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<br />A. NO~ICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject: to "deed restrictions" whfch
<br />may be more restrictive than City regulations. The undersigned assumes responsjbility for
<br />compliance with any applicable deed restrictions.
<br />B. UNl.ICENSED 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, 813-780-0020.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign po~tions 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 indica~ion 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 tllat all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Appliqation is hereby made to obtain a permit to do work and instal19tion as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and 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 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 Environmentally 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 Ilealth 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 whicll
<br />is prepared by a professional engineer registered in the State of Florida p~ior 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 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 work authorized by such permit is commenced within
<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 ext;ension of time
<br />may be alJ.owed for the permit with fee charge of $1.5',00. The extension shall be requested
<br />in writlngtothe 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: XQUR FAILURE TO RECORD A NOTICE OF COMMENC;EMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR~MPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER~R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO ENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE Dp NOT NEED TO RECORD AND POST A "NOTICE OF COMMEN MENT".
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<br />SIGN~T:;t'~;dt~ SlGNATURE~\ CO C1'OR
<br />
<br />
<br />STATE OF FLORIDA ~ STATE Ot>FLORIDA ~
<br />COUNTY OF ro~'\( 6 COUNTY OF rOt s c 0
<br />The foregoing' inst~ment wa~ .~cJ,:noY'ledged Ll The foregoing in~tfRment was\,~~~~edged f..)
<br />Before me t~s ~dqy. of ~~~~':::-r 20.Q... Before me thi\l. ~cJ.aY of --:!,J!l4.. V---, 20 ~
<br />by,-lvVi'i ~lt::~~y by ,Jwc 'I ~(kf.f'
<br />^ ...---(name of person ac nowledged) (name of person acknowledged)
<br />nrwho is personally known to me, or thno is personally known to me, or
<br />
<br />Dwho has produced ~Qs produced
<br />(type . ( . p~ of identification)
<br />and [];kr'1d not tl'f'd not take an oath
<br />
<br />
<br />Name
<br />
<br />
<br />
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