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<br />MAR/Ol/2005/TUE 10:37 AM ZEPHYRHILLS BUILDING
<br />
<br />FAX No. 813-780-0021
<br />
<br />P. 003
<br />
<br />A. NOTICE OF DEED RESTRICTlON$
<br />Th~ unde~signed understands that this permit may' be
<br />may be more restrictive than City regulations. The
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES .
<br />li the owner has hired a contractor or contractors to underta~e wo~k, they may be required
<br />to be licensed in accordance wit~ 5ta~e' and local regulations. If the contractor is not
<br />licensed as.required by law, both the owner ~nd 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 tor the intended work, they are ~dvised to contact the
<br />City of Zephyrhills Building Department, 8l3-780-0020~
<br />Furthermore, if the owner has hired a contX'actor or contractors, he ia' adviaed to have the
<br />contractor(s) sign po~tions of the "Contractor Sectionaff of this ~pplication for which the~
<br />will be responsible. If you, as the owner signs as the contracto~,you are indicating' that
<br />you, rather than the contractor, ate.responsible for the work. If the contractor wishes
<br />you to si9n as contractor that may be an indica~ion that he is not proper~y licensed and is
<br />not entitled to permitting privileg~s in the City of Zephyrhills;
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D.' CONSTROCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that 1, the applicant, haye been provided with a oopy of "Florida's Construction
<br />lien Law - aomeowner's Protection Guide" prepared by the Florida Department of AgX'iculture
<br />and Consumer Affairs. If the applica~t is someone other that the "owner", I cerlfy that:r
<br />have obtained a copy of the above qescribed document a~d,pX'Qmise 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
<br />be lione in compl~ance with all applicable laws regulating
<br />development. '
<br />Appliqation is hereby made to obtain a permit to do ~ork 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 regulationa, and land development regulations in the juriSdiction. I also '.
<br />certify that I underatand that th~ regulations of other governmental agencies may apply .to
<br />the intended W9X'k, 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: *DepaFtroent of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmental19 Senaitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management Plstrict-Wells, Cypress Bayheads, Wetla~d Are&s,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Doc~s, Navigable ~aterways
<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 registe~ed in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed witn thewor~ and not aa
<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 Officia~ from thereafter requiring a
<br />correction of errors in plans, construction, ,or ~iolationB of any cOde. Every permit
<br />issued shall become invalid unleSB the work authorized by such permit ~s commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned fo~ la
<br />period of six months after the time the wqr~ 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, or.the pX'oject will be oonsidered abandoned. '
<br />WARNING TO OWNER; YOUR FAILURE TO RECORD A NOTIC~ Oi COMMENCEMENT MAY R~SULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T.O OBTAIN FINANCING, CONSOLT
<br />WlTH yOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. . JOBS ONDER
<br />~2,500'IN VALUE PO NOT NEED ~O'RECORD AND POST' A "NOTICE OF CO~MEN~EMENT". '
<br />
<br />-
<br />subject to "deed ~estriction5" which
<br />unqeFsigned aBsumes, responsibility for
<br />
<br />accurate and tha~all WOX'K will
<br />construction, zoning, and land
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />ThE> f
<br />Bef "e
<br />by >__.
<br />(na~6r persqn
<br />~o_(ls personally
<br />
<br />
<br />owledge4c:.
<br />, 20J2!:.J
<br />
<br />STATE Oli' Ii'I.ORIllA
<br />COUNTY OF
<br />The foregoing instrument.was acknowledged'
<br />BeforE> me thia ------1!a'y of , 20...-
<br />by .' , ' ,
<br />(name of parson acknowledgedl
<br />Chha is p~rsonally known to me, or
<br />
<br />o wl\o . has produced
<br />\type ot identification)
<br />and who Odid Odid not take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or $tampad
<br />
<br />Name ty
<br />
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