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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" vvhich
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED COt~TRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may tle required
<br />to be licensed in accordance Ivith 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 misdemeanor
<br />violation under state lal'" If the mmer or intended contractor are uncertain as to v,hat
<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 ovmer 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 Ivhic:h they
<br />I'Jill be responsible. If you, as the owner signs as the contractor, YOll are .Indicating that
<br />you, rather than the contractor, are responsible for the \York, If the contractor Ivishes
<br />you to sign as contractor that may be an indicat;ion 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. CONSTRUCTUION I,IEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided VJith a copy of "Florida's ConstnwUon
<br />lien La\.J - Homeowner's Protection Gui.de" prepared by the Florida Departmenl-, of Agri culture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", f cerify Lhat J
<br />have obtained a copy of the above described document and promise in good faith Lo deliver
<br />it to the "oymer" 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 vJork vdU
<br />be done in compliance with all applicable lah1s regulating construction, zoning, and "land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as irldicated. I
<br />certify that no \'Jork or i.nstallation 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 jurisdictjon, ! also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended \York, and that it is my responsibility to identify what actions L mllst take Lo
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and EnvironmefltaJJy 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 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, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensatjng volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to pennit
<br />issuance.
<br />A permit issued sllall 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 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 ydthin
<br />six months of issuance, or if work authorized by the permit is suspended or abandofled for a
<br />period of six months after the time the work is commenced. One 90 day extens ion of t:.i me
<br />may be alloHed for the permit vJlth fee charge of $15.00. The extension sha.!l be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project Hill be considered abandoned.
<br />WARNHIG TO OWNER: YOUR FAILURE TO RECORD A 110'I'ICE OF COM~1ENCEtvlEN'I' MAY RESULT IN YOUR
<br />PAYING TlrHCE FOR I11PROVEHENTS TO YOUR PROPERTY. IF YOU INTE1~D TO OBTAIN FINMlCIIJG, COl~SUL'1
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO lJOT NEED TO RECORD Aim POST A "JJOTlCE OF COlvl1'1ENCEHEll'1"'.
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COmn'y OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />ackno\cJledged
<br />2lL
<br />
<br />STATE OF FLORIDA
<br />COLJI~TY OF
<br />The foregoing instrument \Vas acknowledqed
<br />Before me this _day of----_, 20
<br />by
<br />(name of person acknowledged)
<br />C1llO i.s personally known to file, or
<br />
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />O\Vho has produced
<br />(type
<br />and whoO did 0 did flOt.
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who flas prodllced___,___________
<br />(Lype of identification)
<br />and Ivho 0 did [}Hd not ta ke an oa tlJ
<br />
<br />Signature of person taking acknOl'lledgement
<br />
<br />Signature of person taJdng acknOlvledgment:
<br />
<br />llame t:iped, printed or stamped
<br />
<br />tJame typed, printed or stamped
<br />
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