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<br />A, NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" 'Hhich-
<br />may be more restrictive than City regulations. The undersigned aSSIJmes responsibility for
<br />compliance witll any applicable deed restrictions,
<br />B. UNLICENSED CONTRACTORS All[) COl'lTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or.contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations, If the contractor is Ilot
<br />licensed as required by laH, both the owner and contractor may be cited for a misdemeanor
<br />violation under state laH. If the owner or intended contractor are uncerLai!1 as to what
<br />licensillg requirements may apply for the intended work, they are advised to contact the
<br />City of ZephyrhiJls Buil(Hng 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, rather than the contractor, are responsible for the \vork, If the contractor wishes
<br />you to sign as contractor that may be an indica~ion that he is not properly licerlsed and is
<br />not erltitled 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 Ilith 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 "o;.lller", 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 "owner" prior to commencement,
<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 />Application is hereby made to obtain a permit to do 00rk and installation as indicated. I
<br />certify that rlO 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 jurisdictiorl, I also
<br />certify tllat I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and tllat it is my responsibility to identify Hhat 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 Wateiways
<br />*Department of Health & Rellabilitative Services, Environmental Health Unit-Wells,
<br />Wastel^later Tl-eatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood 2011e "A" or "A, ete,", it: is
<br />under'stood that a drainage plan addressing a "compensating volume" w_ill be submil:tf,d I.,hicll
<br />is prepared hy a professional engineer registered in the State of Florida prLor to permit
<br />issuance,
<br />A permit issued slla11 be construed to be a licertse to proceed with 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 requiring a
<br />correction of errors in plans, construction, or violations of any code, Every permit
<br />issued sha1.L become invalid unless the Ivork authorized by such permit is commenced \'Iithin
<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 I'lork is conunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15,00, The extension shall be requested
<br />in writing 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: YUUR FAILURE TO RECORD A nOTICE OF COMlvJENCEl'1ENT t'lAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER
<br />$2,500 Hl VALUE DO NOT NEED TO RECORD Al'-lD POST A "NOTICE Of Cm1t1ENCE:HEtIT",
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />acknowledged
<br />20_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument Ivas
<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 />, 2()
<br />
<br />(name of person acknowledged)
<br />o Hho is personally knm'lll to me, or
<br />
<br />(name of person acknowledged)
<br />O,ho is personally known to me, or
<br />
<br />of identification)
<br />take an oath,
<br />
<br />Owho has produced
<br />(type of identification)
<br />and ,vho DeEd [}:iid not take an oatil
<br />
<br />o who has produced
<br />(type
<br />and l.,hoO di d 0 did not
<br />
<br />Si(jnatllre of person taking acknowledgement
<br />
<br />Signature of person taking ackno\^lledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />tlame typed, pr-lnted or stamped
<br />
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