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<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'lle undersigned understands thaI: 1:11.L:3 permit: jnay b.;: sclj~yiect to "deed restr.ictions" Hhich
<br />may be mor.e restrictive than City r':Hlulations. '1'h,= und,;:rsigned assumes responsibilJty for
<br />compLiance with any applicabl.e deEd r,;:strict.iolls.
<br />B, UNLICENSED CON'I'RACTORS AND CON l'Hl\CTOR RESPONEIII3ILITIES
<br />IE the OHner has hired a contractor or contractoul to undertake work, they may be required
<br />to b~ licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as requi.red by law, both the ovlller and contractor may be cited for a misdemeanor
<br />violation under state laH. If the mmer or intended contl:actor are uncertain as to Hhat
<br />licensing requi.rements may apply for ':he intended '^lork, they are advised to contact the
<br />city of Zephyrhills Building Department, 813-788-'6611.
<br />Furthermore, if the OHner has hired a contractor or contractors, he is advJsed to have the
<br />contractor(s) sign portions of the "Contractor SectiollS" of this application for Hhich they
<br />will 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 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 Z~phyrhillB,
<br />C. 'rRANSPOR'l'A'rION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONS'l'RUC'l'UION LIE,N LAW (CHAPTER 713, FLORIDA S'rA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Constructlon
<br />liell Law - Homeowner's Protection Guide" prepared by the FlorJda Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I eerify t.hat I
<br />have obtalned a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<br />F.. CONTRAC'I'OR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information ill this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulatlng construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as llldicated. I
<br />certify that no Hork or installation has commenced prior to issuance of a pennit: and that
<br />all Hork will be performed to meet standards of all laHs regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurJsd.icUon. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the lntended Ho.rk, and that it 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 />Environmental Regulat.ion-Cypress Bayheads, Wetland Areas and Environmentally Sellsitive
<br />Lands, Water/WasteHater 'l'reatment
<br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />.Army Corps of Engineers-Seawalls, Docks, Navigable WaterHays
<br />*IJepart:mellt of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />.1],S. Enviromnental Protection Agency-Asbestos abatement
<br />1 also certify that, if fill material is to be used in Flood Zone "A" or "A,ete,", it is
<br />understood that a drainage plan addressing a "compensating volume" Hill be submitted Vlh.ich
<br />is prepared ~y a professional engineer registered in the state of Florida prior to permit
<br />Jssllance.
<br />A permit issued sllall be construed to be a license to proceed Hith the Hork 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 requiring 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 ia conunenced wJthin
<br />ai.x months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months afte.\: the time the Hork .is commenced. One 90 day extension of time
<br />may be allowed for the permit Hith 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 />month period, or the project will be considered abandoned.
<br />WARNING 'I'() OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMEWl' MAY RESUL'I' IN YOUR
<br />PAYING TWICE F'OR IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN A'f'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LTOBS UNDER
<br />$2,500 IN VALUE', DO 1'10'1' NEED '1'0 RECORD AND POS'1' A "NO'l'ICE OF COMMENCEMEW1'''.
<br />
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<br />-~fl ~
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<br />SIGNA'l'URE: OWNE OR AGEN'1'
<br />
<br />{J~ -L!--~
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<br />S I GNA'I'URE: CON'I'RACTOR
<br />
<br />s'rATE OF FLORIDA. R
<br />COUN'1'Y OF _____._<<.5Co
<br />'1'he foregoing instrument Has acknoHledged
<br />Before me this ~day ofpe.ce~q,.y;- _.;wD~
<br />by ____~ I hO,V\TDv--
<br />(name of person acknowledged)
<br />[]who is personally knoVln to me, or
<br />
<br />~o has produced -p L--. _
<br />(type of identlfication)
<br />and IB-did not. take an oath.
<br />
<br />___ ~rvn-( _ c{j~~
<br />
<br />Sign tur:el~ person taking ackno&edgement
<br />
<br />. l \\1111/, suzanne B
<br />_"'~~Y'':~'' Commission #DD157131
<br />
<br />i~~~I-;~-tYP~d~--pr~~::~IEXj\r~~!~5, 2666
<br />,~. .i>' Bo ru
<br />"';~,~~ I~~~'" Atlantic Bonding Co.. Inc.
<br />
<br />STATE OF FLORIDA Pa.S-CD
<br />COUNTY OF-.-
<br />'l'he foregoing instrument Vias ack~ledged
<br />Before~ this l<i~i.ay ofV~(O! p.r; _~;;J....
<br />by J2Q.r}a.J,J:: o('~m"-""'- .
<br />(name of person acknowledged)
<br />Do/ho J.s personally knoHn to me, o.r
<br />
<br />~ho has produced 1) L- . __._________
<br />(ty~e of identification)
<br />~d ~ke an oath
<br />
<br />UC;:j'~_~ __~___
<br />8i nature 0_ person tak.ing acknowledgment
<br />, '"'' Suzanne Bahr
<br />. ':.~~'~ CommissioR#DDIS7JJ.l------ ---.
<br />Name type~'k v ~~~ir8fN8~f~Il~9t
<br />"';~ OF .i.o~,,- Bonded .Thru
<br />'I"",,' AtlantIC BondmgCo., Inc.
<br />
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