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<br />A. NOTIGE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be
<br />may be more restiictive.than 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 contr<;\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 misdemea~or
<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 "Contractor Sections" of this ~pplication for which they
<br />will be responsible. If you,as the owner signs as the contractor, you 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 CONNECTI.oN FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES,AS AMENDED)
<br />I certify that I, the applicant, hays been provided with a copy.of "Florida's Construction
<br />lien Law _ Homeowrter'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 sta~dards 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 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 fill material is to be used in Flood Zone "A" or "A, etc.", i.t is
<br />understood that a drainage plan addressing a "compensa.ting 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 titue,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 IMPROVEMENTS 'TO YOUR PROPERTY. IF YOU INTEND TO,OBTAIN FINANCING, CONSULT
<br />WITH YOUR L DER OR AN ATTORNEY BEFORE RECORDING Y~:)uR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,5 ' IN V UE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />subject to "deed restrictions" which -
<br />undersigned assumes responsibility for
<br />
<br />, ,
<br />
<br />S TU OWNER OR AGENT
<br />
<br />S E OF FLORIDA). ,
<br />C NT F .!;:-//2 ~ -:f a. 0 .
<br />The foregoing instrument was acknowledged --
<br />Before me this ~ day of 'l.... ~ , zu0
<br />by .!- .
<br />(name' of person acknowledged). .
<br />Owho is personally known to me, 'or
<br />
<br />o who has produced
<br />(type of identification)
<br />
<br />and ~~oO;:!;t~nv;5$~k
<br />
<br />
<br />Sign~m'-" of pe~ SMtklbng acknowledgement
<br />f*: ~~ MYCOMMISSION# 00268763 EXPIRES,
<br />-"~..'W February 22. 2008' ,
<br />'?...~!..~~ \."l.()"-lI"lC.n.TuDlITOrWl:^u':I"'c;"Ill""lrc. 1"-1'-' '
<br />
<br />Name typed, printed or stamped
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF 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 />C1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who [] did O:lid not take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
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