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<br />A., NOTICE OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this per~it may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The unde!signed assumes responsibility for
<br />c~mpliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contraotors to undertake work, they may be required
<br />to be licensed in accordance with state. and local regulat1ons. If the oontractor is not
<br />lioensed as required by law, both the owner and contractor may be cited tor a misdemeanor
<br />violation under state law. If tho 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 adv1sed to have the
<br />contraotor(s) sign po;tions 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, ~ather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as oontractor that may be an indioa~ion that he is not properly licensed and is
<br />not entitled to permitting privileges ~n the City of Zephyrhills,
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY 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 uFlorida's Construction
<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 cerity that I
<br />have obtained a copy of the above described dooument and promise in good faith to deliver
<br />it: to the "owner" 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 wor~ will
<br />be aone in compli,ance with all applicable laws regUlating construction, zonin9, and land
<br />development.
<br />Appliqation is hereby made to obtain a permit to do ,work and installation as indicated. I
<br />certify that no work 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 construotion, 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. Suoh 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 _ba~ement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or uA,etc.rl, it is
<br />understood that a drainage plan addressing 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 beoome invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned forla
<br />period of six months after the time the work 1s commenced. 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 COMMENCEMENT. JOBS UNDER
<br />$2,500'IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this _____ day of , 2lL...
<br />by
<br />(name of PQrson acknowledged)
<br />Owho 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 />aCknowledged
<br />, 20~
<br />
<br />of identification)
<br />take an oat.h.
<br />
<br />(name of person acknOWledged)
<br />CHho is personally known to mo, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and who Odid O::i.1d not take an oath
<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 />
<br />l 'd
<br />
<br />066v'ON
<br />
<br />SlllHHAHd3Z jO AIIJ
<br />
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