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<br />A.. NOTIGE 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 appiicable 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 required
<br />to be licensed in accordance with state and focal 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 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 portions of the "Gohtractor 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 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.ION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STAIJ'UTES, AS AMENDED)
<br />I certify that I, the applicant, hay~ 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 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 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 o.f 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 mater.:lal is to be used in Flood Zone "A" or "A, etc. ", i.t 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 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 \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 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 I OVEMENTS 'TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR L R ATTORNEY BEFORE RECORDING YOUR NOTICE OF NCEMENT. JOBS UNDER
<br />$2,500 IN N D TO . ttbAND POST A "NOTICE OF NT".
<br />
<br />TRACTOR
<br />
<br />
<br />COUNTY OF _~:5~
<br />The foregoing instrument was cknbWledged ,-
<br />Before me this I-/--day of , 20 ~
<br />by
<br />(name of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />
<br />SI UR./ OWNER . "
<br />
<br />STATE ~~LORI6A' 6i!d
<br />COUNTY OF '~'.
<br />The foregoing instr~ent was acknowledged
<br />Before me this --fI:!.:. day of~~ ,2QQ..?
<br />by. J . .
<br />~ (name' of person acknowledged)
<br />~whO is personally known to me, 'or
<br />l
<br />o who has produced
<br />(type of identification)
<br />'r''' w~ ~:drot. f1k(-_on . oath. . .
<br />
<br />...~ ~.#~ . ~ -4~ L-f4U?~(
<br />
<br />Signat1l.t-$....pf persDn ,taking acknowledgement
<br />l~\ ~~ Ilobble Swetlana . .
<br />~f . ; MY COMMISSION # 00268763 EXPIRES
<br />~ . ~ .
<br />.~, pr '11~~'tfROfflINI~ll!"paI8d
<br />
<br />
<br />
<br />o who has produced
<br />j..".(( t yp e
<br />~id no
<br />-,
<br />.' ,(
<br />
<br />€f identification)
<br />/',fake an oath
<br />
<br />
<br />SignaEure of
<br />
<br />~~V~,,~~#. .
<br />~ Bobble Swetland
<br />Na:: ~.: ~€e:'at~~63s~ed
<br />...>,f.....r 7. 008
<br />'..'1f"tl\.. BON~ lliRU TROY FAIN INSUtlANC~ INC
<br />
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