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<br />c'J~'Jr~\I'r~()YS O~' ?'?~?:,V~~_r~.' AF~~"':}A\r~4r~..,
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit way be subject to "deed restrictions" Hhich
<br />may be, more restrictive than City regul<ltiofls, '1'11<::1 llnd'~rsi9ned assumes responsibi..U.ty for
<br />compLiance w~th any applicable deedr,~strict.i:.>tls,
<br />B. UNLICENSED CON'l'RACTORS AND CONTHACTOR HESP:J~IEiII3ILITIES
<br />If the owuer has hired a contractor o~c c:ontract:'>1':3 to undertake Hork, they may be required
<br />to bl'! 1.icensed in accordance with state and loc:11 regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeallor
<br />violation under state law, If the owner or intended contl:actor are uncertain as to Ivhat
<br />licens.lng requi.rements may apply for the inten(h~d ,./Ork, they are advised to contact the
<br />Ci ty of Zephyrhills Building Department, 813-783- 6611,
<br />F~rthermore, if the owner has hired a contractor or contractors, he is advised to have tile
<br />contractor(s) sign portions of the "Contractor SectiollS" of this application for which 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 wishes
<br />you to si.gn as contractor that may be an indication that he is not properly li.censed and is
<br />not entitled to permitting privileges in the City of Zephyrhills,
<br />C. 'I'RANSPOR'l'A'1'ION I MPAC'l' FEES AND U'l'ILI'1'Y CONNECTION FEES
<br />D. CONS'1'RUC'I'UION LIEN LAW (CHAPTER 713, FLORIDA S'rA'l,'UTES, AS AMENDED)
<br />I certify that I, the applicant, Ilave 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 Affairs. If the applicant is someone other that the "owner", I cerify 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:. CONTRAC'l'OR' S/OWNER' S AFFIDAVIT
<br />r certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as illdicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit: and that
<br />all work will be performed to meet standards of all laws regulating constr\lction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify Hhat actions I must take to
<br />be in compliance, Such agencies include but are not limited to: *Department of
<br />Environmental Regulati.on-Cypress Bayheads, Wetland Areas and Environmentally Sens~tilJe
<br />Lands, Water/Wastewater: 'l'reatment
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawal.ls, Docks, Navigable Waterways
<br />*lJepartlllent of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />"'IJ,8. Environmental Protection Agency-Asbestos abatement
<br />I aJ.so certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" 'will be submitted Hhieh
<br />is prepared by a professional engineer registered in the State of Florida prior to perlnit
<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 Hork authorized by such permit is commenced Hithin
<br />six months of issuance, or if Hork authorized by the permit is suspended or abandoned for a
<br />period of six months after the tlme the work is commenced. One 90 day extension of tJme
<br />Inay be allowed for the permit Hith fee charge of $15,00. The extension shall be requested
<br />ln wrlt1ng to the Building Offlcial. An approved inspection must be logged during each slx
<br />month pertod, or the project will be considered abandoned.
<br />WARNING 'ro OWNE',R: YOUR FAILURE '1'0 RECORD A NOTICE OF C0M11ENCEMEN'l' MAY HESIJ.L'I' IN YOUR
<br />PAYING TWICE F'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'l'END 'l'0 OBTAIN FINANCING, CONSULT
<br />WITH YOUR LE:NDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER
<br />$2,500 IN LIJE DO NOT NEED '1'0 RECOm~::~l:eS7;)~Y~~-]~~dMMENCEMEN'r".
<br />
<br />
<br />SIGNA'l'U RE : CON'l' RAeTO R
<br />
<br />S' ATE OF FLORIDA
<br />COUN'I'Y OF ----_
<br />The fotegoing jnstrument was acknowledged
<br />Before llIe this __ day of ___, 19_
<br />by
<br />(name of person acknowledged)
<br />[J who is personally known to me, or
<br />
<br />STATE OF'FLORIDA
<br />COUNTY OF__
<br />'rhe foregoing instrument Has acknowledged
<br />Befote me this ,__5iay of-.-----, 19......:......
<br />by ____ ____
<br />(name of person acknowledged)
<br />[},lio 1s personally known to me, or
<br />
<br />[] who has produced
<br />( type
<br />and WllO[] did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced___.._,______._
<br />(type of ldentification)
<br />and who Ddid DUd not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Hame l:yped, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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