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<br />A. NOTICE or DEED RESTRICTIONS
<br />The undersigned understands that this PQr~t may be subject to. "deed restrictions" which
<br />may be more restrictive than City regulatIons. The undersiqn~d ~ssumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />S. UNLICENSED CONTRACTORS AND CONTRACTOR 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 stat~ and local reQulations. If the contractor is not
<br />liceneed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. Ir the owner or intended contractor are Qncertain as to what
<br />licensing requirements may apply tor the intended work, they are advised to contact the
<br />City of zephyrhills Building Department, 813-780-0020,
<br />Furtnermore, it the owner has h1red a contractor or contractors, he is advised to have the
<br />concractor(s) sign Fortions of the "Contractor Seotions" of this application tor which they
<br />will be responsible, If you, as the owner signs as the contractor, you are indioating that
<br />you, rather than the contractor, are responsible for the work. It the contractor wishes
<br />you to sign QS contractor that may be an indioa~ion that he is not proPQrly licensed and is
<br />not entitled to permitting privileges in the City of ~ephyrhills.
<br />C. TRANSI?ORTA'l'ION IMPACT FEES AND UTILITY CONNECTION t1!:ES
<br />D. CONSTRUCTUION LIEN LAW lCHAPTER 713, FLORIDA STATOTES, AS AMENDEDl
<br />I certify that 1, the applicant, havQ been provided with a copy of "Florida's Construction
<br />lien Law - Hameown*r's Protection Guide" pr.Far~d by the Florida Department of Aqriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", ! ceriry that I
<br />have obtained a copy of the above desoribed 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 eertifY that all the info~ation in ~his application is accurate and that all work will
<br />be tione in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Appli~ation is hereby ma~e to obtain a permit to do .work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuanoe of a permit and that
<br />all work will be performed to meet standards of all laws requlating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify ~hat I understand that the regulations of other go~ernmental agencies may apply to
<br />the intmnded work, and that it is my responsibility to identify what aotions I must take to
<br />b. in compliance. Such agencieS include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayhead9, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management Distriot-Wells, Cypress BayheQds, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, DoCks, Navigable Waterways
<br />*Department ot Health & Rehabilitative Servicas, Environmental Health Unit-Welle,
<br />Wastewater Treatment, Septic Tanks
<br />wU.S. Enviropmental Protection Agenoy-Asbestos abatement
<br />1 also oelttlfy that. if fill material ill: to be used in FloOd ~one "AN or "A,etc.n, it is
<br />und$rstood that ~ drainage plan addressing a ncompensating volumen will be submitted which
<br />is prepared by a prof~.sional engineer registered in the St~te of Florida ~rior to perroit
<br />issuanC<3.
<br />A per~it 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 of the technical codee,
<br />nor shall issuance of a permit prevent the Building Offioial fr~ theteafter rsquirln9 a
<br />correction of errors in plans, construction, or violations of an~ oode. Every pe~t
<br />issued shall bec~e invalid unless the work authorized by such parroit is commenced within
<br />six months of issuance, or it work authorized by the permit is suspended or abandoned for 'a
<br />period of six months after the tLme the work is commenced. One 90 day extension ot 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 Offioial. An approved inspection must ~ l09Qed during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: 'fOOl'. FAILURE TO RE.CORD A NOTICi: Ol!' COMMENCEMi:NT MAY ReSULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE:RT'f. IF yOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER O!l. AN ATTORNEY BSFOIlE RECOROING YOUR ICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 ~N VAL~E 00 NOT NEED TO RECORD AND POST A ~NOTICE F COMMENCEMENT"'l
<br />
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<br />~b~h loll. vuP ~
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<br />SIGNA UR&;: OWNER OR AGENT SIGNATURE, CONTRACTOR-
<br />
<br />~;:~y O~F n.1frt,tf /!JOt' (JuC;1I
<br />
<br />The foregoing Iqstrument wa~.naC~Wledgedo3
<br />:;f'j!J /RlK r.g~ff!J of IV ~ I , 2~
<br />
<br />~~(nam~ of person acknowledged)
<br />~who is personally known to me, or
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