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<br />A. NOTICE OF DEED RES~'RICTIONS
<br />The undersigned understands that this permit In.~'( b.<<! subj.:!ct to "deed restrictions" which
<br />may be more restrictive than City regulatiolls. . oriu! unde.rsiHned assumes responsibility fOI
<br />compliance with any applicable deed restrict:i()lla.
<br />B. - UNLICENSED CONTRACTORS AND CONTRACTOR RJ::SPON:SIUlLITU':S
<br />If the owner has hired a contractor or contJ:ad:o.r:fl to undert:ake work, they may be required
<br />to be licensed in accordance wiLh sLaLe and lOt:nl I'eguJ.Clltions. If the contractor is not
<br />licensed as required by law, both the owner and <:c,ntrclt:lc)r may be cit~d for a misdemeanor
<br />violation' under state law. If the owner or int:Emdled c:cmt:rac:tor are uncertain as to what
<br />0, licensing requirements may apply for the intenclE!d work, they are advised to contact the
<br />City of Zephyrhills Building Department, 8l3i-7EIEI-661l. ,
<br />Furthermore, if the owner has hired a contracte..t' or contractors, he is advised to have the
<br />contrac~or(s) sign portions of the "Contractor Sections" of this' application for which the
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating tha
<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 i,
<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 delLver
<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 perlnit to do work and installation as inqicated. ,I
<br />certify that no work or installatioIl 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 ~ctions 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 />.Al tering Watercourses"
<br />"'Army Corps 'of Engineers-Seawalls, Docks, Navigable waterways
<br />.Department of Health & Rehabilitative Services, Environmental Health Unit-Welts,
<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 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, or 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 A'rTORNEY BEFORE RECORDING YOUR NO'rICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND pos'r 1\ \\ o'nCE OF COMMENC
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />S
<br />
<br />. STATE' O!"FLORIDA
<br />COUNTY'OF
<br />The foregoing instrument was acknowledged
<br />Before me this day of , 1~
<br />by
<br />- .... (name of person acknowledged)
<br />[Jwho 1s personally known to me, or
<br />
<br />[J wb~ has pr~duced
<br />(type
<br />and whoD did Ddid not
<br />
<br />"'''':i:,:,'',~'
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this day of
<br />by
<br />
<br />acknc;>wledged
<br />, 19~
<br />
<br />(name of person acknowledged)
<br />Olho 1s personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />and who D did DUd not take. an oath 1':". ;..
<br />
<br />....,-~ ~..ii-""'...~r'>.":,:....."":;';':::-".". .;
<br />
<br />'"
<br />
<br />si'gnature 'Of person taking acknowledgement
<br />',~ ,.............____...'O.oIIKo..........-~..'
<br />
<br />. ~ ~ ' '! . .. ,., ,J,. .,.
<br />
<br />Signature of person taking acknowledgment
<br />
<br />~ ,t.... \.~"
<br />
<br />.~ . ..-- \. .
<br />
<br />Nametyped~ printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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