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<br />L.Ui'H).l'l:.lUN;;> Ul: t:'.r:..~VJ..lT Al:~L))AVJ_'J:
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to ~deed restr:
<br />may be more restrictive than City regulations. The undersigned assumes respv.
<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 />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, 813-788-6611.
<br />Furtheonore, 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 to 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' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating const~uction, 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 c~nced prior toissuanc~ of a permit and that
<br />all work will be perfor.med 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 that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility ~o 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 />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*ADmY 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 wo~k and not as
<br />authority to violate, cancel, alter, or set aside any provisions oftheitechnical 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 wou.ut.hoi:i~d by Iluch perm1t is cODlDenced within
<br />"': ' . :,:,' '.' " 'c, ",.1
<br />six months of issuance, or if work authorized by the permit is suspended or 'abandoned for a
<br />period of six months after the time the work is commenced, One 90 day extension,?; tiwe
<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 COMMDICEMENT*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. JO~S ,1JNPER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
<br />
<br />.ch
<br />...lity for
<br />
<br />~I~~U~~Nr
<br />
<br />STATE OF FLORIDA( - ~
<br />COUNTY OF '--/7f..(
<br />cknOWledged,Th,e ,fo.r"egoing, i,n,s,t,~ nt"wa,Lt1aCknOWledged
<br />~(ji :~m~d.~(f ~ fJ;~9t~,~.!'_ ~~
<br />
<br />(name of person acknowledged)
<br />~hO is per80na~lY known to me, or
<br />
<br />o who has produced
<br />(type of identification]
<br />(and ~h~ Odid. ' ti,tid not)1k~ an oath
<br />~~<C).~~
<br />Signature of person taking acknowledgment
<br />
<br />STATE OF FLO
<br />COUNTY OF
<br />The foregoing ins~ument was
<br />Befo~ me thia . ,day.. of
<br />by KI :; ,
<br />(name of person acknowledged)
<br />)9lWhO is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoOdid &di~e an oath.
<br />
<br />\--1'?1 fiAJ A?G .9--,
<br />
<br />Signature of person taking acknowledgement
<br />
<br />
<br />s amped
<br />
<br />Name t
<br />
<br />
<br />
<br />............
<br />
<br />MARION I. r<:'lLER
<br />
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