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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restricticims" K'1ich
<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 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 whes
<br />you to sign as contractor that may be an indication that he is not properly license ind 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 Crstruction
<br />lien Law _ Homeowner's Protection Guide" prepared by the Florida Department of ~riculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", T drify that I
<br />have obtained a copy of the above described document and promise in good f _h 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 tl at all work will
<br />be done in compliance with all applicable laws regulating construction, loning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and insta11 ,iti)n as indicated. I
<br />certify that no work or installation has commenced prior to issuance 0' a permit and that
<br />all work will be performed to meet standards of all laws regulating cc ,struction, City
<br />codes, zoning regulations, and land development regulations in the jUl i idiction. I also
<br />certify that I understand that the regulations of other governmental ~ Jencies 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: *; [urtment of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Envil rnentally 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.8. 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 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 IMPRO MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER 00 A TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUr' r.h I '1'i1 RFTilRn AND POST A "NOTICE OF COMfVlR~""
<br />
<br />SIGNATURE: CQ!!f""
<br />
<br />~~~~~Y O~/LORIDA ~d lr::J..)UJ~1..-
<br />
<br />The foregoing instrument waWknoWledgev~
<br />Before me this ~day of ----;T"~, 20_
<br />by
<br />~ (name of person acknowledged)
<br />EHho is personally known to me, or
<br />
<br />SIGNATURE:
<br />
<br />STATE OF FLORIDA' /.i--'L f) 1h..'1/\,\ . /
<br />COUNTY OF ~~LJ:'>:,-"')A.lftL1V~Jt1.../
<br />The foregoing instrument was ack owledge~ ~
<br />Before me this ~ day of Cj1UL ,2Q~.
<br />by
<br />.-// (name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />o who has
<br />
<br />Owho has produced
<br />(type
<br />o did not
<br />
<br />
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name
<br />
<br />type<J""'~"CI. {~~~~"~rJaMltegfu ed
<br />. . " tvl; Cc,n1mlSsi0I1 DD026G; 2
<br />~1'- .. ~
<br />'t cP"'" IX[liI'es Sepra,;,lJer 10. 200b
<br />
<br />Name
<br />
<br />typed, printed or stamped
<br />R"';" .~. Kimberly Kay Daugette
<br />. '6JI '; My Commission DD026612
<br />'!>.(~:~ -
<br />1lt"ff'v<' [,pires Septei.lber 10, 200h
<br />
<br />""
<br />
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