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<br />A, NOTIGE OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this permit may be
<br />may be more restrictive than city regulations. The
<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 />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 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, 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 E"EES
<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 psrformed 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 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 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 proc7ed with the work a~d not as
<br />authority to violate, cancel, alter, or set aside any prov1sions of the techn1~al.codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requ1ring a
<br />correction of errors in plans, constructionl or violations of any c~de. Every permi~ .
<br />issued shall become invalid unless the work authorized by such perm1t is commenced w1th1n
<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 t1me
<br />may be allowed for the permit with fee charge of $15.00. The extension shall b7 requeste~
<br />in writing to.the Building Official. An approved inspection must be logged dur1ng each S1X
<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 ~O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANC~~~~ g~~~~LT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE~ENT.
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT.
<br />
<br />
<br />~~ .
<br />SIGNATURE: OWNE OR AGENT
<br />
<br />subject to "deed restrictions" which
<br />undersigned assumes responslbili~y for
<br />
<br />.0~-<
<br />
<br />SIGNATURE: CONTRAC
<br />
<br />STATE OF FLORIDA ~~L
<br />COUNTY OF r..A..-;;;7W
<br />The foregoing instrument was acknowledgeds-
<br />Before me this~ day qf::r~ ' 2~
<br />by L.J i II i 4.-.. -:r::>D..u l r'1
<br />(name' of person acknowledged)
<br />Owho is personally known to me, 'or
<br />
<br />~o has produced V. L-. .
<br />(type of identification)
<br />and 'did Odid not ke an oath.
<br />
<br />STATE OF FLORIDA 'Pa..'sU'O
<br />COUNTY OF
<br />The foregoing instrument wa5GaCknOWledged
<br />~ f .,........ 20 oS"
<br />Before me, this day ? ,-
<br />by LA): II .. "-'- l..V ',~
<br />(name of person ac nowledgad)
<br />C1ho is personally known to me, or
<br />
<br />~ has produced V. L . . .
<br />(type of identificat10n)
<br />and who aid ~id not take an oath
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