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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed rest.ricLi ons" VJI'j ell
<br />may be more restrictive than City regulations. The undersigned assumes respollsibilit.y fOI
<br />compliance with any applicable deed restrictions.
<br />B, UNLICENSED tOt~TRACTORS AND CONTRACTOR RESPONSIBIL 11'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance I,i t~h state and local regula,tions. I f 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 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 have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for I,hich they
<br />will be responsible. If you, as the ol'mer signs as the contractor, YOll are indicating t.hat
<br />you, :cather than tile contractor, are responsible for the \'iOrk. If the contractor wishes
<br />YOll to sign as contractor that may be an indica~ion that he is not properly licellsed and is
<br />not entitled to permitting privileges in the City of ZephyrhiJls.
<br />C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. COllSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs, I f the applicant is someone other Ulat the "owner", T cerify thaI l
<br />have obtained a copy of the above described document and promise in good faith Lo deliver
<br />it to the "ovlller" prior to commencement.
<br />E. COl~TRACTOR' S/OWNER' S AFFI DAVIT
<br />I certify that all the information in this application is accurate and that all I'lOrk \,i1]
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as illclicated. I
<br />certify that no I'JOrk 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 corlstruction, City
<br />codes, zoning regulations, and land development regulations in the jurisdictiem. I also
<br />certi fy that I understand that the regulations of other governmental agencies Inay apply l.o
<br />the intElDu"ep l.vo~f.,,'a\ld that it is my responsibility to identify what actions I mllSt. Lake to
<br />2l4Aaqc(.1~~~~11~'fh' agencies include but are not limited to: *Department of
<br />Envirc:~n'~ft.1f)Julation-Cypress Bayheads, Wetland Areas and EnvironmentaT I y Sensi U ve
<br />Lands ,':'w.eter fWastel'later Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlalld Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-WelTs,
<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, ete,", ,i tis
<br />understood that a drainage plan addressing a "compensating volume" I'Iil1 be submitted \-Ihich
<br />is prepared by a professional engineer registered in the State of Florida priur La permit
<br />issuance,
<br />P. 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 commenced vJithin
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned fen a
<br />period of six months after the time the I'JOrk is commenced. One 90 day extension of time
<br />may be allol'led for the permit \'Jith 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 FAII,URE 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'~;O:~RECORD AND POST A "!lO'rTCE OF COL'LMENCEMF,N'L'''.
<br />
<br />
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLi.,!.P.IDA
<br />COUt~TY OF _~~<..o
<br />The foregoing instrument VJas acknolvledged
<br />Bef~ me this~day of ~~ , 2C~
<br />by ~-bT~\<>r~"-
<br />...../ (name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUI~'I'Y OF~S<.. 0
<br />The foregoing instrument was
<br />Before me this _day of-
<br />by
<br />
<br />ackno~Jledged
<br />2()
<br />
<br />(name of person acknowledged)
<br />Qho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type
<br />C!l"did not
<br />
<br />o I'lho has produced ,________
<br />J (type of _iclenl ification)
<br />and ~Jho Ddid l~]did not Lake an oal:11
<br />
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person tdking i:Ickno~lledglllenr
<br />
<br />Name t
<br />
<br />llame typed, printed C)L- stamped
<br />
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