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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned asswnes responsibility for
<br />compliance with any applicable deed restrictions, .
<br />B. UNLICEJ.lSED CONTRACTORS AllD CONTRACTOR RESPONSIBILITIF,S
<br />If the owner lIas hired a contractor or contractors to undertake work, they may be required
<br />to be U censed in accordance \-lith state and 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 for the intended work, they are advised to contact the
<br />Ci ty of Zephyrhill s Building Department, 813-780-0020,
<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 />\~ill be responsible, If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the \vork. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not elltitled to permitting privileges in the City of Zephyrhills,
<br />C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUlON LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tllat I, the 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 Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of tile above described document and promise in good faith to deliver
<br />j t to tile "owner" prior to commencement,
<br />E, CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance 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 indicated. I
<br />certify that 110 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 J must take to
<br />be in compliance, Such agencies include but are not limited to: *Department of
<br />Environmelltal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<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 Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,e~c,", it is
<br />understood that a drainage plan addressing a "compensating volume" w.111 be submil~ted \~hich
<br />is prepared by a professional engineer registered in the State of Florida prtclr to permit
<br />issuance.
<br />A permi t issued shall be construed to be a license to proceed \~ith the work and not as
<br />authority to violate, canuel, 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 />cOl-rection 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 vliLhin
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />perlod of six months after the time the vlork is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15,00, The extension shall be req\lested
<br />in writing to the Bui Iding Official, An approved inspection must be logged dur lng each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOIJR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORI'JEY BEFORE RECORDING YOUR NOTICE OF COfvl~/lENCEfv1ENT, ,JOBS UnDER
<br />$2,500 IN Vl\LUE DO NOT t~EED TO HECORD AND POST A "tlOTICE OF I\XJ!'Jf~1ENCE[1~:n:::,
<br />
<br />C\,_ (~-d C) ~ \~\c:J~---.
<br />~ " -'--- ~'-.l:
<br />SIGNATURE: OWNER OR AGENT SIGNATUHE: CONTRACTOR
<br />
<br />STATE OF' FLORIDA
<br />COUN'!'Y OF'
<br />The foregoing instrument was
<br />Before me this __ day of
<br />by
<br />
<br />acknovJledged
<br />20_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _--,lay of
<br />by
<br />
<br />acknowledged
<br />, 20
<br />
<br />(name of person acknowledged)
<br />[] Hho is personally knOl'iO to me, or
<br />
<br />(name of person acknowledged)
<br />o,ho is personally known to me, or
<br />
<br />DHho has produced
<br />(type
<br />and \-IhoD di d Odid /lot
<br />
<br />of identification)
<br />take an oath,
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and who Odid O:lid not Lake an oath
<br />
<br />Signature of person taking acknOl-lledgement
<br />
<br />Signature of person taking acknOl-lledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />~lame typed, printed or stalllped
<br />
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