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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned 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 />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 under 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 po~tions 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 and 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 />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", 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 conunencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done 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 installation as indicated. I
<br />certify that no work or installation has conunenced 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 compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/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 />*Department 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 which
<br />is prepared by a professional engineer registered in the State of Florida prior 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 conunenced 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 conunenced. 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 inspect' n mu t be 1 d during each six
<br />month period, or the project will be considered abandon
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A
<br />
<br />"-42~~~4~
<br />
<br />SiGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORrD~'-~ . ~ j)
<br />COUNTY OF _'::/ a....s c...-</
<br />The foregoing in~trument wa)!'l"-a'cknowledged.v
<br />Befor~e. this -P-dtPJ).' of ~",i)l ' 20-Z
<br />by i/~1Cl.//I[-t ~~J1fOC~
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />~~ has produced rJ J)L, t ~,}o-~-11-c163o
<br />(type of identification)
<br />and take.. an oath.
<br />..' .,,<, /
<br />,/ 1.7 . (),
<br />. ,-,J
<br />
<br />Signature of person taking acknowledgement
<br />
<br />
<br />S R
<br />
<br />,,(-'~
<br />STATE OF FLORIDA ,~
<br />COUNTY OF' '--;t t1-<5i' "I:;
<br />The foregoing instrument w~\acknowledged ./
<br />h' ~- d f' ~)'-~ 20 ()/f
<br />Befo:r?e t 18 .' .ay 0.7, . ' ~
<br />by ~<l? ---:> I~ _JI'~<
<br />(name 0 person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />
<br />~~ has produced A l> J.. ,-(S-.,5;J-7Jt.-Ioj" 32J'()
<br />(type of identification)
<br />and Who-EI~,)O ~it noya~e/:;, oa,:>
<br />.'?<) o-tff-rA.-<.- ~ -/1 ~ f #d< -V'
<br />Signature of person taking acknowledgment
<br />
<br />...\"'~""'I,
<br />
<br />Name ~~J:"~ print~iw~ped
<br />ff,*: :~ rvlY COMMISSION # 00268763 EXPIRES
<br />.,;>;'." ,..:'ij February 22, 2008
<br />';'f.,rjf"f,;if.:' BONDED THRU TROv FAJN INSURANC~ INC
<br />
<br />Name t~, n~Il1I~8SIOIU ~waRES
<br />O~', ~i February 22. 2008
<br />......1,i-:jjf.~~...:- BONDeD THRU TROY FAIN INSURANCE lNi-,
<br />
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