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<br />A, NOTICE OF DEED RES'fRICTIONS
<br />The und..rllic;lned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City r..gulations. The undersigned assumes re"pon"ibility for
<br />compliance with any applicable deed restrictions.
<br />B, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner hall hired a contractor or contractora to undertake work, they may be required
<br />to be licensed in accordance with atate and local regulation$. If the contractor i~ not
<br />l~censed as required by law, both the owner and contractor may be cited tor a m!.demeanor
<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, 613-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions ot the "Contractor SectionsN 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 wiahes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privi~ege5 in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. COMSTRUCTUION 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 Flori~a Department of Agriculture
<br />and Conlll.ll11er Affairl!l. If the applicant 1i11 someon.. other that the "owner", r eerily 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 conunencement,
<br />E, cOIITMCTOR' S/OWNER' S ^,,'FlDAVIT
<br />I certify that all the informa~ion in this application is accurat_ and that all work will
<br />he don~ in compliance with all. applicable laws regulllting construotion, zoning, and land
<br />development,
<br />Application is hereby n~de to obtain a permit to do work and installation liS indicated. I
<br />certify that np work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all lawa regulating constr~ction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I alao
<br />.c~rtify that I understand that the regulations of other governmental agenci., ~ay apply to
<br />the intend~d work, and that it is my responsibility to identify what actions I m~st take to
<br />be in compliance. Such ag~ncies include but are not limited to: ~Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally 5en$itive
<br />Lands, Water/Wastewater Treatment
<br />*south\/est Florida Water Management District-Wella, Cypr~ss Bayhesds, Wetland Areas,
<br />Altering Watercourses
<br />'Army Corps of En9ineers-Seawalls, Docks, Navigable Waterways
<br />'Departlnent of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />'U.S, Envirorunental Protection Ageney-Asbestoil abatelllent
<br />I also certify'that, if fill mat.rial i8 to be used in Flood Zone ~AN or "A,ete.H, it is
<br />understood that a drainage plan addressing a "compensating volumeN will be submitted whieh
<br />is prepared by a professional engineer registered in the State or Florida prior to permit
<br />issuance.
<br />A permit issued shall b. construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor ahall issuance of a permit prevent the Build~ng Official trom thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permdt
<br />iSsued shall become invalid unless the work authorizOQ by such permit is commenced within
<br />six hlonths of issuance, or if work Authorized by the permit is suspended or abandoned for a
<br />period of $~X months after the time the work is commenced, One 90 day extension ot time
<br />""tV \". "llowcd fo.. I.h" 1'''~lnit with fee charge ot SIb.OO. 'I'll.. exten"ion shall be requ-.ated
<br />in writing to the Building Official. An approved inspection ~UBt be logged during each six
<br />mouth period, or the project wili be considered abandoned.
<br />WARNING TO OWNER. YOUR FAILURE TO Rf:COW A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE rol\ IMPROVEMENTS TO YOUR PROPERTY. II!' YOU INTEND TO OBTJUN FINANCING, CONSULT
<br />WITt! YOUR LENDER OR .AN ATTORNEY BEFORE Rji:CORDING OU~ NOTICE Ol!' COHHENCEM T. J BS UNt>I!:P.
<br />$2,500 IN VALUE DO. NOT NEED TO RECORD.AND POST A " OTICE OF COMMENCEMl!:NT'.
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing in.strument wall
<br />Before me this _ day of
<br />by
<br />
<br />acknowledged .
<br />20~
<br />
<br />STAT~ OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowl.~.d
<br />Befor.. me this _day of ,_
<br />by
<br />(name of person acknowledged)
<br />[1ho is per.so>>ally known to me, or
<br />
<br />(name of p"rson acknowledged)
<br />Dwho is per$onally known to me, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and whoO did Ddid not take an oath.
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and who Odid [}:lid not take an oath
<br />
<br />~igllatllre of person taking acknowledgemenL
<br />
<br />Signature ot person taking acknowledgment
<br />
<br />HOOl"'" Lyped, p~inted or ..tamped
<br />
<br />H..hI.. typ..<.I, printed or stamped
<br />
<br />,.".,'1 "'1:
<br />
<br />: 1: 11!.i'I!,lr Ii ), II~i
<br />
<br />rlV7[:Ii[ "(IIF 'C:7'/P~1
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