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<br />A. NOTIC,E OF DEED RESTRICTIONS
<br />The 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 contr~Ftors to undertake work, 'they may be requireo
<br />to be licensed in accordance with state and iocal regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may. be cited for a misdemea~or
<br />violation under s~ate law. If the owner or intended contractor 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, 813-780-0020.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor!sl sign portions of the "Go.tractor Sections" of this ~~lication for which the.
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the co~ractor, are responsible for the work. ~f 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 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, haye heen provided wHh a copy of "Florida's GonstrucHon
<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'S/OWNER'S AFFIDAVIT
<br />I certify that .11 the information in this application.is accurate and that all work will
<br />be done in compliance with .all applicable laws regulating construction, zooing, and laod
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indic~ted- I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work wiil 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 to
<br />the intended work, and that it is my responsibility to ide.tify what actions I must take to
<br />be in compliance. Such agencies inolude but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetiand 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.8. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fili 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 suhmitted which
<br />is prepared by a pro<essional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall.beconstruedto be a license to proceed with the work and not .s
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issua.ce of a permit prevent the Building Official from thereafter requirIng a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unlesS the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for'a
<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 dharge of $15.00- The extension shall be requested
<br />in writing to.the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS ~O YOUR PROPERTY. I~ YOu INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOU~~NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOas UNDER
<br />$ 2, 500 1 ALUE DO NOT N~~D TO RECORD AND POST A "NOTICE COMMEN~E,MEN2' .
<br />
<br />. r. fL/!i/". .. ~~ 1'1 M
<br />
<br />E: OWNER OR AGENT CONTRACTOR
<br />
<br />
<br />
<br />acknowledged
<br />, 2 0..:..-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _____day of
<br />by
<br />
<br />STATE F FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _____ day of
<br />by
<br />
<br />acknowledged
<br />,20_
<br />
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />(name' of person acknowledged)
<br />Dwho is personally known to me, 'or
<br />
<br />D who has produced
<br />(type
<br />and wrioD did D did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />D who has produced
<br />(type of identification)
<br />and who Odid [}:iid not take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person ta.king acknowledgement
<br />
<br />"
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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