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<br />A. NO'J'ICE OF DEED RESTRICTIONS
<br />'Tile undersigned understands that Ll1l:, permJ t Hlay be subject to "deed restrictions" HhJch
<br />may be more restrictive than City reguleltions. The undersigned assumes responsibility for
<br />compliance w~ th any applicable dee,d n~s t.rictions.
<br />B. UNLICENSED CON'1'RACTORS AND CONTN\CTUR RESPONSIBILI'l'IES
<br />If the owner has hired a contractor 01: 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 far a misdemeallar
<br />violation under state law. If the OHner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />C.i.ty of Zephyrhills Building Department, 813-788-6611.
<br />F.'urthermore, if the owner has hired a contractor 01.' contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for whicll they
<br />w.i.ll 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 slgn as contractor that may be an indication that he is not properly licensed and is
<br />Hot entitled to permitting privileges in the City of Z~phyrhills.
<br />C. TRANSPOR'l'A'rION IMPAC'l' FEES AND U'l'ILI'l'Y CONNECTION FEES
<br />D, CONS'l'RUC'l'UION LIE',N LAW (CHAP'l'ER 713, FLORIDA S'l'A'l'UTES, AS AMENDED)
<br />I cerU.fy that I, the applicant, have been provided with a copy of "Florida's Construction
<br />Ii en IJaH - Homeowner's Protection Gulde" prepared by the F'lorida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I eerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owuer" prior to conunencement.
<br />F:, CON'I'RAC'l'OR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all Hork 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 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 ln 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 Sens~tive
<br />Lands, Water/Wastewater Treatment
<br />*SouthHest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"Army Corps of Enginee1."s-Seawalls, Docks, Navigable Waterways
<br />*IJepartlllelll~ of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*11.S. Environtnental Protection Agency-Asbestos abatement
<br />I also certify that, lf fill material is to be used ill Flood Zone "A" or "A,ete.", it is
<br />understood tllat a drainage 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 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 requ1ring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall beoome invalid unless the work authori zed by such permit is cOlTunenced wl thin
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of 51x months afte.t the time 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 />1n writing to the Building Official. An approved inspection must be logged durlng each six
<br />1I\0nth period, or the project w1l1 be considered abandoned.
<br />WARNING '1'0 OWNF.,R: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU IN'1'END '1'0 OBTAIN FINANCING, CONSULT
<br />WITH YOUR I,F:NDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,TaBS UNDER
<br />$2, SOD IN VALUE DO 1'10'1' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'l'''.
<br />
<br />C;O:!DITION.'3 Of" PEFll'1I'I' AFF'IDAVIT
<br />
<br />--..--...-..--..----,..
<br />S 1 GllA'l'URE: OWNER OR AGEN'r
<br />
<br />S I GNA'l'URE: CON'I'RAC'l'OR
<br />
<br />STATE OF F'I,ORIDA.
<br />COUN'I'Y OF--
<br />The fotegoing instrument was acknowledged
<br />Before me this __ day of , 19_
<br />by _______
<br />(name of person acknowledged)
<br />Uwho 1s personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ___._
<br />The foregoing instrument was acknowledged
<br />Before me this _day of.----, 19.......:-
<br />by _____ ____
<br />(name of person acknowledged)
<br />C1ho 1s personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and whorl did Ddid not.
<br />
<br />of identification)
<br />take an oath,
<br />
<br />o who has produced .._.__.____
<br />(ty~e of Identiflcatlonl
<br />and who Ddid []:lid 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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