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<br />A. NOTIGE OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this permit may be
<br />may be more restiictivethan city regulations. The
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner. has hired a contractor or cbntr~ftors 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 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, 813-7BO~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 ~Goritractor Sections" of this ~pplication for which they
<br />will be responsible. If you,..as the owner signs as the contractor, ydu 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 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 STArUTES,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 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 />Appliqation 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 wiil be performed to meet standards of all laws regulating,construction, City
<br />codes, zoning regulations, and land developmerit 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 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 Distriot-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Dooks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septio ~anks
<br />*U.S. Environmental Proteotion Agency-Asbestos abatement
<br />I also certity that, if fili material is to be used in Flood Zone "A" or ~A,eto.", it is
<br />understood that a drainage plan addressing a ~compensating volume" will be submitted whioh
<br />is prepared by a proiessional 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 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 la
<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 b7 requeste~
<br />in writing to'the Building Official. An approved inspection must be logged dur~ng each s~x
<br />month period or the project will be considered abandoned. ,
<br />WARNING TO O~NER: 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 NOT~CE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'INOTICE OF COMMENCEMENT".
<br />
<br />
<br />"'.<;;/4 e~ 4i:=/{
<br />
<br />SI~NA~URE: OWNER R AGENT
<br />
<br />subject to ~deed restribtions" which
<br />undersigned assumes responsibility for
<br />
<br />.. . '0'J4C, ij
<br />
<br />SIGNATURE: CONTRACT R
<br />
<br />STATE OF FLORIDA fJ({..[eO
<br />COUNTY OF .. .
<br />The foregoing instrument was acknowledged
<br />Before me(this~. ,,day of ' 2U--
<br />by u<t-~ca (:<< do
<br />. (name' of person acknowledged). .
<br />~WhO is personally known to me, 'or
<br />
<br />o who has produced .
<br />(type of identification)
<br />Odid not take an oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this I day?of/t0 ' 20_
<br />by . . . l ~ VfU'l{J l ~ .
<br />M. (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />D:iid not
<br />
<br />jJti.J~
<br />
<br />
<br />and
<br />
<br />
<br />erson taking acknowledgment
<br />
<br />
<br />acknowledgement
<br />
<br />.,
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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