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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The unde~sicjned understands that this permit may be subject to "deed restrictions" which.
<br />may be more restrictive,than city regulat~oh~. The undersigned assumes responsibility for
<br />compliance with any applicable deed restr~ct~ons,
<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 contractc ,. may' be cited for a misdemeanor
<br />violation under state law. If the owner or intended cont~ctor are uncertain as to what
<br />licensing requirements inay 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 />co~tractor(s} sign portions' of the "Contractor Sections" 0~ this ~pplication for which they
<br />will be responsible. If you, as the owner signs as the~ontractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work, If the 6ontractor wishes
<br />you to sign as contractor that may be an indicat;iont;.hat 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, M ~ENDED)
<br />I certify that Ii the applicant, haye been provided with a copy of "Florida's Construction
<br />liEm Law _ Homeowner's' Protection Guide" prepared by the E'l )rida Department of Agriculture
<br />and Consumer Affairs . If the applicant is someone other I ',lat 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 LS accurate and that all work will
<br />be done in compliance with ,all applicable laws regulatJ J construction, zoning, and land
<br />development.
<br />Appliqation is hereby made to obtain a permit to do wo: k and instaliation 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,lC:iws regulating construction, City
<br />codes, zoning regulations, and land dev~lopment regulation', in the jurisdiction. I also
<br />certify that I ,understand that the regulations of other go ernmental agencies may apply to
<br />the intended work, and that it is my responsibility to idp ltify what actions I must take to
<br />be in compliance. Such agencies inolude but are not lir ~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, fypressBayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-seawalls, Docks, Navigable Wat, rways
<br />*Department of Health & Rehabilitative Services, Enviro mental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U, S. Environmental protectiori Agency-Asbestos abatemer :
<br />I also certify that, if fill ,material is to be used in l!"'lood Zone "A" or "A, etc.", it is
<br />understood that a drainage.plan addressing a "compen';C1.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 coceed 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 cicial from thereafter requiring ~
<br />correction of errors in plans, construction, or viold~ions of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permi't is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for la
<br />periC?d 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 abafldoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE I)F COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO, YOUR PROPERTY" IF YOU INTEND TO,OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: ,OWNER OR AGENT
<br />
<br />acknowledged
<br />,2L.
<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 />The foregoing instrument was
<br />'Before me this _ day of
<br />by
<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 />Owho has produced
<br />(type of identification:
<br />and who 0 did O:lid 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
<br />
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