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<br />
<br />NOTICE OIl' j DEED RESTRICTIONS
<br />undersigned understands that this permit may be subject to "deed restrictions" which
<br />,ay be more restrictive than City regulations. 'fhe undersigned assumes responsibility for
<br />'ompliance with any applicable deed restrictions.
<br />. UNLICENSED CONTRACTOHS AND CONTRACTOR RESPONSIBILITIES
<br />f the owner rlas hired a contractor or contractors to undertake work, they may be required
<br />.0 be licenseJ in accordance with state and local regulations. If the contractor is not
<br />icensed as rJquired by law, both the owner and contr~ctor may be cited fo:r a misdemeanor
<br />iolation under state law. If the owner or intended contractor are uncertain as to what
<br />icensingreql,lirements may apply for the intended work, they are advised to contact the
<br />ity of zephyihills Building Department, 813-788-6611.
<br />'urthermore, if thl:'! owner has hired a contractor or contractors, he is advised to have the
<br />ontractor(s) isi9n portions of the "Contractor Sections" of this application for which they
<br />ill be respo~sible. If you, as the owner signs as the contractor, you are indicating that
<br />ou, rather tlt1an the contractor, are responsible for the work. If the con'tractor wishes
<br />ou to sign a~ contractor that may be an indication that he is not properly licensed and is
<br />at entitled to permitting privileges in the City of Zephyrhills.
<br />TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />CONSTRUCTUION ;LIEN LAW (CHAl'TER 713, FLORIDA STATUTES, AS AMENDED)
<br />certify thaf If the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's P,rotection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone ot.her that the "owner", I cerify that I
<br />ave obtainedla copy of the above described document and promise in good faith to deliver
<br />it to the "owiler" prior ~to corrunencement.
<br />CONTRACTO~'S/OWNER'S AFFIDAVIT
<br />I certify thai all the information in this application is accurate and that all work will
<br />e done in co*pliance with all applicable laws regulatin9 construction, zoning, and land
<br />development.
<br />pplication is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has corrunenced prior to issuance of a permi't and that
<br />all work will.be performed to meet standards of all laws regulating construction, City
<br />codes, zoningjregulations, and land development regulations in the jurisdiction. I also
<br />certify that t understand that the regulations of other qovermnental agencies may apply to
<br />the intended {vork, and that it is my responsibility to identify what actions I must take to
<br />be in complia~ce. Such agencies include but are not limited to: *Department of
<br />Environmental I Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*South~est Fl~rid~ Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Alteri~g Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Enviromnental Health Unit-Wells,
<br />Wastewater Tr~atment, Septic Tanks
<br />*U.S. Environ~ental Protection Agency-Asbestos abatement
<br />I also certifv that, if fill material is to be used in Flood Zone "A" or "A,etc,", it is
<br />understood thht 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 yiolate, 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 plaI;ls, construction, or violations of any code. gverypermit
<br />issued shall pecon;t.e invalid'unless the work authoriZed by suchpermlt is contrnencedwithin
<br />six months ofl issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of sixl months after the time the work is corrunenced. One 90 day extension of ,time
<br />may be alloweFI for the permit with fee charge of $15.00. The extension shall be requested
<br />iin 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 O~NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE iFOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN Il'INANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORI!: RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VAIiUE DO NOT NEED, TO RECORD AND POS'f A "NOTICE OF COMMENCEM'
<br />
<br />
<br />STAT OF FLORID~
<br />COUNTY OE' . v,C()
<br />The fOregO, ing instrument w'1facknOWledged
<br />Be~l1e t~s~ day of '. ~ , 19_
<br />by 't{ ~t .
<br />t. . (name Of... .peq. on, acknowledged) .
<br />ho is personally known .to me, or
<br />
<br />who has pr:oduced
<br />I ..... (type of identification)
<br />and 1000 did ! ff<fid nOfl;;}. k an oath.
<br />
<br />r _0At~01. IA
<br />
<br />Signature of ipet"son taking acknowledgement
<br />
<br />STATE OF FLORIDA rJJ,1 f'/J {)
<br />COUNTY OF ~14d c-
<br />'rhe foregoing instrument wg a .cknow ledged
<br />Before IJIe this \ '>\-- day of-_"'f, J ., j;9~
<br />by bAruU:? '&/Y},#1 F
<br />_ ~(name of person acknowledged)
<br />l3/ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />an<}j{:o Odid ..Btf{lnot take an oath
<br />
<br />l,J.)2d1d 1/), iJJ/Jd
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed,
<br />
<br />
<br />"'fI' Dana M. Ward
<br />tf: . .', MY C2.MIvII~# 09038228 exPIRES
<br />Name~~~ ~~, p ~n 1.P,lOo~tamped
<br />".71,(... F-,'(f'./ BONDED THRU TROY FAIN INSURANCE, INC.
<br />'18flll""
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