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<br />A, NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to ~deed restrictions" wh~ch
<br />may be more restrictive than City regulations, The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions,
<br />B,ONLICENSED 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 />licensed as. required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner 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 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 portions of the ~Coritractor 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 />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 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 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 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 project will be considered abandoned.
<br />WARNING TO OWNE R FAILURE TO RECORD A NOTICE OF COMMENCEMEN
<br />PAYING TWICE F EMENTS TO YOUR PROPERTY, IF YOU INTEND T
<br />WITH YOUR LEN TTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />$2,500 IN VAL EED TO RECORD AND POST A ~NOTICE OF COM
<br />
<br />STATE OF FLORIDA ; I () L ~ ~
<br />COUNTY OF <::::PJl{r~V16
<br />The foregoing inr;ument was k owledg:~,..-
<br />Before me this ay of , 2~
<br />.-'"1
<br />by
<br />/ (name of person acknowledged)
<br />Gtwho is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />
<br />
<br />ESULT IN YOUR
<br />FINANCING, CONSULT
<br />ENT, JOBS UNDER
<br />
<br />SIGNATURE:
<br />
<br />
<br />SIGNATURE: CONT
<br />
<br />
<br />(name of person ac nowledged)
<br />is persona~ly known to me, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and wno~ Ddid not ~ an oath.
<br />
<br />11.u 4 I VJJLjHJ
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and who DtJ' Delid not take an oath
<br />
<br />~~/j~ /-()(IIJ/&
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />i'''j' Kimberly Kay Oaugette
<br />. ~ ; My Commission 00026612
<br />~...~;f Expires September 10, 2005
<br />
<br />Name type in e 0 s amped
<br />. . My Commission 00026612
<br />~orf\oi Expires September 10, 2005
<br />
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