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<br />~. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed reetrictions~ which
<br />may be mOre restrictive than City regulations. The undersigned assumes responsibility fer
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTR.ll.C'TOF RESPONSIBILITIES
<br />If the owner has hired a contractor or ccntractors to undertake work, they may be require~
<br />to be licensed in accordance with stat& 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 contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they ar.e advised to contact the
<br />City of Zephyrhills Building Department, 813-780-0020:
<br />Furthermore, if the owner hae hired a contractor or contractors, he is advised to ha'lE< th8
<br />contractor(sl sign po~tions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as thG owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign ae contractor that may be an indica~ion that he is not properly license~ and is
<br />not entitled to permitting privileges in the City of Zephyrhil1s.
<br />C. TRANSPORTA'rrON It-IPACT FEES ANP UTILITY CONNECTION FEES
<br />P. CON3'l'RtJCTUION LIEN LAW (CHAPTER 71.3, FLORIDA STATUTES, ,ll.S At--lENDED)
<br />I certify that I, the applicant, have been provided with a COpy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture
<br />and C0nsun1er Affairs. If the applicant is some>Jne other that the "owner", I eerily that I
<br />have obtained a COpy of the abo7e described document and promise in good faith to deliver
<br />it. to the "owner" prior to corn.mencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all thQ lnformation in this application is accurate and that all work will
<br />be done in compliance !41th all appli<c~ble laws :regulatin9 construction, zoning, and lanel
<br />devel(:>pment.
<br />Application is hereby made to obtain a permit to dOt10rk and installation as indicateC'L I
<br />c.ertify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will b~ performed to meet standards of all laws regulating construction, City
<br />codes, z\.)ning regulations, and land de,relcpmant regulations in the j uriscUctJon. I aLlo
<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: *Oepartment of
<br />Kn'rircnmental Regulation-Cypxess B~lyheads, Wetland Areas and EnVironmentally Sensi ti 'Te
<br />Lands, Water/wastewater Treatment
<br />*Southl4est Florida Water l'1anagement Di.strict-Nells, Cyp:r:ess BayheadS, Wetland J~reas,
<br />Altering Watercourses
<br />*Army Corps of Engin~ers-seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-wells,
<br />Wastewater Treatment, Septic Tanks
<br />.0. S. Envi :ronmental Protecticn Agency-Asbestos a.batem&nt
<br />I also certify that, if fill material is to be used in Flood Zone PAn or "A,etc.H, 1t is
<br />'..lnrlerstood that a drainage plan add1:essing a "compen88ting volume" will be subm.i.tted !"thien
<br />is pr~pared by a professional engineer registered in the State of Florida prior to permit
<br />j SSI.lance_
<br />A permit issued shall be construed to be a license to proceed With the work and not as
<br />a~thority to violate, cancel, alter, or set aside any prOviSions of the technical codes,
<br />nor shall lSSDar.ce of a pet'mi t prevent the E'Cdlding Official from ther8after requh'ing ct
<br />correction of errors in plans, 8onstruction, or violations of any code. ~very permit
<br />j.ssued Shall became irNalid unless the I-lark authorized by Such permit is cornmenced vdthin
<br />six months of i8suance, Ot if Ivork a'..ltho.ri:?ed by ths pe.rrrd.t is .sUSpended Or abandoned fora
<br />perio,..! of .six rnonths aftel.' the time the \vork ~s comIl'ienced. One 90 day extension of tlme
<br />may be .aLlcHed for the pe.rmit with fee chal"le of ~;15. 00. 'I'he ext€<nsion Shall be requested
<br />1n writing to the Building Official. A~ approved inspection mUst be logged during each six
<br />month period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE, T'O RECORD A [\10'I'T.C2 OF (:ONMENCEMEIU MA.Y RESULT IN YOUR.
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUP PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, (~ONSULT
<br />WITH YOUR LENDER OR JI.N AT'fORNEr" BEFORE RECORDING YOUR NO'I'ICE OF COHHENCEMENT. .JOBS f.JNDEP
<br />$2,500 IN VALUE DO NOT NEED 'ro RECORD AND POS'],' A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />--..:...
<br />
<br />STATE OF FLOH.IDA
<br />COUNTY OF __
<br />The foregoing instrument Was acknOwledged
<br />B6!fore mE! Una _ d,:'lY of , 2Cl.-
<br />by__~_
<br />(name of persOD acknOWledged)
<br />Owho is personally known to me, or
<br />
<br />o Nho has produced__
<br />(type of identifi~ation)
<br />and l"he)D diet Ddid not take an oath.
<br />
<br />SIGNATURE; CONTRACTOR
<br />
<br />-----..----..-
<br />
<br />STATE OF FLORIDA
<br />COUN'l'Y OF
<br />Th8 fcre90ing instrument was acknovlleclged
<br />Before me thls _.__day of____, 20
<br />by
<br />(name of pers0n acknowI9dg~d)
<br />Chho is personally known to me, Or
<br />
<br />o who has prOduced__
<br />(type
<br />and ~...ho 0 did O::!:Ld not:
<br />
<br />Signature of person taking acknowledgement
<br />
<br />-
<br />of identification)
<br />take an cath
<br />
<br />---
<br />
<br />NamA typed, printed or stamped
<br />
<br />Signature of p~rson taking aCknOwledgment
<br />
<br />Name typed, printe~ or stamped
<br />
<br />----
<br />
<br />--Z . d_6t09' or.j_
<br />
<br />SlliHd,~Hd3Z jO lIJ
<br />
<br />2Z:8 FOD? 'Z2'Je~
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