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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The. unde~signed understands that this permit may be subjE
<br />may be more restrictive than City regulations. The undeJ
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE
<br />If the owner has hired a contractor or contractors to uno
<br />to be licensed in accordance with state and local regulat
<br />licensed as required by law, both the owner and contract
<br />violation under state law. If the owner or intended con
<br />licensing requirements may apply for the intended work,
<br />City of Zephyrhills Building Department, 813-780-0020.
<br />Furthermore, if the owner has hired a contractor or,cor
<br />cohtractor(s} sign pOftions of the "Contractor Sect10n
<br />will be responsible. If y6U, as the owner signs as ~h
<br />you, rather than the contractor, are responsible ~0J. t 1e
<br />you to sign as contractor that may be an indica~ion t ,at
<br />not entitled to permitting privileges in the City of Zef
<br />C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION .FE
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTI
<br />I certify that Ii the applicant, haye been provided wit
<br />lien Law _ Homeowner's.pr6tection Guide" prepared by t:
<br />and Consumer Affairs. If the applicant is someone oth
<br />have obtained a copy of the above described document '
<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 regulat: 19 construction, zoning, and land
<br />development.
<br />Appliqation is hereby made to obt*1n a permit to do w0 K and instaliation as indicated. I
<br />certify that no work or installation has commenced pri ~ to issuance of a permit and that
<br />all work wiil be performed to meet standards of all la~ regulating construction, City
<br />codes, zoning regulations, and land development regula ions in the jurisdiction. I also
<br />certify that I understand that the regulations of othe governmental agencies may apply to
<br />the intended work, and that it is my responsibility tc identify what actions I must take to
<br />be in compliance. Such agencies inolude but are ,'not 1 ~I L ted to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Area and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cyp: p-ss Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-seawalls, Docks, Navigable Waterw ys
<br />*Department of Health & Rehabilitative Services, EnvironmeI tal 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 ;f Florida prior to permit
<br />issuance.
<br />A permit issued shall.be construed to be a license to proceerl with the work and not as
<br />authority to violate, cancel, alter, or set aside any provi' ~ons of the technical codes,
<br />nor shall issuance of a permit prevent the Building Offici~l from thereafter requiring a
<br />correction of errors in plans, construction, or violatinD3 of any code. Every permit
<br />issued shall become invalid unless the work authorized oy such permit is commenced within
<br />six months of issuance, or if work authorized by the p:rmit is suspended or abandoned for la
<br />period of six months after the titne .the work is comme! ,ced. 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 COt1MENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU ]NTEND TO.OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOB~ UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />t:. to "deed restrictions" which
<br />1igned assumes responsibi11ty for
<br />
<br />rtake work, . they may be required
<br />Jns. If the contractor is not
<br />_ may' be cited for a misdemeanor
<br />ractor are uncertain as to what
<br />hey are advised to contact the
<br />
<br />ractors, he is advised to have the
<br />, of this application for which they
<br />c)ntractor, you are indicating that
<br />work. .If the 6ontractor wishes
<br />he is not properly licensed and is
<br />,yrhills.
<br />,S
<br />J, AS AMENDED)
<br />. a copy of "Florida's Construction
<br />!l Florida Department of Agriculture
<br />r that the "owner", I cerify that I
<br />ld ?romise in good faith to deliver
<br />
<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 ackn6wledged
<br />Before me this _ day of ' 2CL-
<br />by
<br />(name' of person acknowledged)
<br />Owho is personally known to me, 'or
<br />
<br />o who has produced
<br />(type of identification)
<br />and wlioO did Odid not take an oath.
<br />
<br />acknowledged
<br />, 20_
<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 0 did [)did 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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