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<br />A. tlOTIO~ OF DEE:U RESTfUCTIOI,IS <br />The undersi'd'ned understands I:hal: this pennit may be subject. to "deed restrictio/ls" vllIic:l1 <br />may be lIIore restricl.ive than Ci,ty regulations. The llndelsiqned assumes respollsild 1 it.V h)1 <br />compliance \'lith any applicable deed restrictions. <br />B. UNLICENSED CONTRACTORS AI'll) CONTRACTOR RESPOIJST 81 L l.TU:S <br />If the OI,mer has hired a contractor or contractors to undertake vlork, they may be requi reel <br />to be 1 icensed in accordance ,-lith state and local reguLations. If tile cord'rac:tor is /101 <br />1 icensed as required by Jaw, both tile ol'iner alld conl:lactor may l,e cited lor a lIIisdellleallor <br />violation under stale 10.,,1. If the o"mer or intended c:olllracl'.or are uncertain as to I"hat <br />licensing requirements lIIay apply for tile intended vlark, they are advised to cU/ltacl, the <br />City of Zephyrhills Bui ldi nq Department, RJ 3-'/HO-(j020. <br />Furthermore, if the owner has hired a cOlltract:or or cO/ltractors, he .i s advised to have I.lip <br />contractor(s) sign portions of the "Contractor Sectio!ls" of this appliL;alion for vJhich tllt;V <br />vJi]l be responsible. If you, as tile owner signs as tile contractor, you ale illd.icaLinq l.lial <br />you, raLher than the contractor, are responsible for the \-Iork. If the conLI:ac:tor wishes <br />you to siyn as contractor that may be an indical;ion that he is not properly licellsed dlld is <br />not entitled to permitting privileges in the City of ZephyrhilJs. <br />C. TRl\NSPORTI\TlON J[v1PI\C'I' FEES AND UTILITY cot'mEC'l'Iot-l FEES <br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORJDA STATUTES, AS AMENDED) <br />I certify that I, the appLicant, have been provided \-IHh a copy of "f'lorida's CO!lstrur:I,ion <br />l.ien Law - Homeowner's Protection Guide" prepared by the FluriJa Department of l\qr icuJl.uJf" <br />and Consumer Affairs. If the applicant is someone other that the "owner", r ceriiy 1 hat I <br />have obtained a copy of the above described ducument and promLse in (Juod faith I(l deliver <br />it to the "owner" prior to commencement. <br />E. CONTRACTOR' S/OWt'JER' S AE'E'J DA\l1 '1' <br />J certify that all the information in this application is accurate and that all \'lork Ivitl <br />be done in compliance with all applicable 1a,'ls requlating construction, zoning, and land <br />development. <br />Application is hereby made to obtain a pennit to do \"cnk andi.nstal.lali.oll as indicated. <br />certify that no vlork or instal Lation has commenced prior to issuance of a penni I dlld Lila! <br />0.1] work v1ill be performed to meet standards of al L la\-ls regulaUnq construcl:.iun, Cily <br />codes, zoning regulations, and land development reguJaLiuns in the jurLsdictio/l. I al~3o <br />certify that I understand that: Ule regulatjons of other governmental agencies IlIdY apply 10 <br />the intended 1'lOrk, and thaI, it is my responsibility to identify vlhat: actions I mllst: tal:e 10 <br />be in compliance. Such agencies include but are not limited to: "Department of' <br />Environmental Regulation-Cypress Bayl1eads, Wet land Areas and E:nvirolllnental Ly Sens i Li ve <br />Lands, Water/Waste\"ater Treatment <br />.Southwest Florida Water Managemerlt District-Wells, Cypress Bayheads, Wetland Areas, <br />Altering Watercourses <br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways <br />*Deparl:mellt of Heallh & Rehabilitative Services, EllvironmenLal lIeaLth 11IdL-\rvelJs, <br />WasteHater Treatmelll:., Septic Tanks <br />*U.S. Environmental Protection Agency-Asbestos abatement <br />I also certify that, if fill material is to be used in Flood ZOlle "II" or "/\,etc.", il is <br />understood that a drainage plan addressing a "compensaling vol IllTle" will be submi tted ,lid cll <br />is prepared by a professional engineer registered ill Lhe State of l"lorida prior tu pellld t <br />issuance. <br />A pennit issued shall be construed to be a license to proceed Hith the Hark and not as <br />authority to violate, cancel, alter, or set aside any provisions of the techn.ical codes, <br />nor sl1all issuance of a permil prevent the Building Official frolll tllereafter reqllirinq a <br />correction of errors in plans, construction, or violations of any code. Every permit <br />issued shall become invaliJ unless the vlurk authorized by such penni\: is commenced HiLhi/l <br />six months of issuance, or .if Hork authoriz.ed by the permit is suspended or abandoned for a <br />period of six IlIonths after the Lime the vlork is commenced. One 90 day extellsion of tillle <br />may be alLo\-led for the pennit v-lith fee charqe of $15.00. The extensioll sl1al I be requested <br />in vlriLinq to the Building Official. An approved inspection HIIISt be loqqed during each six <br />month period, or [,he proj eeL \'Iill be considered abande,ned. <br />WARNING 1'0 OWNER: YOUR FAILURE TO RECOI~[J A lJOTTCE OF' C:OHlvJENCEHENT ~11\Y RESULT III YOUR <br />PAYING TWICE FOR lt1PROVEMENTS TO YOUR PROPERTY. 1 f' YOU INTEND TU OBTAIN F (IJl\IK:UW;, (:()IJ~~IILT <br />WITH YOUR LEl'lDER OR l\tl 1\TTORtJF;Y BEFORE RECORDHJG YOUR l'lO'I'JCE OF COHME:t'lCE:t'1Etn'. ,JOBS UIIIIEI{ <br />$2,500 H1 VA E DO NOT NEED TO RECORD ANi) POST A "NOTICE UF' COt1MEN ,'HEI1T". <br /> <br /> <br /> <br />STATE UF FI,()Rl~ <br />COUNTY Of' Ya..oC 0 <br />The foregoing instrument wa~~"ledge~ J <br />Before ~e this~ day ~ __, 2C2_~ <br />by <... VQ\ ~ ~ <br />__ ~ of person acknowledqed) <br />~o is personally known La me, or <br /> <br />STATE OF Fl.ORI lJI\ ~ <br />COUIJTY OF a.a..c 6 _____'_'___ <br />T. he foregoing instrument \.-Ias aCk..nyvJledge.d ({ <br />Be. fore me tl\i s. ..l3~.)j'1Y of ~A.4. , 2() U'+ <br />by (_L..\~ .kr.t~ <br />_ ~ame of person acknoV'iledqed) <br />[B:i1'iO is personalLy known to me, 01 <br /> <br />of identif.ication) <br />take an oat-,h. <br /> <br />[J vlho lIas produced <br />(Iype of id~~lllifi(;al i()II) <br />O.Jid not tiike dll oaLl! <br /> <br />o vlho has produced__, <br />( type <br />and DcJid IIOt <br /> <br />Si <br /> <br /> <br />'\ <br /> <br /> <br />, " <br /> <br />It <br /> <br />ng acknOl-lledglllellL <br /> <br />I'Jame typed, <br /> <br />./ <br /> <br />stamped <br />~ <br />