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<br />~""'..--........."'-"....... -....-... J..~"'\4''''..I. ~J.,,:;";..Io.J..I4I.IIJ.,J..
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<br />A. NOTICE OF DEED RESTRICTIONS .....,..u
<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 />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intend~~ 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, h, 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, 88 the owner signs 8sthe 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 maybe 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 eopy of the above described aocument and promise in good faith to deliver
<br />it to the "owner" prior to comm.ncement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this applicatio~ is accurat~ 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 oommenced prior to issuance of a permit and that
<br />all work will be performed to meet .tand.rd. of. all law. 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 agenei..s .it:lclude butare.n9t~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 Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks .
<br />*U.S. Environmental Protection Agency-Aabe.to.~qate~ent
<br />I also certify that, if fill material i$ to be used in Flood Zone "A" or "A,etc,", it is
<br />understood that a drainage plan addressing a "qQmpensating 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, alte;, O~ .et aside any prOVisions of. the ,technical codes,
<br />nor shall issuance 'of a permit prevent the Building Offieid from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any'code. Every permit
<br />issued shall become invalid unle,. .to' w.9rk, authOdJied by such permit is commencred within
<br />six months of issuance, or if wo;k.~.~~o.d~..d:;!>.)':;i~h'.,:p~rmit is suspended .or abandoned for a
<br />period of six months alter the time the work is commenced. One 90 day extension of time
<br />may be allowed for theper.mit with fee charge of $15.00. The extension shall be requested
<br />in writing to the BUilding O~ficial~An approved inspection must be logged during each six
<br />month period, or the project will be Qonsidered ~bandoned.
<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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
<br />
<br />
<br />sroi1, A~'RZZ~A srGNA~ ~':1RA~?! A
<br />
<br />STATE OF FLORIDA n
<br />COUNTY OF' t::..N 0( 0
<br />The fOregOing, instrument wa. aCknOWledg~~
<br />Befo~ me thi~ 31 day of \{ J^J F , 20
<br />by (~RE~ 15~P~ .
<br />(name of person acknowledged)
<br />~o is personally known to me;'. or
<br />
<br />Dwho has produced
<br />, (type of identification)
<br />and whoO did ~ not take an oath.
<br />
<br />~ Al rtLP
<br />
<br />Signature of person taking acknowledgement
<br />
<br />STATE OF FLORID~ ~
<br />COUNTY OF fl < (' (()
<br />The foregoing instrument was~Okn~wle~e~
<br />Befor~ thi~ ~ay of -. NF, =::::+
<br />by 3~ F?(l/?
<br />_ ~name of person acknowledged)
<br />~o i. personally known to me, or
<br />
<br />8rzvCf' 4 A S/J[ L
<br />Name typed, pri~ BMte.-wPed
<br />!~ ;; My Commission 00116710
<br />'\;: 01' ,,";I Expires June 22. 2006
<br />
<br />R (2,(/[J /J. IJ.S" fJfL
<br />Name typed, printed or stamped
<br />gP '" Bruce A Asbel
<br />!~ .; My Commission 00116710
<br />'\;: 01' ,,";I Expires June 22. 2006
<br />
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