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<br />A, NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" Whicfl
<br />may be more restrictive than City regulations. The undersigned assumes responsibilir-y for
<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 requlreO
<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, 813-788-6611.
<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 Sections" of this application for which the
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating th,
<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
<br />not entitled to permitting privileges in the City ot 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 with a copy ot "Florida's Constructl0
<br />lien Law _ Homeowner's Protection Guide" prepared by the Florida Department of Agricultur
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that
<br />have obtained a copy 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'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 regulation. 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 identity what actions I must take
<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 i$ to be used in Flood Zone "A" or "A,etc,U, it is
<br />understood that a drainage plan addressing a "compensating volumeH will be submitted whi
<br />is prepared by a professional engineer registered in the State of Florida prior to permi
<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 it 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 ot $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 abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTI'CE 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 UNO!
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />1-1 ~ 7?p,b 1:1 ~ -;~M
<br />
<br />SIG~E: WNER OR AGENT SI~TU~~ CONTRACTOR
<br />
<br />STATE OF FLORID~c-~
<br />COUNTY OF ~..:;>
<br />The foregoing instrwment was acknowledg~
<br />Bef re me th \ day of U;).( , 2~
<br />by ~
<br />
<br />STATE OF FLORID~~ '~
<br />COUNTY OF "")~
<br />The foregoing instrument wa~owle~
<br />Befor me this Y of ,
<br />by
<br />
<br />
<br />acknowledged)
<br />known to me, or
<br />
<br />
<br />
<br />o who
<br />
<br />of identification)
<br />take an oath.
<br />
<br />of person taking. acknowledgement
<br />
<br />Signature of person
<br />
<br />Name typ
<br />
<br />
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<br />
<br />My Commission 00463268
<br />Exp11'8S 0811812009
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