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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 assumes responsibility for
<br />compliance \'1ith any applicable deed restrictions,
<br />B. UNLICF~NSED CONTRACTORS AtID CONTRACTOR RESPONSIBILITIE,S
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be Ucensed in accordance \'1ith 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 misdemeaIlor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensillg requirements may apply for the intended work, they are advised to contact the
<br />Ci ty of Zephyrhi 11 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 />will 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 \-Iork, If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licellsed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C, TRANSPORTATION ItvlPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUWN LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that 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", T cerify that I
<br />have obtained a copy of tile above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and tllat 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 no \'1ork 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 tllat 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 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 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 & Rellabilitative Services, Environmental Health Unit-Wells,
<br />Waste~'1ater 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,ete,", it is
<br />understood that a drainage plan addressing a "compensating volume" vJill be submil:ted \'Jhich
<br />is prepared hy a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A penni t issued shall be construed to be a licerise to proceed \'1ith the work and not as
<br />authority to violate, canoel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter reql1iring a
<br />correction 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 within
<br />six montlls of issuance, or if work authorized by the permit is suspended or ahandoned for a
<br />period of six months after the time the I-rork is commenced. One 90 day extension of time
<br />may be allm-/ed for the permit with fee charge of $15,00, The extension shall be requested
<br />in vJdting to the Building Official, An approved inspection must be logged during each six
<br />month period, or the proj ect \'1ill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A 110TICE OF COMl'1ENCEt'1ENT ['lAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORl'lEY BEFORE RECORDING YOUR 110TICE OF COtvltvlENCEMENT, ,JOBS UllDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "tlOTICE OF COMMENCEMENT",
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF' FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />STATE OF' FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this ___day of
<br />by
<br />
<br />acknowledged
<br />20_
<br />
<br />acknowledged
<br />, 20
<br />
<br />(name of person acknowledged)
<br />o who is personally knOlm to me, or
<br />
<br />(name of person acknowledged)
<br />Olho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and \'1hoO did 0 did not
<br />
<br />-
<br />of identification)
<br />take an oath,
<br />
<br />o who has produced
<br />(type of identification)
<br />and \\fho Odid O.HcI not take an oath
<br />
<br />Signature of person taking ackno"rledgement
<br />
<br />Signature of person taking ackno\'Jledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stan~ed
<br />
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