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<br />". l~Ul..l.\...t. ut' lJj':;~[) H~STlU.CTJ..ONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance'with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state 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 />viol~tion under state law. If the owner or intended contractqr are uncertain as to what
<br />licensing requirements mrtY apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<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 which they
<br />will be responsible. If you, as the 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 as contractor that may be an indication that he is not properly licensed and is
<br />not entitled tq permitting privileges in 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 "Florida'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 cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR'f./OWNER'S AFFIDAVIT
<br />I certify that ~ll the information in this application is accurate and that all work will
<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 indicated. I
<br />certify 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, zoning r~gulations, 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. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Envi~onmentally 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 abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", 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 per.mit 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 within t
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for'~ .
<br />period of six months after the time the work is 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 L DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN "LUE DO NO" NEED TO RECORD AND POST ~ COMM]Z:~7"'
<br />
<br />
<br />
<br />SIGNATURE, ~CTOR
<br />
<br />
<br />STATE OF FLORIDAU. ?{' I /1j STATE OF FLORIDA
<br />COUNTY OF ~ I IV e.. (f"7 COUNTY OF
<br />The foregoing-instrument was acknowledged The foregoing instrument was acknowledged L
<br />Before me this d.S- 4a.Y of ~\l ' H.;.20DV Before me this ,;J-S day of ,T-y::I '-I, , 1:-9-..:J eX) /
<br />by ~ '(-C. '--\ C Y'-' yV ~ f;;, b cJ by (\ 'N rL '"I [j N.-0 "::) P b <J ,...,.c.. .,
<br />(name ~f person acknowledged) (name of person acknowledged)
<br />(::i!fwho is personally known to me, or ~ho is personally known to me, or
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<br />
<br />and whoD did
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<br />o who has produced
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<br />of identification)
<br />take an oath.
<br />
<br />Dwho has produced
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<br />and who Ddid ta:!id not take an oath
<br />
<br />Sign:~~r~ ~~ '::'r:;';a:i~}!:.n:~l;:nt
<br />
<br />
<br />Signature f person taking acknowledgement
<br />
<br />Name
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<br />typed, f!.M~ lliATO_lQped
<br />NO ARY PU8UC - STATE OF FLORIDA
<br />COMMISSION' CC.....5
<br />EX~IRES 112II2OI4
<br />BONDED THRU ASA 1-tH-NOTARY1
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<br />Name typed,
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<br />COMMISSION'
<br />EXPIRES 8121I2OO4
<br />'lONDED THRU ASA 1-88lW\10TARY1
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