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<br />I\. NOTICE OF DEF:D RESTRICTIOIIS
<br />The undersi'Jned understands thaI: this permit Hlay be subjecl. to "deed restJict.iolls" villi ell
<br />lIIay be HlOle restrictive than City regulations. The unclers.i<jned assumes respollsibi lily fCll
<br />compliance l'Ii Lh any appl i (cable deed restrlcUu/IS.
<br />B. UNLICENSIi;1) COI1TRACTORS AI'llJ CONTRACTOR RESPUl~STBILlTlES
<br />If the o"mer has hired a conlractor or contractors to undertake work, they may be lequi led
<br />to be licensed in accordance ,,,ith state and local regulations. If the cortl.ract.or is 1101
<br />licensed as required by lav", both the OI"ner alld conl:ractor may be cited fur a rnisdellleallol
<br />violation under slale lavi. lf the ovlTler or intended cOlltractor are uncertain as to \.,hat
<br />licensing requirements may appl y for the intended vlork, they are advised 1.0 contact the
<br />City of Zephyrhills BuilcLing Department, 8J3-780-0020.
<br />Furthermore, if the owner' has hired a contracl.or or cOlIl.racl:ors, he j s advised to have the
<br />contractor(s) sign porticJ!1s of the "Contractor SecLiolls" of lids application for Vildch they
<br />vli]l be responsible. If YOll, as the owner signs as the contracLcH, YOll are illd.icatillCj Lilat
<br />you, rather than the contractor, are responsible for the vlOrk. I f the contractor I-Jislles
<br />you to sign as contractor that may be an indicat~lon that he is not properly licensed alld is
<br />not entitled to permitting privileges in the City of Zephyrlli lIs.
<br />C. TRANSPORTATION H,1Pl\CT F'E:ES l\ND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION 1.1 EN LAW (CHAPTER 713, FLORI DA STATUTES, AS AMEIlDELJ)
<br />I certify that 1, the applicant, have been provided wilh a copy of "Florida's COllsl.lur:Lion
<br />lien Law ,- Homeowner's Protection Guide" prepared by the Florida Department of l\gricuJl.tlJe
<br />and Consumer Affairs. If the appUcant is SOllleone otller that lhe "owner", I eerily Illal ]
<br />have obtained a copy of the above described document and promise in good faiLh to deU vel
<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 al] \"lCJrk \.,i.ll
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a perrni\.. to do work and installaUoJl as indicated.
<br />certify that no vJOrk or i nstaJ lation has commenced prior to issuance of a permiL and thaI.
<br />all vlork "Iill be performed to meet standards of a 11 laws regulati nq canst ruct.ion, Ci Iy
<br />codes, zoning regulations, and land development reguJations in the jurisdictioll. [also
<br />certify that I understand that the regulations of other governmental agencies may appLy [0
<br />the intended "Iork, and l:llat, it is my responsibility to identify what: actions I HUlst take 1.0
<br />be in compliance. Such agenc.ies include but are not Umited to: ~Department of
<br />Environmental Regulation-Cypress Baylleads, Wetland l\reas and E:nvironmental] y 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 Heal th & Rehabilitative Services, Environmental Heallh [JniL-v~ell s,
<br />Waste~"aLer 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 "1\" or "n,etc.", il is
<br />understood that a drainage plan addressing a "compensaU ng vol nme" will be submitted ,Jld eh
<br />is prepared by a professional engineer registered ill Lhe State of flori da prior tu penni l.
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed witll 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 "lOrk authorized by such pennit is commenced withirl
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />perjod of sb; months after the time the vlOIk is commenced. (lne 90 day extens.ioll of time
<br />may be alJm"ed for the pend.L \.,itl1 fee charge of $15.00. The extension slla]] be requested
<br />in Viriting to the Buildin<j Official. An approved inspection must be logged during each six
<br />month period, or tile project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF Cm'lMENCEMENT Mny RESULT IN YOU\<.
<br />PAYING TWICE FOR H1PROVEMEN']'S '1'0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIlJANCII1G, C:(lll~~ur:t'
<br />WITH YOUR LENDER OR nil l\TTORtlEY BEFORE RECORDING YOUR NOTICE OF COtv]MEt'lcE~1Eln. ,JOBS UllDER
<br />$2,500 111 VAL DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENC~~ENT".
<br />
<br />
<br />
<br />STATE OF FLORI Dl\~
<br />COUNTY OF IQ.aC..O
<br />The foregoing instrument was~kn~ ledgecL I
<br />Before me ~his p day of '_. . _,_, 2(l,W'
<br />by ......... ~\ c...h.Q.~r
<br />.-J,name of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />STATE OF FLORIDA ~
<br />CO UN '1' Y 0 F r Q.....::1..C. 0
<br />1.'he . for egoing. ins trurner.lt \.,as~11vil edge(~, I
<br />Re fore me t!\i s ~ay of ~, 20'~
<br />by (. J~~~Y
<br />(name of person ackno\"] edged)
<br />~personally known to me, 01'
<br />
<br />OViho has produced
<br />(type
<br />and "11100 did OcHcJ Jla\.
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o I'lho has produced
<br />(type of identifical.iolJ)
<br />and v]l1o 0 di cI O:Jid no I: Lake a 1I (,a t11
<br />
<br />Signature of person takinq acknowledgement
<br />
<br />Si':jllature of person taking acknO\"ledyment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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