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<br />l;UIWl'!'10NS OF PERl'1I'f AFl!"IIlAVI'I'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thijt this permit may be subject to "deed restrictionsn which
<br />mdY be more restrictive than City regulations. The undersiglled assumes responsibility for
<br />compliance wi th any applicabl.e deed r'estrictions.
<br />B. UNIJICENSED CON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBILI'rIES
<br />If tile owner has hired a contractor or contractors to undertake work, they may be required
<br />to be Ii c:ensed in accordance ~dth state and local regulations. If the contractor is not
<br />licensed as required by law, both the oVlner and contractor may be cited for a mi::odemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to Vlhat
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />city of Zephyr"hills BuUding Department, 813-768-6611.
<br />Furthermol:e, it the aI-mer has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor SectionsU of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, !.'ather than the contractor, are responsible for the work. If the contracto!.' wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />llot entitled to permitting privil~ges in the city of Zephyrhills.
<br />C. 'l'AANSPOR'l'ATION IMPACT FEES AND U'l'ILI'l'Y CONNECTION FEES
<br />D. CONS'rRUC'rUION LIEN LAvJ (CHAP'I'ER 713, FI,ORIDA STATUTES, AS AMENDED)
<br />1 certify that I, the applicant, have been provided with a copy of "Florida's Constr\lction
<br />lien Law - Homeowner's Protection Guiden prepared by the Florida Department of Agriculture
<br />and Consumer Affait's. If the applicant is someone other that the "owner", I cerify that I
<br />Ilave obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "aI-mer" prior to COlfunencement.
<br />E. CONTRAC'!'OR' S/OWNER' S AFFIDAVI'!'
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all appli.cable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no I-mrk or installation has conunenced 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 regulatlons in the jurisdictlon. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />tile 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 Environmentally SenB~tive
<br />Lands, Water/WasteHater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Anny Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Depiutment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~Au or "A,etc.n, it is
<br />understood that a drai.nage plan addressing a "compensating volume" 'will be submitted Hhich
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />.issuance.
<br />A permit issued shall 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 teohnical codes,
<br />nor s)lall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correctlon of errors in plans, construction, or violations of any oode. Every petmit
<br />iSIiUed ahall become invalid unless the work authorized by such permit is oommenced within
<br />sll{ months of issuance, or if work authorized by the permi.t is suspended or abandofled tor a
<br />period of ailt months after the time the work is conunenced. 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 writi.ng to the Buildi.ng Official. An approved inapection must be logged during each'six
<br />month period, Or the project Hill be considered abandoned.
<br />WARNING TO OWNER I YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING 'rWIcE FOR IMPROVEMENTS TO YOUR PROPER'ry. IF YOU INTEND TO OBTAIN )i'INANqINq, "~QN~UL'I'
<br />WI'!'H YOUR LENDER OR AN A'I"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENII'. JOBS UNDER
<br />$2,500 IN VALUlil DO NO'l' NEED '{'O RECORD AND POS'l' A "NOnCE OF COMMENCEl'1ENT".
<br />
<br />S I GHA'l'URE; OWNER OR AGEN'I'
<br />
<br />SIGNATURE; CONTRACTOR
<br />
<br />STA'I'E OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this -----Pay of-~I 19
<br />by
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />S'l'A'rID OF FLORI DA
<br />COUN'rY OF
<br />'Ilhe foregoing instrument Vias acknowledged
<br />Before me this __ day of ___, 19_
<br />by
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and who[] did []did not
<br />
<br />o who has produced
<br />(type of identifioation)
<br />and Hho Odid DHd not take an oath
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or st.amped
<br />
<br />Name typed, printed or stamped
<br />
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