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<br />A. N9'1'IC~ 01" DEED J<ES'1'HIC'1'lON~;
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City J:egulations. The undersigned assumes responsibility for:
<br />'compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTHACTORS AND CONTRJ\CTOH HESPONSIBlI.l'l'lES
<br />I f the owner has hired a cOlltractOJ: or contractors to undertake work, they may be required
<br />to be licensed in accordance wilh slale alld local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply fur the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, 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 sfgns 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 illdication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicantf have been provided with a copy of "Florida's Construction
<br />lien Law - 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 COITUnencement.
<br />E. CONTRACTOH' s/oWNlm' S ^"'/,'lUJ\Vl'l'
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compl~ance 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 in4icated. I
<br />certify that no work or installation 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 in 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 what 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 Envi,ronrnentally Sensi ti ve
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection J\gency-J\sbestos abatement
<br />I also certify that, if fill material is to be used ill Flood Zone "A" 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 State of Florida prior to permit
<br />issuance.
<br />J\ permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancelf 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 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 after the time the work is commenced. One 90 day extension of time
<br />nay 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 />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PHOPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR J\N J\TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED '1'0 HECORD AND POST "NOTICE OF COMME
<br />
<br />'" 'j I , 'I L, () I' 1'1',1',1 i I I 1\ I' J' I 1 )1\ \I I 'I
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />--
<br />
<br />acknowledged
<br />, 19_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing inst.~~,"ent ~~ aCkn, owledged
<br />Before me this ~day of'.- ~:~J~, ~a.co~
<br />by ,::i ~{JIfY\_f W-
<br />, (name of person acknowledged)
<br />~hO is personally known to me, or
<br />
<br />\1~e.o
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this_ day of
<br />by
<br />
<br />(name of person acknowledged)
<br />o who is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and whoD did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />a
<br />
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name typedf printed or stamped
<br />
<br />..
<br />
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