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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und~rsigned understands that this permit may be subject to "deed restrictionsH which
<br />may be ~ore restrictive than City regulations. The undersigned assumes responsibility for
<br />compliahce with any applicable deed restrictions.
<br />B. UNL~CENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the pwner 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 />license~ 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 />licensihg requirements may apply for "the intended work, they are advised to contact the
<br />City of! Zephyrhills BuildingDepar~ment, 813-780-0020.
<br />Further~ore, if the own~r has hired a contractor or contractors, he is advised to have the
<br />contrac~or(s) sign po~tions of the "Contractor Sections" of this application for which they
<br />will bel responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, ra~her than the contractor, are responsible for the work. If the contractor wishes
<br />you to ~ign 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. TRA~SPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONpTRUCTUION 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 La~ - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Con~umer Affairs. If the applicant is someone other that the "ownerH, 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. CON~RACTOR'S/OWNER'S AFFIDAVIT
<br />I certi~y that all the information in this application is accurate and that all work will
<br />be donei 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 install~tion as indicated. I
<br />certifyl that no work or installation has commenced prior to issuance of a permit and that
<br />all worik will be performed to meet standards of all laws regulating construction, City
<br />codes, Izoning regulations, and land development regulations in the jurisdiction. I also
<br />certif~ that I understand that the regulations of other governmental agencies may apply to
<br />the int~nded 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 />Environbental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, ~ater/wastewater Treatment
<br />*Southw~st Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Cbrps ~f Engineers-Seawalls, Docks, Navigable Waterways
<br />*Departrnent of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewa;ter Treatment, Septic Tanks
<br />*U.S. Epvironmental Protection Agency-Asbestos abatement
<br />I also ~ertify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
<br />understjood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is pre~ared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permilt issued shall be construed to be a license to proceed with the work and not as
<br />author~ty to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor sh~ll issuance of a permit prevent the Building Official from thereafter requiring a
<br />correc~ion of errors in plans, construction, or violations of any code. Every permit
<br />issued ishall 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 lof six months after the time the work is commenced. One 90 day extension of time
<br />may be iallowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in wri~ing to'the Building Official. An approved inspection must be logged during each six
<br />month 8eriod, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING iTWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO MENCEMENT. JOBS UNDER
<br />$2,500:IN VALU DO NOT NEED TO RECORD AND POST A "NOTICE OF COMME EMENTH.
<br />
<br />
<br />
<br />STATE ~F FLORID~
<br />COUNTY iOF
<br />The fO~egoin? ins ument waS~~ledgeq,/
<br />Before Ime th s Y of , 2~
<br />by ,
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<br />STATE OF FLORIDA ~
<br />COUNTY OF -
<br />The foregoing instttment wa~~~edgedl~
<br />Before me tht'S ~v:_~f ~, 20 (l!e
<br />by c.-l~rA~
<br />(name of person acknowledged)
<br />~is personally known to me, or
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<br />known to me, or
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<br />Owho!has produced
<br />! (type of identification)
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<br />o who has produced
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<br />and n oath
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<br />PublIC - state of F~rIda
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<br />Sign
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<br />wledgment
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<br />Name typed, printed or stamped
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<br />Name ttped, printed or stamped
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