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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The under-signed understands that: this permit nay b,= subject to "deed restrictions" Hhich
<br />llIay be more restrictive than City regulations. '1'h.= und,=rsi',p:led assumes responsibIlity for
<br />co"~liance w~th any applicable deed restrictions.
<br />B. UNI"ICENSED CON'J'RACTORS AND CON'l'RAC::TOR RESPONSI BILITIES
<br />If the owner has hired a contractor or con_tractol:S to undertake work, they may be required
<br />to b~ licensed in accordance with state and local 1:egulat10ns. If the contractor is not
<br />licensed as requIred by law, both the o~~ner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owne]: or intended contl:actor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact tile
<br />city of Zephyrhills Building Department, 813-788-6611.
<br />E'urt_hermore, 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 />you, rather tllan the contractor, are responsible for the work. If the contractor wishes
<br />you to Sigll as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zl:!phyrhills.
<br />C. 'J'RANSPOR'l'A'I'ION I MPAC'J' FEES AND UTILI'I'Y CONNECTION FEES
<br />D. CONS'l'RUC'l'UION LIEN LAW (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided ,,11th a copy of "Florida's Constnwtion
<br />lien LaH - 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. CON'l'RAC'l'OR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accur-ate 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 indicated. I
<br />certify l:hat no work or installation has commenced prior to issuance of a permlt 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 "'Iork, and that 1t is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Env1ronmental Regulat10n-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
<br />Lands, Water/Wastewater 'l'reatment
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watel:courses
<br />"'Army Corps of E'.ngineers-Seawalls, Docks, Navigable Waterways
<br />*IJepart:lllent of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<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 in Flood Zone "A" or "A,etc.n, 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 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'.lla11 issuance of a permit prevent the Building Official from thereafter reyu1ring 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 conunenced within
<br />six months of lssuance, or if work authorized by the permlt is suspended or abandoned for a
<br />period of aLl{ months after the time the work is commenced. 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 />in writing to the Building Official. An approved inspection must be logged during each six
<br />mouth period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNE',R: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUL'I' IN YOIJR
<br />PAYING 'l'WICE E'OR IMPROVEMENTS 'fO YOUR PROPERTY. IF YOU IN'l'I!:ND '1'0 OBTAIN FINANCING, CONSUL'r
<br />WITH YOUR LE:NDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER
<br />$2,500 IN VALUE D~ NO~, R.CORD AND POST A "NOTIC. OF COMMENC~
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<br />~. . - --==="~~,.
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<br />WNER OR AGENT . SIGNATURE: CON'l'RACTOR <:::-.:l
<br />
<br />
<br />S'l'A'J'E OF E'WRIDA ~5LO
<br />COUN'rY OF _____.----D.
<br />The foregoing inst~ent w~cknoWledged
<br />Before me this ~d~y of c.e",.,her, l;;It.;2.bO.;l-
<br />by __~& \L.{-=-~
<br />rn/-(name of person acknowledged)
<br />Vwho is personally known to me, or
<br />
<br />STATE OF FLORIDA Pa.s to
<br />COUNTY OF -..,.-
<br />'J'he foregoing instrY}nent wap~~~;..dged _
<br />Before me.-UUs j.;zT(fay of- - --, }oQ ~o
<br />by \ eA I.U. B1)j~ ___
<br />-"-- lJl-ame of person acknm-iledged)
<br />~s personally known to me, or
<br />
<br />
<br />s pl'oduced
<br />(type of identification)
<br />rJdId n~oath'
<br />
<br />
<br />person taking acknowledgement
<br />"""'" Suzanne Bahr
<br />"'~~. G " f91S1131
<br />iTa~;;;-t'y-p-~d~" p r~~ ~ _ ::~~~~m 15,200r-
<br />',,;'ip.. . .~~ Bonded TIuu
<br />..,.~,,;;,,, Atlantic Bonding Co., Inc.
<br />
<br />o who has produced_____________
<br />(ty~e of identification)
<br />
<br />and who d~d ~~~__ no~th
<br />Si 1atu~aking aclmowledgment
<br />"\~~"" Suzanne Bahr
<br />Name t YP~~k~~\T~~i~~m?l66~
<br />
<br />"'~~ . . . .~,~ Bonded Thru
<br />""~,,;;,,, Atlantic Bonding Co., Inc.
<br />
<br />alld
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