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<br />A. NOTI~E OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility tor
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contr~ctors to undertake work, they may be required
<br />to be licensed in accordance with state and l~cal regulations. If the contractor is not
<br />. licensed as required by law, both the owner and contractor may b~ ,cit~d for a misdemeanor
<br />violation under state law. If the owner or intended contractor ~~e u~certain 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 po~tions 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 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 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. CQNTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all. the infor:rnation in this application is acc4rate and that all work will
<br />be done in compliance with all applicable laws~egulating-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 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 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 include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland 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.", 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 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 b~ requeste~
<br />in writing to'the Bui&4ing Official. An approved inspection must be logged durlng each SlX
<br />month period, or the project will be considered abandoned.
<br />WARNIN ~ OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />P G ' FOR IMPROV NTS 'TO YOUR PROPERTY. 0 TEND TO OB FINANCING, CONSULT
<br />ITH YOUR LE 0 OR AT ORNEY BEFORE RECORDIN YOUR NOTI E 0 0 ENC ENT. JOBS UNDER
<br />500 IN V E DO T N 0 TO RECORD AND POST "NOTICE 0 C M N EME
<br />,
<br />
<br />
<br />
<br />STATE OF FLORIDA Ie- 'N I'll)
<br />COUNTY OF -~--
<br />The foregoing instrument wa~ ft?~~~fedged---
<br />Befor~~ I t;his!' ~~day oftJf--1tl{~'=1-' 20 ~
<br />by ~ J../~
<br />~ (name of person acknowledged)
<br />~h~ is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />id not take an oath
<br />I'
<br />
<br />STATE OF FLO~I>>~~~
<br />COUNTY OF ~J
<br />The foregoing instrument was ackno~}edged ~
<br />Befor~I,{le this~ day ofJJ~, 2Cll:6
<br />by ~ftj t L.. ,~ I yv. n..
<br />~ . (name of person acknowledged)
<br />~ is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />n t take an oath.
<br />
<br />
<br />Si
<br />
<br />
<br />acknowledgment
<br />
<br />~~r_. stamp~ liner
<br />'. ; MY COMMISSION II DD096460 EXPIRES
<br />j March 6, 2006
<br />BONDED THRU TROY FAIN INSURANCE,INC
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