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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" ~hich
<br />may be more restrictive than City regulations. The unde!signed assumes responsibility'fDr
<br />compliance with any applicable deed re~trictions.
<br />8. 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 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 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 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 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 of "Florida's Construction
<br />-lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicaqt is someone other that,the "pwner"; I cerify that I
<br />have obtained a copy of the above qescribed 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 cone 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 install~tion has commenced prior to issuance of a permit and that
<br />all work will 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 th~t 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 include but are not, limited to: *Department -of
<br />Environmental Regulation-Cypress 8ayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlapd Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Sea~alls, Dock~, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agenoy-Asbestos abatement
<br />I also certify 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 "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 Shfll issuance of a permit prevent the Building Official from thereafter requiring a
<br />correc ion 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 t~me the work is commenced. On~ 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 RE~ORD 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 />$2,500'IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />OR AGENT
<br />
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<br />
<br />SIGNATURE: ;~RACTOR
<br />, /{/
<br />STATE OF FLORIDA 0 _ .
<br />COUNTY Of f~-o
<br />The foregoing instrument was acknowledged
<br />Before J1I~ tbis ~day of ----!t7'''''"-,, ,20~
<br />
<br />by _~~~l~ Y;::on acknowledged)
<br />~ho is p~rsonally known to me, or
<br />
<br />Of!2,DA
<br />COUNTY OF ,/ eLK 0
<br />The foregoing instrument was acknowledged
<br />Beforl}, JIle ;t~' s ~ day of ;)".,,:r___... , 2~
<br />- by - c..b?-J ~~ ,
<br />, ~name 0 person acknowledged)
<br />OYwho is personally known to me, or
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<br />Owho has produced
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<br />and 0 did not
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<br />edgement
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<br />of identification)
<br />)'lke an oath
<br />
<br />
<br />of identification)
<br />~ke an oath.
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