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<br />f\, nUUCE OF DEED RESTRICTIOIJS
<br />The undersigned understands that this permit may be subject to ~deed restrictions" wllich
<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 und~r 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 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 indica~ion that he is not properly licensed arId 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 />lier law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and ('nsumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
<br />have <Jbtained a copy of the above described document and promise in good faith to deliver
<br />it ~ the ~owner" prior to commencement.
<br />E. ;ONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I clrtify that all the information in this application is accurate and tllat all work will
<br />be ~one in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Appli~ation 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 comp~iance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Wa~er/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 />*Depart::ment 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 whicll
<br />is prepared by a professional engineer reg~stered 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 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 COtolMENCE~1ENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUI.T
<br />WITH YPUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO T NEED TO RECORD AND POST A "NOTICE OF COMMEN MENT".
<br />
<br />
<br />
<br />STATE OF FLORI~ ~
<br />COUNTY OF ~~
<br />The foregoing instrument was acknowledge~,/
<br />Before me t is I:A. day of <.. ~i1..v, 20IZ::f
<br />by .
<br />~name of erson a knowledged)
<br />~ho is personally known to me, or
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF rOAJcrJ
<br />The foregoing instrument was acknowledged_,1
<br />Before me th~s Xf)tJ.day of -~~ 2012z:
<br />by ( JVtAy--:5 hCf'-€F
<br />(name of person acknowledged)
<br />~ is personally known to me, or
<br />
<br />and who Ddid
<br />
<br />
<br />Signat
<br />
<br />
<br />of identification)
<br />take an oath.
<br />
<br />of idenlification)
<br />not take an oath
<br />
<br />"
<br />
<br />"'I
<br />
<br />owledgment
<br />
<br />Name t
<br />
<br />""
<br />
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