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<br />A. NOTICS 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 \vith any applicable deed restrictions,
<br />B. Ul'-lLICSNSED CONTRACTORS MJD CONTRACTOR RESPONSIBILITIES
<br />If the owner lIas hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance l'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 ZephyrhiJ I s Building Department, 813-780-0020,
<br />Furtllermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor (s) sign pOl'tions of the "Contractor Sections" of this application for which they
<br />I.lill be responsible, If you, as the owner signs as the contractor, you are indicaUn9 that
<br />you, rather than the contractor, are responsible for the \vork. If the contractor \vishes
<br />you to sign as contractor that may be an indication 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 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 t9 deliver
<br />it to tile "owner" prior to commencement,
<br />E. CONTRACTOR' S/OWNER' S AFFlDAVIT
<br />I certify that all the information in this application is aCCllrate 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 rIa 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 T 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-Seal'<lall s, Docks, l'-lavigable Waten'lays
<br />*Department of Health & Rellabilitative Services, Environmental Health Unit-Wells,
<br />WasteIVaLer 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" will be submil:ted which
<br />is prepared hy a professional engineer registered in the State of Florida prior to permlt
<br />issuance,
<br />A permit issued shall be construed to be a licelise to proceed \vith the work and not as
<br />authority to violate, canuel, alter, or set aside any provisions of tile technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter reqlliring a
<br />correction of errors in plans, construction, or violations of allY code, Every permit
<br />issued shall become invalid unless the work authorized by such permit is commenced I'd, thin
<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 work is commenced. One 90 day extension of time
<br />may be allo\'led for the permit with fee charge of $15,00, The extension shall be requested
<br />in 1'1r] ting to the Building Official, An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A tlOTICE OF COMl\1E[,}CEHENT ['JAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCII1G, CONSULT
<br />WITll YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER
<br />
<br />$~ ;LU~ DO NOT NEED TO RECORD AND POST 2ZMME;;~.
<br />
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF' fLORIDA
<br />COlJN'ry OF
<br />The foregoing instrument was
<br />Before me this __ day of
<br />by
<br />
<br />acknowledged
<br />, 20_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing jnstrument was
<br />Before me. I:his __day of
<br />by
<br />
<br />acknowledged
<br />, 20_
<br />
<br />(name of person acknowledged)
<br />[] who is personally knofm to me, or
<br />
<br />(name of person acknowledged)
<br />Dlho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and \vhoD di d 0 did not
<br />
<br />of identification)
<br />take an oath,
<br />
<br />o who has produced
<br />(type of identifJcation)
<br />and Ivho 0 di d O:iicl not take an oa th
<br />
<br />Signat\lre of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stalllped
<br />
<br />Nallle typed, printed or stamped
<br />
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