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<br />A. NOTIGE OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this permit may be subject to ~deed restrictionsfl which
<br />may be more restrictive than city regulations. The undersigned assumes responsibility for
<br />compliance with any appiicable 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 />1ieensed as required by law, both the owner and contractor may. be cited for a misdemeanor
<br />violation under state law. If the dwner 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 Zephyrhi11s 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, ydu 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 indica4ion 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, haye 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 />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 />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 />all work will be performed to meet standards of all laws regu1ating.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 bf 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 i~
<br />understood that a drainage plan addressing a "compensating volume" will be submitted whJ.ch
<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 p:ovisions of the techni~a1.codes,
<br />nor shall issuance of a permit prevent the Building OffJ.cia1 from thereafter requJ.ring a
<br />correction of errors in plans, construction, or violations of any code. Every permi~ ,
<br />issued shall become invalid unless the work authorized by such pe~it is commenced wJ.thJ.n ,
<br />six months of issuance, or if work authorized by the permit is suspended or a~andoned,for.a
<br />period of six months after the time.the work is commenced. One 90 day extensJ.on of tJ.me
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requeste~
<br />in writing to'the Building Official. An approved inspection must be logged during each SJ.X
<br />month eriod, or the project will be considered abandoned. .
<br />WARNIN~ 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 FINANC~N~~ ~~~~~LT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE~ENT. 0
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />acknowledged
<br />, 2L..
<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 />Owho is personally known to me, .or
<br />
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and wood did Odid not take an oath.
<br />
<br />o who has produced .
<br />(type of identification)
<br />and who Odid [}.:iid not take an oath
<br />
<br />f person taking acknowledgment
<br />Signature 0
<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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