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<br />A. NVl'lCt; Of DEED RES'l'RICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" ''';~'-C~
<br />may be more restrictive than City regulations. The undersigned assumes responsibility tor
<br />compliance with any applicable deed restrictions.
<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 contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intende~ work, they are advised to contact the
<br />City of Zephyrhills Building Department, 613-766-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, h, is advised to have the
<br />contractor(s) sign portions of the "contractor SectionsH of this application for whiCh the
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating thai
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and 1
<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, AS AMENDED)
<br />I certify that I, the applicant, have been provided ~ith a copy of "Florida's ConstructiOr!
<br />lien Law _ Homeowner's Protection GuideH prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "ownerH prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development,
<br />Application is hereby made to obtain a permit to do work and installation as indicated,
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply t
<br />the intended work, and that it is my responsibility to identify what actions I must cake
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida water Management District-Wells, Cypress Bayheads, wetland Areas,
<br />Altering Watercourses
<br />"Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, septic Tanks ,
<br />"u.s. 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 whil
<br />is prepared by a professional engineer registered in the State of Florida prior to perrnl
<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, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter ~equiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unle,. the work authorized by such permit is commenced withi
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned fc
<br />period 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 request
<br />in writing to the Building Official. An approved inspection must be logged during each
<br />month period, or the project will be considered ~bandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CON:
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDI
<br />$2,500 HI VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />J.1~ ~7~ A~ 2J::;eR~
<br />
<br />SI~RE' OWN' OR AGENT SIGNATURE:JCONTRACTOR
<br />
<br />STATE OF FLORIDA ~ ~"\::- .-......"
<br />COUNTY OF ~J_~ J
<br />The foregoing i ument w~~noWleq~
<br />Befor e thi a o~-- ,c:l
<br />by
<br />. ~name person acknowledged)
<br />~o is personally known to me, or
<br />
<br />
<br />
<br />Owho has produced Owho has produced
<br />(type of identificatiCinl ... ... ~ty of i.dentl.. flea
<br />
<br />",~-",~nd w:::Odi~ ~t _ ~n oa~h~~ ~hQ." Od\id _ _n~~ke'n ~
<br />::>> oQ-"" -'-' ~ \\, ~ ~~ A'_ ~~
<br />
<br />Signature of person taking' acknowledgement Signature of person taking acknowledgn
<br />
<br />Name t rinted or stamped
<br />~iJ Notary Public Slate of Florida
<br />. . Sabrina Rae Cant
<br />~ ;I My Commission DD463268
<br />CH?\i Expires 0811812009
<br />
<br />Ndlr\
<br />
<br />
<br />, ~PiadSW'of~ ed
<br />Sabrina Rae Cant
<br />My Commission 00463268
<br />Exptres 0811812009
<br />
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