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<br />A. NOTIC.E 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 />1;o,:be.+icanl\ed'J:n accordance with state sind local regulations. If the contractor is not
<br />l~eans~d as 'required by law, both the own~r an~ contractor may be cited for a misdemeanor
<br />vlolatlon under state law, If the owner '00: intentled 'contt;a'~toriare :upcertain as to what
<br />licensing requirements may apply for the intended work, they are ~dvised 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 commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />ll'~e~t.ity t-aat all the information.inthis application is accurate and that all work will
<br />be do~e in compliance with'all ~ppllc~ble laws reg~latt6g cbn~t~~ction, zoning, and land
<br />development.
<br />Appliqation 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 />~ll 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 />~eftify.\t~a~~J understand that the regulations of other governmental agencies may apply to
<br />the .inten?ed'work, and that it is my responsibility to identify what actions I must take to
<br />'.b~'in compliance. Such agencies include but are not limited to: *Department of
<br />. . SnvJ,ronme,ntal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />" Lands', Wat:er /Wastewater Treatment
<br />"tSO'Ythwest 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 Protectiori 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 "compensatin{J, :volum~" wi.oi.A..\lJe sUDfllitted. which
<br />is prepared by a professional engineer registered in the State of 'Florida prior 'to' perinit
<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:t~e Buil9~ng pfficial. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned. .
<br />WARNING TQQWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY ,RESULT IN YOUR
<br />PAYING TWICE "FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INtEND'~O OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE. OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />acknowledged
<br />, 2~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _____day of
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _____ day of
<br />by
<br />
<br />acknowledged
<br />, 20_
<br />
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />(name of person acknowledged)
<br />O.who is pe~$~nally.~no~~ to me, or
<br />.:. .- ... .
<br />
<br />:9 who has produced
<br />(type of identification)
<br />and whoO did Odid not take an oath.
<br />
<br />o who has' produced.
<br />(type of identification)
<br />and wh~. Odid O:iid not take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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