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<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ unde~signed understands that this ~ermit may be SUQject to udeed restriction~" which
<br />may be more restriotive than City.regulations. The unde~~igned assumes. responsibility for
<br />. oompliance with any applicable deed restrictiona.
<br />B. UNLICENSED CONTRACTORS AND CONTRhCTOR R~BPONSIBILITIE~ '
<br />'If the owner has hired a contraotor. or cOntractors to undertake wo~k, they. may be required
<br />to be licensed in accordance with state. and looal regUlations. If the contraotor is not.
<br />licen~ed 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 contraotor are. uncertain as to what
<br />licensing requirements may apply for the int~nded 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 />oontraotor(s) sign 'portions of the UContraotor 8ectionsu of this application' for Which they
<br />will be responsible. It you, as the owner signs qS the oontraqtor, you are indicating that
<br />you, ~ather than the contractor, are respon~ible tor the work. If the contractor wishe~
<br />~ou to sign as contractor that may.be an indica~ion that he is not properly licensed and is
<br />not entit+ed to permitting privileges i~ the City of ~B~hyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTltXTY CONNECTION FEES
<br />D.' CONSTRUCTUION LIEN LAW (CHAPTER 713, fLORIDA STATUTES, AS AMEND~D)
<br />! certifY that I,. the applioant, have been provided' with a oopy of uFlorid~'s Construotion
<br />lien Law.- Hom~owner's Protection' Guide" prepared' by the Florida Department of Aqrioulture
<br />and consumer Attairs. I f the applical1t is SOl1leone. other that.. the "pwner" i I oerify that I
<br />have Obtained a copy of the above qesoribed 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 applioation is aocurate and tha~all work will
<br />be tione in compli~noa with all applioable laws regulating oonstruction, zoning, and land
<br />development.
<br />Appliqation .is hereby made to obtain a permit to do ~ork and instal~ation as indicated. I
<br />certify' that no work or install~tion has commenced prior to issuance of a permit and'that
<br />all work will be performed to meet' standarde or all laws regulatin~ construotion, C~ty
<br />codea, 20ning regulations, and land'development regulations in the jurisdiotion. I also.
<br />certify that I understand thijt the regulations of othe~ governmental agenoies 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 agenoies include but are not. limited tOI *Department ~f
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment .
<br />*Southwest Florida Water Management Distriot-Wells, Cypress Bayheads, Wetlapd Areas,
<br />. Altering Watercourses .'
<br />*Army Corps of Engineer6-Seawa~~$, Dooks, Navigable waterways
<br />*Departmentof Uealth & Rehabilita~ive Servioes, Environmenta~ Health Unit-Wells,'
<br />WaBtew~ter Treatment, Septio Tanks
<br />*U.8. Environmental Protection Agenoy-Asbestos abatement
<br />I also certify that, if fill mater!a~ is to ~e used in F~ood Zone ~AU or "A,eto.", it is
<br />understood that a drainage plan addressing a ~oompensatil'l9 volume" will be submitted whioh
<br />is prepared by a professional engineer registe~ed in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to prooeed with the work and not' as
<br />authority to violate, cancel, alter, or set aside any provisions ot the teohnical oodes,
<br />nor. Shrll issuance of a permit. prevent the Building Officia+ from thereafter requiring a
<br />correc ion of errors.in plans, 9onstru9tion, or.violations of any code; Every permit
<br />issued shall beoome invalid ~nless the work authorized py such permit is commenoed within
<br />six months of issuance, .or if work authorized by,the permit is suspended or abandoned for1a
<br />period of six months' after the t~me the wor~ is commenoed. On~ 90 day extension ot time
<br />may.be allowed for the permit with tee' charge of $15.00. The extension shall be requested
<br />in writing to the BUilding Official. An approved. inspection must be loqged d4ring each si~'
<br />month.period, or.the project will be oonsid,red abandoned. '
<br />WARNING TO OWNER: YOUR FAILUR~'TO R~CORD A NOTICE OF CONHENCEHENT HAY RESULT tN YOUR'
<br />PAYING TWIC~ FOR IMPROVEME~TS TO YOUR' ~ROPERTY. IF YQU INTEND ~O OBTAIN FINANCING, CONSULT
<br />WITH YOUR'LEND 0 ~N AT ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2, 500. IN V NOT ED TO 'RECORD AND POST' \ OnCE CO Neil N'l"~ .
<br />
<br />
<br />STATE Oli' FLQRIDA
<br />COUNTY Of
<br />The foregoing ~na
<br />Befor,ll llIe' hie
<br />by
<br />_.I (name of person acknowledged)
<br />~ho is p~raona~ly known to me, or
<br />
<br />
<br />e of pe+sqn acknowledged)
<br />s personally known to me, or
<br />
<br />o who has produced
<br />2m / (type 0 i entif,ic<\tion)
<br />an. lioO di1 /l ~id ~t. t.ake an oath.
<br />
<br />~~(.. eJ.2~ Iv-
<br />Signature of pe7son taking acknowledgement,
<br />
<br />
<br />Signature ot person taking acknowle~gment
<br />
<br />I..........". .
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<br />: i'! ",,"'''i. ExPlrw 1123/2008 :
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