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<br />A. NOTI~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 contractors to undertake work, . they may be required
<br />to be licensed in accordance with state and 16cal 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 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(s) sign po~tions of the "Gohtractor Sections" of this ~pplication for which they
<br />will be responsible. If ydu,as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are respon~ible for the wo~k. .If the contractor wishes
<br />you to sign as contractor that may be an indica~ion 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 CONNECT~ON FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, .AS AMENDED)
<br />I certify that I, the applicant, haye 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 conunencement.
<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 />Appliqation is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has conunenced 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 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, 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.S. 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 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 ~nd 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 permit
<br />issued shall hecume iuvalid uuless the work authorized hy such permit is commeuced 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 tiwe.the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The .xtension ehall 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. Ir 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 NOT NEED TO RECbRDAND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~PAiMI oiJt1A'jJ~A,lAd
<br />
<br />SIGNATURE' WNER OR~;r- SIGNATURE' CONTRACTOR~
<br />
<br />STATE OF FLORIDA f>,/Lr-/M STATE OF FLORIDA pa.[~
<br />COUNTY OF . . "'\1 ~ '. COUNTY OF
<br />The foregoing ins~lument waJ)~::k~wledge~~ The foregoing ins~
<br />~~fore ~~ hd~' 2<eL :~fore me. is
<br />
<br />(name. of person acknowledged) . ~. (name of person acknowledged)
<br />~hO is personally known to me,or ";hO is personally known to me, or
<br />
<br />o who has produced . 0 who has produced
<br />(type of identification) . (type of identification)
<br />
<br />and WhO~~d tlta.e an oath. and who ~~tke an oath
<br />
<br />Signature Re~~~~~~fwledgement Signature of person taking acknowledgment
<br />
<br />_Stacie Zullo' .
<br />Name typed ~t~to~6
<br />'~es: "'Oct-T6; 2009
<br />. Bonded Thru Atlantic Bonding CQ., Inc.
<br />
<br />
<br />Name
<br />
<br />NOTARY
<br />typ rinSmti@rztifiamped
<br />Commission # OD482036
<br />Expires: OCT. 16 2009
<br />Bonded Thru Atlantic Bonding Co., Inc.
<br />
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