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<br />A. NOTICE Ot 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 unde~signed assumes responsibility tor
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CO~TRACTORS AND CONTRACTOR RES~ONSIBILITIES
<br />If the owner has hired a contractor or contractors to underta~e work, they may be required
<br />to be licensed in accordance with state and local regulations, If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited tor 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 />City of Zephyrhills 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 work. If the contractor wishes
<br />you to sign as contractor that may be an indica~ion that he is not properly liCensed and is
<br />not entitled to permitting privileges ~n the City of Zephyrhills.
<br />C. TRANS~ORTATION IH~ACT 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 ot Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerity that I
<br />have obtained a copy of the 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 that all work will
<br />be tlone in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Applic;ation is hereby made to Obtain a permit to do ,work and installation as indicated, I
<br />certify that no work or installation has commenced pr.ior 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 ! 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 ot Engineers-Seawalls, Docks, Navigable Waterways
<br />"Department 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, it till material is to be used in Flood Zone' "A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted Which
<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 license to proceed With the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions ~f 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 shall become invalid unless the work authorized by such permit is commenced within
<br />six months 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 allowed for the permit with tee 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 RECORD A NOTICE OF COMMENCEMENT MAY ReSULT IN YOUR
<br />~AYING TWICE FOR IMPROVEMENTS TO yOUR PRO~ERTY. 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 ,. VALUE DO NOT '''''D TD RECORD AND <>OS, A .~~~
<br />
<br />
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE, CONf'RACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />BQfore me this _ day of , 2L
<br />by
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and wrioD did Ddid not take an oath.
<br />
<br />
<br />o who has produced
<br />. ~ (type of identification)
<br />who (3"aid []did not
<br />
<br />Signature of person taking acknowlQdgement
<br />
<br />
<br />Signature of person tak
<br />
<br />l'rrk-^-.v I,JeV\~S
<br />
<br />Name typed, printed or stamped
<br />
<br />aCknowledgm A V. JENKS
<br />Notary Public, State of Florida
<br />~y semm. expo Jan. 15, 2005
<br />r:omm. No" CC 99341?
<br />
<br />Name typad, printed or stamped
<br />
<br />f . d
<br />
<br />lelf'ON
<br />
<br />SllIH~^Hd3Z :lOAll:) ~VfO:OI eOOl'l 'das
<br />2l:ll (3nl)8002-20-d3S awTl/~+eo x~
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