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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 appiicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contr<;\ftors to undertake workl '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, Bl3-7S0-0020.
<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 "C;:ontractor Sections" of this application 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 STATUTES,. AS AMENDED)
<br />I certify that I, the applicant, hay~ been provided with ~ 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 />Appli~ation 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 Environmehtally 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 & Reh~bilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certity that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensa.ting volume" will be submitted which
<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 \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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2'~OO I VALUE DOg NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~__~I3t:'~ . ...~e>~
<br />
<br />SIGNATURE: 0 ER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ftJ.-!~
<br />COUNTY OF ,. , .
<br />~heforegoin? i~~ent was acknowledgedA/
<br />Before. m~ th:Jt~ ~ da,y of- J71 /JvAj , 2Q..:..UP
<br />by l' FI n.sy-ql' n~'-- t2~ . .
<br />(name' of person acknowledged)
<br />~hO is personally known to me, 'or
<br />
<br />o who has produced
<br />(type of identification)
<br />and WliO~diJi. Odid not take an oath.
<br />cSJL t:l~ ~/( .
<br />
<br />Signature of ~~~~mn*edgement
<br />StaCIe Zullo
<br />Comm' .
<br />Name typed, &f . is&s: ~~ 2009
<br />n ed Thru Atlantic Bonding Co" Inc.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrgment was acknowledged ~
<br />~;fore me 1J'J~~J. of 7Mt?""5 ' 20 fL
<br />
<br />(name 0 person acknowledged)
<br />~hO is personally known to me, or
<br />
<br />p q .ret7
<br />
<br />o who has produced
<br />(type of identification)
<br />and who ~id . Oiid not tak.e an oath
<br />
<br />~Itlt:d 'XtZ
<br />
<br />Signature of person t~ing acknowledgment
<br />
<br />
<br />Name
<br />
<br />
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