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<br />A, NOT.ICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations, The undersigned assumes responsibility for
<br />compliance with any applicable 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 iocal 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 ~pplication for which they
<br />will be responsible, If you, as the owner signs as the contractor, you are indi~ating 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 b7 requeste~
<br />in writing to'the Building Official, An approved inspection must be logged dur~ng each s~x
<br />month period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTIC ENCEMENT MAY RES
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INT D TO OBTAIN IN
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING OUR NOTICE OF ,EN MEN
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A" :rICE OF 0 ENC M
<br />
<br />SIGNATURE: OWNEROR..~NT
<br />
<br />STATE OF FLORIDA ~~
<br />COUNTY OF' &4&0
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by_
<br />
<br />
<br />IN YOUR
<br />CING, CONSULT
<br />JOBS UNDER
<br />
<br />acknowledged
<br />, 2CL-
<br />
<br />CONTRACTOR ... '.
<br />
<br />~--9.) )
<br />COUNTY OF .../ ~...5~.A'
<br />The fOregoi~.' strument wa~cknOWledged -
<br />
<br />~;fore m~'~4-d~f:~ ,20~
<br />
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />
<br />(name of person acknowledged)
<br />Owho is personally known to me,or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and whoO did Odid not take an oath.
<br />
<br />o who has producedfl 7)L ;;;-()()- c;>?lr5';'-/I,,/,-o
<br />/,._' (type of identification)
<br />
<br />t-.~~ r:t::;~;;::r
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name t.~d' prird-<=>.iI sqJetldl\aamped
<br />"N ~ -'&lJ:mle
<br />/~ .~ MY COMMISSION # 00268763 EXPIRES
<br />~*:, J8.1 February 22. 2008
<br />~l\.....~... BONDeD'lH~~OYF""NINSUR"'NCe.INC.
<br />--Jl,ff.Qfllf:","'"
<br />
<br />Name typed, printed or stamped
<br />
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