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<br />A. NOTIC~ OF DEED RESTRICTIONS
<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. UMLICENS&D CO~TRACTORSAND CON~~CTOR RESPO~SIBILITIES
<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. It 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 h.e. htred 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 />wtll 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 indica~ion that he is not properly licensed and is
<br />not entitled to permitting privileges ~n the City of Zephyrhills.
<br />C. TRANSPORTATION lMP~CT F~ES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUrON LIEN L~W (CH~PTER 713, FLORIDA STAtUTES, AS AMENDED)
<br />1 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 Jl,.ffairs. 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 corrunencement.
<br />E. CONT~CTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is aCCurate and that all Work will
<br />be tione 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 />certtfy that no work or installation has commenced prior to issuance of a permit ~nd that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand th~t 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 EnVironmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*$outhwest Florida Water Management District-wells, Cypress Bayheade, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Se_wal~s, Docks, Nav~gable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.8. ~nvironmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "AU 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 codest
<br />nor shall issuance of a p~rmit 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 per~it is commenCed within
<br />six months of issuance, or if work authorized by the permit is Suspended or abandoned for 'a
<br />period of si~ 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 $15.00. The extension shall be requested
<br />in writing to the 8uildin Official. An approved inspection must be logged during each six
<br />month period, or the projec will be considered aband ned.
<br />WARNING OWNER: YOUR FAIL RE TO RECORD A NOT!CE 0 COMMENCEMEN ULT IN YOUR
<br />PAYING CB FOR IMPROVE NT TO YOUR PROPERty. IE ~ INTEND TO OBTAIN F. ANCING, CONSULT
<br />WITH LENDER OR ~N T RN Y BEFORE RECORDING OTICE OF COMMEN E~ JOBS UNDER
<br />$ VALUE DO NOT E T.O RECORD AND POST A NO ICE OF CO~~ENCE NT'.
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<br />STATE OF FLORIDA / ,~, V /)
<br />COUNTY OF ~ t!... ~
<br />The foregoing inst~ument was aCknowledqed
<br />BOltore me thi$ ~ da~' of ~~ _, za2:/.
<br />by .e:;he\rw\/.l.h L. [J}(lll'/__
<br />~ (name of perSOn acknowledged)
<br />~who is personally known to me, or
<br />
<br />STATE Or FLORIDA
<br />COUNTY OF
<br />The foregoing in1tr~ent was acknowledged
<br />Before me ,this 11) ay of IMLlI-1 ,20 Q1
<br />by ;')hr..lly.,AtI.\ I . ((V..II<t>V
<br />mlho (name ot person acknowledged)
<br />~I is personally known to me, or
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<br />o who
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<br />of identification}
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<br />Sig pereo taking cknowledgement
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<br />Name typed, printed or stamped
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<br />ture pf pers 9 acknowledgment
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<br />Name typed, printed or stamped
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