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<br />A. NOTICE OF DEED RESTRICTIONS
<br />1'he undersigned understands that: Lil:L, penrd I: If\3.Y be subject to "deed restrictions" ,/h1ch
<br />llIay be more reslricti ve than City requlClt:io:1S. '['IH: undersigned assumes respon:slblllty for
<br />compl.iance Hi th any applicable deed :c.~s t:rictions.
<br />B. UNLICENSED CON'l'RACTORS AND CONTR1\CTUR RESPONSIBILI'J'IES
<br />If the owner has hired a contract:;.r OJ: contt:actols to undertake work, they may be r:eguired
<br />to b~ ljcensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contract.:or may be cited for a m1.sdemeanor
<br />violation under state law. If the owner or intended contractor are uncerta.in as to !'ihat
<br />licens.lng l:equirement.s may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furt.hermore, if the owner has hired a cont.ractor 0.1' contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />Hill be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />YOll, rather than the contractor, are responsible for the ~-1ork, If the contractor wishes
<br />you to s1.gn as contractor that may be an indication that he 1.8 not properly licensed and is
<br />not entitled to permitting privileges in the City of Z~phyrhills.
<br />C. TRANSPOR'l'A'I'ION I MPAC'l' FEES AND U'l'ILI'rY CONNECTION FEES
<br />D. CONS'l'RUC'1'UION LIEN LAW (CHAP'rER 713, FLORIDA S'l'A'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, llave been provided with a copy of "Florida's Construction
<br />lien La\'! - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "oHner", I cerify that I
<br />have obtained a copy of the above descr1bed document and promise in good faith to del1ver
<br />j t 1:0 the "owlIer" prior to conunencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this appl1cat10n is accurate and that all work wiLl
<br />be done in compliance Hith all applicable laws regulating construction, zon1ng, and .land
<br />development.
<br />Applicat10n is hereby made to obtain a permit. to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit: and that
<br />all work Hill be performed to meet standards of all laws regulating construct10n, City
<br />codes, zonJng 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 wO.1'k, and that it 1s 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 />Environmental Regulat10n-Cypress Bayheads, Wetland Areas and Environmentally Sellsitive
<br />Lands, Water/Wastewater 'l'reatment
<br />*SouthHest: F'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*DeparLment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />'11.S. Environmental Protection Agency-Asbestos abatement
<br />1 also certify that, if fill material is to be used in Flood Zone "AU or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" 'will be submitted which
<br />is prepared by a professional engineer registered in the St.ate 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 />!lor 'shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violat.ions of any code. Every permit
<br />1ss11ed shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months afte.r the ti.me 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 Bull.ding Official. An approved 1nspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESU,L'l' IN YOUR
<br />PAYING 'l'W1.CE F'OR IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU INTEND '1'0 OBTAIN FINANCING, CONSUL'I'
<br />WITH YOUR LE:NDER OR AN A'l''l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,TOBS UNDER
<br />$2,500 IN VALUE DO 1'10'1' NEED TO RECORD AND POST A "NOTICE OF COMMENCEMEWl'''.
<br />
<br />CO~:!Jl'~:l~()~\}S (JF' PF~P;,\11IT AFFIDAVIT
<br />
<br />-----------"--r--
<br />SIGNA'l'URE: OWNER OR AGEN'I'
<br />
<br />SIGNA1'URE: CON'l'RAC'I'OR
<br />
<br />B'l'ATE OF FLORIDA
<br />COUN'I'Y OF --.
<br />The foregoing instrument was
<br />Before me this __._ day of
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF__
<br />The foregoing instrument Has acknowledged
<br />Before me this _~.iay of-------, 19
<br />by .__
<br />(name of person acknowledged)
<br />C1ho 113 personally known to me, or
<br />
<br />acknoHledged
<br />19_
<br />
<br />(name of person acknoHledged)
<br />[Jwho .1.s personally known to me, or
<br />
<br />[] Hho has produced
<br />( type
<br />and who[] did []did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced ____.__
<br />(type of idenUficaUon)
<br />and \"ho Ddid [}lid not take an oath
<br />
<br />Signature of person tak1ng acknowledgement
<br />
<br />Signature of person taking acknmvledgment
<br />
<br />Hame l~yped, printed or stamped
<br />
<br />Name typed, printed or stawped
<br />
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