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<br />A.' NOTI~E OF DEED REST~ICTIONS
<br />Th'l undersignGld undgrst~nds that this permit may be subject to "deed restriotions" which
<br />may'be more reetrictive'than City regulations. The undersigned assumes responsibility for
<br />compliance with any app feeble deed restriotions~
<br />B. UNLICENSED CONTRACT ~S AND CONTRACTOR aESPONSIBILITIES
<br />If the owner has hired contractor or contractors to undertake work, 'they may be required
<br />to be licensed in accor ance with state and local regulations. I~ the contractor is not
<br />lioensed 818 required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under s~ate 1 w. If the Owner or intended contractor are uncertain as to what
<br />licensing requirements y apply tor the intended work, they are advised to contact the
<br />City o~ Zephyrhills Bui ding Department, 8l3-1BO-0020.
<br />Furtherlt\ore, if the own r has hired a contractor or oontractors, he is advised to have the
<br />oontractor(e) sign port ons of the "Contractor Sections" of this application for which they
<br />will be responsible. I you, as the owner siqns as the contractor, you are indicating that
<br />you, rather than the co ttactor, are responsible for the work. ,If the contractor wishes
<br />you to sign as contract r that may be an indioationthat"he is not properly licensed and is
<br />not entitled to permitt n9 privileges in the, City of Zephyrhills.
<br />C. TRANSPORTATION IMPA TFEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the a plicant, haye been provided with a copy 'of ~Florida's Construction
<br />lien Law - Homeowner's, rQtection Guide" prepared by the Florida Depart~ent of Agriculture
<br />and Consumer Affairs. f the applicant is someone other that the "owner", I cerify that I
<br />hQve obtained a oopy'of the above described document and promise in good faith to deliver
<br />it to the ~owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER' AFFIDAVIT
<br />I certify that all the nformation in this application is accurate and that all work will
<br />be done in compliance w th ali applicable laws regUlating construction, zoning, and land
<br />development.
<br />Appliqstion is hereby m
<br />certify that no work or
<br />all work will be perfo
<br />codes, zoning regulatio
<br />certify that Iundersta
<br />the intended work, and
<br />be in compliance. Such
<br />Environmental Requlatio
<br />Lands, Water/Wastewater
<br />.Southwest Florida "ate
<br />Altering Watercourses
<br />.Army Corpa of Engineers-~eawalls, Docks, Navigable Waterways
<br />.Department of Health & ~habilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, S tic ~anks
<br />.U.9. Environmental Pret dtion Agency-ASbestos abatement
<br />I aleo certify that, if ill material is to be used in Flood Zone "A" or "A,etc.", it iB
<br />understood that adraina e plan addressing a ~compensating 'volume" will be submitted Which
<br />is prepared by a profess anal engineer registered in the State of Florida prior to permit
<br />issuance. "
<br />A permit issued shall be construed 'to be a license to proceed with the work and not as
<br />authority to violate. ca qel, alter, or set aside any provisions of the technical codee,
<br />nor shall issuance of a ermit prevent the Building Official from thereafter requiring a
<br />oorrection of errors in lans, construction, or violations of any code. Every permit
<br />issued shall become inva td unless the work authorized by suoh permit is commenced within
<br />si~ months of issuance, r if work authorized by the permit ,is suspended or abandoned for 'a
<br />period of six Months aft r thQ time the ,work is commenced. One 90 day extension of time
<br />may be allowed for the p ~it with fee oharge of $15.00. The extension shall be requested
<br />in writing to 'the Buildi 9 Official. An approved inspection must belogqed during each six
<br />month period, or the pro ~t will be considered abandoned.
<br />WARNING 1'0 OWNER: YOUR PtlILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR'
<br />PAYING TWICE FOR IMPROVE !NTS ~o YOUR PROPERTY. Ir YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN A ToRNEY BEFORE RECORDING YOUR NOnCE OF COMMENCEMENT. JOBS UNDER
<br />412,500 IN VALUE 00 NOT N EiD to RECORD AND POS'!' A "NOTICE OF COMMENCEMENT".
<br />
<br />d$ to obtain a permit to do work and instaliation as indicated. I
<br />installation has commenced prior to issuanoe ot ~ pe~rnit and that
<br />ed to meet standards of all laws requlatinq construction, City
<br />8, and land development regulations in the jurisdiction. I also
<br />d that the regulations of other governmental agencies may apply to
<br />hat it is my responsibility to identify what actions I must take to
<br />agencies include but are not limited to: .Department of
<br />-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Treatment
<br />Management District-Wells,
<br />
<br />Cypress Bayheada, Wetland Areas,
<br />
<br />SIGNATURE: OWNER OR AGE T
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE or FLORIDA
<br />COUNTY OF
<br />The toregoing instrument was acknowledged
<br />Before me this _ day f , 2Q........
<br />by
<br />(name' of person Bck oWledged)
<br />ONho is personally kno n to me, or
<br />
<br />O'WhO has produced
<br />(type of identification)
<br />and wlioO did Ddid not take an oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this -&lay of , 20_
<br />by
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />ancl who Odid Ddid not take an oath
<br />
<br />Signature of person taki q ~cknowledgement
<br />
<br />Si~nature of person taking acknowledgment
<br />
<br />Name typed, printed or s a~PQd
<br />
<br />Name typed, printed or stamped
<br />
<br />''1,,'' ....,... I r"' T...... 'n Of
<br />
<br />""''''''N' ""'''''''''TU1':17 IAT\I Cl 'n! IT'JM/Cnn7/Q7 U';r~
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