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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" WhlCh
<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 />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 SectionsH of this application for which the
<br />will be responsible, If you, as the owner signs as the contractor, you are indicating tha
<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 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 Constructloi
<br />lien Law _ Homeowner's Protection GuideH prepared by the Florida Department of AgrlculturE
<br />and Conswner Affairs, It the applicant is someone other that the "ownerH, I cerify that:
<br />have obtained a copy of the above described document and promise in good faith to dellver
<br />it to the "ownerH prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the intormation 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 ot all laws regulating construction, Clty
<br />codes, zoning regulations, and land development regulations 1n 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 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 till material is to be used in Flood Zone "AH or "A/etc,", 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 unl." 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 tim€
<br />may be allowed for the permit with tee charge ot $15.00. The extension shall be request
<br />in writing to the Building otticial. 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 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 UND
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />lJ~ 1?J'~ A~ Z~.?PA~
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<br />S GNATURE:....." OWNER OR AGENT SIGNATURE: TRACTOR
<br />
<br />STATE OF FLORI~SC)
<br />COUNTY OF --
<br />The foregoing instrument was acknowledgedc
<br />::~\e th \'- day of\--)\) '" , 20-~)
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<br />~ame f person acknowledged)
<br />~o is personally known to me, or
<br />
<br />STATE OF FLORID~~0
<br />COUNTY OF
<br />The toregoing if~ rument wa~~~nowl~d~
<br />Befa e m th - ay of \-. ,
<br />by \\
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<br />~ is personally known to me, or
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<br />and whoO di.d
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<br />of identification)
<br />take an oath.
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<br />Signature of person taking' acknowledgement
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<br />Signature of person taking acknowled9D
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