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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 more restrictive than City regulations. The undersigned aSSUlnes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED COHTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />I f the ovmer has hired a contractor or contractors to undertake vwrk, they may be requi red
<br />to be licensed in accordance \'1i th state and local regulations. I f the contractor is /lot
<br />licensed as required by law, both the owner and contractor may be cited for 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 IJave 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 I'JOrk. If the conLractor Irlishes
<br />you to sign as contractor that may be an indicat;ion that he is not properly Jlcensed ancJ is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION J,IEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Constructiorl
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Departmellt of Agriculture
<br />and Consumer Affairs. If Lhe applicant is someone other that the "owner", I cerify Lhat 1
<br />have obtained a copy of the above described document and promise in good faith to dell.ver
<br />it to the "olrmer" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and tlJat all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, alld land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as illdicated. I
<br />certify that no vJOrk 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 regulations in the juriscJiction. [also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intencJed work, and that it is my responsibility to identify what actiorls 1 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 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,elc.", it .is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted "'/hich
<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 arId not as
<br />authority to violate, cancel, alter, or set aside any provisions of ttle technical codes,
<br />nor shall issuance of a permit prevent the Building Official from ttlereafter requiring a
<br />correction of errors in plans, construction, or violatio~s of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is commenced v,ithin
<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 exterlsion of time
<br />may be allo\'led for the permit \dth 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 RECORD A tl0TICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN F1NANCING, CONSULT
<br />WITH YOUR LENDER OR All ATTORNEY BEFORE RECORDING YOUR 110TICE OF CO[vJ[vjENCEMENT. JOBS UNDER
<br />
<br />
<br />~'U~~CORD AND POST!\ ~:~
<br />
<br />~;~~~WNER OR AGENT SIGNATURE: C01TRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUln'Y OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknowleuged
<br />, 2rL-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _day of-
<br />by
<br />
<br />acknowledged
<br />20
<br />
<br />(name of person acknowledged)
<br />o who is personally knOl'ln to me, or
<br />
<br />(name of person acknowledged)
<br />O,ho is personally knovm to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced .____
<br />(type of .iclellt.ificat:.ion)
<br />and l'Iho 0 did [].iid not t: a ke arl oa t: 11
<br />
<br />Signature of person taking acknOl'lledgement
<br />
<br />Signature of person taking acknOl'lledgmerd
<br />
<br />Name typed, printed or stamped
<br />
<br />llame typed, prilltecJ or stamped
<br />
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