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<br />
<br />NOTICE OF DEED RESTRICTIONS
<br />
<br />~he undersign~d understands that this permit may be subject to "deed restrictions" which
<br />'f' ay be more restrictive than City regulations. 'rhe undersigned assumes responsibility for.
<br />i ompliance with any applicable deed restrictions.
<br />i,. UNLICENSED CONTRACTORS AND CONTRAC'rOR RESPONSIBILITIES
<br />of the ~wner tta~ hired a contractor or' contractors to und~rtake work, they may be required
<br />:~oo be llcensec!- Jon accordance with state and local regulatlons. If the contractor is not
<br />1.. icensed as required by law, both the owner and contractor may b~ cited for a misdemeanor
<br />: iolation under state law. If the owner or intended contractor are uncertain as to what
<br />iRicensing requirements may apply for the intended work, they are advised to contact the
<br />!~ity of Zephyrhills Building Department, 813-788-661l.
<br />!jFurthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />,pontractor (s) I sign portions of the "Contractor Sections" of this application for which they
<br />i~illbe responsible. If you, as the owner signs as the contractor, you are indicating that
<br />!~' au, rather than the contraqtor, are responsible for the work. If the contractor wishes
<br />iOU to sign as contractor th,at may be an indication that he is not properly licensed and is
<br />,ot entitled to permitting privileges in the City of Zephyrhills.
<br />1. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />I' . , .
<br />I. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />.. certify tha* I, the applicant, have been provided with a copy of "Florida's Construction
<br />i lien Law - HOlheowner's Protection Guide" prepared by the E'loridaDepartment of Agricul ture
<br />,I . .
<br />land Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />'I' ave obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />IE. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />iI certify that all the information in this application is accurate and that all work will
<br />ibe done in compliance with all applicable laws regulating construction, zoning, and land
<br />[development.
<br />I pplication is hereby made to obtain a permit to do work and. installation as indicated. I
<br />i certify that fio work or installation has commenced proior to issuance of a permit and that
<br />i all work will II be p.erformed to meet standards of all laws regulating construction, City
<br />!eodes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />[certify that':if: understand that the regulations of other governmental agencies may apply to
<br />ithe intended ~ork, and that it is my responsibility to identify what actions I must take to
<br />Ibe in compliapce. Such agencies include but are not limited to: *Department of
<br />[Environmentall Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />i*SouthV'/'est c'lprida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />lA1teri~g Wate~courses
<br />!*Army Corps oiE Engineers-Seawalls, Docks, Navigable Waterways
<br />I*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />iWastewater Tr~atment, Septic Tanks
<br />[*U. S. Environmental protection A.geney-Asbestos abatement
<br />II also certif~ 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 which
<br />I lis prepared by a professional engineer registered in the State of Florida prior to permit
<br />I issuance. . ,
<br />fA permit issued shall be construed to be a license to proceed with the work and not as
<br />i authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />j nor shall issuance of a permit prevent the Building Official from thereafter requiring.a
<br />icorrection of] er)::~rs in plal',1s, construction, or violations of any code. gvery permit
<br />i iissued shall pecoIlle invalid' unless the work: authorized by such permit is commenced within
<br />[six: monthsofl issuance, or if work authorized by the permit is suspended or abandoned for a
<br />I period of sixl months after. the time the work is commenced. One 90 day extension of.time
<br />I may be allowep for thep~rmlt with fee charge of $15.00. The extension shall be requested
<br />lin writing to! the Building Official. An approved inspec1:ion must be logged during each six
<br />I month period,1 or the project will be considered abandoned.
<br />[WARNING 'l'O OW~ER: YOUR FAILURE TO RECORD A NOTICE Olf COMMENCEMENT MAY RESULT IN YOUR
<br />! PAYING 'l'WICE IFOR IMPROVEMEWl'S TO YOUR PROPER'l'Y. IF YOU INTEND '1'0 OBTAIN lfINANCING, CONSUL'l'
<br />I WrrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'rrCE OF COMMENCEMENT. JOBS' UNDER
<br />,. i
<br />: $2,500 IN VALUE DO NOT NEED TO RECORD AND POS'I' A "NOTICE OF COMMENCEMENT".
<br />
<br />! SIGNATURE: OWNER' OR AGEN'l'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _day of
<br />by
<br />
<br />acknowledged
<br />19
<br />
<br />(name of person acknowledged)
<br />Dfho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Ddid O:iid not take an oath
<br />
<br />I
<br />I
<br />Signature of jperson takingacknowleclgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />I
<br />Name typed, prj.nted or stamped
<br />I
<br />
<br />Name typed, printed or stamped
<br />
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