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<br />C'JNV1'.l.'J.O"IS OF PERMIT AFI!'IDAVI'I'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands t~at this permit: may be suhject,to "deed rest:rictions" which
<br />may be more restrictive than City regulations. The undersigned aSI!lUmes responsibility for
<br />compliance with any applicable deed restrictiollB.
<br />B. UNLICENSED CONTRACTORS ANlJ CONTRAcTOR RE:SPONSIBIJ,l'l'IES
<br />If the owner has hired a contractor or contJ:.actors to undertake work, they nlay be required
<br />to be licensed in accordance witl. slate and local regulations. If the contractor is not
<br />licensed as required by law, bOUI the owner and contract:or 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 for the intended work, they are advised to contact the
<br />City ef 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 OWh'lH signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the ~ork. If the contractor wishes
<br />you to sign as contractor that may be an lndication 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 UTII,J'ry CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, F,LORIVA S'rATUTE1.J, AS AMENDED)
<br />I certify that I, the applicant, have belm provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's ProtectJon Gulde" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant :Ls 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 commencement.
<br />E. CONTRACTOR' SimmER'S AFFlDAVI'f
<br />I certify that all the information in thJLs application is accurate and that all work will
<br />be done in compliance with all a~plicabIE! laws regulating construction, zoning, and land
<br />development.
<br />Appllcation is hereby made to obtaln a pormJ.t to do work and installatlon as indicated. I
<br />certity that ho work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standelrds of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that.l understand that the reguleltions 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 ace not limited to: ""Department of
<br />Environmental RegUlation-Cypress Bayheadsl, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management Dist.l:ict-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of EngineerS-Seawalls, Docks, NavLgable Waterways
<br />*Department of Health Ii Rehabilitative SerVices, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />.,\oU.s. Environmental Protection AgencY-Asbestos abatement
<br />I also certify that, if fill material is to be used in 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 />A permit issued shall be construed to be a license to proceed with the work flnd 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 violatioIlS of any code, Every permit
<br />issued shall become invalid unless the lfoJ:k authoJ:ized by Buch permit is COlllllenced within
<br />six months of issuance, or if work authorized by the permit is SUspended or abandoned for a
<br />period of six months aftet the time the work is commenced. One 90 day extension of time
<br />may be allowed fOJ: the peJ:mit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged dtJrlng each six
<br />month period, or the project wlll be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAII,URE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESut:!' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INl'END TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE REGORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT D TO RECORD AND POST A "NO'I'ICE OF COMMENCEHEN'r, .
<br />
<br />
<br />
<br />'"
<br />
<br />STATE OF FLORID1\.-----;)
<br />COUNTY OF " -rao( t.J
<br />The foregoing instrument was acknowledged
<br />Before me t~is ~Jah of ,Jv~ , ~~)
<br />by '- L....rl V L ~y- ___
<br />(name of p'eJ:llon acknoJfledged),
<br />.~ is personally known to me, or
<br />
<br />o who has produced _
<br />(type of identification)
<br />and whoD did t take an oa th.
<br />las-Allen
<br />
<br />S'I'ATE OF FI.ORIDA ,~
<br />COUNtry OF I q..at ()
<br />The foregoing instrument was acknowledged
<br />Before me this ~ r1ai- o.'t '~I(A.A.I ,,)JJJ12l
<br />by ~'1 :Jet, cyz-y-
<br />(name of person acknowledged)
<br />o,l.v 1.s personally known to me, or
<br />
<br />Signature of
<br />
<br />
<br />isslon
<br />rnier~s:.'~_wledgemen I:
<br />" ~ Expires oct
<br />""'..(I...
<br />
<br />
<br />acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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