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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 mOl-e restrictive than City regulations. The undersigned assumes responsibiiity Lor
<br />compliance l'iith any applicable deed restrictions.
<br />B, UNLlCEHSED tOHTRACTORS MID COl'lTRACTOR RESPONSIBILITIE,S
<br />J f the owner has hired a contractor or contractors to undertake "'Iork, they may be required
<br />to be ]j censed in accordance I-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 misdemearlor
<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 />City of Zephyrhills Building Department, 813-780-0020.
<br />F'urthermore, 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, ra ther than the contractor, are responsible for the \'iOrk. I f the cont: ractor wishes
<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. CONSTRUC'l'UION LIEN LAW (CHAPTF~R 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided vlith 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 tile "owner~ prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<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 />Applicatioll 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 regula t ions in the j ur i sdict ion. I a Iso
<br />certify tllat I understand that tile regulations of other ~overnmental agencies may apply to
<br />the intended work, and that it is my responsibility to idelltify 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 arid Environmentally Sensitive
<br />Lands, Water/Wastel'iater 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 />*Departrnent 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,etc.~, it- is
<br />understood that a drainage plan addressing a "compensating vo111me~ will be submil:ted \'Ihich
<br />is prepared by 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 license to proceed \.'iith 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 tile Building Official from thereafter requiring 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 abandoned for a
<br />period of six months after the time the ~'Iork 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 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: YOUR FAILURE TO RECORLJ A !lOTICE OF COMtVJENCEt'1ENT ['JAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND 1'0 OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTOR1'lEY BEFORE RECORDIllG YOUR NOTICE OF Cm1~lENCF.t-1ENT. ,JOBS UNDER
<br />$2,500 IN Vl\LUE DO NOT t~EELJ TO PECORD AND POST A "NOTICE OF Cm1~1ENCE:t1ENT".
<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 />acknovlledged
<br />, 2 (L-.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this __-----'Jay of
<br />by
<br />
<br />acknowledged
<br />, ;~ ()
<br />
<br />(name of person acknol'lledged)
<br />[] '.-Jho is personally knm,m to me, or
<br />
<br />(name of person acknowledged)
<br />olho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />and whoD di d 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produned
<br />(type of identification)
<br />and >'iho Odic! O:iid !lot Lake an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Siqnature of person taking acknol'iledqment
<br />
<br />Na!l\e typed, printed or stamped
<br />
<br />Name typed, printect or sta!l\ped
<br />
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