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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 />compl~ance 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 inten?ed 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 "Coritractor 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, a~e responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication 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 STA'rUTES, AS AMENDED)
<br />I certify that I, the applicant, Il<lve been pnJv i ded wil:h 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 commencement,
<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 cons"truction, 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 commenced 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 Trentment, 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 commenced 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 commenced, 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 inspection must be logged during each six
<br />month period, ~r the prOject will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />STATE OF FLORIDA OAS "
<br />COUNTY OF f j Co
<br />The foregoing instrument was acknowledged~
<br />BeforA- me this ~ day ofFtJFd..'Z"f~1?7, 20~
<br />by A-e.t>&D M .1c/I<....';JOf'J jC} (.M:>
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />~o has produced FL Vllitle~? U~
<br />~ (type of identification)
<br />~did no ta e an oath.
<br />
<br />.~~#-~#~
<br />
<br />SIGNATURE: ~RAC~
<br />
<br />STATE OF FLORIDA ~a
<br />COUNTY OF __L.nSC D
<br />The foregoing instrument wa~knowledged
<br />Before me this '2- day of '.4!:#fI(1I?#J, 20()~
<br />by ~(>12'>'.{) M. }.ltc-DON A-t..L)
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />~o has produced Pc.. ~ve~,} C;cgvstt'
<br />(type of identification)
<br />~ n t e an oath
<br />
<br />~.__..w~~
<br />SIGNATURE: OWNER OR GE
<br />
<br />
<br />ure tRfr. person taj{_ing a owledgement
<br />+0' ,.'., ~1> JAMES K. MCClAIN, JR.
<br />..w 1< MY COMMISSION' 00 179093
<br />
<br />typ~i~~a~d
<br />
<br />
<br />owledgment
<br />
<br />+o,~~:. ~~~~ JAMES K. MCCLAIN. JR.
<br />~. MV oo..'toII86I9N' 99 H9993
<br />Name typ~~n~ES?Apl2t.'RiTed
<br />~rt ClI' ,~~ iIOIIdId TllnIIudgIl NolIIy Strviall
<br />
<br />Name
<br />
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