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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The. unde~signed understands that this permit may be
<br />may be more restrictive than city regulations. The
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE:i
<br />If the owner has hired a contractor or contractors to uncertake work, they may be required
<br />to be licensed in accordance with state and local regula' lons. If the contractor is not
<br />licensed as required by law, both the owner and contract< " may be cited for a misdemeanor
<br />violation under state law. If the owner or intended cant' ctor are uncertain as to what
<br />licensing requirements may apply for the intended work, th yare advised to contact the
<br />city of Zephyrhills Building Department, 813-780-0020.
<br />Furthermore, if the owner has hired a contractor or contra tors, he is advised to have the
<br />contractor(sl sign pOrtions of the "contractor sections" ., this 'pplication for which they
<br />will be responsible. If you, as the ownsr signs as the ,ontractor, you are indicating that
<br />you, rather than the contractor, are respousible for the work. ,If the contractor wishes
<br />you to sigu as contractor that may be an indication that he is not propsrly 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, A~ AMENDED)
<br />I certify that Ii the applicant, have been provided with a copy'of "Florida's Construction
<br />lien Law _ Homeowner's, protection Guide" prepared by the Fl ,rida Department of Agriculture
<br />and Consumsr Affairs. If the applicant is someone other ",at the "owner", I cerify that I
<br />have obtained a copy of the above described document an' 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 '.s accurate and that all work will
<br />be done in compliance with all applicable laws regulatJ 1 construction, zoning, and land
<br />development.
<br />Appli,ation is hereby made to obtain a permit to do wo < and iustaliation as indicated. I
<br />certify that no work or installation has commenced prJor to issuance of a permit and that
<br />all work wiil be performed to meet standards of all l,,,ws regulating construction, city
<br />codes, zoning regulations, and land dev~lopment regulatioD~ in the jurisdiction. I also
<br />certify that I understand that the regulations of other go erumental agencies may apply to
<br />the intended work, and that it is my responsibilitY to id, ,tify what actions I must take to
<br />be in compliance. Such agencies include but are not li~ ~ed to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Are 3 and Environmentally Sensitive
<br />Lands, water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells,
<br />Altering Watercourses
<br />*Army Corps of Engineers-seawalls, Docks, Navigable Wat rways
<br />*Department of Health & Rehabilitative Services, Enviro ~ental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatemer
<br />I also certify that, if fill material is to be ussd in ,load Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "campen ",ting 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 1 ~oceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any rovisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Of ~icial from thereafter requiring a
<br />correction of errors in plans, construction, or vio10~ions of any code, Every permit
<br />issued shall become inv'lid unless the work authori,ed by such permit is commenced within
<br />six months of issuance, or if work authorized by tho permit is suspended or abandoned for 'a
<br />period of six months after the time ths 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 aba Idoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 'lF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF yOU INTEND TO UBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS ONDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICr. OF COMMENCEMENT".
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<br />subject to "deed restrictions" which
<br />undersigned assumes responsibility for
<br />
<br />ipress Bayheads, Wetland Areas,
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<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: ,OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _____day of
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />;he foregoing instrument was acknowledged
<br />Before me this _ day of ' 2<L-
<br />by
<br />(name' of person acknowledged)
<br />Owho is personally known to me, 'or
<br />
<br />o who has produced
<br />(type
<br />and wrioD did 0 did not
<br />
<br />acknowledged
<br />, 20_
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(name of person acknowledged)
<br />C1ho is personallY known to me, or
<br />
<br />o who has produced
<br />(type of identification
<br />and who Odid [):iid not take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
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