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<br />CON!JI IJ.'}: 0:.-;: S O~~ PE:Olv;Ir:; l~F':.'I ;JA VI~~
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'he undersigned understands thq.t th.LI. p~ll:rnit llH~)' bt. :;l.l:O:jcc:t 1:0 "deed restriotions" whJch
<br />;-nC:lj' be more restl:ictive than City n:!<;Jule:d:iolls" 'l'b,:: lll1~:h:l:sil:1ned assumes responsibilJty for
<br />compliance with any applioable dc~d r~strictlJns.
<br />B. UNIJICENSEP 'CON'I'RAC'l'ORS AND CONI'aACTOH R;~Sp~mEi[]3II,I'1'IES
<br />If the owner has hired a contractor 01: contraotols tll undertake work, they may be required
<br />to b~ Ii censed in accordance Hith ~c"l1::e and loctI} regl!liitions. It the contraotor is not
<br />J icensed as required by la~" both Lh~ o~mer and contrac'lor may be cited fOl- a miad~lIleanor
<br />violation under state law. If thE: owner or iutended cllntractor are uncerta:in as to vlhat
<br />li censing requirements may apply fo L the intended wo!:k, they are advised to contact the
<br />City of Zephyrhills Building Department, 613-788-6611.
<br />Furtherlllol:e, if the ovmer has hil:eu a contractor or contraotors, he i.5 adviaed to helve the
<br />contractor: (6) sign portions of the "Contr:actor Sections" of this application for Hhich they
<br />~<ill be u:aponsible. I f you, as the OHner signs as the contractor, YQI,! are indicatlng that
<br />you, I:ather than the contractor, at-e responsible for the wo):k. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly l:iaensed alld :is
<br />Bot entJtled to permUting privlleges in the City of Zephyrhi.lls.
<br />c. 'l'AANSi:'OR'l'A'rION IMPAC'l' fEES AND UTUI'I'Y CONNECTION fEES
<br />D. CONS'I'RlIC'l'UlON LIEN LAW (CllAP'l'ER 713, FLORIDA S'rATUTES, AS AMENDED)
<br />1 certify that I, Lhe appli.cant, have been provi.ded wit.h a copy uf "Florida's Construct1on
<br />lien Law - Humeowner's Protection Guide" prepared by the Florida Department of AgrJculture
<br />and Consumer Affairs. If the appli.cant is someone other that the "owner", I cer'ify that I
<br />have obta1nect a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to COlluuencement.
<br />E. CON'l'RAC'l'OR' S/OWNER' S AFIfIDAVIT
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance with all applicable laws regul atlng constnlCtlon, zonlng, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />ce~tify that 110 Hork or installation has commenced prior to lssuance 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 jllrisdiction.. 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 what aotions T llIust 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 Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Sout}lwe~t ~lorida Water Management District-Wells, Cypress Bayheads, WetJand Areas,
<br />Altering Watercourses
<br />'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Depat.tmenL of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />.lu. S. Environmental Protection Ageilcy-Asbestos abatement
<br />I also certify that, if fill material is to be used in flood Zone "A" or "A,ete,", it is
<br />understood that a dralnage plan addressing a "compensating volume" 'will be submitted v/hlch
<br />is prepared by a professional engineer registered in the. state of H'lorida prior to permit
<br />ll:iauBnce,
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authoLit:y to violate, cancel, alter, or set aside any provisions of the technioal codes,
<br />nor shall issuance of a permJt prevent the Building Official from thereafter req"lring a
<br />correction of errors in plans, ponstruction, or violations of any oode. Every pe,mit
<br />isaued shall become invalid unless the wo:rk authorized by suah permit is cOllunenced within
<br />six months of issuance, or if work authorized by the penult ls suspended or abandol1ed f9r a
<br />period of s:l.:x months after the time the work is commenced. One 90 day extens:l.on of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be ,equested
<br />in writing to the BuJldi.ng Official. An approved inapection muat be logged during each"si.x
<br />month period, or the proj ect ~lill be considered abandoned.
<br />WARNING '1'0 OWNER; YOUR lfAILURE 'ro RECORD A NonCE Olf COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE FOR IMI?ROVEMEN'l'S TO YOUR PROPERTY. If YOU IN'rEND TO OB'l'AIN t'INANqnHf' _\'::qN~UlJ!'
<br />WI'l'H YOUR LENDER OR AN A'l"l'ORNEY BElfORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUf!: DO NO'!' NEED TO RECORD AND POS'l' A "NO'l'lCE OF COMMENCEMENT".
<br />
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<br />"
<br />
<br />S I GNA'l'lJRE I OWN tilR OR AGENT
<br />
<br />SIGNA'l'URE: CON'rRAC'I'OR
<br />
<br />of identification)
<br />take an oath.
<br />
<br />STA'l'E OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument H~S acknowledged
<br />Before me this ~ay of----, 1~ ._-.:..
<br />by
<br />(name of person acknowledged)
<br />lJJho is personally known to me, or
<br />
<br />o ~~ho has produced ______
<br />(type of identification)
<br />and ~,ho Odid OJid not t.ake all oath
<br />
<br />STA'l'E OH' FLORIDA
<br />COUN'rY OF
<br />The foregoing instrument was acknowledged
<br />Before me this ____ day of , 19_
<br />
<br />by __._____
<br />(name of person aoknowl,dged)
<br />Owho is personally known to me, or
<br />
<br />o \'/ho has produced
<br />(type
<br />and whoL] did []did not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking aoknowledgment
<br />
<br />li~I~;~---t-yi:~;~i.;---p r i~1 t -;do r-~ t amp~-----------
<br />
<br />Harne typed, printed OJ: stamped
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