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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that thi:1 p'e:rmit 1M}' b.t! sub}~c:t 1:0 "deed restrictions" whi~h
<br />may be more restrictive than Cityrl!qu!altioJ:1s .ritl! ulIldt!rsiqned assumes responsibility for
<br />compliance with, any applicable deed res t.rictiQ):1.5.
<br />B. - UNLICENSED CONTRACTORS AND CONTIU\CTOR R~S;l?OI~S:CBILI'l':ce:S
<br />If the owner has hired a contracto,t; OJ: 'c:ont.ca,::t':>J:S to l.ulderl:ake work, they may be required
<br />to be licensed in accordance with stale and !o,:=nl regu.lations. If the contractor is not
<br />licensed as required by law, both Uw owner and conLracb:>r mcay be cited for a misdemeanor
<br />violation' under sta~e law. If the mme.[' or int'~nded ':::c:>ntrad:or are uncertain as to what
<br />" licensing requirements may apply for the, intend,:!d wor:lt" they are advised to contact the
<br />City of Zephyrhills Building Department, 813-'7BB-661l.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />", "
<br />will be responsible. If you, as the owner signll as the contractor, you are indicating that
<br />you, .rather than the contractor, are responsibll! for the work. If the contractor wishes
<br />you 'to sign as contractor that may be an indication that he is not properly lisensed 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, FLORID}\ 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 conunencement.
<br />E. CONTRACTOR'S/OWNER'S AFFI0AVIT
<br />1 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 inQicated. ,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 ~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 />.Altering 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.H, 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. 1\n approved inspection must be logged during each six
<br />month period, or the project wi!l be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ~Y RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITIl YOUR LENDER OR AN A'fTORNEY BEFORE RECORDING YOUR NO'rICE OF COMM CEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORO AND POST A NOTICE OF COMMEN
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />;Pfl.;;,\'.~'
<br />
<br />. STATE' OF' FLORIDA
<br />.COUN'1'Y'.OF
<br />The,foregoing instrument was acknowledged
<br />Before me this day of , lL
<br />by .
<br />"(name of person acknowledged)
<br />Clwho is personally known to me, or
<br />
<br />Cl wh~ has pr~duced
<br />(type
<br />and whoDdid Ddid not
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this day of
<br />by
<br />
<br />ackn<;)wledged
<br />, 19~
<br />
<br />(name of person acknowledged)
<br />Dlho is 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 Ddid DUd not take. an oath"r' . .',
<br />
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<br />S1gnature of 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
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