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<br />,A;: NO~I~E OF DEED RESTRICTIONS
<br />Th~ undersigned understands tpat this permit may be subject to ~deed restrictions" which
<br />may'be more reettictiye than. City regulations. The undersigned assumes r~sponsibility for
<br />eompliance with any'appiicabla deed restrictions~ '
<br />B. UNLICENSED CONTRACTORS ANb CONTRACTOR RES~ONSIBILITIES
<br />If the owner has hired a oont~actor or contractors to undertake work, 'they may be required
<br />to b~ licensed in acco~dance with state and local regulations. If the contraotor is no~
<br />lieeneed as ~equired by 1aw, both the owner and contractor, may. be cited for a misdemeanor
<br />violation under e~ate 1aw. If the owner or intended contraetor arQ uncertain as to what
<br />licensing requirements ~ay apply for the ~ntende~ work, they are advieed to contact the
<br />City of Zephyrhills Building bepartment, 813-780-0020.
<br />Furthermore" if 'the' owner has: hired a c6ntractor or contracto~s, he is advised to have the
<br />contractor(s) sign pOftions'of the ~Contractor SQctions" of this application for which they
<br />will be responsible. If you",ae the owner signs as the contraotor, you are indicating that
<br />you, rather than the contractor, are responsible for the wo~k. .I! the ~ontractor wishes
<br />you to sign as contractor that may be an indication that' he is not properly licensed and is
<br />not entitled to permitting pr~vile9~s' in the, City of Zephyrhills.
<br />C: TRANSPORTATION IMPACT FEE~ AND UTILITY CONNECTION FEES '
<br />D. CONSTRUCTtJION LIEN LAW (cltAPTER 713, FLORIDA"STA'rUTES, AS AMENDED) ,
<br />I certify that I; the applicant, haye b.een prbvi~ed with a cOPy.of ~Florida's Construction
<br />lien Daw - Romeowner's'~rotec~ion Guide" prepared by the Florida Dep~rtment of Agriculture
<br />and Consumer Affairs. It the' applicant is someone other that t~e ~owner", I,cerify that I
<br />ha~e obtained a copY'of the apove described document and promise in good faith to deliver
<br />it ,to the ~ownQr" prior to co~encement.
<br />E'. ,CONTRACTOR' S/OWNER' S AFFI,DAVIT , '
<br />I certify that all the information in this'application is aocurate and that all work will
<br />be done in compliance with ,a~i applicable laws regulating constr~ction, zoning, and land
<br />de1telopment. " ' , '
<br />Appliqation is hereby made t~ obtain a permit to do work and installation as indicated. !
<br />certify that no ,work or installation has oomm~nce~ prior to issuanoe of a permit and that
<br />all work will be performed to, meet standards of all laws regulatin~ construction, City
<br />codes, zoning regulations, and land deve10pmerit regulationB in the jutiediction. I also
<br />certify that I.underst8~d that the regulatione of other 90~erhmental agencies may appiyto
<br />the intended work, arid that it is my reeponsipility ~o id~ntify what actions I must take to
<br />be in compliance. Such agenoies inolude but are not limited to: *Department of
<br />Environmental RegUlation-Cypress Bayheads, wetland Areas and Environmen~ally S~nsitive
<br />Lands, water/Wastewater Treatment,
<br />*Southwest Florida Water Management District-WellS, CyPress aaYh~ads, Wetland Areas,
<br />Altering Watercou~8es ;,
<br />*Army Corps Of Engineers-Seawalls, Dooks.. Navigable'Waterways
<br />*Department of Health & RehaQilitative Seryices, Environmental H~alth Unit-Weils,
<br />wastewater Treatment, Septic Tanks
<br />*U.S. Environmental ~rotectiort Agency-ASbestos ab~tamen~
<br />I .'lso certity that, if till :material is to be used. in F],o~d Zone "A" or "A, etc." / it is
<br />understood that a drainage plan addressing a "compens~ting,volum~P will be Submitted which
<br />is prepared by a prdfessional engin~er registered in ~he,State of rlorid~ prior to permit
<br />iS5uance.: ' ,
<br />A permit issued shall ,be cohstrued..t;o be a license to proceed with the work,e,nd not a!5
<br />authority to violate, ,caneeli alter, or eet aside, any ,provi!5ions of the technical codes,
<br />nor shall issuance of a permit prevent the Building 0ffi~ial from thereafter requiring a
<br />correction of e~rors in plans~ construction, or violations of any oode. Every permit .
<br />issued shall become invalid unless the work authorized by such permit ie commenced within
<br />sig months of, issuance; or if' work authorized by the permit,is'suspended or abandoned for'a
<br />periodo! six month~ after t~e ti~e,the worR is oommenced. One 90'day extension of time
<br />may be allowed for the'permit with fee charge of $15.00. The Q~ten~ion shall be r~quested
<br />in writin9 to 'the Building of~icia1. An approved inspection must be ,logged during each si~
<br />month period; or the proj~ct,wi11 be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE~ULT IN YOUR
<br />PAYING TWICE FOR' IMPROVEMENTS ~O'YOUR P~OFERTY. IF 'YOU INTEND TO OaTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT~CE OF COMMENCEMENT. JOB~ UNDER
<br />$2,500 IN VALUE 00 NOT NEED ~o RECORD 'AND l'OST A ~NOTICE OF COMMENCEMENT".
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<br />SIGNATURE: CONTRACTOR
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<br />SIGNATURE I OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNT'X' OF
<br />,The foregoing instrument was
<br />B~fore me this' day of
<br />by,
<br />
<br />acknowledged
<br />20_
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<br />(n~me of person aoknowledged)
<br />C1ho is pereonally ~now~ to me, or
<br />
<br />[] who h~s produced '
<br />, (type of identification)
<br />and who Odid 'Odid not take an oath
<br />
<br />I
<br />Signature of person taking ac~nowledgement
<br />':
<br />
<br />Signature of person taking acknowledgment
<br />
<br />~
<br />Name typed, printed or stamp:eb
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<br />,
<br />Name eyped, printed or stamped
<br />
<br />~nn 'rl
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<br />17nn-nQ/-CIQ'OM Y\101
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