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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 assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. 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 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 law. If the owner or intended coptractor are uncertain as to what
<br />fi~E(nsin<J 4~q..,lir.elJll=nts may apply for the intehde.d ,.wor;k, ,\they are' .i1'<3vti~ed to contact the
<br />CitY'6f ZE;~l'1'yrhi'::'ii'f; Building Department, B13-tsa':0020: .. ,'.'
<br />Furthermore, if, the. ~~~r ~l~S ,i,\irEJ<l.'~ f.o~tractor OJ; :,.;~~t'~~~~~, ~~',l~~\ad:ised to h~ve the
<br />contractor(s) slgn portlons of tfi~ \~ontractor Sectlons" of t5lS appllcatlon for WhlCh they
<br />will be responsible. I f you, as the o~er signs as the contractor, you are indicating that
<br />you, rather than the contractor, are "'re'sponsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication 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 U'J;ILITY 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 Constrllction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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 cormnencement.
<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 done in compliance with all applicable laws regulating construction, zoning, and land
<br />d 1 t . o. ,- . ,..,
<br />eve opmen . "; .:":"~ oj".. -::.~ \.;". J 1;.~"'\'1.'~
<br />Application is hereby made to obtain a permit to do work and installation as indicated, I
<br />certify that no work or installation has cormnenced 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 jurisdiction. I also
<br />certify that I 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 of Engineers-Seawalls, Docks, Navigable Waterw~}1s~. C"'
<br />*Department of Health & Rehabili tati ve Services, Environmen'tal' H~alth Uni t-WeJ J s,
<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 ~ddressing 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 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 cormnenced 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 cormnenced. One 90 day extension of 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 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 />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR. NOTICE OF COMMENC;E('1ENT, clOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND P,?S,'{f/\ ~\:~1'I.c'E OF\C.oM.MENG::~t-JT": '
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />acknm\1ledged
<br />20_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The for~going instrument was acknowledged
<br />Before me this _day of , 20
<br />by
<br />(name of person acknowledged)
<br />Qho is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />of identification)
<br />take an oath,
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and who Ddid Qiid not take an oath
<br />
<br />Dwho has produced
<br />(type
<br />and whoD did Ddid not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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