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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 [or
<br />compliance with any applicable deed restrictions,
<br />B. UNLICENSED CONTRACTORS AND Cot'lTRACTOR RESPONSIBILITIF,S
<br />Jf the owner has hired a contractor or contractors to undertake l..Jork, they may be requi red
<br />to be 11 censed in accordance l'lith state and local regulations, If the contractor is !lot
<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 />licensillg requirements may apply for the intended work, they are advised to contact the
<br />C'i ty of Zephyrhil 1 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 />Hill be responsible. If you, as the owner signs as the .contractor, you are indicating that
<br />you, ra ther than the contractor, are responsible for the \vork. I f the cont ractor wishes
<br />you to sign as contractor that may be an indicatioIl that he is not properl y U ceIlsed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C, TRANSPORTATION H1PACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION 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", I cerify that I
<br />have obtained a copy of tile above described document and promise in good faith to deliver
<br />it to the "01^1I1er" prior to conunencement,
<br />E, CONTRACTOR' S!OWNER' S AFFlDAVIT
<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 />Applicatioll is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no \'JOrk 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!Waste\vater 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 Hea I th Unit-Wells,
<br />Waste\'later 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,ete,", it is
<br />understood that a drainage 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 licerise to proceed \,lith 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 rerluiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shali become invalid unless the Ivork authorized by such permit is commenced Hithin
<br />six montlls of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the \vork is corrunenced. One 90 day extens ion of time
<br />may be allowed for the permit with fee charge of $15.00, The extension shall be requested
<br />in IrTriting to the Building Official. An approved inspection must be logged during each six
<br />month period, or the proj ect \vill be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A nOTICE OF COMt'1ENCEt'1ENT ('JAY RESULT It~ YOUR
<br />PAYING TWICE FDR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND 1'0 OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN l\TTORI'JEY BEFORE RECORDING YOUR NOTICE OF COfvH/1ENCE:l'lENT, clOBS UtlDER
<br />$2,500. Hl Vl\LUE DO NOT NEED TO RECORD AND POST A "llOTICE: OF C,'0l'1l'1ENCEt1ENT" ,
<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 />COUl'lTY OF
<br />The foregoing _instrument Ivas
<br />Before me this ___day of
<br />by
<br />
<br />a c knolrJl edged
<br />20_
<br />
<br />acknowledged
<br />, 20
<br />
<br />(name of person acknowledged)
<br />o Vlho is personally kno\'ill to me, or
<br />
<br />(name of person acknoHledged)
<br />Dlho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and Ivholl di d 0 did not
<br />
<br />of identification)
<br />take an oath,
<br />
<br />OHho has produced
<br />(type of identification)
<br />and who Ddid D:Ud not take an oath
<br />
<br />Siynature 0 f person taking acknOlvledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printeci or stamped
<br />
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