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<br />COIHlI'l'IONS OF PERl'11'f A!"I:!'IDAVI'f
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thqt this penni t may be subj eet to "deed restri.ctions" which
<br />nlQY be mure restrictive than City regulations. The undersigned assumes responsibility for
<br />complil:lnce with any appli cable deed restricti.ons,
<br />B. UNLICENSED C;ON'I'RAC'I'ORS AND CON'l'RACTOR RESPONSIBII.I'l'IES
<br />If the oi'o/nel' has hired a contractor or contrc:lctors to undertake work, they may be required
<br />to bl:: licensed in c:lCCOrdallce wit.h state and local regulations, If the contrc:lctor is not
<br />Ii censed as required by law, both t.he ovmer and contractor may be oi ted fol.: c:l lldsdemeanor
<br />violation under state law, If tht::! ovo/ner or intended contractor are uncel.:tcdn as to vlhat
<br />licensing requirement::! may apply for the intended wor:k, they are advised to contact the
<br />city of Zephyrhills Building Department, 813-788-6611.
<br />E'urtheullol-e, if the oVlner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor SectionsU of this application tor whicl} they
<br />wIll be responsible. If you, as the owner signs as the contractor, YQY are indicating that
<br />you, tathel.- than the contractor, are responsible for the Hork. If the contractor Hishes
<br />YOll to sign as contractor that may be an indication that he 1.s not properly licensed and is
<br />Ilot entitled to permitting privil~ges in the City of Zephyrhills,
<br />c. 'l'RANSI:'Ok'l'ATION IMPACT FEES AND UTILI'I'Y CONNECTION FEES
<br />D. CONS'l'RIJCTUION LIEN LAW (CliAP'I'ER 713, FLORIDA S'rATUTES, AS AMENDED)
<br />1 certify that I, lhe applicant, have been provided with a copy of "Florida's Constructlon
<br />lien l.aw - Homeowner's Protect1.on Guide" prepared by the Florida Department of Agriculture
<br />and Consllmer Affair-::!. If the applicant is someone other that the "owneru, I cerify that I
<br />have obLi:t1.ned a copy of the above described document and promise in good faith to deliver
<br />it to the "oVlner" prior to conunencement.
<br />If:, CON'fRAC'POR' a/OWNER'S AFFIDAVI'r
<br />I certify that all the information in this application is accurate and that all Hork will
<br />be done in compliance Vlith all applicable laws regulating constrLlction, zoning, and land
<br />development.
<br />Applioation is hereby made to obta1.n a permit to do Vlork and installation as indicated. I
<br />certi fy that no _wrk or installation has commenced prior to issuance of a penni t and that
<br />ail work will be performed to meet standards of all laVls regulating construction, City
<br />codes, zoning regulations, and land development regulat1.ons in the jlll.:i::!diction. I al~o
<br />certify that I understand that the regulations of other governmental agencies Inay apply to
<br />the intended Vlork, and that it is my responsibility to identify what actions I mllst Lake to
<br />be in compliance, Such agencies include but are not limited to: *Department of
<br />Environmental. Regulatlon-Cypress Bayhsads, Wetland Areas and Environmentally SensJ.ti.ve
<br />Lands, Water/WasteHater Treatment
<br />*SoutllHest ~lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health lie Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wa.:ltewater Treatment, Septic 'Panks
<br />*lJ.8, Environmental I?rotection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used ln Flood Zone "A" or "A,etc,", it is
<br />understood that a dra1nage plan addressing a "compensating volume" 'Vlill be sul.Jlni tted Vlh.ich
<br />is prepar:ed by a professional engineer registered in the. state of ff'lorida pri or to permi t
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed Vlith the Hork and not as
<br />autllorlty to violate, cancel, alter, or set aside any provisions of the technioal codes,
<br />nor slla11 issllance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors ill plans, construction, or violations of any oode, Every permit
<br />iSfjUed shall. become invalid unless the _'%rk authorized by such permit is cOllunenced within
<br />six months of issnance, or 1f work authorized by the permit 1s suspended or abandoqed for a
<br />period of Sil, months after the time the Hark i::! conunenced. One gO day extension of time
<br />may be alloVled for tile permit Vlith fee charge of $15.00. The extension shall be tequested
<br />in initing to the Buildlng Offici.a!. An approved i.nspection mllst be Jogged during each aix
<br />month period, or the project Hill be considered abandoned,
<br />WARNING 'fO OWNER: YOUR FAILURE TO RECORD A No'nCE OF COMMENCEMEN'J' MAY RESUlil' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'I'END TO OB'fAIN E'INANc;rNq, .~qH~uL'r'
<br />WITH YOUR LEHDER OR AN A'I'TORNEY BEFORE RECORDING YOUR NonCE OF COMMENCEMEN'l', ,JOBS UNDER
<br />$2,500 I N VALUE: no NO '1' NEED '1'0 RECORD AND POS'!' A "NO'l'ICE OF COMMENCEjvjEN'!"'.
<br />
<br />S I GHA'PURE : OWN IilR OR AGENT
<br />
<br />SIGNA'l'URIil: CONTRACTOR
<br />
<br />of identification)
<br />take an oath,
<br />
<br />STATE OF FLORIDA
<br />COUN'fY OF
<br />The foregoing instrument w~s acknowledged
<br />Before me this ._..Jiay of-----, 19
<br />by
<br />(name of person acknowledged)
<br />Qho :is penlOnally knovm to me, or
<br />
<br />o who has produced________..______
<br />(type of identification)
<br />and _,ho Odid DUd not t.ake all oath
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF..
<br />'J'he foregoi.ng instrument was acknowledged
<br />Before me this ___ day of ____., 19_
<br />by .______
<br />(name of person acknowledged)
<br />[Jwho is personally known to me, or
<br />
<br />o Vlhl) has produced__
<br />(type
<br />and whorl did []di.d not
<br />
<br />Signature of person taking acknoVlledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name Lyped, printed or stamped
<br />
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