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<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'h'e undersigned understands that this permit .nay be subject to "deed restricthms" I1hich
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'.Rl-\CTOR RES PONS IBILIT'IES
<br />I f the owner has hired a contractor 0 t: con.tractors 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 requlred by law, both the OHner and contractor may be cited for a mlsdemeanor
<br />violation under state law, If the m.JneJ~ or intended contractor are uncerta.in as to what
<br />licens.lng J:equirements 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 />wili 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 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 Z~phyrhills.
<br />C. TRANS PORTNl' I ON IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONS'l'RUC'l'UION LIEN LAW (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, llave been provided with a copy of "Florida's Construction
<br />lien Law - Ilomeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cel~ify that I
<br />have obtained a copy of the above described document and promise in good faith to dellver
<br />it to the "owner" prior to con~encement,
<br />E. CONTRAC'l'OR' 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 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 installatlon has commenced prior to issuance of a perm.tt-. and that
<br />all work will be performed to meet standards of all laws regulating construction, 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 Regulation-Cypress Bayheads, Wetland Areas and Environmentally 3ells~tive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest FJ,orida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of HeaJth & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. S. F,nv! romnental Protection Agency-Asbestos 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 dralnage plan addressing a "compensating volume" 'wiLl be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued sllall 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 tectlnlcal codes,
<br />nor..tlall 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 such permit is commenced wJthin
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of slx months afte.t: the tlme the work is conunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />1n writIng to the Building Official. An approved inspection must be logged during each SlK
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNE',R: YOUR FA.ILURE '1'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUL'l' IN YOUR
<br />PAYING TWICE E'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND 'l'0 OBTAIN FINANCING, CONSUL'!,
<br />WITH YOUR I.ENDER OR AN A'l"l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
<br />$, 0 IN WE DO i' T NEED '1'0 RECORD AND POS'I' A "NOTICE OF COMMENCEMEN'l'''.
<br />
<br />
<br />SIGNA'l'URE: CON'I'RAC'l'OR
<br />
<br />acknowledged
<br />19_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ---------,-.-
<br />The foregoing instrument was acknowledged
<br />Before me this ,---slay of------, 19
<br />by
<br />(name of person acknowledged)
<br />[1ho .Ls personally knoHn to me, or
<br />
<br />STATE OF F'I,ORIDA
<br />COUN'I'Y OF ---
<br />The fotegoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />(name of person acknowledged)
<br />[J who is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced_________._.____
<br />(type of idellUficaUon)
<br />and who Ddid DUd not take an oath
<br />
<br />[J who has produced
<br />(type
<br />and ~~ho[J did [Jdld not
<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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