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<br />A. NOT!CE OF DEED RESTRICTIONS
<br />The und~rsigned 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 />compliahce with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the pwner has hired a contractor or contractors to undertake work, they may be required
<br />to be l~censed 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 o~ner or intended contractor are uncertain as to what
<br />licensi~g requirem~nts may arply for the intended work, they are advised to contact the
<br />City of! Zephyrhills Building Department, 813-780-0020.
<br />Further~ore, if the owner 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 ent~tled 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,sumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have ob~ained 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 AFFIDAV1T
<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 />developpent.
<br />APPli~a~ion is hereby made to obtain a permit to do work and installation as indicated. I
<br />certifYI that no work or installation has commenced prior to issuance of a permit and that
<br />all wor~ will be performed to meet standards of all laws regulating construction, City
<br />codes, jzoning 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 int~nded work, and that it is my responsibility to identify what actions I must take to
<br />be in cbmpliance. Such agencies include but are not limited to: *Department of
<br />Environbental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*South~est Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Alterin~ Watercourses
<br />*Army dorpsof Engineers-Seawalls, Docks, Navigable Waterways
<br />*Depart~ent of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewa\ter Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also kertify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
<br />understiood 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 />issuanc'e.
<br />A permiit 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 />correct!ion 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 jOf 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 period, 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 jTWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF MMENCEMENT. JOBS UNDER
<br />$2,500 ;IN VALUE 0 NOT NEED TO RECORD AND POST A CE OF COM CEMENT".
<br />
<br />
<br />AGENT
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF -
<br />The foregoing inst~ment wa~OWledged_I/-
<br />Before me th~s ~jlX_~f ~, 20 co:
<br />by fdL~J.~
<br />(name of person acknowledged)
<br />~is personally known to me, or
<br />
<br />a knowledged)
<br />known to me, or
<br />
<br />1
<br />
<br />Dwho!has produced
<br />(t pe of identification)
<br />not take an oath.
<br />
<br />Dwho has produced
<br />o (type of identification)
<br />and who Ddid [B:n:Ci ot take an oath
<br />
<br />
<br />Si
<br />
<br />
<br />"
<br />
<br />personit;,aking ack11:1\1\Hlh ment
<br />:,'yC]llll sb'I~e60cl25,2007
<br />, Commission # 00243970
<br />
<br />Name ttped, prftt'Eel!Pr@!d
<br />i ,',r.r...<'Ol\i~""
<br />
<br />I
<br />
<br />ledgment
<br />
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