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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this p.~t may be subject to ~deed restrictions" which
<br />may b. more restrictive than city regulations. ~h. ~nders1gned assumes responsibility for
<br />oomplienoe with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS ANb CONTRACTOR RESPONSIBILITIES
<br />If the owner ha. hired a contraotor or contractors to undertake work, they may be requir"d
<br />to b. licensed in accordanoe with state and local regulations. If the contractor i~ not
<br />l~censed as required by law, both the owner and contractor may be e~ted for A kd.demeanor
<br />violation under state law. It the owner or intended contractor are uncertain as to what
<br />l1censing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills auildinq Department, 813-788-6611,
<br />Furthermore, if the owner hlls:hired a contractor or contractors, he 18 advised to have the
<br />ccntractor(s) sign portions or the "Contractor Sect10naN of this application for which they
<br />will be responsible. If you, as the owner .igns 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 oontractor that ~ay be an indication that he i. not ~roperly licensed and is
<br />not entitled to per.mitt1nq 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 JlMENDED)
<br />I certify that I, th..applicant, 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 Affair.. If the applicant is someone other that the ~owner", I eerify that!
<br />have obtained a copy of the .bo~e described doc~ent and pro~.. in good faith to deliver
<br />it to the "ownerN prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the into~tion in this application ie accurat_ and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application 18 hereby made to obtain a permit to do work and installat10n ad indicated. I
<br />oertify that no work or installation has oommenced p~ior to issuance of a per~tt and that
<br />all work will be performed to meet standards of all laws regulating construotion, City
<br />codes, zoning re9ulat~on., and land development re9ulat~ons in the jurisdiction. I a180
<br />certify that I understand that the regulations of other 90ver~ntal agenoies 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 />Enviro~ntal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Waatewater Treatment
<br />*5outhweat Florida Water Management Distriot-Wells, Cypr~ss Bayheads, Wetland ArBas,
<br />Altering watercourses
<br />*Army Corps of Engineers-Seawalls, DockS, Navigable Waterways
<br />*Department of Healt~ , Rehabilitative Serviaes, 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 ~A" or "A,etc.H, it is
<br />understood that a dLainaqe plan addressing a "compensating volumeH will be aub~tted which
<br />is prepared by a professional engineer registered in the State of rlo~ida prior to permit
<br />iaauance. .
<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 technioal codes,
<br />nor shall issuanoe of a peDmit prevent the Building Official from thereafter requiring 8
<br />correction of errors in plans, construction, or violations of any oode. Every permit
<br />iSsued ahall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit i8 sU8pended or abandoned for a
<br />period ot eix monthe after the time the work is oommenced. One 90 day extension of time
<br />may be allowed for the pe~t with fee charge of $15.00. The extension shall be requested
<br />in writing to the Bu1~d1ng official. An approved inspection must be logged during each six
<br />month per1od, or the p~ojeot will be considered abandoned.
<br />WARNING TO OWNERI YOUR FAILURE. TO lU:CORD A KOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE fOR IHrROVEMI!:NTS TO YOUR PROPERTY. II!' YOU INTEND TO OBT,uN I'lNANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RBCORDING Y UR NOTICE or COHHENCEMI!:NT S UNtI!!:"
<br />$2,500 IN V~UE DO NOT NEED TO RECORD AND POST A ~ OTICE OF CQMMENCEMJNT",
<br />
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<br />
<br />STATE OF
<br />COUNTY 0
<br />The foregoing ~nt Wm40Wl~d~e9..",-
<br />Befo~i .1\l8. ~h.t(J, V day of OJl?
<br />by I ~J.n . ...I)~n
<br />.\.. (name of peuon acknowledged)
<br />~who is personally known to me, or
<br />
<br />
<br />
<br />of identification)
<br />take an oath.
<br />
<br />9who has produced
<br />I . . (type of identification)
<br />d who Odid not take an oath
<br />
<br />1/1 'd
<br />
<br />6698'ON
<br />
<br />SllIH~AHd3Z jO A1IJ
<br />
<br />~Vll:OI SOOl .8l.^~~
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