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<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'he lJndel:siyned understands that tnis perIni t Inay be subject to "deed restrictions" \vhich
<br />may be 1110r.e restrictive than Cityregul3tiolls, 'rhe undersigned assumes responsib.i.lity for
<br />compliance w~ th any applicable deed n,s t rict.iolls,
<br />B. UNLICENSED CON'I'RACTORS AND CONTMCTUR RESPONSIBILITIES
<br />If the Ovlller 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 />licensed as required by law, bot:h the Olvner and contractor may be cited for a misdemeanor
<br />violation under state law, If the OlmeJ: or intended contl:actor are uncertain as to what
<br />licens.i.ng requi.rements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611,
<br />Furtllermore, 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 responsible. If you, as the owner signs as the contractor, you are indicating that
<br />YOll, rather than the contractor, are responsib.le for the work. If the contractor wishes
<br />you to sign as contractor. that may be an indication that he is not properly licellsed and is
<br />not entitled to permitting privileges in the City of Z13phyrhills.
<br />C, 'I'RANSPOR'1'A'rION IMPAC'I' FEES AND U'l'ILI'1'Y CONNEC'1'ION FEES
<br />D. CONS'1'RUC'I'UION LIEN LAW (CHAP'!'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, ItaVe been provided with a copy of "Florida's Construction
<br />lien LaIV - 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' a/OWNER' a AFFIDAVIT
<br />I certify tllat 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 />developroellt:,
<br />Application is hereby made to obtain a permit to do work and installation as ll1dtcated. 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 construction, Clty
<br />codes, zoning reg\llations, 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 Hork, and that it is my responsibility to identify what actions I must take to
<br />be in comp.liance. Such agencies include but are not limited to: *Department of
<br />Envirolunelltal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
<br />l.ands, Water/Wastewater 'I'reatment
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Al tering WateJ:courses
<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 />*U.S. Envirol1lnental 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 drainage plan addressing a "compensating volume" 'wil.l be submitted Hhich
<br />is prepared ~y a professional engineer registered in tile State of Flori.da 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 technical codes,
<br />nor'sha.ll lssuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violati.ons of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is cormnenced wi thin
<br />six months of issuance, or if work authorized by the permlt is suspended or abandoned for a
<br />period of slx months after the tlme the work is commenced. One 90 day extension of t.ime
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Bulld.ing Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNE',R: YOUR FAILURE '1'0 RECORD A NOTICE OF COMHENCEMEN'I' MAY RI!lSUL'I' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'I'END 'I'O OBTAIN FINANCING, CONSUL'!'
<br />WITH YOUR I,E:NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER
<br />$2,500 IN VALUE DO NO'!, NEED '1'0 RECORD AND POS'!, A "NO'I'ICE OF COMMENC EMEN'!' " ,
<br />
<br />CO:~~)TT.!:CJ;~S OF' PEPlvlIT AFF'IDAVI'r
<br />
<br />-------------,..---
<br />SlGNA'I'URE: OWNER OR AGEN'!'
<br />
<br />SIGNA'I'URE: CON'I'RACTOR
<br />
<br />STATE OF F'I,ORTDA
<br />COUN'I'Y OF__
<br />The foregoing instrument was acknowledged
<br />Before me thls __ day of , 19_
<br />by __.______
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF __,__
<br />'1'he foregoing instrument was acknowledged
<br />Before roe this_-----5iay of---------, 19
<br />
<br />by __'__"_" _'_
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />[J who has produced
<br />(type
<br />and v~ho[] did Odl.d not
<br />
<br />of l.dentl.fication)
<br />take an oath.
<br />
<br />o who has produced __'________
<br />(ty~e of ldentificatjon)
<br />and who Ddld [)Jid not take an oath
<br />
<br />------_.~-~_..__._._--_._---
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknoHledgment
<br />
<br />I,i~~;;;--t'yp'~~-'p~ in t ed~ r s t~arr;p~~----
<br />
<br />Name typed, printed or stamped
<br />
<br />~._-----------_.
<br />
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