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<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fhe undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility 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 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 />viol?tion under state law. If the owner or intended contractqr are uncertain as to what
<br />licensing requirements may apply for the intended 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, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<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 is
<br />not entitled tq permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTA'J'ION 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 of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", 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 "owner" prior to commencement.
<br />E. CONTRACTOR'r,/OWNER'S AFFIDAVIT
<br />I certify that ~ll 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. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will b~ 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 to
<br />the intended work, and that it-is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Envi~onmentally 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" 0r "A, etc.", it ~5
<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 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, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every per.mit
<br />issued shall become invalid unless the work authorized by such per.mit is commenced within ~
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for'~ _
<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 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 COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'r NEED '1'0 RECORD AND POST A "NOTICE OF COl:1MENCEMENT".
<br />
<br />~ ;~~~4
<br />
<br />SIGNATURE: SIGNATURE: CONTRACTO _//
<br />
<br />STATE OF FLORII)A--..". llP'
<br />COUNTY OF ~l yV e ')
<br />The foregoing instrument was acknowledged
<br />Before me this..;:2..:J.. day of~(}Ve-'m6e-,..., l:-9"';).00:;-
<br />by ~,jJ",,,, ~o
<br />(name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />STATE OF FLORIDA'y , II "
<br />COUNTY OF I 'NE' '()'S
<br />The foregoing instrument wij ac:no~ledged _-
<br />Before me thi~ ::2:J- day of O\J Mb 'i't, 1-9-c2oo.o
<br />by f(\A (l..y .u ".::::-'S:.o b 0 ,-,,.., .,
<br />, . ~,..-
<br />(name of person acknowledgea)
<br />~ho is personally known to me, or
<br />
<br />D who has produced
<br />(type of identification)
<br />and whoD did g.cfid not take an oa th.
<br />
<br />~ flfl ~ \~lw "Ie..-
<br />
<br />signatu~e of person taking acknowledgement
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and who Ddid (3jid not take an oath
<br />
<br />\h~"," ~ 11f~\~~
<br />
<br />Signat re of person taking acknowledgment
<br />
<br />Name typed, prin~~~ ~~~~~
<br />M. '. ' MY COMMISSION' DO """"'u
<br />* .. EXPIRES: August 29, 2008
<br />..... ~., Bonded Thru Budget ~ Seriices
<br />"~~f\.r5f'
<br />
<br />;t1;: ~ MYRA. iUE IJ.IlJOWSI(J
<br />Name typed, p.o 1\WICOIMISSqd1340323
<br />* .. EXPIRES: August 29, 2008
<br />..~> .."..,,, Bonded Thru Budget NDIIJy 5micel
<br />tOFfc'"
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