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<br />A. NOTIC~ OF DEED RESTRICTIONS
<br />Tile undersigned understands that this permit may be subject to "deed restrictions" wh ic:h
<br />may be more restLictive than City regulations. The undersigned assumes responsibi 1 ity tOl
<br />compliance with any applicable deed restrictions.
<br />8. UI'-JLICENSE;D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />I f the mmer has hired a contractor or contractors to \lndertake work, they llIay be leqlll] ":(1
<br />to be licensed in accordance with state and local regulations. If the contractor 15 nuL
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanol
<br />violation under state law. 1 f the owner or intended contractor are uncertain as to wllctt
<br />licensing requirements may apply for the intended work, they are advised to contact till:
<br />City ot Zephyrhills Building Department, 813-780-0020.
<br />turtherrnore, if the owner has hired a contractor or contractors, he is advised to have Lht,
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which trle)!
<br />IIi11 be responsible. If you, as the owner signs as the contractor, you are indicatiny tl'e,l
<br />you, rather than the contractor, are responsible for the Ivork. If the contractor wishes
<br />you to sign as contractor that may be an indicat,ion that he is not properly licensed and :03
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION H1PACT fEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUrON LIEI'-J LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "florida's ('onstllH't i(ll!
<br />lien La\v .- Homeowner's Protection Guide" prepared by the Florida DeparLment of l\gric\J1LllLt::
<br />and Consumer Affairs. If the applicant is someone other that the "owller", I cerify t1lot
<br />have obtained a copy of the above described document and promise in good faith to del]ver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />1 certify that all the information in this application is accurate and that aJ] work w!ll
<br />be done in compliance with all applicable laws regulating construction, zoning, and lal;d
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated,
<br />certi fy that no work or installation has commenced prior to i.ssuance of a permit and t.Jldt
<br />a1.1 work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. T a1 :;()
<br />certify that I understand that the regulations of other governmental agencies may appl'/ 1'(,
<br />the intended ~vork, and that it is my responsibility to identify what actions I IIluSt taKe,)
<br />be in compliance. Such agencies include but at'e not limited to: 'DeparLment of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastelvater Treatment
<br />'Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlalld Aleas,
<br />Altering Watercourses
<br />· Army Corps of Engineers-Seal-Ialls, Docks, Navigable Waterways
<br />'[Iepartment of Health & Rehabilitative Services, Environmental Health Uni.L-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />'U.S. Environmental Protection Agency-Asbestos abatemenL
<br />r also certify Lhat, if fill material is to be used in Flood Zone "A" or "l\,elc.", it lS
<br />understood that a drainaeJe plan addressing a "compensating volume" will be submitted Ivilicit
<br />is prepared by a profess i.onal engineer registered in the State of Florida prior to penni 1.
<br />issuance.
<br />[~ permit issued shall be construed to be a license to proceed with the work and not as
<br />aut.hority to violate, cancel, alter, or set aside any provisions of Lhe techn.ical. code",
<br />nor shall issuance of a permit prevent Lhe Buildiny Official from Lhereafter l-equiring d
<br />correct.ion of errors in plans, construction, or violations of any code. ~very penli.t
<br />issued shall become invalid unless the work aut.horized by such permit j,s cOllunenced Ilit_hL"
<br />~;jx months of issuance, or if \'JOrk authorized by the permit is suspended or abandoned fOl 6
<br />period of six months after the time the work is cornmenceu. One 90 day extension of Lili\e
<br />may he allowed for the permit with fee charge of $15.00. The extension shall he requE::oted
<br />in writing to the Building Official. An approved inspection must be logged during eaC:i s..,\
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOlJR
<br />PAYING TWICE; FOR IMPROVE;l>1EtJTS TO YOUR PROPERTY. If' YOU INTEND TO OBTlUN FINANCI NG, COIISU ,T
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE; RECORDING YOUR NOTICE Of COMM~NCEMENT. JOBS UNliEk
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE Of COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />S I GNATU1<.E :
<br />
<br />CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by __
<br />
<br />acknol-il edged
<br />2 CL.-
<br />
<br />STATE; OF FLORIDA
<br />COUNTY OF
<br />The foreyoing instrumenl was dckr,owl edeJ'elJ
<br />Before me this _day 0[----.-, 2
<br />by
<br />(name of person ackno\'ll.edged)
<br />Ovho _i s personally known t.o llIe, or
<br />
<br />(name of person acknowledged)
<br />o Ivho is personally known to me, or
<br />
<br />o \'Iho has produced____.
<br />(type of identification)
<br />and I-lhoOdid Odid nol Lake an oath.
<br />
<br />o vlho has prodLlced__.
<br />(type of icJelJt.i Ijcal:i 'I,)
<br />and who Odjd Dhd !lot take an oalL
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknolvlecJqm"nl
<br />
<br />I,jallle Lyped, prillted or stamped
<br />
<br />l-.Jarne typed, pcinted or sLamped
<br />
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