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<br />CO;\;Y-):~'j'IONS 0::' P~~pJ.If~:;.r~.1 AF~1TDA\r5.1~~
<br />
<br />A, NOTICE OF bEED RESTRICTIONS
<br />'I'lle unde"t:signed undet:stands that tills penrd,t: :nay be subject ;:0 "deed restrictions" H1d,ch
<br />may be lilore restrictive than City r'=9ulations, The 1111~:!1=rs:L9ned assumes respoflsibJ.U,ty for
<br />compliance Hith any applicable deE!d L,:!strict.iotls.
<br />B, UNLICENSED CON'l'RACTORS AND CONTRACTOR RESPONEIIBILIT'IES
<br />I f the owner has hired a contractor 0 L con,tractOL:, to undertake work, they may be r:equired
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />l.icensed as requl.red by law, both the owner and contractor lIlay be cited for a misdemeanor
<br />violation under state law. If the mmer or intended contl:actor are uncertain as to what
<br />licens\.ng l:equlrements may apply for the intended work, they are advised to contact the
<br />C.ity of Zephyrhills Bullding 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 whicll they
<br />~dll be responsible. If you, as the OHner 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 slgn as contractor that may be an indication that he is not properly licensed and is
<br />not enti,tled to permitting privileges in the City of Zephyrhills.
<br />C. 'I'RANSPOR'I'AlrION IMPAC'I' FEES AND UTILI'rY CONNECTION FEES
<br />D. CONS'rRUC'I'UION I,IEN LAW (CHAP'rER 713, FLORIDA STAIl'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />Ii en IjaH - Homeowner's Protection Guide" prepared by the Florida Departmellt of Agriculture
<br />alld Consumer Affairs. It the applicant is someone other that the "owner", I cerity 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 cOlTunencement.
<br />E. CON'l'RAC'I'OR' S/OWNER' S AFFIDAVIT
<br />I certify t;hat all the information in this application is accurate and that all work H1Ll
<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 />certi fy 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, 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 Regulatlon-Cypress Bayheads, Wetland Areas and Envlronmentally Sens~tive
<br />Lands, Water/Wastewater 'l'reatment
<br />* Southwest I.i'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waten.Jays
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-We1.ls,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S, Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used ill Flood Zone "A" or "A, etc.", it .is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared ~y a professional englneer 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 tecllnical codes,
<br />nor.llall issuance of a pennit 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 beoome invalid unless the work authorized by such permit is conunenced within
<br />six months of issuance, or if work authorized by the perm1t is suspended or abandoned for a
<br />period of six months after the t1me the work is commenced. One 90 day extension of time
<br />may be all,oHed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writJng to the Building Official. An approved inspection must be logged during each six
<br />mOllth period, or the project will be considered abandoned.
<br />WARNING TO OWN!!',R: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN'l' MAY RESULT IN YOUR
<br />PAYING 'l'WICE F'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND '1'0 OBTAIN FINANCING, CONSUL'r
<br />WITH YOUR LF:NDER OR AN A'r'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,TOBS UNDER
<br />$2,500 IN VALUE: DO 1'1011' NEED 11'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'r".
<br />
<br />------'------'-----r--
<br />SIGNA'l'lJRE: OWNER OR AGEN'!,
<br />
<br />SIGNATURE: CON'l'RACTOR
<br />
<br />S'I'ATE OF FLORIDA
<br />COUN'l'Y OF -----,
<br />The fotegoing instrument was acknowledged
<br />Before me this __ 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 />The foregoing instrument Has acknowledged
<br />Before me this ,_.-Slay of-------, 19 ~
<br />by '--'--
<br />(name of person acknoHledged)
<br />C1110 is personally known to me, or
<br />
<br />L1 who has produced
<br />{type
<br />and who[1 did Ddid not
<br />
<br />D who has produced______,__________
<br />(ty~e of identification)
<br />and who Ddid DUd not take an oath
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknoHledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, prJnted or stamped
<br />
<br />Name typed, printed or stamped
<br />
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