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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that thi:J pE:rmi'l: m.ay b.e3 s1.lb}ect to "deed restrictions" whj.ch
<br />may be. more r.estrictive ,than City re3qulaltiolllS. ~I'h,! unde3rsiqned assumes responsibility for.
<br />compliance with, any applicable deE:d r.c!st:ricti.:ms.
<br />B. " UNLICENSED CONTRACTORS AND CON'rIU\G'fOR RES1>QNS:IIHL['l'1e:S
<br />If the owner has hired a contractc'r OJ: -c:ont,ca,::t.':>J:IJ to underl:ake work, they may be req~ired
<br />to be licensed in accordance with stilte and 1.,,:;.,\1 regu.Lations. If the contractor is not
<br />licensed as required by law, both tilE! owner and contract;o:>r may be citl1ld for a misdemeanor
<br />violation' under sta~e law. If the, owner or inbsmded ';:ontractor are uncertain as to what
<br />>, licensing requirements may apply fOJ: the intended work, they are advised to contact the
<br />City of Zephyrhills Building DepaJ:'tment, 81:3-'7:aa-661l.
<br />Furthermore, if the owner has hired a contracto;r or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this' application for which they
<br />will be responsible. If you, as the owner signll 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 indication that he is not properly lic,ensed 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 />I ce~tify that all the information in this application is accurate and that all work will
<br />be done in compl~ance with all applicable laws regulating construction, zoning, and land
<br />development. '
<br />Application is hereby made to obtain a permit to do work and installation as in4icated. ,I
<br />certify that no work or installation has commenced prior to iss,uance 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 lIealth & Rehabilitative Services, Environmental lIealth Unit-WeltS,
<br />Wastewater Treatment, Septic Tanks
<br />.U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill mat~rial 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 licensp. 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. Everype.r:mit
<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, or the project 'will be considered abandoned. .
<br />WARNING TO OWNER: YOUR FAILURE 1'0 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 A'rTORNEY BEFORE RECORDING YOUR NO'rICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'!, NEED '!'O RECORD AND POS'!, 1\ " O'l'lCE OF COMM ENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
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<br />
<br />S
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this day of
<br />by
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<br />ackn<;)wledged
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<br />of identification)
<br />take an oath.
<br />
<br />(name of person acknowledged)
<br />o,ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Ddid DUd not take.an oath1':-'''';:'
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<br />S19nature ot person taking acknowledgement
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<br />Signature of person taking acknowledgment
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<br />
<br />Name.typed~ printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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