended work, !'Ind that it is my responl'libil1ty to identify what actions I must take to
<br />be In compliauce. Such agencies include but are flot limited to: '\'Department of
<br />F.1nvironmeutal Regulatlon-Cypress Bayheads, Wetland 1\reas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />.Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />l\ltering Watercourses
<br />kArmy Corps of Eugiueers-Seawalls, Docks, Navigable Waterwaye
<br />.Uepartment of Health & Rehabilitative Services, Environmental HeaJ.th Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.8. Environmental Protection Agency-Asbestos abatement
<br />r also certify that, if fill material is to be used in Flood Zone "An or: "l\,~tc.n, it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted whlch
<br />is prepared by a professional engineer registered in the state of Florida prior to permit
<br />issuance.
<br />1\ permit iss11ed shall be construed to be a license to proceed with th~ 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, construotion; or violations of any code. Every pet~t
<br />ieaued shall become invalid unless the work authorized by such permit is commenced wlthi.n
<br />~lK months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time tH.e work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee ch~rge of $15.00. The extension shall be r.equested
<br />in writing to the Building official. An approved .inepection must be logged during each eiK
<br />mOflth period, or the project will be considered abandoned.
<br />WARNINt; '1'0 OWNERI YOUR FAII,URE TO RECORD A NOTICE OF CoMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN FINANCING, crJNSlJL'r
<br />WITH 'fOUR l,ENIJER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C01'-ft1ENCEMEWl'. ;roBS UNDER
<br />$2,500 IN VALUE DO NOT NEED 'fa RECORD AND POST A "NOTICE OF COMMENCEMEN1"'.
<br />
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<br />kj~., .
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<br />SIG ATUREI OWNE OR AGENT
<br />
<br />SIGNATURE:
<br />
<br />CONTPACTOR
<br />
<br />STATE OF FLORIDA
<br />COUN1'Y OF
<br />The foregoing in~trument Was
<br />~efor.e me this __ day elf
<br />by
<br />
<br />acknowledged
<br />19_
<br />
<br />ST1\TE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _day of
<br />by
<br />
<br />acknowledged
<br />19
<br />
<br />(name of person acknowledged'
<br />o who il'l personally known to me, or
<br />
<br />(name of person acknowledged)
<br />Chho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and whoD did 0 did not take an oa th.
<br />
<br />Owllo has produced
<br />(type of identification)
<br />and who Odid DHd not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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